Which client should the Labor and Delivery nurse care for first?
1. 26-year-old primip with a history of depression stating that she knows she can't labor successfully and will need a cesarean
2. 28-year-old multip with a diagnosis of schizophrenia who is oriented to person, place, time, and location
3. 24-year-old primip diagnosed six years ago with bipolar disease who is moving constantly and refusing to lie in the bed
4. 30-year-old multip with an anxiety disorder who experienced tachycardia and tachypnea on the last shift
3
Rationale:
1. This client is exhibiting a lack of hope and negative thoughts, which are common with depression but not life-threatening.
2. Although she has a history of schizophrenia, there are currently no abnormal findings with this client.
3. This client is in the manic phase of her disease. It is difficult to auscultate fetal heart tones and difficult to monitor the fetus of a pregnant woman in constant motion. If the fetus is not monitored, fetal intolerance to labor might not be detected, with the possibility of fetal death as a result.
4. Tachycardia and tachypnea are signs of an anxiety disorder; however, currently this client is not experiencing any problems.
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