A client is 1 hour postpartum from a vacuum delivery over a midline episiotomy of a 4500-gram neonate. Which of the following nursing diagnoses is appropriate for this mother?
a. Risk for altered parenting
b. Risk for imbalanced nutrition: less than body requirements
c. Risk for ineffective individual coping
d. Risk for fluid volume deficit
ANS: d
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a. Although the baby is macrosomic, there is no evidence that this mother is high risk for altered parenting.
b. This woman's baby is macrosomic—there is no indication that this woman is consuming a diet that is less than body requirements.
c. There is no evidence that this mother is high risk for altered coping.
d. This client is high risk for fluid volume deficit. Women who deliver macrosomic babies are high risk for uterine atony, which can lead to heavy flow of lochia.
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