List all possible nursing diagnosis for this
List all possible nursing diagnosis for this scenario: 39 weeks AOG 2nd pregnancy Having contractions and feeling somewhat uncomfortable. appears restless, has a dry mouth, and has a heartbeat of 101 beats per minute. bag of water has ruptured confirm that the , which reveals a light yellowish color with little white specks on it. A few minutes later, prepping, and perineal flushing was done for the physician to initiate the internal examination. The physician stated that she is 80% effaced and 8 cm dilated, with a thinner lining of the cervix. The patient has regular contractions 4 to 5 minutes apart and lasting 40 seconds. The fetal heart tone (FHT) ranges from 133 to 155 beats/minute. While transferring the patient to the delivery table, she is having frequent, strong palpation contractions that are extremely uncomfortable. She is trembling, complaining of nausea and an uncontrollable urge to push. A few minutes later she went in normal labor and delivered a healthy single baby boy with an 8 Apgar score at birth and 9 Apgar score at 5 min. She sustained a second-degree perineal laceration which was repaired, and sutures were applied. Oxytocin (Pitocin) 10 IU 1 ampoule incorporated to present IVF of D5LR@1L and regulated at 120 mL/hr.
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