An obstetric patient has been identified as being high risk. The patient has had activities restricted (placed on bed rest) until the end of the pregnancy. Currently, she is at 32 weeks' gestation and has two other children at home, ages 3 and 6. The patient's husband works at home. A nursing diagnosis of Impaired Home Maintenance is noted. Which statement potentially identifies a long-term goal?
A) The patient and husband will be able to adapt their schedules accordingly to meet activities of daily living until the patient's next scheduled antepartum visit the following week.
B) The patient and husband will hire a nanny to act as an additional caregiver for the next month.
C) The patient will continue to take care of her children at home, taking frequent rest periods.
D) The patient and husband will make arrangements for child care routine activity assistance for the rest of the pregnancy.

Question

Quizplus · Accepted Answer

A long-term goal is based on acknowledgment of prescribed clinical treatment conditions for the specified timeframe. Planning for caregiving for the next week or month provide evidence of short-term goals. It is not realistic for the patient to take care of her children at home with rest period because the patient will not be maintaining the prescribed therapy regimen and thus may be at risk to further develop complications.

An Obstetric Patient Has Been Identified as Being High Risk