A nursing care plan was developed for a patient experiencing fetal distress secondary to uterine rupture. The plan included continuously monitoring the fetus throughout pregnancy, labor, and delivery to assess well-being. Interventions like checking vital signs, consciousness, bleeding, fetal position and heart rate were to be implemented and evaluated every 5-15 minutes to ensure the safety of the mother and fetus. After 30 minutes of interventions, the healthcare providers were able to continuously monitor the fetus and meet the goal of assessing fetal well-being.
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Fetal Distress 3
A nursing care plan was developed for a patient experiencing fetal distress secondary to uterine rupture. The plan included continuously monitoring the fetus throughout pregnancy, labor, and delivery to assess well-being. Interventions like checking vital signs, consciousness, bleeding, fetal position and heart rate were to be implemented and evaluated every 5-15 minutes to ensure the safety of the mother and fetus. After 30 minutes of interventions, the healthcare providers were able to continuously monitor the fetus and meet the goal of assessing fetal well-being.
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LIPA CITY COLLEGES
COLLEGE OF NURSING
NURSING CARE PLAN
(Fetal Distress) ASSESSEMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION SUBJECTIVE: Risk for fetal distress After 30 minutes of Assess level of GOAL MET “Nanghihina na po ako, secondary to uterine nursing intervention, consciousness of the After 30 minutes of wala na po akong rupture as evidenced by healthcare provider must mother. interventions, nararamdamang anumang sudden loss of contraction. skillfully and continously Assess the degree healthcare providers paghilab”, as stated by the monitor fetal well-being Assess the need for skillfully and patient. throughout pregnancy, immediate delivery continuously labor and delivery. Assess FHR. Note monitored fetal well- V/S: variability, periodic being throughout BP: 100/80 changes, and baseline pregnancy, labor, and HR: 105 rate every 5-15 delivery. T: 37.5 minutes. RR: 24 Monitor fetal descent FHR: 80bpm in birth canal in Abdomen and uterus feels relation to ischial soft, 200 mL of vaginal spines. bleeding.