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Hemorrhage Nursing Diagnosis

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Hemorrhage Nursing Diagnosis
Nursing Diagnosis
Potential risk for hemorrhage r/t labor and delivery
Supporting Data:
Objective: delivered 0741 am 3/1/07.
Objective: Vaginal delivery.
Objective: gravida 2
Goal & Goal Criteria
Goal: Patient will show no s/s of hemorrhage in 48 h post delivery.
1. V/S will remain in wnml: T: up to 100.4 F
P: 60-90 bpm
R: 12-20 brpm
BP :120/70
Pulse OX: 95-100%
2. Hct & hgb will remain WNML.
HCT=>33%
HGB= 10.5g/dl
3. Fundus will be midline & firm.
4. IV Fluids infusing as ordered.
5. Total number of pads used will be WNML. 1 pad q hourly.
6. Skin will be warm & dry.
7. Level of consciousness will remain intact
Nursing Actions On 3/1/07-3/2/07 1st shift 7-3
The Nurse will:
1. Assess vital signs q4h.
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