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Nursing DX for postpartum couplet

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by haileyq haileyq (New Member) New Member

552 Visitors; 2 Posts

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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!

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Peetz has 7 years experience and works as a RN, BSN, WCC.

2,210 Visitors; 102 Posts

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 vaginal 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.

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5 Likes; 3 Articles; 99,188 Visitors; 14,602 Posts

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

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552 Visitors; 2 Posts

Thank you both! Very helpful!

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mommybess works as a Mother/Baby RN.

1,963 Visitors; 57 Posts

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 vaginal 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 vaginal laceration

Impaired tissue integrity r/t vaginal laceration

Risk for infection r/t vaginal 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.

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