Case Study—Juanita Perez_Client in Labor Case Scenario

Case Study—Juanita Perez_Client in Labor Case Scenario Juanita Perez is a 22-year-old married female who is in active labor. Mrs. Perez is a gravida I who was admitted 4 hours ago at 39 and 5/7 weeks gestation. Mrs. Perez has had an uncomplicated, planned pregnancy and is 6 centimeters (cms) dilated. Mrs. Perez’s cervix is 100% effaced and the baby is at—1 station. Her uterine contractions are every 3 to 4 minutes lasting 60 to 90 seconds and are of moderate to severe intensity. Nursing Assessment Mrs. Perez vital signs are: blood pressure—122/ 74; heart rate—90 beats per minute; respiration rate—24 breaths per minute; temperature—99.2°F. orally. The fetal heart rate is 135 baseline with accelerations with uterine contractions. Mrs. Perez has a moderate bloody show and amniotic fluid leakage appears clear. Mrs. Perez tells you; I really want “to go naturally.” “I am trying not to take the epidural anesthesia, but it is really painful.” My husband is trying to help me maintain my breathing and concentration with the techniques we learned in class. “I don’t know how much longer I can take this!” ASSESS 1. Identify significant symptoms by underlining them in the assessment. 2. List those symptoms that indicate the client has a health problem (those you have underlined). 3. Group the symptoms that are similar. DIAGNOSE 1. Select possible nursing diagnoses for this client. Possible nursing diagnoses: 2. Validate the possible nursing diagnoses. Compare the signs and symptoms (defining characteristics) that you have identified from your client assessment with the defining characteristics for the nursing diagnosis that you have selected. Also read the definition and determine if this diagnosis fits this client. Validated nursing diagnoses include: 3. Write/select a nursing diagnostic statement for one of the nursing diagnoses by combining the nursing diagnosis label with the related to (r/t) factors. *The label is the title of the nursing diagnosis as defined by NANDA-I. *A related to (r/t) statement describes factors that may be contributing to or causing the problem that resulted in the nursing diagnosis. NANDA-I label: Definition:Defining characteristics: Related factors (r/t): The complete nursing diagnostic statement is:

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."