Abruptio Placenta for Certified Emergency Nursing (CEN)

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Example Care Plan_Abruptio Placentae / Placental abruption (Cheatsheet)
Abruption vs Previa (Cheatsheet)
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Abruptio Placentae (Picmonic)
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Outline

Abruptio Placenta

 

Definition/Etiology:

  • Placental separation from uterine wall
    • Rupture of arterial vessels
    • Major cause of obstetric hemorrhage, hypovolemic shock
    • Inhibits supply of oxygen, nutrients to fetus
    • Most common cause of fetal demise from maternal trauma

 

Clinical Presentation:

  • Backache, painful contractions, abdominal pain
  • Uterine rigidity
  • Frank, dark-red vaginal bleeding or concealed bleeding
  • Maternal hemorrhagic shock
  • Coagulation panel, elevated D-dimer, decreased platelets
  • Abnormal fetal heart tones

 

Collaborative Management:

Assessment-

  • Urgent obstetric consult
  • CBC, type and crossmatch with Rh
  • Continuous electronic fetal heart monitoring

Interventions-

  • Transport to tertiary center if appropriate; or to obstetrics
  • High-flow supplemental oxygen
  • Fluid resuscitation and transfusion
  • Emergent delivery

Linchpins: (Key Points)

  • Placental separation from uterine wall
  • Urgent obstetric consult
  • Fetus is deprived of needs
    • Call Specialist!!!

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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

  • Emergency Nurses Association. (2017) Emergency Nursing Core Curriculum, 7th Edition. PA: Saunders
  • Savone, D. (2017). Genitourinary, Gynecology, and Obstetrical Emergencies. In CEN Online Review. Emergency Nurses Association.

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Study Plan for OB (Maternal Newborn) designed for Westminster College

Concepts Covered:

  • Childhood Growth and Development
  • Adulthood Growth and Development
  • Respiratory Disorders
  • Cardiovascular Disorders
  • Neurologic and Cognitive Disorders
  • Endocrine and Metabolic Disorders
  • Labor Complications
  • Newborn Care
  • Postpartum Care
  • Prenatal Concepts
  • Postpartum Complications
  • Pregnancy Risks
  • Labor and Delivery
  • Newborn Complications

Study Plan Lessons

Growth & Development – School Age- Adolescent
Growth & Development – Preschoolers
Growth & Development – Toddlers
Growth & Development – Infants
Overview of Childhood Growth & Development
Vitals (VS) and Assessment
Care of the Pediatric Patient
Congenital Heart Defects (CHD)
Defects of Increased Pulmonary Blood Flow
Defects of Decreased Pulmonary Blood Flow
Obstructive Heart (Cardiac) Defects
Mixed (Cardiac) Heart Defects
Rheumatic Fever
Cerebral Palsy (CP)
Hydrocephalus
Meningitis
Reye’s Syndrome
Spina Bifida – Neural Tube Defect (NTD)
Fever
Dehydration
Phenylketonuria
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Acute Bronchitis
Epiglottitis
Pneumonia
Asthma
Cystic Fibrosis (CF)
Sudden Infant Death Syndrome (SIDS)
Abruptio Placenta for Certified Emergency Nursing (CEN)
Nursing Case Study for Maternal Newborn
Maternal Risk Factors
Postpartum Hemorrhage (PPH)
Preterm Labor for Certified Emergency Nursing (CEN)
Placenta Previa for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Postpartum Hemorrhage (PPH)
Initial Care of the Newborn (APGAR)
Dystocia
Process of Labor
Gestational Diabetes (GDM)
Tocolytics
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Signs of Pregnancy (Presumptive, Probable, Positive)