Figure 1-7. Some types of abortion.
b. Nursing implications are listed below.
(1)
Implement all nursing measures for a patient on complete bed rest.
(2)
Monitor peri-pads for amount and character of vaginal bleeding.
(3)
Be knowledgeable of local laws which support legal abortions.
(4) Refer questions of legal abortions to immediate supervisor so further
counseling can be offered to the mother.
(5)
Assess the mother's emotional and spiritual needs.
1-16. PROLAPSED UMBILICAL CORD
a. A prolapsed umbilical cord occurs when the umbilical cord precedes the
presenting part of the fetus so that the blood circulating inside the cord is clamped off by
the passing fetus through the birth canal. This is considered an obstetric emergency.
b. Nursing implications are listed below.
(1)
Monitor the fetal heart tones per orders.
(2)
Examine the patient's vaginal canal to determine the presence of a
cord.
(3)
Notify your supervisor immediately.
MD0922
1-14
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