Author Question: A client with dysfunctional labor patterns has a nursing diagnosis of Deficient knowledge of the ... (Read 47 times)

Bob-Dole · **on:** Jun 27, 2018

A client with dysfunctional labor patterns has a nursing diagnosis of Deficient knowledge of the labor process and variations related to inexperience and unfamiliarity with intervention options.

Which of the following would the nurse use as evidence to support this diagnosis? a. Client questions and an inability to cooperate with requested interventions
b. Non-reassuring fetal tracing inclusive of severe variable decelerations; late decelerations
c. Maternal fever of 100.4F or 38C, maternal tachycardia, fetal tachycardia, or a combination of these
d. Frequent or persistent maternal requests for pain relief, frequent uterine contractions, poor uterine resting tone, and failure of the cervix to dilate 1 to 2 cm per hour on cervical assessment

Question 2

A recently delivered mother and her baby are at the clinic for a 6-week postpartum checkup. The nurse should be concerned that psychosocial outcomes are not being met if the woman:

a. Discusses her labor and birth experience excessively.
b. Believes that her baby is more attractive and clever than any others.
c. Has not given the baby a name.
d. Has a partner or family members who react very positively about the baby.

essyface1 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Evidence to support the diagnosis of deficient knowledge would include client questions and an inability to cooperate with requested interventions.

Answer to Question 2

C

Feedback
A A new mother who is having difficulty would be unwilling to discuss her labor and birth experience. An appropriate nursing diagnosis might be impaired pa-renting related to a long, difficult labor or unmet expectations of birth. A mother who is willing to discuss her birth experience is making a healthy personal adjustment.
B The mother who is not coping well would find her baby unattractive and messy. She may also be overly disappointed in the baby's sex. The mother might voice concern that the baby reminds her of a family member whom she does not like.
C If the mother is having difficulty naming her new infant, it may be a signal that she is not adapting well to parenthood. Other red flags include refusal to hold or feed the baby, lack of interaction with the infant, and becoming upset when the baby vomits or needs a diaper change.
D Having a partner and/or other family members react positively is an indication that this new mother has a good support system in place. This support system will help reduce anxiety related to her new role as a mother.