Wongs nursing care of infants and children

Question: Discuss about pregnancy complications and obstetric care in women with inherited bleeding disorders? Answer: Pregnancy is one of the most important phases of a woman's life that is characterized by a variety of physical changes. Apart from the physical changes, the state is also marked by the change in the psychological process of the individual. Some complications occur that may put the woman and her child at risk (Lowdermilk et al., 2014). Nurses associated with perinatal settings stands in a unique position for screening, monitoring and providing care to patients affected by the complications (McKinney et al., 2013). Thus, it is essential for the nurses to become familiar with these complications along with then nursing care necessary for addressing the problems. Thus, the present paper will provide an understanding of how pregnancy-related complications produce an impact on nursing interventions and patients outcome The common type of complications includes bleeding (abortion or loss of pregnancy), hyperemesis gravidarum, hypertension and premature rupture of the membranes. Nursing care for patients associated with loss of pregnancy varies depending on the type (Ward Hisley, 2015). The primary nursing intervention is to ensure patient safety by controlling and identifying hypovolemic and bleeding shock. Nursing care includes proper monitoring of the symptoms that include increased heart rate, a decrease in blood pressure, confusion and others. The nurse should also be able to anticipate the need for oxygen therapy, fluid and blood replacement. The nurses are also held responsible for administering medication by ensuring that the drugs are given in proper proportion as required (McKinney et al., 2013). For example, oxytocin is administered for controlling excessive bleeding. The nurse also monitors the vital signs, intake and output, oxygen saturation and related laboratory results according to the institutional policies. In case, if a patient is experiencing threatened abortion, the nurses are also responsible for monitoring the fetal heart sounds and the overall development of the fetus (Kadir et al., 2013). The nurse also needs to explore the feeling of the patients and provide the suitable emotional and mental support to the patients who are under a constant threat of experiencing spontaneous abortion. According to McKinney et al. (2013), patients suffering from threatened abortion who are often afraid of losing the fetus suffer from anxiety and depression, and thus, the nurses should implement every possible method to provide assistance to the patient. Apart from taking care, the nurses are also held responsible for ensuring that the patients are satisfactorily prepared to take care of themselves upon discharge following monitoring and treatment for spontaneous abortion (Perry et al., 2014). It is very much important to make the patients understand regarding the warning signs associated with the complications. This will also help the patient to report regarding the signs as early as possible to their health care provider. It is also important that the nurse can recognize and acknowledge the patient's loss and thereby provide them with appropriate community referrals for effective counseling (Hockenberry Wilson, 2014). Modern day nursing care thereby precisely begins with antenatal care which is very much essential for getting satisfactorily perinatal outcomes. The nurses care thereby includes routine laboratory tests like blood count, Pap smear, ultrasound, triple screen that helps in better understanding of the complications asso ciated with pregnancy (Kadir et al.,2013). Hence from the above discussion it can be concluded that pregnancy-related complications produce a significant impact on the nurses which in turn helps in better understanding of the patient outcomes regarding pregnancy-related complications and the nurses need to put extra effort into understanding the implications. References Hockenberry, M. J., Wilson, D. (2014).Wong's nursing care of infants and children. Elsevier Health Sciences. Kadir, R. A., Davies, J., Winikoff, R., Pollard, D., Peyvandi, F., Garagiola, I., ... Federici, A. B. (2013). Pregnancy complications and obstetric care in women with inherited bleeding disorders.Haemophilia,19(s4), 1-10. Lowdermilk, D. L., Perry, S. E., Cashion, M. C. (2014).Maternity Nursing-Revised Reprint. Elsevier Health Sciences. McKinney, E. S., Murray, S. S., James, S. R., Nelson, K. (2013).Maternal-child nursing. Elsevier Health Sciences. Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., Wilson, D. (2014).Maternal child nursing care. Elsevier Health Sciences. Ward, S., Hisley, S. (2015).Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, Families. FA Davis.