The laboring primiparous patient is at 7 cm, 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 patient's back and speaking to her quietly. Which nursing diagnosis should the nurse incorporate into the plan of care for this patient?

Question

Quizplus · Accepted Answer

The patient is experiencing acute pain during contractions, as evidenced by writhing and screaming. This is a common nursing diagnosis for a laboring patient, and the nurse can intervene with comfort measures such as position changes, massage, and breathing techniques to help alleviate the pain.

The Laboring Primiparous Patient Is at 7 Cm, with the Vertex