need help w/ nursing dx for new mom...

  1. Okay I am working on a case study for my new mom and baby. My instructor was helping me mind map it but I had to go and do something so she never got back with me. I am stuck right now. I have 2 dx I am stuck on the goals and interventions.
    1. At risk for hemorrhage r/t full bladder
    2. At risk for infection r/t incomplete emptying of bladder
    - The intervention I have would be to urinate through encouraging fluids, running water ECT. But wouldn't I have the same interventions for both? Wouldn't my goal for both be to get my pt to urinate at least 200 cc? So wouldn't these diagnoses be too similar?

    Also I am stuck on coming up with a final Dx for her. I thought about going with one regarding baby having an extra thumb! Would it be something like ineffective coping?

    Any help would be greatly appreciate! I posted this in the assistance forum but no one has answered yet.
  2. Visit lunakat profile page

    About lunakat

    Joined: Nov '02; Posts: 454; Likes: 10

    9 Comments

  3. by   HappyNurse2005
    . At risk for hemorrhage r/t full bladder
    how would you word this? Risk for hemorrhage isn't a nursing dx that I know of.

    Is it her first baby? HOw about "knowledge defecit:breastfeeding (or infant care, etc)" Risk for injury r/t weakness, etc etc
  4. by   justjenny
    Quote from RNinMay2005
    how would you word this? Risk for hemorrhage isn't a nursing dx that I know of.

    Is it her first baby? HOw about "knowledge defecit:breastfeeding (or infant care, etc)" Risk for injury r/t weakness, etc etc

    Good suggestion.
    I think hemorrhage is a PC. Most of the Dx for new moms who are healthy are all "risk for"s.

    Also, you can't use ineffective coping for the extra thumb unless it actually applies to that mom.....she may cope with it just fine. (?)

    Jenny
    ADN Dec 2005
  5. by   lunakat
    Actually this is her third child. As for the nursing dx of hemorrhage this is exactly how my instructor wrote it. I knew it sounded funny. She had breast feed with all of her other children so I didn't think about that one. I am actually leaning to risk for impaired parenting. Thanks for all your help, I was feeling overwhelmed a little stupid as I have a tendency to make thing way more complicated than they really are...
  6. by   Iluvhospice
    Most of my new mother diagnoses included: Sleep Pattern Disturbance r/t routine of hospital, care of newborn.

    Many of the other diagnoses were Knowledge Deficits... r/t care of newborn, care of multiple children, etc.

    Hope this helps!
  7. by   lunakat
    Gratz. Thanks for everyones help.
  8. by   suzanne4
    Don't forget the problem of the second thumb. In most infants, an extra thumb is indicative of other problems, and the baby will usually be checked from head to toe looking for something. This can have more of an impact than anyhting else. The thumb is usually removed very soon so that is not usually a problem for long.
  9. by   Mariposa19
    The diagnoses are similar in that they're both related to the same problem, but they are both valid and should be included. Remember that monitoring can be an intervention that sets the two apart. Risk for hemorrage (which I agree is a PC) can have interventions such as monitoring for signs and symptoms of a hemorrhage and watching the Hgb/Hct, whereas the risk for infection can involve monitoring WBC counts and urinalysis results.

    As far as the extra finger, perhaps consider a knowledge deficit for the surgical procedure that will follow?
  10. by   lunakat
    cool thanks for the advice...
  11. by   barefootlady
    Increased stress r/t role as new mother

    Altered Self image r/t post pregnancy issues;i.e. weight, fatique, skin spots, scars, stretch marks

close