The Laboring Client Is at 7 C M, with the Vertex

question 6

Multiple Choice

The laboring client is at 7 c m, with the vertex at a +1 station. Her birth plan indicates that she and her partner took Lamaze prenatal classes, and they have planned on a natural, unmedicated birth. Her contractions are every 3 minutes and last 60 seconds. She has used relaxation and breathing techniques very successfully in her labor until the last 15 minutes. Now, during contractions, she is writhing on the bed and screaming. Her labor partner is rubbing the client's back and speaking to her quietly. Which nursing diagnosis should the nurse incorporate into the plan of care for this client?

• A) Fear/Anxiety related to discomfort of labor and unknown labor outcome
• B) Pain, Acute, related to uterine contractions, cervical dilatation, and fetal descent
• C) Coping: Family, Compromised, related to labor process
• D) Knowledge, Deficient, related to lack of information about normal labor process and comfort measures

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Definitions:

Expectations

Beliefs or predictions about future events or behaviors that can influence one's perceptions and actions.

Psychoanalytic

A psychological perspective focusing on unconscious processes and conflict within an individual.

Personality

An amalgamation of properties or characteristics that shape a person's singular nature.