An 18-year-old primigravida is 4 cm dilated and her contractions ...

[codyclark]

An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting,
 
  Please give me something for the pain. I can't take the pain What is the priority nursing diagnosis?
  a.
  Pain related to uterine contractions
  b.
  Knowledge deficit related to the birth experience
  c.
  Ineffective coping related to inadequate preparation for labor
  d.
  Risk for injury related to lack of prenatal care

Question 2

When a pregnant woman arrives at the labor suite, she tells the nurse that she wants to have an epidural for delivery. What is a contraindication to an epidural block?
 
  a. Abnormal clotting
  b. Previous cesarean delivery
  c. History of migraine headaches
  d. History of diabetes mellitus

[rosiehomeworddo]

Answer to Question 1

ANS: A
The most important issue for this woman, at this time, is effective pain management.

Answer to Question 2

ANS: A
An epidural block is not used if a woman has abnormal blood clotting.