Which Nursing Diagnosis Would Take Priority in the Care of a Primipara

Multiple Choice

Which nursing diagnosis would take priority in the care of a primipara patient with no visible support person in attendance? The patient has entered the second stage of labor after a first stage of labor lasting 4 hours.

A) Fluid volume deficit (FVD) related to fluid loss during labor and birth process
B) Fatigue related to length of labor requiring increased energy expenditure
C) Acute pain related to increased intensity of contractions
D) Anxiety related to imminent birth process