CENTRAL PHILIPPINE ADVENTISIST COLLEGE

SCHOOL OF NURSING

RESOURCE UNIT

TOPIC: COMPLICATION OF PREGNANCY (Pregnancy Induced Hypertension)

11/29/17

Prepared by: Christyl Mae B. Calizo

DATE/TI OBJECTIVES CONTENT TEACHING REFERENCES EVALUATION

ME STRATEGIES

At the end of the I.Introduction

course the learners will
2:00- be able to: Placenta previa is the most common cause of painless bleeding in the Short discussion 1.) It is a condition of
2:03pm third trimester of pregnancy. A.Pillitteri.(2014) pregnancy in which the
Define Placenta Maternal and placenta is implanted
II. Definition of Terms child health abnormally in the lower
Previa
nursing, 7th part of the uterus
Placenta previa- a condition of pregnancy in which the placenta is Short discussion edition . pp.562- - Placenta previa
Discuss the
implanted abnormally in the lower part of the uterus , it is an
2:03-2:05 pathophysiology of 563
obstetric complication that classically presents as painless vaginal 2.) It is a type of placenta
pm Placenta Previa bleeding in the third trimester of pregnancy previa wherein the
placenta occludes the entire
Recognize the signs III. Types of Placenta Previa cervical os.
and symptoms of
2:05-2:10 Placenta Previa Low lying placenta. The placenta implants in the lower portion Short discussion A.Pillitteri.(2014) -Total placenta previa
pm instead of the upper portion of the uterus. Use of visual aids Maternal and
 Demonstrate child health 4.) What is the
skill in Weigh Marginal implantation. The placenta’s edge is nearing the cervical os. nursing, 7th characteristics of
ingperineal pads Partial placenta previa. A portion of the cervical os is already covered edition . pp.562- bleeding in placenta
used 563 previa?
during bleeding a by the placenta.
nd to calculate
Total placenta previa. The placenta occludes the entire cervical os. - abrupt, painless, bright
the amount of
 blood lost. red and sudden.

Perform III. Pathophysiology

assessment of Placenta previa is initiated by implantation of the embryo in the
2:10- woman with lower segment of the uterus. As the placenta develops and grows, it Short discussion http://www.sharin 5-7.)What are your
covers the internal cervical os. nursing responsibilities
2:13pm Placenta Previa ginhealth.ca/condi
tions_and_disease when caring for a woman
IV.Risk Factors
s/placenta_previa. with PIH. Give (3).
(PISS on PIPE) html
Cooperate in group  Assess baseline
discussions or oral vital signs
recitations  Prior Cesarean especially
2:13-2:15 Short discussion and https://quizlet.co
 Increased Maternal Age the blood pressure.
use of brain sticker m/76136816/mne
Value importance  Smoking The physician
monics-flash- would order
of Monitoring and  Surgery (Myomectomy)
cards/ monitoring of
correct assessments  Previa
 Increased Parity/Gestation the blood pressure
 every 5-15 minutes.
Share thougths or Placental Abnormality
 Assess fetal heart
questions about the  Erythroblastosis
sounds to monitor
topic the wellbeing of the
V. Signs & Symptoms fetus.
 Monitor uterine
 Bleeding is abrupt, painless, bright red and sudden. contractions to
A.Pillitteri.(2014)
establish the
2:15- Short discussion Maternal and progress of labor of
VI. Diagnostic Test
2:17pm child health the mother.
 Transabdominal ultrasound
nursing, 7th  Monitor urine
 Transvaginal ultrasound edition . pp.563 output frequently
2:17-  MRI Short discussion  Never attempt a
2:20pm pelvic or rectal
VII.Medical Management examination
 Weigh perineal pads
Immediate care measures: used
2:20-
 Intravenous therapy. This would be prescribed by the during bleeding to
2:25pm physician to replace the bloodthat was lost during bleeding. calculate the
 Avoid vaginal examinations. This may initiate hemorrhage Short discussion https://www.healt amount of blood
that is fatal for both the mother and the baby. hline.com/health/ lost.
 Attach external monitoring equipment. To monitor the placenta-  Assist the woman in
uterine contractions and record fetal heart sounds previa#types5 a side lying position
Doctors will decide how to treat placenta previa based on: when bleeding occur
s.
 the amount of bleeding
  the month of pregnancy
 the baby’s health
 the position of the placenta and the baby

The amount of bleeding is a doctor’s main consideration when

deciding how to treat the condition.

Minimal to no bleeding
For cases of placenta previa with minimal or no bleeding, doctor will
likely suggest bed rest. This means resting in bed as much as
possible, and only standing and sitting when absolutely necessary.
avoid sex and likely exercise as well.

Heavy bleeding
 Hospital bed rest
 Blood transfusion)s(Depending on the amount of blood lost.
 Medications to prevent premature labor.
In the case of heavy bleeding, doctor will advise a C-section be
scheduled as soon as it is safe to deliver — preferably after 36 weeks.
If the C-section needs to be scheduled sooner, the baby may be given
corticosteroid injections to speed up his or her lung growth.

Uncontrollable bleeding
In the case of uncontrolled bleeding, an emergency cesarean delivery
will have to be performed

VIII. Nursing Care

 Assess baseline vital signs especially the blood pressure. The

physician would order monitoring of the blood pressure every
2:25- 5-15 minutes. Short discussion A.Pillitteri.(2014)
2:30pm  Assess fetal heart sounds to monitor the wellbeing of the Maternal and
fetus. child health
 Monitor uterine contractions to establish the progress
nursing, 7th
of labor of the mother.
edition . pp.563
 Monitor urine output frequently
 Never attempt a pelvic or rectal examination
 Weigh perineal pads used during bleeding to calculate the
amount of blood lost.
 Assist the woman in a side lying position
when bleeding occurs.