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Spontaneous Abortion (Picmonic)
Example Care Plan_Abortion, Spontaneous Abortion, Miscarriage (Cheat Sheet)
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Vacuum Aspiration Abortion (Image)
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Hey everyone, today, we're going to be creating a nursing care plan for abortion, spontaneous abortion, and miscarriage. So, let's get started. First, we're going to be going over the pathophysiology. So, this is the termination of a pregnancy before the fetus is able to live outside the womb. Typically, it's prior to 20 to 24 weeks, they may be spontaneous miscarriage in which there is no outside intervention or induced either electively or therapeutic reasons. Nursing considerations: you want to assess vital signs, pregnancy history, assess for bleeding, monitor fetal heart rate, initiate IV fluids, or blood, manage pain, and offer patient support Desired outcome: the patient will experience minimal blood loss and be free from infection. The Patient will develop coping skills to effectively manage emotional loss of pregnancy.
So, we're going to go ahead and write out our care plan. We're going to be having some subjective data and some objective data. So, we're going to see what, what is it that we're going to see in the patient? Subjective. They'll have some pain in the lower back and they may also have some abdominal cramping Objective data that you'll see. They'll have some vaginal bleeding or spotting. And they also have fluid tissue that is passing through the vagina.
So, interventions we're going to be doing, we're going to want to monitor their vital signs. Excessive blood loss can result in hypovolemia, especially in the case of placenta abruption. You want to monitor for hyper or hypotension, tachycardia, and some shortness of breath. Note, though, if there's a fever present, it may indicate an infection. Okay, next intervention. We're going to obtain information about pregnancy from the patient, including an estimated due date. So, we want to note any sort of chronic health conditions, any previous miscarriages, or events and risk factors that may have led up to the onset of symptoms. We also want to make sure the due date to determine gestational age and viability of the fetus. So, we're going to be checking out the patient history. The next intervention we want to assess is for bleeding, amniotic fluid, and passage of pregnancy tissue. We want to weigh or count the number of saturated pads each hour to note the amount of blood loss. Note that amniotic fluid or tissue being expelled from the vagina indicates a spontaneous abortion. We want to assess the fetal heart rate. We want to determine if there is a viable fetus and determine that course of treatment. You want to assess and manage pain. The contractions, the low back pain and the cramping are symptoms that require management for the patient. We can assist with some non-pharmacological interventions as necessary or by giving oral medication. We also want to make sure that we're going to initiate any sort of IV fluids and administer blood products as appropriate. We want to make sure we're replacing that fluid and blood loss, and we want to make sure that we're assessing a patient's psychological status and offering support and resources. Unfortunately, unexpected loss of a pregnancy may cause emotional distress; offer emotional support and provide resources for counseling, religious contacts, and some support groups for the patient.
Okay. Now we're going to move on to the key points. So, pathophysiology of abortion is the termination of a pregnancy before the fetus is able to live outside the wound it's caused by a genetic complication or unintentional. Some subjective and objective data. They're going to have some pain in the lower back, abdominal cramping, vaginal bleeding, or even spotting fluid or tissue passing through the vagina. We're going to monitor vital signs, obtain pregnancy history, assess for bleeding, make sure we're going to monitor the fetal heart rate, initiate any IV fluids or possible blood, manage the patient's pain, and offer any sort of support through resources or counseling or even support groups. And that's the end of the care plan you guys did amazing.
We love you guys. Go out and be your best self today and as always happy nursing.
So, we're going to go ahead and write out our care plan. We're going to be having some subjective data and some objective data. So, we're going to see what, what is it that we're going to see in the patient? Subjective. They'll have some pain in the lower back and they may also have some abdominal cramping Objective data that you'll see. They'll have some vaginal bleeding or spotting. And they also have fluid tissue that is passing through the vagina.
So, interventions we're going to be doing, we're going to want to monitor their vital signs. Excessive blood loss can result in hypovolemia, especially in the case of placenta abruption. You want to monitor for hyper or hypotension, tachycardia, and some shortness of breath. Note, though, if there's a fever present, it may indicate an infection. Okay, next intervention. We're going to obtain information about pregnancy from the patient, including an estimated due date. So, we want to note any sort of chronic health conditions, any previous miscarriages, or events and risk factors that may have led up to the onset of symptoms. We also want to make sure the due date to determine gestational age and viability of the fetus. So, we're going to be checking out the patient history. The next intervention we want to assess is for bleeding, amniotic fluid, and passage of pregnancy tissue. We want to weigh or count the number of saturated pads each hour to note the amount of blood loss. Note that amniotic fluid or tissue being expelled from the vagina indicates a spontaneous abortion. We want to assess the fetal heart rate. We want to determine if there is a viable fetus and determine that course of treatment. You want to assess and manage pain. The contractions, the low back pain and the cramping are symptoms that require management for the patient. We can assist with some non-pharmacological interventions as necessary or by giving oral medication. We also want to make sure that we're going to initiate any sort of IV fluids and administer blood products as appropriate. We want to make sure we're replacing that fluid and blood loss, and we want to make sure that we're assessing a patient's psychological status and offering support and resources. Unfortunately, unexpected loss of a pregnancy may cause emotional distress; offer emotional support and provide resources for counseling, religious contacts, and some support groups for the patient.
Okay. Now we're going to move on to the key points. So, pathophysiology of abortion is the termination of a pregnancy before the fetus is able to live outside the wound it's caused by a genetic complication or unintentional. Some subjective and objective data. They're going to have some pain in the lower back, abdominal cramping, vaginal bleeding, or even spotting fluid or tissue passing through the vagina. We're going to monitor vital signs, obtain pregnancy history, assess for bleeding, make sure we're going to monitor the fetal heart rate, initiate any IV fluids or possible blood, manage the patient's pain, and offer any sort of support through resources or counseling or even support groups. And that's the end of the care plan you guys did amazing.
We love you guys. Go out and be your best self today and as always happy nursing.
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