HELP!! Nursing diagnosis for PostPartum mom

[gmsc11]

So, Im having a hard time coming up with nursing diagnosis for a mother who is Postpartum day 1. She is a multigravida, G3 P2.

What I found when doing the assessment was: an elevated fundus two finger breaths above umbilicus. Im trying to come up with a nursing diagnosis for this since this is the only problem she is having.

She had a lady partsl deliver with no complications at all.

PLEASE HELP!!!

[Delicate Flower]

Nursing diagnosis for a normal pp vag delivery would include-

*risk for pain (even if she isn't having any),

*knowledge defecit (education is HUGE in postpartum)- SIDS, shaken baby, breastfeeding, when to call doctor for MOM, when to call doctor for BABY, activity restrictions, diet, post partum depression, etc.

*risk for bleeding - any pp mom has a risk for bleeding. The high fundus may or may not indicate her risk is elevated. Is her uterus firm and midline? Where was her uterus right after delivery? 4 hours ago? How is her bleeding? How is her urine ouput?

*risk for falls (cause everyone is)

[RunBabyRN]

Readiness for enhanced family process, effective breastfeeding... There are a ton in postpartum. Do you have to focus on something "wrong", or can you look at what's going WELL? I precepted in postpartum, and had to do nursing diagnoses in my log.

WHY was her fundus high? Was she boggy? Urinating Q2H? Was there any pain/discomfort/cramping associated with this? Elevated temp? High WBCs?

Did she have a lady partsl birth? Any tearing/episiotomy? Any pain? Risk for infection?

[Esme12, ASN, BSN, RN]

Does she have an episotomy? Was this full term? How is the baby? Is she breastfeeding? Why or why not? Does she have a supportive partner? Is this her first baby? Did she have an epidural? How long did she labor?

[Guest 360983]

How is her interaction with baby? How is her interaction with family?