Signs and Symptoms:
- Painful vaginal bleeding (dark red)
- Uterine rigidity and tenderness
- Severe abdominal pain
- Signs of maternal shock
- Signs of fetal distress
Nursing Interventions:
- Monitor maternal vital signs and fetal heart rate
- Assess for excessive vaginal bleeding, abdominal pain, and increase in fundal height
- Bed rest, oxygen, IV fluids, and blood products as prescribed
- Monitor and report any uterine activity
- Prepare for the delivery of the fetus as quickly as possible
- Monitor for sings of disseminated intravascular coagulation in the postpartum period
- Administer Rh immune globulin if the mother is Rh-negative and has not been given the injection at 28 weeks of gestation
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