ACTIVE LEARNING TEMPLATE: System Disorder
STUDENT NAME _____________________________________
Placenta Previa
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
the placenta implants over the cervical os. The exact
cause of placenta previa is unknown. It is initiated by
implantation of the embryo in the lower uterus, perhaps
due to uterine endometrial scarring or damage in the upper
segment, which may incite placental growth in the
unscarred lower uterine segment
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings Occurs in the last two
trimesters
Advancing maternal age (more than 35 years)
Previous cesarean birth, Multiparity, Uterine insult or injury, Cocaine painless, bright-red vaginal It may cause serious
use, Prior placenta previa,Infertility treatment, Multiple gestations,
Previous induced surgical abortion, Smoking, Previous myomectomy bleeding (during the second/third morbidity and
to remove fibroids, Short interval between pregnancies, Hypertension
or diabetes trimester), mortality to the fetus
and mother.
Blood typing and
cross matching in the
Laboratory Tests Diagnostic Procedures event of blood loss
(MRI) may be ordered when preparing for validate the position of the Avoid doing vaginal
delivery because it allows identification of examinations in the
placenta, a transvaginal
placenta accreta,increta, or percreta. woman with placenta
complete blood count (CBC), coagulation ultrasound, previa because they
studies, and Rh status if appropriate may disrupt the
placenta and cause
hemorrhage.
PATIENT-CENTERED CARE Complications
hemorrhage,
Nursing Care Medications Client Education abruption(separation)
Assess the client for uterine contractions, which Administer Support and education for the family of the placenta, or
may or may not occur with the bleeding. Palpate the including diagnostic proceudres that
uterus; typically it is soft and nontender on pharmacologic will be performed, majorly cesarean
emergency cesarean
examination. Auscultate the fetal heart rate; it
commonly is within normal parameters. Fetal agents as birth will be planned birth
distress is usually absent but may occur when cord
problems arise.
necessary. Give Provide information about the hysterectomy at
Rh condition. Daily fetal kick counts. delivery
immunoglobulin if
the client is Rh The woman must
negative at 28 notify her health care
Therapeutic Procedures weeks’ gestation. Interprofessional Care provider about any
Monitor tocolytic bleeding episodes or
Have client report pain (anticontraction) backaches (may
Have client lay on side to medication if indicate preterm labor
increase placental perfusion. prevention of contractions) and
Allow woman to express her preterm labor is must adhere to the
feelings. Provide books, needed. prescribed bed rest
movies, tv for distractions. regimen.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11
STUDENT NAME _____________________________________
Placenta Previa
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
the placenta implants over the cervical os. The exact
cause of placenta previa is unknown. It is initiated by
implantation of the embryo in the lower uterus, perhaps
due to uterine endometrial scarring or damage in the upper
segment, which may incite placental growth in the
unscarred lower uterine segment
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings Occurs in the last two
trimesters
Advancing maternal age (more than 35 years)
Previous cesarean birth, Multiparity, Uterine insult or injury, Cocaine painless, bright-red vaginal It may cause serious
use, Prior placenta previa,Infertility treatment, Multiple gestations,
Previous induced surgical abortion, Smoking, Previous myomectomy bleeding (during the second/third morbidity and
to remove fibroids, Short interval between pregnancies, Hypertension
or diabetes trimester), mortality to the fetus
and mother.
Blood typing and
cross matching in the
Laboratory Tests Diagnostic Procedures event of blood loss
(MRI) may be ordered when preparing for validate the position of the Avoid doing vaginal
delivery because it allows identification of examinations in the
placenta, a transvaginal
placenta accreta,increta, or percreta. woman with placenta
complete blood count (CBC), coagulation ultrasound, previa because they
studies, and Rh status if appropriate may disrupt the
placenta and cause
hemorrhage.
PATIENT-CENTERED CARE Complications
hemorrhage,
Nursing Care Medications Client Education abruption(separation)
Assess the client for uterine contractions, which Administer Support and education for the family of the placenta, or
may or may not occur with the bleeding. Palpate the including diagnostic proceudres that
uterus; typically it is soft and nontender on pharmacologic will be performed, majorly cesarean
emergency cesarean
examination. Auscultate the fetal heart rate; it
commonly is within normal parameters. Fetal agents as birth will be planned birth
distress is usually absent but may occur when cord
problems arise.
necessary. Give Provide information about the hysterectomy at
Rh condition. Daily fetal kick counts. delivery
immunoglobulin if
the client is Rh The woman must
negative at 28 notify her health care
Therapeutic Procedures weeks’ gestation. Interprofessional Care provider about any
Monitor tocolytic bleeding episodes or
Have client report pain (anticontraction) backaches (may
Have client lay on side to medication if indicate preterm labor
increase placental perfusion. prevention of contractions) and
Allow woman to express her preterm labor is must adhere to the
feelings. Provide books, needed. prescribed bed rest
movies, tv for distractions. regimen.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11
