At my school we are currently doing an OB nursing rotation and expected to do a postpartum care plan. However, we are NOTallowed to use ANY of the following Dx: Any Risk for Dx Any Pain Dx Any knowledge deficit Dx. Reuse a Dx we used on a previous care plan...that eliminates Impaired skin integrity, and Disturbed sleep pattern. (which incidentally my pt was neither!) Talk about having your hands tied. My pt was a completely healthy (both physically and emotionally) young lady. Her and her husband are ecstatic over the birth of their first child, he seems very supportive, as does her family. She was discharged during at the end of my shift (would have been much earlier, but her doctor "forgot" she was even in the hospital and never came to see her until the end of the day!) ...I have literally gone through the NANDA book twice and eliminated every possibility! The only thing my pt had was GDM, which she controlled beautifully with exercise and diet during her pregnancy. And a 2º laceration...but I can't use pain or skin integrity. Talk about a nightmare. It is possible that my frustration has gotten the better of me, so if anyone has any suggestions...I am all ears. Remember the stipulations on top though! Thanks in advance.