A woman is 30 weeks pregnant. She has come to the hospital because her membranes have ruptured. Based on this information, which nursing diagnosis could be made for the mother? Risk for:

1. Impaired gas exchange.
2. Infection.
3. Ineffective individual coping.
4. Fluid volume deficit.


2
Rationale:
1. This client is not at risk for fluid volume deficit or impaired gas exchange.
2. Because of the rupture of membranes and the preterm status, an attempt will be made to mature the fetal lungs and maintain the pregnancy for as long as possible. Therefore, the greatest risk is for infection.
3. There is not enough information to determine how the client is coping.
4. This client is not at risk for fluid volume deficit or impaired gas exchange.

Nursing

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