A 43-year-old patient 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 nursing diagnosis would be the most appropriate?
1. Decisional Conflict related to unexpected pregnancy
2. Deficient Knowledge related to advanced maternal age
3. Depression related to unexpected pregnancy
4. Ineffective Health Maintenance related to advanced maternal age
1
Rationale 1: Decisional Conflict related to unexpected pregnancy is the most appropriate nursing diagnosis. An unplanned pregnancy at any age is often a life-changing event for the patient.
Rationale 2: The woman does not appear to be distressed because of a lack of knowledge. In fact, understanding that women over the age of 35 have a higher incidence of pregnancy complications could be the cause of her distress.
Rationale 3: Depression can occur, but not enough information is given to indicate that this patient is depressed.
Rationale 4: Nothing suggests that the patient is not maintaining her health.
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