Effective breastfeeding Ineffective breastfeeding Interrupted breastfeeding Disorganized infant behavior or risk for Readiness for enhanced organized

infant behavior Ineffective infant feeding pattern Disturbed sleep pattern Knowledge deficient--- this is a BIG one because mom/baby is mostly about teaching Risk for impaired infant attachment Caregiver role strain Readiness for enhanced parenting Impaired or risk for impaired parenting Risk for infection (related to childbirth trauma to tissues or others) Risk for consitpation Acute pain Risk for injury Interrupted family processes Impaired verbal communication Anxiety Risk for situational low-self esteem Risk for ineffective airway clearance (newborn) Risk for imbalanced body temperature (newborn) breast feeding, ineffective or interrupted (r/t knowledge defecit, etc) caregiver role strain (r/t premature birth, congenital defects, etc) coping, family: compromised (r/t role changes, family disorganization) fatigue (r/t stress, pregnancy, sleep deprivation) infant behavior, risk for disorganized or readiness for enhanced organized parenting, readiness for enhanced self-esteem, situational low sleep pattern, disturbed also: risk for spiritual distress risk for decisional conflict deficient knowledge (learning need) regarding reproduction, contraception, self-care, Rh factor anxiety acute pain/discomfort risk for maternal injury deficient fluid volume fear impaired fetal gas exchange risk for impaired parent/infant attachment risk for injury risk for infection powerlessness risk for fetal injury imbalanced nutrition, more or less than body needs anticipatory grieving risk for interrupted family process

Ineffective coping Disturbed Body image

breathing problems (atelectasis, hypoxia, pneumonia, pulmonary embolism) hypotension (shock, hemorrhage) thrombophlebitis in the lower extremity elevated or depressed temperature any number of problems with the incision/wound (dehiscence, evisceration, infection) fluid and electrolyte imbalances urinary retention constipation surgical pain nausea/vomiting (paralytic ileus)

Complications of epidural anesthesia are:

hypotension rash around the epidural injection site nausea and vomiting from the opiates administered pruritis of the face and neck caused by some epidural narcotics respiratory depression up to 24 hours after the epidural cerebrospinal fluid leakage and spinal headache from accidental dural puncture sensory problems in the lower extremities

Knowledge Deficit (learning need) regarding physiological changes, recovery period, self care and infant care Situational Low Self-esteem (R/T failure to complete normal labor and delivery) Any of the Self-care deficits R/T effects of anesthesia, decreased strength and endurance and/or physical discomfort Sleep Deprivation R/T hormonal or psychological responses, pain, fatigue of labor and delivery and/or demands of family In older books Doenges and Moorhouse include Family Coping: potential for growth R/T sufficiently meeting individual needs and adaptive tasks, enabling goals of self-actualization to surface AEB family member(s) moving in direction of health-promoting and enriching lifestyle

Ineffective Role Performance R/T situational crisis (demands of new family member, changes in responsibilities of family members) Disturbed Body Image [some women don't handle having surgical scars very well!] Ineffective Sexuality Pattern R/T altered body structure or function (Risk for)Impaired Parenting Risk for Impaired Parent/Child Attachment Risk for injury (any of the postoperative complications that can occur, ie. anemia, tissue trauma, rubella sensitivity, Rh incompatibility, thrombophlebitis)

Risk for Infection

New

increasing their metabolism and increasing use of glucose and oxygen (to generate more heat) this causes their respiratory rate to increase leading to respiratory distress leads to hypoglycemia leads to metabolic acidosis leads to vasoconstriction (as the body attempts to retain heat) increasing cold leads to the production of fatty acids that interferes with bilirubin transport and can lead to jaundice

conduction (their warm body heat transfers to cooler objects that they come into direct contact with) evaporation from exposure of wet skin surfaces lost to the atmosphere convection (their body heats transfers to the air surrounding them) radiation (their warm body heat transfers to cooler objects around them)

ineffective thermoregulation in newborns is due to immature compensation (adaptation to) the environmental temperature. in other words, when the newborn encounters conduction, evaporation, convection and/or radiation when they come into this world, hypothermia occurs and they lose body heat and become hypothermic. once body heat is lost in a newborn, their immature system compensates by (here comes the pathophysiology of hypothermia, or ineffective thermoregulation in newborns)