Question

Patient is a 29-year-old female at her 38 weeks gestation admitted with contractions. Reports contraction every 5 minutes starting at 5 am and increasing to every 2-3 minutes. Very painful. Patient denies LOF (elective abortion), DFM (Maternal perception of decreased fetal movement). She is a G4P0A2 L1.)

Nursing diagnosis:

1. Acute pain (in whole abdomen) related to uterine contractions as evidenced by reporting pain ,increase in its intensity ,facial grimace

Based on this nursing diagnosis, what would be the

1) nursing intervention?

2)goal/expected outcome?

Answer 1

1)Nursing interventions

• Assess the level of pain ,to get baseline data and plan for care
• Provide change of position, this can relieve pressure and improve circulation and reduce the intensity of pain
• Ensure client is offered comfort measures and devices which can ease the pain
• Provide psychological support and reassurance ,to provide positive approach and direct her towards strong and comfortable labour

2.Goals/Expecred outcome

• The client will be able to tolerate throwing and progress towards delivery
• The patient can be seen relaxed when there is no contractions