The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

Impaired gas exchange related to hyperventilationAlteration in placental perfusion related to maternal positionImpaired physical mobility related to fetal-monitoring equipment Potential fluid volume deficit related to decreased fluid intake

Explanation.

Clients admitted in labor are told not to eat during labor to avoid nausea and vomiting. Ice chips may be allowed but this amount of fluid might not be sufficient to prevent fluid volume deficit. In answer A impaired gas exchange related to hyperventilation would be indicated during the transition phase. Answers B and C are not correct in relation to the stem.