Page 99 - Critical Maternity & Newborn Health Nursing

Psychological response:

• Crisis of high-risk pregnancy plus the client’s concerns for herself,
fetus, and her family.

• Concerns about long-term bed rest/ hospitalization to be off work

• Family’s need for household and family activities.

• Separation from family, friends and other children when

hospitalized

Behavior:

• Expressed feeling of ambivalence . Nail biting.

• Crying or grief over loss of perfect pregnancy. Restlessness.

Stress responses :

• Fear, anxiety, crying, withdrawal, silence or anger.

• Hospital psychosis Fear of losing infant.
.
II-Nursing Diagnoses

• Knowledge deficit related to physiological alterations in the

reproductive system .

• High risk for pain related to uterine cramping or surgical

intervention.

• Potential complication, hemorrhage related to partially detached

placenta or surgical intervention or caused by ectopic rupture /

abortion .

• Fluid-volume deficit related to bleeding complications of early
pregnancy.

• High risk for infection related to excessive fluid volume deficit

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