A nurse is caring for a pregnant woman admitted to the high-risk OB unit. Which finding indicates to the nurse that outcomes for a priority nursing diagnosis have been met?
A.
Patient can list community resources available for her after childbirth.
B.
Patient describes skills she and partner use for dealing with stress.
C.
Patient states that with next pregnancy, she will obtain consistent prenatal care.
D.
Patient's blood pressure is 128/62 mm Hg without orthostatic changes.
ANS: D
All options show that outcomes for important nursing diagnoses for a high-risk pregnancy have been met. However, physical needs take priority over psychosocial needs, so describing community resources and coping skills are not the most important. Prenatal care is important to help prevent adverse outcomes, but the patient is describing actions she intends to take for a subsequent, not current, pregnancy. For physical needs, airway, breathing, and circulation take priority. A stable blood pressure without orthostatic changes demonstrates hemodynamic stability and shows that outcomes for the diagnosis of risk for deficient fluid volume have been met.
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