The laboring client is at 7 c m, with the vertex at a +1 station. Her birth plan indicates that she and her partner took Lamaze prenatal classes, and they have planned on a natural, unmedicated birth. Her contractions are every 3 minutes and last 60 seconds. She has used relaxation and breathing techniques very successfully in her labor until the last 15 minutes. Now, during contractions, she is writhing on the bed and screaming. Her labor partner is rubbing the client's back and speaking to her quietly. Which nursing diagnosis should the nurse incorporate into the plan of care for this client?

Question

Quizplus · Accepted Answer

The client's recent behavior change, from using relaxation and breathing techniques successfully to writhing and screaming, indicates acute pain related to the progression of labor, including uterine contractions, cervical dilation, and fetal descent. This is a normal part of labor as it intensifies, especially as she is at 7 cm dilation and experiencing strong contractions every 3 minutes.

The Laboring Client Is at 7 C M, with the Vertex