ASSESSMENT EXPLANATION OF OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

THE PROBLEM
After 8 hours of
Subjective: Ectopic After 8 hours of Monitor To determine nursing
pregnancy nursing maternal vital presence of interventions, the
“Masaki tang is gestation interventions signs. hypotension and patient was relieved
tiyan ko.” located , the patient will tachycardia or controlled.
Rated pain as outside the be caused by
6/10. uterine cavity. relieved or rupture or
The fertilized controlled. hemorrhage.
Objectives: ovum implants
outside of the Monitor for To further
 Needs uterus, usually presence and assess the
minimal in the fallopian amount of present situation
assistance tube. vaginal bleeding. indicating
in activities Predisposing hemorrhage.
of daily factors Monitor for
living include increase and Increased pain
 Facial adhesions pain and and abdominal
grimace of the tube , abdominal distention
noted salpingitis, distention and indicates rupture
 With congenital and rigidity. and possible
guarding developmental intra-abdominal
behaviors anomalies of the hemorrhage.
 Initial VS: fallopian tube,
T-37*C previous ectopic Monitor To determine the
P-79BPM pregnancy, use complete amount of blood
R-21CPM of an blood count loss.
BP- intrauterine (CBC).
110/70mmHg device for more Promotes
than 2 Provide comfort relaxation and
years, multiple measure like may enhance
Assessment: induced back rubs, deep patient’s coping
 Acute pain abortions, breathing. abilities by
related to menstrual Instruct in refocusing
distention or reflux , and relaxation or attention.
rupture of decreased visualization
fallopian tube. tubal motility. exercises.
Diversional
Provide activities aids in
diversional refocusing
activities. attention and
enhancing
coping with
limitations.

Administer To maintain
analgesics as acceptable level
indicated. of pain.