Author Question: When entering the second phase of labor, a patient tells the nurse that the pain is severe and is ... (Read 89 times)

V@ndy87 · **on:** Jun 27, 2018

When entering the second phase of labor, a patient tells the nurse that the pain is severe and is unsure if pain medication should be used. Which nursing diagnosis should the nurse use to guide the care of the patient at this time?

A) Pain related to labor contractions
B) Powerlessness related to the duration and intensity of labor
C) Decision conflict related to the use of analgesia during labor
D) Anxiety related to lack of knowledge about normal labor processes

Question 2

A nurse palpates a woman's fundus to determine contraction intensity. Which of the following would be most appropriate for the nurse to use for palpation?

A) Finger pads
B) Palm of the hand
C) Finger tips
D) Back of the hand

aprice35067 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
The patient is in conflict regarding whether or not to use pain medication during labor at this time. This is an example of decisional conflict. The patient's need is much more than experiencing pain during labor contractions. There is no enough information to support that the patient is experiencing powerlessness. The patient is not demonstrating anxiety related to the labor process.

Answer to Question 2

A
Feedback:
To palpate the fundus for contraction intensity, the nurse would place the pads of the fingers on the fundus and describe how it feels. Using the finger tips, palm, or back of the hand would be inappropriate.