Priority diagnosis post partum

[katendan79]

Hey there! I am working on my NPR for my first week of mom and baby. I need to come up with 2 priority nursing diagnoses. This is my problem: I am going between two for both the mom and the baby. For the mom I am going between Acute Pain related to tissue trauma as evidenced by facial grimace and patient stating pain almost a 4/10 and Risk for infection. The mom is in pain because of a c-section but is that more important then a risk for infection? The baby was circumcised so I am choosing between risk for infection or risk for inadequate thermoregulation. What do you think?

Thanks

[BSNbeauty, BSN, RN]

I would not consider pain to be a priority dx in PP. I would choose Post partum hemorrage as a priority. For the infant respiratory distress is more if a priority.

[katendan79]

The mom and baby were discharged within 3 hours of me starting my shift. The infant wasn't having any respiratory distress and the moms fundas was firm and midline when she was in my care. Other then just having a baby she is very healthy so I thought either pain or it would have to be all risk diagnoses.

[RunBabyRN]

Are you allowed to use risk diagnoses as your keystone diagnosis?

How was feeding going? Did mom seem like she knew what she was doing? Did she plan to have a c-section? How was she coping with it?

[katendan79]

This is the 2nd child and nursing was going great. It was also her 2nd c-section and it was planned. We are able to use risk diagnosis for this clinical rotation because for the most part the moms are healthy.