A primigravid client at 41 weeks' gestation is admitted to the hospital's labor and delivery unit in active labor. After 25 hours of labor with membranes ruptured for 24 hours, the client delivers a healthy neonate vaginally with a midline episiotomy. Which of the following nursing diagnoses should the nurse identify as the priority for the client?

D Risk for infection related to birth trauma and prolonged ruptured membranes. B Sleep deprivation related to prolonged labor. C Situational low self-esteem related to lengthy labor process. A Activity intolerance related to difficult labor process.