Mrs. A is 20 years of age and gave birth to her first baby at the hospital 7 days ago. Her pregnancy, Labor, and birth were uncomplicated. The midwife who attended the birth checked Mrs. A and Her baby the day after the birth. She has not seen a healthcare provider since then. This is her first postpartum clinic visit. Mrs. A has come to the clinic because she has constipation, some edema in the perennial area and sore, red nipples. Her baby is not able to start breastfeeding well.

PRE-ASSESSMENT

1. What physical examination will you include in your assessment of Mrs. A and why?

2. What type of lochia you will find in your assessment of Mrs. A and why?

DIAGNOSIS (interpreting information to identify problems/needs)

You have completed your assessment of Mrs. A and your main findings include the following mention women health problem and needs. (.05mark)

History:

• Mrs. A is feeling well but has sore, red nipples. Constipation since 2 days and perennial edema since 4 days. .
• She reports that the baby breastfeeds approximately every 2 hours.

Physical Examination:

• Mrs. A generally appears well.
• Vital signs are as follows: BP is 110/72, Pulse is 80 beats per minute; Temperature is 37.6°C.
• There is no redness, tenderness, streaking, or masses palpable in the breast tissue; however,

During observation of breastfeeding, it was found that the baby was not attaching well to the Breast. And Perennial area edematous.(which method you used to assess perennial area) (.05mark)

3. Based on these findings, what is Mrs. A's diagnosis (problem/need) and why?

CARE PROVISION (implementing plan of care and interventions)

4. Based on your nursing diagnosis(problem/need identification), what is your plan of care for Mrs.A and why? 

EVALUATION

• Mrs. A returns to the clinic in 2 days.
• You find that her nipples are less sore and red, and attachment has improved, although the Problem has not fully resolved. But her bowel return to normal and perennial edema decrease
• Mrs. A is very eager to continue breastfeeding

5. Based on these findings, what is your continuing plan of care for Mrs. A and why?

Expert Answer Mrs. A is 20 years of age and gave birth to her first baby at hospital 7 days ago. Her pregnancy, Labor, and birth were uncomplicated. The midwife who attended the birth checked Mrs. A and Her baby the day after the birth. She has not seen a healthcare provider since then. This is her first postpartum clinic visit. Mrs. A has come to the clinic because she has constipation, some edema in perennial area and sore, red nipples. Her baby not able to start breast feeding well.
PRE-ASSESSMENT
1. What physical examination will you include in your assessment of Mrs. A and why?(.05mark)
2. What type of lochia you will find in your assessment of Mrs. A and why? (.05mark)
DIAGNOSIS (interpreting information to identify problems/needs)
You have completed your assessment of Mrs. A and your main findings include the following mention women health problem and needs. (.05mark)
History:
• Mrs. A is feeling well but has sore, red nipples. Constipation since 2 days and perennial edema since 4 days. .
• She reports that the baby breastfeeds approximately every 2 hours.

Physical Examination:
• Mrs. A generally appears well.
• Vital signs are as follows: BP is 110/72, Pulse is 80 beats per minute; Temperature is 37.6°C.
• There is no redness, tenderness, streaking, or masses palpable in the breast tissue; however,
During observation of breastfeeding, it was found that the baby was not attaching well to the
Breast. And Perennial area edematous.(which method you used to assess perennial area) (.05mark)
3. Based on these findings, what is Mrs. A's diagnosis (problem/need) and why? (1 mark)
CARE PROVISION (implementing plan of care and interventions)
4. Based on your nursing diagnosis(problem/need identification), what is your plan of care for Mrs.A and why? (2mark)
EVALUATION
• Mrs. A returns to the clinic in 2 days.
• You find that her nipples are less sore and red, and attachment has improved, although the
Problem has not fully resolved. But her bowel return to normal and perennial edema decrease
• Mrs. A is very eager to continue breastfeeding
7. Based on these findings, what is your continuing plan of care for Mrs. A and why?( 1mark)Expert Answer