Ineffective coping and pregnancy

[lsid16]

I'm doing a care plan on a expectant mother. She has 4 children already, but is coming across some stressors in her life.

She is having marital problems, financial problems, and is 40 years old. This was an unexpected pregnancy and is now having preterm labor problems due to all the stress.

Would an appropriate nursing dx be ineffective coping r/t external stressors of pregnancy AEB preterm labor complications?

She has been to the doctor looking for a physical issue with her related to the preterm contractions and the doctor said she needs to reduce her stress.

Thanks!

[NeoPediRN]

I think it's hard to prove ineffective coping. She may be coping just fine emotionally but her body may just not be cooperating due to a host of things...incompetent cervix, advanced maternal age....how do you know her preterm labor is a result of her difficulty coping? Is she homeless, is her house in foreclosure, did one of them lose their jobs? Did she have any problems with her other pregnancies? i would look a little deeper.