Page 95 - Critical Maternity & Newborn Health Nursing

• Instruct the woman to save all perineal pads containing any clots

or tissue that has passed out of her during bleeding.

Nursing Diagnosis

• Grieving related to loss of pregnancy as evidenced by anger and

social detachment.

Nursing Interventions

• Measure abdominal girth and fundal height to establish baseline

data regarding the growth of the uterus.

• Assist patient in obtaining a urine specimen for urine test of

HCG.

• Save all pads used by the woman during bleeding to check for

clots and tissues she may have discharged.

• Provide your patient with an open environment and a trusting

relationship so she would be encouraged to express her feelings.

• Honestly answer the patient’s questions to foster a trusting

relationship between nurse and client.

• Provide an assurance that it is not her own fault that this

happened to her to lessen her sense of guilt and self-blame.

There can be a lot of nursing diagnoses for H mole. You can use Acute

pain, Activity intolerance, Hyperthermia, and anxiety to name a few.

As for nursing care, remember to do the following:

 Remember to assess the BP, check if the patient is bleeding
profusely, and make sure to notify the doctor immediately.

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