Labor and delivery nursing diagnosis

Clovery · Feb 5, 2012

I had OB last term and I don't feel like digging out my notebook but some of the dx I used were something like:

- risk for infection r/t a site for organism invasion (secondary to catheter, IV site, cervix checks)

- anxiety r/t actual or perceived threat of biologic integrity (the patient I used this for had a lot of anxiety over the IV, blood draws, possible tearing when she delivered)

- readiness for enhanced knowledge r/t infant care, breastfeeding, etc (used this when the patient seemed genuinely interested when I told her she could watch videos on various infant care topics on her tv, was asking questions, reading the pamphlets, etc).

that's all i can think of off the top of my head... hopefully that will get you started. Here's a link to a maternal-child care plan book I found on google books. Not all the pages are there but I was able to find some of the stuff I needed.

Maternal Newborn Nursing Care Plans - Green, Carol Green - Google Books

Esme12, ASN, BSN, RN · Feb 6, 2012

There ya go!

nurseprnRN, BSN, RN · Feb 6, 2012

do you have a nursing diagnosis book? get the nanda-i 2012-2014 and you'll have the definitive source.

look at the ones regarding family coping and roles, healing, fluid balance, safety, nutrition, sleep and rest, immunization, breastfeeding (if it applies to your patient), and others.

you do know that you can't just pull out a nsg dx without assessing that patient, right? you can't develop a nursing diagnosis for someone based on a medical diagnosis (like "lady partsl delivery") any more than your primary care doc can announce to you that you have, say, leukemia as you walk in the door and before s/he has taken any history or drawn any labs.