NCP Spontaneous Termination

This plan of care applies to the client whose pregnancy is being, or has been involuntarily, terminated.
(To be used in conjunction with CP: Perinatal Loss.)

CLIENT ASSESSMENT DATA BASE
(Refer to “client Assessment Data Base” section in CP: Prenatal Hemorrhage.)

Circulation

History of essential hypertension, vascular disease, ABO incompatibility

Ego Integrity

Pregnancy may/may not have been planned.
May be very anxious/fearful.

Elimination

Chronic nephritis

Food/Fluid

Poor maternal nutritional status

Pain/discomfort

Pelvic cramping, backache

Safety

Exposure to toxic/teratogenic agents
History of pelvic inflammatory disease, STDs, or exposure to contagious diseases such as rubella, CMV, or active herpes

Sexuality

Vaginal bleeding, ranging from dark spotting to frank bleeding.
Examination may reveal premature dilation of cervix, bicornate or septate uterus, uterine fibroid tumors (leiomyoma), or other abnormalities of the maternal reproductive organs.
Note EDB (80% of spontaneous abortions occur in first trimester).

Teaching/Learning

Family history of genetic conditions

DIAGNOSTIC STUDIES

(Refer to CP: Prenatal Hemorrhage.)

NURSING PRIORITIES

1. Evaluate client status.
2. Prevent complications.
3. Support the grief process.
4. Provide appropriate instruction/information.

DISCHARGE GOALS

1. Free of complications following procedure
2. Support resources identified/contacted
3. Specific therapeutic needs and concerns understood