1.

Identified CORRECTLY the phases of labor and was able to differentiate them correctly

2. Completely states ALL the Laboratory and Diagnostic Test for the client and includes complete data on:
 Description of the procedure
 Specific indication of the procedure to the client
 Health teachings and nursing interventions specific for the procedure.

3. Includes ALL the signs and symptoms presented by the client and includes explanation of its occurrence, interventions
with proper rationale
4. List All the possible nursing diagnosis in PROPER NANDA Format

Nursing Diagnosis

Latent phase:

1. Anxiety related to labor and birth process and fear of the unknown AEB frequently asking about the
condition of the baby

Maternal distress related t

/With every client encounter: talkative, excited, anxious

Active phase: 1. Risk for maternal infection related to repeat vaginal examination

2. Powerlessness r/t to duration and intensity of labor AEB verbalization of feeling out of control

/ With every client encounter: selfabsorbed in labor; intense and quiet now

Transition phase:

1. Maternal distress related to

/ With every client encounter: discouraged, irritable, feels out of control, declining coping ability