Two nursing diagnoses are proposed: 1. Acute pain related to tissue trauma as evidenced by a 2nd-degree laceration. 2. Risk for hemorrhage related to multiparity.
Step 3: Priority Nursing Diagnosis
Acute pain related to tissue trauma as evidenced by a 2nd-degree laceration. While hemorrhage is a serious concern, pain management would be the first priority. A 2nd-degree laceration involves a tear through the skin and muscle of the perineum, which would cause significant pain. Addressing the pain would also aid in the assessment and management of any potential hemorrhage.
Final Answer:
The priority nursing diagnosis for a vaginal delivery resulting in a 2nd-degree laceration is acute pain related to tissue trauma.