OB Care Plan/Nursing Diagnosis Help Needed

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I am working on a nursing care plan for labor and delivery. We have to have 6 nursing diagnoses for each stage of labor and then prioritize them and write a care plan based on the six most important diagnoses (1 for each stage of labor). I am working on the third stage of labor and I believe that the most important thing the nurse needs to do during this stage is prevent excess fluid loss by making sure the placenta delivers intact, and performing fundal massage and monitoring bleeding, etc. However, the only diagnosis I can think of that covers that subject is Risk for Deficient Fluid Volume. So when I prioritize my actual diagnoses will receive priority, but I don't think my other diagnoses are more important than making sure the patient doesn't have severe blood loss. I guess what I am asking is what would be an actual diagnoses that would have those types of interventions?

Specializes in med/surg, telemetry, IV therapy, mgmt.

I'd be watching for hemorrhage (new diagnosis added by NANDA this year and in NANDA International Nursing Diagnoses: Definitions and Classifications 2009-2011: Risk for Bleeding) or addressing pain (Acute Pain).

Thank you, I didn't know about the new "Risk for Bleeding" diagnosis. Also, I knew that's what I had to watch for, but I wasn't sure what diagnosis to use. I appreciate the help.

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