Independent: Subjective: • Acute pain • Ectopic • After 8 hours • Monitor maternal • To determine • After 8 related to of nursing vital signs. presence of hours of “Masakit ang pregnancy distention or interventions hypotension nursing tiyan ko” (My rupture of is gestation , the patient and tachycardia intervention tummy hurts) as fallopian tube. located will be caused by s, the verbalized by outside the relieved or rupture or patient was patient. uterine controlled. hemorrhage. relieved or cavity. The • Monitor for • To further controlled. Objective: presence and assess the fertilized amount of vaginal present • Facial mask ovum bleeding. situation of pain. implants indicating outside of hemorrhage. • Guarding the uterus, • Monitor for • Increased pain behavior. increase and pain and abdominal usually in and abdominal distention • V/S taken as the fallopian distention and indicates follows: tube. rigidity. rupture and Predisposin possible intra- T: 36.4 g factors abdominal P: 85 include hemorrhage. R: 22 • Monitor complete • To determine Bp: 110/90 adhesions blood count the amount of of the tube , (CBC). blood loss. salpingitis, • Provide comfort • Promotes congenital measure like relaxation and and back rubs, deep may enhance developmen breathing. patient’s coping Instruct in abilities by tal relaxation or refocusing anomalies visualization attention. of the exercises. fallopian Provide tube, diversional activities. previous • Provide • Diversional ectopic diversional activities aids in pregnancy, use of an activities. refocusing intrauterine attention and enhancing device for coping with more than 2 limitations. years, Collaborative: multiple • Administer • To maintain induced analgesics as acceptable abortions, indicated. level of pain. menstrual reflux , and decreased tubal motility.