Nursing DX for postpartum couplet

[haileyq]

I am working on a care plan for a couplet on the Mother-Baby unit. It was a text book perfect labor and delivery- G1P1, no IV, Mom delivered at 10:30 at night and was up and showered the next day. She is breastfeeding without complications, and baby is healthy. Mother is married with a supportive husband. What are some good nursing diagnoses for this situation? Thanks!

[Peetz, BSN]

You could use the "at risk for" dx. She is at risk for lack of sleep, fatigue, dehydration, imbalanced nutrition ( less or more that body allows) pain, ( r/t recent lady partsl birth, new breast feeding mom) PPD ( postpartum depression) The " at risk for " nursing dx are always good, because you can use your interventions that teach to prevent and notice the s/s of impending issues. Lots of good interventions with these. Let me know if you need more clarification or help. New moms are always at more risk for these things also.

[Daytonite, BSN, RN]

for the mother:

• effective breastfeeding
  

for the baby:

• effective breastfeeding
  
• ineffective thermoregulation r/t immature compensation for changes in environmental temperature
  
• risk for infection r/t break in skin integrity at umbilical cord site
  

[haileyq]

Thank you both! Very helpful!

[mommybess, BSN, RN]

For mom:

Since she is a first time mom you could go a psychosocial route such as:

Caregiver Role Strain r/t care of newborn

Social Isolation r/t care of newborn

or

Sleep Deprivation r/t breastfeeding newborn

Fatigue r/t care of newborn

Risk of constipation r/t narcotic pain medications

Impaired comfort r/t lady partsl laceration

Risk for deficient fluid volume r/t postpartum bleeding

Deficient knowlege r/t birth of newborn

Readiness for enhanced knowledge care of newborn

Acute Pain r/t lady partsl laceration

Impaired tissue integrity r/t lady partsl laceration

Risk for infection r/t lady partsl birth

For infant:

Risk for imbalanced body temperature r/t immature thermoregulation

Risk for imbalanced nutrition: less than body requirements r/t breastfeeding

Impaired Tissue integrity r/t removal of foreskin (if this is a male baby being circumcised)

Risk for ineffective infant feeding patterns r/t breastfeeding

Hope these help. There really are a lot more.