A 43-year-old client has just had a positive pregnancy test. She cries and states, "I just don't know what I'll do. I can't be pregnant." Which of the following nursing diagnoses would be the most appropriate?
1. Decisional conflict related to unexpected pregnancy
2. Knowledge deficit related to advanced maternal age
3. Depression related to unexpected pregnancy
4. Self-esteem disturbance related to advanced maternal age
1
Rationale:
1. An unplanned pregnancy at any age is often a life-changing event for the client.
2. Women over the age of 35 have a higher incidence of pregnancy complications.
3. Depression can occur, but we do not have enough client data to indicate that this client is depressed.
4. Self-esteem can be affected by a pregnancy at this age, as peers might be becoming grandparents, and if the client has other children, they might be nearing adulthood.
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