![]() Administer uterotonic agents and other medications as prescribed. Hypovolemia may lower blood pressure levels and put the patient at risk for hypotensive episodes that may lead to shock. Nursing Diagnosis: Fluid Volume Deficit related to blood volume loss secondary to precipitous labor and postpartum hemorrhage as evidenced by lochia rubia of 500 mL in the first 24 hours post-delivery, decrease in red blood cell count/ hemoglobin/ hematocrit levels, skin pallor, heart rate of 120 bpm, blood pressure level of 85/50, and lightheadednessÄesired Outcome: The patient will have a lochia flow of less than one saturated pad per hour, a hemoglobin (HB) level of over 100, blood pressure and heart rate levels within normal range, full level of consciousness, and normal skin color Precipitous Labor Nursing Interventions Rationales Assess vital signs, particularly blood pressure level. Nursing Diagnosis for Precipitous Labor Nursing Care Plan for Precipitous Labor 1 Coach the patient of breathing techniques. ![]() Ensure that someone is always available beside the mother for support.Assist the mother to lay on her side or back.Advise the mother to prepare a labor pack early, especially when the mother is near her expected date of delivery.If the mother has a history of precipitous delivery, it is advisable to plan for contact persons who will be available on call as the due date nears.Advise to seek immediate medical help once signs and symptoms of precipitous labor occurs.The following are advised to help her cope: Because of this, certain precautions may be done to limit the harrowing experience for the patient. Aspiration of meconium and amniotic fluid Coping During Precipitous LaborÄue to the nature of the sudden physical and emotional changes associated with precipitous labor, it can be challenging and daunting for the mother on how to cope during labor.Psychological symptoms such as post-partum blues, etc. ![]()
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