What is the primary nursing diagnosis for this patient? Fluid replacement treats hypovolemia, yet must be given cautiously to prevent overload, especially if interstitial fluid is drawn back into circulation when activity is reduced. Loose stools. Nausea and vomiting are also one of the earliest symptoms of pregnancy. Constipation is caused by slow peristalsis due to the pressure from the growing uterus. Bacterial, viral or parasitic infections. It is a very common and nonspecific complaint that can be difficult to diagnose, especially for the family nurse practitioner student. Deficient knowledge related to lack of exposure and unfamiliarity with information resources. Self-help guide. Dyspnea and crackles may mean pulmonary edema, which needs immediate treatment. Nursing Diagnosis: Acute Pain related to inflammation of the appendix as evidenced by pain score of 10 out of 10, verbalization of sudden abdominal pain that starts around the navel and radiates to the lower right abdomen, guarding sign on the abdomen, abdominal rigidity, and restlessness Last Updated: Next Review Date: Review my answers. His drive for educating people stemmed from working as a community health nurse. During episodes of colic, an otherwise healthy neonate or infant aged 2 weeks to 4 months is difficult to console. A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. Monitor serum uric acid and creatinine levels, and BUN. Nurse Salary 2020: How Much Do Registered Nurses Make? Muscle cramps are caused by decreased serum calcium levels, increased phosphorus levels, or interference in the circulation. Heart palpitations may occur when upon sudden movement the woman experiences bounding palpitation of the heart. pregnancy, • After 8 hours of nursing interventions, the patient will be relieved or controlled. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! She has passed several clots. Regular exercise will strengthen and tone your abdominal muscles. Abdominal pain is pain felt in any location between the groin and chest. Fluid moves from the vascular to interstitial space, resulting in edema. Assessment and management of the nursing diagnosis of acute pain are the main focus of this care plan. Abdominal cramping. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Depending on gestational age the differential diagnoses for abdominal pregnancy include miscarriage, intrauterine fetal death, placental abruption, an acute abdomen with an intrauterine pregnancy and a fibroid uterus with an intrauterine pregnancy. … This most often occurs in the fallopian tube but can be in other areas as well such as the cervix, ovary, or abdominal cavity. Nursing Diagnosis # 1 Ne ed Desired Outcome Acute pain related to abdominal incision. 1. Identifies degree of hemoconcentration caused by fluid shift. These discomforts may alarm her, especially if she knows little about the physiology of pregnancy, so it is the role of healthcare providers to guide her and be there for her whenever she needs them throughout the pregnancy. No fluid restriction. Assure the woman that voiding frequently is a normal occurrence during pregnancy. With renal involvement, fluid intake is restricted; i.e., if output is reduced (less than 700 ml/24 hr), total fluid intake is restricted to approximate output plus insensible loss. Return to Symptoms. Note: Significant edema may actually be present in nonpre-eclamptic patient sand absent in patients with mild or moderated PIH. A pregnant woman would always want reassurance that her pregnancy is healthy. Independent: • Monitor maternal vital signs. Often, a woman may not be aware she is pregnant and symptoms may be vague. Pregnancy induced hypertension, also known as gestational hypertension, is a potentially life-threatening disorder that usually develops late in the second trimester or in the third trimester.The non-convulsive form of PIH is termed as preeclampsia ranging from mild to severe. Patients with HELLP syndrome awaiting delivery of the fetus may benefit from transfusion of platelets when count is below 20,000. The patient states it hurts to move his toe and that it is painful for a blanket or sheet to touch it. Frequency of stools (more than 3x a day). She is a registered nurse since 2015 and is currently working in a regional tertiary hospital and is finishing her Master's in Nursing this June. Gil Wayne graduated in 2008 with a bachelor of science in nursing. This nursing care plan is for patients who are experiencing acute pain. The differential diagnosis of abdominal pain varies widely, ranging from benign to life-threatening conditions, so a step-wise approach is required to identify the exact cause and its severity. The situation was that pitocin was started to induce labor. Nursing Diagnosis: Altered Uteroplacental Tissue Perfusion related to decreased oxygen-carrying capacity of red blood cells secondary to HELLP syndrome as evidenced by fatigue and weakness of the mother, intrauterine fetal growth retardation viewed … Which of the following items should the nurse teach this client about a cholecystectomy? Table 1. Both anatomic and physiologic variations in pregnancy cloud the clinical picture when attempts at clinical decision-making and triage are made. Advise the woman not to restrict her fluids to diminish the frequency of urination, instead; caffeine intake should be diminished. On questioning people about abdominal pain during routine physical assessments, pain is present in about 50% of adults and 75% of adolescents at some point (Cash & Glass, 2011). Low blood pressure (hypotension). Pregnancy induced hypertension, also known as gestational hypertension, is a potentially life-threatening disorder that usually develops late in the second trimester or in the third trimester. Heat helps decrease pain and muscle spasms. 1996 Dec;21(12 Pt 1):19-20, 23-30, 35-9; quiz 40-1. The situation was that pitocin was started to induce labor. RIGHT UPPER QUADRANT abdominal pain differential diagnosis: Biliary and hepatic etiologies cause right upper quadrant pain syndromes. Rise in BP may happen in response to catecholamines, vasopressin, prostaglandins, and, as recent findings suggest, decreased levels of prostacyclin. Primary care diagnosis of acute abdominal pain. … Elevated levels, especially of uric acid, indicate impaired kidney function, worsening of maternal condition, and poor fetal outcome. Pregnancy-related degeneration of a fibroid. 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