Abruptio Placenta for Certified Emergency Nursing (CEN)
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Study Tools For Abruptio Placenta for Certified Emergency Nursing (CEN)
Example Care Plan_Abruptio Placentae / Placental abruption (Cheatsheet)
Abruption vs Previa (Cheatsheet)
Placental Abruption Pathochart (Cheatsheet)
Placental Abruption (Image)
Abruptio Placentae (Picmonic)
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!!!
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.
Maternity
Concepts Covered:
- Labor Complications
- Pregnancy Risks
- Emergency Care of the Cardiac Patient
- EENT Disorders
- Cardiovascular Disorders
- Childhood Growth and Development
- Newborn Care
- Prenatal Concepts
- Newborn Complications
- Communication
- Neurologic and Cognitive Disorders
- Musculoskeletal Disorders
- Disorders of the Thyroid & Parathyroid Glands
- Gastrointestinal Disorders
- Infectious Disease Disorders
- Labor and Delivery
- Postpartum Care
- Postpartum Complications
- Note Taking
- Respiratory Disorders
- Fundamentals of Emergency Nursing
Study Plan Lessons
Abruptio Placenta for Certified Emergency Nursing (CEN)
Antepartum Testing
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Chorioamnionitis
Cleft Lip and Palate
Congenital Heart Defects (CHD)
Day in the Life of a Labor Nurse
Dystocia
Emergent Delivery for Certified Emergency Nursing (CEN)
Gestational Diabetes (GDM)
Growth & Development – Infants
Hydatidiform Mole (Molar pregnancy)
Infections in Pregnancy
Initial Care of the Newborn (APGAR)
Maternal Risk Factors
Newborn of HIV+ Mother
NRSNG Live | From Student to Real Nurse
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Case Study for Maternal Newborn
Nutritional Requirements
Obstetric Trauma for Certified Emergency Nursing (CEN)
Oxytocin (Pitocin) Nursing Considerations
Placenta Previa for Certified Emergency Nursing (CEN)
Postpartum Discomforts
Postpartum Hemorrhage (PPH)
Postpartum Physiological Maternal Changes
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preterm Labor for Certified Emergency Nursing (CEN)
Process of Labor
Recording
Signs of Pregnancy (Presumptive, Probable, Positive)
Sudden Infant Death Syndrome (SIDS)
Terbutaline (Brethine) Nursing Considerations
Tocolytics
Tocolytics
Transfer and Stabilization for Certified Emergency Nursing (CEN)