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CONCEPT_MAP_MISCARRIAGE.
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CONCEPT_MAP_MISCARRIAGE. CONCEPT_MAP_MISCARRIAGE. CONCEPT_MAP_MISCARRIAGE.
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CONCEPT MAPMiscarriage
Medical Diagnosis
Miscarriage is the natural/spontaneous loss of the fetus prior to 20 weeks gestation
Clinical Manifestation Nursing Diagnosis
● First trimester: The presence of uterine ● Acute Pain r/t uterine
bleeding, uterine contractions, or abdominal pain contraction
is an ominous sign during early pregnancy and ● Anxiety related to unknown
must be considered a threatened miscarriage outcome and unfamiliarity
until proven otherwise. with medical procedures
○ If miscarriage occurs before the sixth ● Deficient Fluid Volume
week of pregnancy, the woman may related to excessive
report what she believes is a heavy bleeding secondary to
menstrual flow miscarriage
○ Miscarriage that occurs between weeks 6
and 12 of pregnancy causes moderate Nursing Intervention
discomfort and blood loss
● Second trimester: After week 12 miscarriage is ● Suction curettage may be
typified by severe pain similar to that of labor performed to ensure no
because the fetus must be expelled retained fetal or maternal
tissue.
● Tests of value include
karyotyping of both partners
Signs and symptoms: Spotting, Bleeding like a period and miscarriage specimens
or heavier with clots and Abdominal pain/cramping and assessment of the
placenta;
Vaginal Bleeding during Pregnancy ● Evaluating the woman's
uterine cavity; and testing
● Before 20 weeks: Delayed normal mences, the woman for
Implantation bleeding, Cervical lesion, polyp, antiphospholipid antibody
erosion, Ectopic pregnancy, Spontaneous syndrome and thyroid
(threatened, inevitable or incomplete), Missed disease.
abortion
● After 20 weeks: Hydatiform Mole, Premature
Labor, Placenta Previa, Placental abruption Patient education
● Teach patients to cleanse
the perineum after each
voiding or bowel movement
and change perineal pads
often.
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