Question

Patient is a 29-year-old female at her 38 weeks gestation admitted with contractions. Reports contraction every 5 minutes starting at 5 am and increasing to every 2-3 minutes. Very painful. Patient denies LOF (elective abortion), DFM (Maternal perception of decreased fetal movement). She is a G4P0A2 L1.)

Nursing diagnosis:

1. Risk for poor coping or anxiety related to the contractions as evidenced by previous abortions

Based on this nursing diagnosis, what would be the

1) nursing intervention?

2)goal/expected outcome?

Answer 1

1.

A) Provide the patient oppertunity to express her concerns, fear and feeling.

B) use empathetic communication with the patient.

C) Support and encourage the patient to use her own strength and abilities

D) point out signs of positive progress or change.

E) Encourage the use of cognitive and behavioral relaxation including proper breathing techniques.

F) Divertional therapies

G ) Health Education regarding the medical condition.

H) Explore with her previous method of dealing with the life problem.

I ) provide the degree of family support involving husband family and friends.

J) providing the patient a psychiatric consultation.

K) provide the patient active pain management.

L) Tell the patint to discontinue the use of CNS stimulants

2( goals and outcomes are mentiond as per the same alphabet of question no 1)

A) oppertunity to express the feeling will help the patient to gain a mental support. The patient anxiety will get relaxed once the nurse will maintain a supportive communication.

B) empathetic communication to keep the patient think like a very supportive environment is there. This will be help ful to reduce the stress of the patient.

C) To keep the patient self confidence also to it will help the patient to keep mentally and emotionally strong.

D) To keep the patient have a thought of positive progress. This will help to reduce her anxiety

E) To reduce the stress of the patient and technique as a pain management.

F) To divert her mind from the present situation of stress. This can help the patient encaged in other activities.

G) Health education will provide valuable information regarding her health condition. This may help the patient stay strong.

H) Previous experience will help tge patient to get confidence to overcome the present situation

I) The presence of family especially husband will gave the patient emotional support.Help the patient cope with the the present situation

J) To provide the patient counselling and assess the need of anti anxiety drugs.

K) To reduce the severe pain of the patient. This will helps the patient to reduce her anxiety level.

L) To reduce the physical symptoms of anxiety.