The nurse is caring for a woman with a placental abruption and suspects the patient has developed disseminated intravascular coagulation (DIC). What interventions does the nurse anticipate?
A.
Administering IV fibrinogen
B.
Performing hourly vaginal exams to assess for cervical dilation
C.
Performing blood pressure assessments every 4 hours
D.
Obtaining consent for a cesarean birth
ANS: A
DIC is a severe complication of placental abruption. Interventions include administration of IV cryoprecipitate or fibrinogen. To avoid further tissue damage, pelvic and vaginal exams are not performed. The woman is critically ill, and vital signs need to be monitored more often than every 4 hours. Vaginal birth is desirable unless fetal distress is present or there are other indications. If a cesarean birth is necessary, the nurse will need to place the signed informed consent form on the chart.
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