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Nursing diagnosis on amniocentisis



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Dec 20, 2004 10:00 AM

Nursing diagnosis on amniocentisis


I have a paper due tomorrow Dec 21 and I need some help I had to write three nursing diagnosis according to NANDA with 3 interventions for each on amniocentisi I came up with (fear R/T the unknown amb increase heart rate, worry of outcome) and (risk for infection R/T puncture of amniotic membranes) Any ideas for any others Please respond ASAP


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2 Comments
No. 1
from MistyLou
Old Dec 20, 2004, 11:52 AM

I'm getting ready to start my second quarter, so coming up with nursing dx is new to me. I looked up amniocentesis in my book, and the 3 listed are:

1. Anxiety r/t threat to self and fetus, unknown future
2. Decisional conflict r/t choice of tx pending results of test
3. Risk for infection r/t invasive procedure or rupture of amniotic membranes

As far as interventions:

1. Use presence, touch (with permission), verbalization and demeanor to remind clients that they are not alone and to encourage expression or clarification of needs, concerns, unknowns, and questions.
2. Give the client time and permission to express feelings associated with decision making.
3. Observe and report signs of infection such as redness, warmth, discharge, and increased body temp.

As far as an intervention for the infection r/t rupture of membranes, I would list it as a "potential" or change it to just the risk for infection r/t invasive procedure and list the #3 intervention above.

HTH.....like I said. I'm new at this and am learning like the rest of us. Good luck!
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No. 2
from aruray
Old Dec 20, 2004, 11:53 AM
Updated Dec 20, 2004 at 07:58 PM by aruray

(sorry i made a mistake)

what about:
1. risk for fluid volume deficit r/t possible maternal hemorrhage (also you could use r/t presence of aminiotic fluid in maternal circulation)
2. fear r/t threat of fetal death aeb verbalizations of specific concerns
3. risk for impaired fetal gas exchange r/t altered uroplacental O2 transfer (risk for abruptio placenta)

mother may also be at risk for impaired gas exchange r/t presence of aminiotic fluid in maternal circulation (amniotic fluid embolism)
textbook shd give u interventions how to prevent these complications. good luck!
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