A client in the fourth stage of labor is crying out in pain.Which nursing diagnosis is the priority at this time?
A) Health-Seeking Behaviors
B) Fear
C) Anxiety
D) Acute Pain

Question

Quizplus · Accepted Answer

A) In the fourth stage of labor, the diagnosis of Acute Pain, which could be related to perineal trauma, is the most appropriate for the client at this time. The diagnoses of Fear and Anxiety would be appropriate during the first stage of labor. The diagnosis of Health-Seeking Behaviors does not address the client experiencing pain during labor.
B) In the fourth stage of labor, the diagnosis of Acute Pain, which could be related to perineal trauma, is the most appropriate for the client at this time. The diagnoses of Fear and Anxiety would be appropriate during the first stage of labor. The diagnosis of Health-Seeking Behaviors does not address the client experiencing pain during labor.
C) In the fourth stage of labor, the diagnosis of Acute Pain, which could be related to perineal trauma, is the most appropriate for the client at this time. The diagnoses of Fear and Anxiety would be appropriate during the first stage of labor. The diagnosis of Health-Seeking Behaviors does not address the client experiencing pain during labor.
D) In the fourth stage of labor, the diagnosis of Acute Pain, which could be related to perineal trauma, is the most appropriate for the client at this time. The diagnoses of Fear and Anxiety would be appropriate during the first stage of labor. The diagnosis of Health-Seeking Behaviors does not address the client experiencing pain during labor.

A Client in the Fourth Stage of Labor Is Crying