care plan for cord prolapse

Question

You should write a care plan about this case (the plan should be arranged in order of priority ). Don't forget to put assessment in the care plan

the case:

A 22-year-old G3P2 woman at 40 weeks’ gestation complains of strong uterine contractions. She denies leakage of fluid per vagina. She denies medical illnesses. Her antenatal history is unremarkable. On examination, the blood pressure (BP) is 120/80 mm Hg, heart rate (HR) is 85 beats per minute (bpm), and temperature is 98°F (36.6°C). The fetal heart rate is in the 140 to 150 bpm range. The cervix is dilated at 5 cm and the vertex is at –3 station. Upon artificial rupture of membranes, fetal bradycardia to the 70 to 80 bpm range is noted for 3 minutes without recovery.

Please help me, I could not find 4 nursing diagnoses. The deadline for submitting the assignment is today .

Answer 1

The care of this patient involves both the mother and the baby. An easy way to provide 4 diagnoses would include 2 for each the mom and baby.

Mom: Risk for Anxiety (Situational Crisis)

Risk for Maternal Infection (cesarean delivery)

Baby: Risk for Fetal Injury (interruption of blood flow)

Risk for impaired fetal gas exchange (interruption of blood flow through the umbilical cord)