A first-time 22-year-old single labor client, 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. Knowledge, Deficient, related to lack of information about pushing methods
3. Pain, Acute, related to uterine contractions, cervical dilatation, and fetal descent
4. Pain, Acute, related to perineal trauma
5. Coping: Family, Compromised, related to labor process
Question 2
A patient is admitted to the labor and delivery unit with contractions that are 2 minutes apart, lasting 60 seconds. She reports that she had bloody show earlier that morning.
A vaginal exam reveals that her cervix is 100 percent effaced and 8 cm dilated. The nurse knows that the patient is in which phase of labor? 1. Active
2. Latent
3. Transition
4. Fourth