Question

Linda Mandella is at the birth center in labor with her third baby. She wishes to experience a natural, unmedicated birth. Linda is groaning and crying. A cervical examination performed 2 hours ago revealed that she was 6 cm dilated and 100% effaced. Linda’s family members are present, and this is the first time that they have been able to attend and support her during the labor and birthing process. The family members are shouting and blaming the nurse for causing Linda to suffer. They demand that the nurse give Linda painkillers to ease her suffering and pain.

1.What are the priority nursing diagnoses at this time?

2. What are the expected outcomes associated with these diagnoses?

3. Describe the teaching/learning needs related to the scenario that corresponds to the priority nursing diagnoses.

4. List nursing interventions with rationales that correspond to the priority nursing diagnoses.

Answer 1

1)acute pain in the active stage of labor. Cervical expansion 6 cm indicate active stage of labor

2)patient will be able to choose painkillers if needed. Give her option to choose pain relief methods if needed

3)

• Inform her about all pain relief options available.
• Teach her in between contractions
• Tell her, if you need pain killers, inform me without any doubt.
• If she needs painkillers, take consent before giving it.

4)

• Give positive reassurance
• Tell her you are doing well
• Changing position of patient to relive compression of cord
• Give oxygen through mask if needed
• Notify health care provider about her condition