Care plan for postpartum patient

Nursing Students General Students

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I'm having trouble finding something for the pathophysiology admission diagnosis for a postpartum patient. Any ideas??? Obviously labor is what brought them in, but I can't find anything that'd work with my care plan. Someone suggested intrauterine pregnancy, but I can't even find the pathophysiology of that!

Specializes in SICU, trauma, neuro.

Well I hope her pregnancy was intrauterine. :laugh:

Do you mean her admission diagnosis, or some nursing diagnosis? If it's her admission dx, I'm not sure what to tell you aside from labor (or induction, or post SROM, etc). Healthy women in labor don't have any pathophysiology. Labor is a completely normal physiologic process. She likely presented to the hospital for close monitoring, immediate interventions should something go wrong, pain control -- the same reasons any healthy woman chooses to deliver in a hospital. Not because of an actual pathophysiology.

Yeah, it was obviously intrauterine, but I don't know how to incorporate the pathophysiology with that. We are required to have the patho of the admission diagnosis and that's where I'm stuck. I don't know what I can say for that.

Specializes in OR, Nursing Professional Development.

Have you reached out to your instructor for assistance?

Consider a psychosocial nursing dx for her admitting.

Just becauae she didn't have anything physically wrong, doesn't mean there weren't a hundred different emotional/family related things that were happening with her at the time.

I mean, you could always just explain the pathophysiology of labor/delivery. Like, first stage, second stage, third stage.

What about pain?

Definitely a nursing diagnosis/intervention, and the pathophys behind the pain is uterine contraction.

Or excessive bleeding and PPH? Or unsteady gait and risk for falls r/t blood loss and anaesthetic meds? Or constipation r/t pain meds and labor.

Most women on post-partum don't have medical diagnoses (they're not admitted because they're sick), but there are nursing diagnoses/interventions to a) prevent them from getting sick and to b) help them feel better. You definitely don't want to confuse your nursing diagnosis with a medical diagnosis (profs love to ding you for that stuff).

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