Nursing diagnosis on amniocentisis

MistyLou · Dec 20, 2004

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!

aruray · Dec 20, 2004

(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!