Postpartum careplan - does this dx work?

So, let me understand this. . .she is not breastfeeding. . .at all, right? If that is the case, then you can't use Ineffective breastfeeding r/t maternal breast anomaly and previous history of breastfeeding failure AEB client self-report. That is a misdiagnosis. A breast anomaly is something physically wrong with the shape of the breast. Ineffective breastfeeding is only used when the mother is breastfeeding, but is having problems with it. The definition of this diagnosis is dissatisfaction or difficulty a mother, infant, or child experiences with the breastfeeding process. If she's not even breastfeeding and this baby is being fed by means other than the breast then you can't use this diagnosis. Breastfeeding is very fatiguing and painful for some mothers which is sometimes why they don't want to do it after their first experience.

Impaired Tissue Integity. Read the definition and you will see the difference between the two.

this should help. . .i do not have a head-to-toe assessment, but i do have an assessment data base from maternal/newborn plans of care: guidelines for individual care, 3rd edition, by marilynn e. doenges and mary frances moorhouse based roughly on gordon's functional health needs of the normal and abnormal data that you are likely to find for a c-section patient following a c-section. you can pull the information apart and re-classify by head-to-toe. it is on page 331 of the book:

here is the assessment information for the c-section care plan on the disc of care plans that accompanies the book nursing care planning made incredibly easy:

maternal complications of c-section (this information is needed for care planning)

• bowel, bladder, or uterine injury
  
• hemorrhage
  
• genitourinary tract infection
  
• paralytic ileus
  
• respiratory tract infection
  
• thromboembolism
  
• wound dehiscence
  

I have had 30+ years as a nurse to figure this stuff out. Believe me, I was not a stellar student.

There is a great deal of logic and reason in all of this. What you need to do is look at this assessment data (it includes history and physical exam information) and see how it is similar as well as different from, lets say, a regular old surgical patient that you might have had a semester or two ago. A C-section is a surgery. Some things are similar to what you assessed and looked for in surgical patients and you can build on that knowledge. Other stuff is specific to an OB patient and you need to note exactly what it is and think about why that is important. Think about what the OB patient experiences and what the presence of a fetus has on the mother's body and that is going to explain why that abnormal assessment data came to be. Make those connections so it all sticks in your mind because it is very logical and reasonable that it has happened and came into existence.

Now, do you think you can assess for a mother who has delivered lady partslly? A baby coming through the birth canal puts a lot of pressure and trauma on the surrounding parts of the mother's body. It is not quite correct when people say that the birthing process is "normal". Labor and delivery is like getting beat up internally and no one being able to see it from the outside. I ask because you will probably need to know this kind of information for your test(s) at school and for the NCLEX. I am trying to help you do some critical thinking here.