Is this an appropriate nursing diagnosis?

[lovecorinth]

I had my clinical in a postpartum maternity floor. I had a mother who had her second child through lady partsl delivery. she didn't have any complications before or during her labor. when i assessed her, she was breastfeeding often and bonding with her son. her pain level was a 0 out of 10. fundus was fine, breasts soft, moderate lochia, perineum intact. no episotomy. nothing out of the ordinary. newborn is normal as well.

the only thing was that in her labs her Hgb was low. It was a 8.8.

Her Hct was low too. I heard this was normal for moms who are breastfeeding.

she was only in her postpartum day 1 and didn't have a bowel movement yet. can i still write risk for constipation for this?

also i didn't ask her if she sleeps at night, but i'm assuming she doesn't because she breastfeeds. so fatigue?

[CT Pixie, BSN, RN]

A normal, uncomplicated labor and delivery doesn't mean she doesn't have issues. Did she have an episiotomy? If she did that's impaired skin integrity. It's also risk for infection. Is she sleeping well? (I'd think no since she's breastfeeding) Sleep deprivation. Or fatigue r/t the childbirth, etc. Is she moving her bowels? She's at risk for or could have constipation. And while it may be 'normal' for breastfeeding mothers she is still anemic with those levels.

[Esme12, ASN, BSN, RN]

Just having a lady partsl birth you have impaired skin integrity. She is still in danger (at risk) of post partum infection and depression. Is there swelling? Retained products can show up with heavy vag bleeding for several days. How does she feel about bringing a second baby home? How old is the sibling? Has her milk come in?

[kakamegamama]

You HEARD that the H&H of your patient is normal for breastfeeding moms? From whom? How do you know it's factual vs not? Think, think, think about what these levels COULD mean. What's more pertinent than breastfeeding as a cause? What do these levels mean? What do these levels put this patient at risk for? And, this is YOUR assignment, correct? That means it's supposed to be YOUR work. Do you have to have evidenced based interventions, etc? How about researching, based on what your patient demonstrates, what problems/potential problems are. (Sorry, but after teaching OB/neonatal for 9 years, I get a wee bit testy when a student isn't really looking but taking a short cut....the practice of nursing/nursing decisions are supposed to be evidence based)

[snazzy-jazzy, BSN, RN]

Without giving you all the answers, I would give that Hb level some attention and have a look into secondary PPH.