ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION Subjective:“Masakit angtiyan ko” (My

tummy hurts) asverbalized bypatient.

Objective:Facial maskof pain.Guardingbehavior.

Acute painrelated todistention orrupture offallopian tube

Ectopicpregnancyis gestationlocatedoutside theuterinecavity. Thefertilizedovumimplantsoutside ofthe uterus,usually inthe fallopiantube.Predisposing factorsincludeadhesionsof the tube ,salpingitis,congenitalanddevelopmentalanomaliesof thefallopiantube,previous

After 8 hoursof nursinginterventions, the patientwill berelieved orcontrolled

Independent:Monitor maternalvital signs.

Monitor forpresence andamount of vaginalbleeding.

Monitor forincrease and painand abdominaldistention andrigidity.

Monitor completeblood count(CBC).

Provide comfortmeasure likeback rubs, deep

To determinepresence ofhypotensionand tachycardiacaused byrupture orhemorrhage.

To furtherassess thepresentsituationindicatinghemorrhage.

Increased painand abdominaldistentionindicatesrupture andpossible intraabdominalhemorrhage.

To determinethe amount ofblood loss.

Promotesrelaxation andmay enhance

After 8hours ofnursinginterventions, thepatient wasrelieved orcontrolled

ectopicpregnancy, use of anintrauterinedevice formore than 2years,multipleinducedabortions,menstrualreflux , anddecreasedtubalmotility.

breathing.Instruct inrelaxation orvisualizationexercises.Providediversionalactivities.

Providediversional activities.

Collaborative:

Administeranalgesics asindicated.

patient’s copingabilities byrefocusingattention.

Diversionalactivities aids in refocusingattention andenhancingcoping withlimitations.

To maintainacceptablelevel of pain