A 22-year-old single patient, G1, P0, accompanied by her ...

[tuffie]

A 22-year-old single patient, G1, P0, accompanied by her boyfriend, is admitted to the labor unit with ruptured membranes and mild to moderate contractions. She is determined to be 2 centimeters dilated.
 
  Which nursing diagnoses might apply during the current stage of labor? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fear/Anxiety related to discomfort of labor and unknown labor outcome
  2. Deficient Knowledge related to lack of information about involution process
  3. Acute Pain related to uterine contractions, cervical dilatation, and fetal descent
  4. Acute Pain related to perineal trauma
  5. Compromised Family Coping related to labor process

Question 2

The clinic nurse is culturally sensitive when, while assessing the pregnant patient, he asks about: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. The family's expectations of the healthcare system.
  2. Which cultural practices should be incorporated into care.
  3. Any alternative healer who should be consulted.
  4. Positive consequences of the patient's healthcare beliefs.
  5. The patient's giving up her practices and adopting the practices of the dominant culture.

[polinasid]

Answer to Question 1

1,3,5
Rationale 1: This diagnosis would apply to the first stage of labor for a first-time labor patient.
Rationale 2: This diagnosis would apply during the fourth stage of labor.
Rationale 3: Contractions become more regular in frequency and duration, increasing discomfort and pain.
Rationale 4: This diagnosis would apply during the third and fourth stages.
Rationale 5: The patient and family might experience increased anxiety and fear related to lack of knowledge.

Answer to Question 2

1,2,3
Rationale 1: The nurse needs to ask about the patient's expectations of the healthcare system.
Rationale 2: The nurse should ask about any cultural or spiritual practices that should be incorporated into care.
Rationale 3: The culturally sensitive nurse will ask whether any alternative healer should be consulted about care.
Rationale 4: The nurse would want to evaluate any negative consequences of the patient's healthcare beliefs, not the positive ones.
Rationale 5: The patient should be able to keep her practices and beliefs without adopting those of the dominant culture.

[tuffie]

Gracias!

[ryhom]

Excellent