The mother is17 years old
The mother’s Vital Signs:
T = 97.8 F oral
BP = 122/68
P = 86
RR = 20
O2 Sat = 98% (room air)
Pain Level = 2/10; uterine cramping
Heart sounds: Regular
Lung sounds: Clear
Breasts: Full; no tenderness; no masses Fundus:Mild contractions noted every 5 minutes
Cervix dilated 3 cm; 50% effaced
Bowel sounds: Active
Bladder: Non-distended
No hemorrhoids
Extremities: Mild bilateral edema of lowerextremities
§ Pulses: 2+ and equal
Patient’s speech: Clear, anxious
1- Explain why the maternal history (both past and present)are important.
2- Name one psycho-social nursing diagnosis includingone short term goal and 3 nursing interventions that would be apriority for this 17-year-old patient.