Discharge Plan:

Medication

 Betamethasone (Celestone) is a corticosteroid that acts as an anti-inflammatory and

immunosuppressive agent.

 Assess for contraindications of Betamethasone administration. Obtain reports of urine and

cervical cultures and fibronectin.

Exercise

 Needs to adequate her time with her child to be certain he or she is all right, and nurse can states

hearing fetal heart beat helps to reassure her about baby’s health.

 Attach contraction and fetal heart rate monitoring for continuous evaluation of contractions of fetal

response.

Treatment

 Used of drugs

 Catheterization

Health Teaching

 Maintain a bed rest

 Maintain a 8 glasses of water

Ongoing Assessment

 Assess client’s home surrounding to determine whether they are appropriate for bed rest and

continuing monitoring at home. Administer oral dose and home monitoring requires professional

supervision.

Diet

 She might to begin to neglect her diet or her supplementary vitamins because “It doesn’t matter

anymore”.

Spiritual
  Assess anxiety level of client over preterm labor possible feelings.

 Determine whether client wants a support person to be wit her, to the presence of a support

person can offer additional comfort to a client.

Possible Nursing Diagnosis for Placenta Previa:

 Risk for Impaired Fetal Gas Exchange r/t Disruption of Placental Implantation

 Fluid Volume Deficit r/t Active Blood Loss Secondary to Disrupted Placental Implantation

 Active Blood Loss (Hemorrhage) r/t Disrupted Placental Implantation

 Fear r/t Threat to Maternal and Fetal Survival Secondary to Excessive Blood Loss

 Activity Intolerance r/t Enforced Bed Rest During Pregnancy Secondary to Potential for

Hemorrhage

 Altered Diversional Activity r/t Inability to Engage in Usual Activities Secondary to Enforced Bed

Rest and Inactivity During Pregnancy

View Nursing Care Plan – Placenta Previa

References:

 Maternal & Child Nursing Seventh Edition Vol.1 page 413.

 Maternity nursing, Lowdermilk Perry, seventh edition, chapter 23, page 751.

 Maternal Neonatial Nursing Lippincott manual of Nursing Practice

 http://wikipedia.orgPregnancy

Furosemide (Lasix)

Proposed mechanisms for furosemide in lowering intracranial pressure

include (1) lowering cerebral sodium uptake, (2) affecting water transport
into astroglial cells by inhibiting cellular membrane cation-chloride pump,
and (3) decreasing CSF production by inhibiting carbonic anhydrase.
Dose must be individualized to patient.

http://www.scribd.com/doc/19008382/A-case-of-electrical-burn