A multigravida client with suspected abruptio placentae is admitted in active labor. Which nursing diagnoses should the nurse identify as appropriate for this client? Select all that apply.
1. Anxiety related to concern for own safety
2. Ineffective Coping related to premature birth
3. Fluid Volume, Risk for Deficit, related to hypovolemia
4. Tissue Perfusion, Risk for Altered, related to blood loss
5. Knowledge Deficit related to lack of information about inherited genetic defects
Question 2
A client at 30 weeks' gestation is experiencing painless late vaginal bleeding. What should the nurse expect in the management of this client?
1. Assessing blood pressure every 2 hours
2. Evaluating the fetal heart rate with an internal monitor
3. Limiting vaginal examinations to only one per 24-hour period
4. Monitoring for blood loss, pain, and uterine contractibility
A nurse adjusts the rate of a client’s IV.
Developing a two part nursing diagnostic label
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