Question

Miscarriage nursing diagnosis: one for physical and one for psychological.

Dx: Miscarriage (patient admitted for abdominal pain)

History:    Patient presents with abdominal pain, bleeding and lower back pain.

                Patient woke up this morning with pain and menstrual cramping and now bleeding.

Symptoms: Abdominal pain, bleeding/discharge, lower back pain

OPQRST assessment

1. onset of symptoms: getting ready for work
2. provocation/provokes: when she gets up and tries to walk
3. quality of pain: sharp and constant
4. radiations: lower abdomen, lower back
5. the severity of pain: 8-9
6. time: this morning around 6 a.m. woke up with pain and menstrual cramping and then bleeding.

first vital sign: BP: 130/89, HR: 125, RR: 16, O2: 97%

second vital sign: BP:76/50, Hr:59, RR:20, Ox: 83%

1. change O2 NC to venti mask

2. fluid making wide open

3. fundal massage

4. The doctor ordered to me that notify miscarriage to the patient.

Answer 1

Ans. Nursing diagnosis related to miscarriage.

Physical

-Impaired cardiac output related to irregular bleeding and pain as manifested by vital sign observation.

-Deficient fluid and electrolyte related to bleeding as evidenced by observation.

-Lower abdominal Pain related to miscarriage as manifested by verbalization.

-Risk for infection related to retain conceptual products as manifested by observation/ investigation.

Psychological

-Anxiety related to miscarriage as evidenced by facial expressions.

-Low self esteem related to pain, bleeding as manifested by asking frequent questions.

-Deficient knowledge related to miscarriage as evidenced by frequent questions answers/ observation.