Nursing diagnoses for a client experiencing a hypertonic labor pattern may include which of the following? (Select all that apply.)
a. Risk for infection (maternal or fetal) related to prolonged latent labor process
b. Chronic pain (maternal) related to uterine irritability and prolonged labor
c. Deficient knowledge of the labor process and variations related to inexperience and unfamiliarity with intervention options
d. Excess maternal energy related to a prolonged labor process
e. Impaired gas exchange (fetoplacental) related to hyperstimulation of the uterus with oxytocin augmentation
f. Anxiety related to unfamiliar experiences, surroundings, and unexpected medical interventions
A, C, E, F
Nursing diagnoses for a client experiencing a hypertonic labor pattern may include: Risk for infection (maternal or fetal) related to prolonged latent labor process; Acute maternal pain (not chronic pain) related to uterine irritability and prolonged labor; Deficient knowledge of the labor process and variations related to inexperience and unfamiliarity with intervention options; Maternal fatigue (not excess energy) related to a prolonged labor process; Impaired gas exchange (fetoplacental) related to hyperstimulation of the uterus with oxytocin augmentation; and Anxiety related to unfamiliar experiences, surroundings, and unexpected medical interventions.
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