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    NCP On Preterm Labor

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    Joan Castillo
    The patient reported sudden abdominal pain like she was going into labor. On examination, she had continued uterine contractions, a facial expression of pain, irritability, and vital signs within normal limits. She was diagnosed with activity intolerance related to muscle or cellular hypersensitivity. The nursing care plan was to have the patient rest in bed on her side with external uterine and fetal monitoring for 8 hours. Monitoring included frequent vital sign checks and assessment of contractions, breathing, and heart rate. Diagnostic tests and cultures were also ordered to check for infection.

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    NCP On Preterm Labor

    Uploaded by

    Joan Castillo
    11K views2 pages
    The patient reported sudden abdominal pain like she was going into labor. On examination, she had continued uterine contractions, a facial expression of pain, irritability, and vital signs within normal limits. She was diagnosed with activity intolerance related to muscle or cellular hypersensitivity. The nursing care plan was to have the patient rest in bed on her side with external uterine and fetal monitoring for 8 hours. Monitoring included frequent vital sign checks and assessment of contractions, breathing, and heart rate. Diagnostic tests and cultures were also ordered to check for infection.

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    Ncp on Preterm Labor

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    The patient reported sudden abdominal pain like she was going into labor. On examination, she had continued uterine contractions, a facial expression of pain, irritability, and vital signs within normal limits. She was diagnosed with activity intolerance related to muscle or cellular hypersensitivity. The nursing care plan was to have the patient rest in bed on her side with external uterine and fetal monitoring for 8 hours. Monitoring included frequent vital sign checks and assessment of contractions, breathing, and heart rate. Diagnostic tests and cultures were also ordered to check for infection.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    11K views2 pages

    NCP On Preterm Labor

    Uploaded by

    Joan Castillo
    The patient reported sudden abdominal pain like she was going into labor. On examination, she had continued uterine contractions, a facial expression of pain, irritability, and vital signs within normal limits. She was diagnosed with activity intolerance related to muscle or cellular hypersensitivity. The nursing care plan was to have the patient rest in bed on her side with external uterine and fetal monitoring for 8 hours. Monitoring included frequent vital sign checks and assessment of contractions, breathing, and heart rate. Diagnostic tests and cultures were also ordered to check for infection.

    Copyright:

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    of 2

    Assessment Subjective: "Bigla na lang humilab ang tiyan ko, parang manganganak na ako" as verbalized by patient.

    Objective: *Continued uterine contraction *Facial mask of pain *Irritability *V/S taken as follows: T:37.3 P: 84 R:19 Bp: 100/80

    Diagnosis Activity intolerance related to muscle or cellular hypersensitivi ty

    Nursing Analysis

    Scientific: Preterm labor is defined as uterine contractions occurring after 20 weeks of gestation and before 37 completed weeks of gestation.

    Planning After 8 hours of nursing interventions, the patient will use identified techniques to enhance activity intolerance.

    Intervention Independent: *assess status of the client and fetus.

    Rationale *Assessment provides a baseline date for future comparisons. *Bed rest relieves pressure of the fetus on the cervix. *Uterine and fetal monitoring provides evidence of maternal and fetal well being. *Maternal pulse over 120 beats per minute or persistent tachycardia or tachypnea, chest pain, dyspnea and adventitious breath sounds may indicate impending pulmonary edema. *Early recognition of possible adverse effects allows for prompt intervention.

    *Encourage bed rest with patient in side lying position. *Apply external uterine and fetal monitoring. *Monitor patient's vital signs closely, every 15 minutes.

    Evaluation After 8 hours of nursing interventions, the patient was able to use identified techniques to enhance activity intolerance.

    *Instruct patient to report any feelings of difficluty of breathing or chest pain,

    dizziness, nervousness and irregular heart beats. *Monitor uterine contractions, including frequency and domain. Dependent: *Obtain diagnostic studies including complete blood count, hemoglobin and hematocrit, urine, vaginal and cervical cultures as ordered. *Monitor of uterine contraction provides evidence of effective therapy. *Urine, vaginal, and cervical cultures help to rule out infection as a causative factor.

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