post-partum careplan help

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Hi all. I am to do a care plan on a post-partum patient (which I will describe in a minute). I know that the priority diagnosis is supposed to address what they came in for, which would be labor... But I only provided care once she was post-partum. I have some non-priority diagnoses but I never know what to do for priority.

Here is here info:

25 y/o single white woman Gravida 7 Para 6. Delivered AGA little girl at gestational age of 37.5 weeks. 1 child was a SIDS baby at 2 months. 4 of her children live with her mother. New baby will be the 2nd baby to live with her. The other child that lives with her is a 2 y/o. During that (2008) pregnancy she was in jail for part of it (reason unknown). She has gestational diabetes (and has had it with every pregnancy), GBS positive (4 doses penicillin prior to delivery), chlamydia positive. Diabetes managed by glyburide during pregnancy, she did take prenatals however had late onset of care (still had >5 visits). Urine drug screen negative, perineum intact, breastfeeding with no significant problems, exhibits positive parental interactions, in good spirits, no maternal complications during delivery, minimal blood loss, multiple family members present after birth, motrin for pain, she is ambulating and voiding, fundus firm & midline @ U-1. Vitals WNL. Basically no abnormal findings during PP assessment.

My dx are to be for the mom, not the baby. I can think of a million ndx for the baby r/t her infections, but mom seems to be in good shape. She did cry that she had to stay an extra day due to the baby being monitored for GBS and she wanted to get home to her 2 year old who she had never been away from before.

So I have ineffective coping as a non-priority dx.

Totally stumped for priority. Ideas? Guidance? Thanks!

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Specializes in Critical Care; Cardiac; Professional Development.

Knowledge deficit related to a lot of potential things - nutritional requirements, perineal care/pelvic rest, breastfeeding

Risk for infection

Anxiety

Sleep deprivation

Effective Breastfeeding

Risk-prone health behavior

Risk for disturbed thought process r/t postpartum status

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Did she have an episiotomy? if so, acute pain

anxiety r/t change in role or parenting

fatigue r/t childbirth

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