Case Scenario: Narda, a 29 years old

Case Scenario: Narda, a 29 years old female, G1P1 delivered to a full-term baby girl via NSVD. She is experiencing some postpartum pain (afterpain). She is tired and exhausted following childbirth. She began narrating about the beginning of her pregnancy, her experiences during labor and birth. You observed that Narda was passive. She prefers having a Nurse to attend her needs and make decisions for her. She is also pondering as she holds her baby and asking, “Is birth over?”,” Could this child have been inside me?”. This time all she wanted is to rest to regain her physical strength and experience a calm atmosphere around her to quiet and contain her swirling thoughts.” After sharing her stories, she said “Please take care of my baby for a while.” I am exhausted. I was in labor for more than 10 hours and “I had no sleep at all last night.” I need sleep” After some time of being dependent, Narda begins to initiate action. She prefers now to get her washcloth and make her own decisions. Greater independence can be seen because she can perform self-care. Her husband said Monaliza has a stronger interest in her baby and begins her role as a mother. She cuddles her baby while breastfeeding though not confident in holding her baby. She feels insecure about her ability to take care of her child, but she tries her best. A brief demonstration of infant care was demonstrated by the nurse. She appreciated it very much. To boost her confidence, she was praised for the things she does well and some positive reinforcement was done. Finally, Monaliza redefines her role. She gave up her role of being childless. A very special moment happened when they begin interacting with their newborn, they said that” it is priceless” being a first-time mom and dad. Narda holds her child more and begins to express more warmth. She feels comfortable enough to press her cheek against the baby or kiss the infant’s nose. She is a mother tending to her child. You notice also that she is looking directly at her newborn’s face with direct eye contact. You observed also that her husband is staring at the baby for a long period. Narda was worried that she might never portray the role of being a good mom. She gave birth to a 39 weeks AOG baby girl but small for gestational age and believed that it was her doing of not complying with the prenatal medical regimen and working in a factory. Days after delivery, upon learning that her baby’s condition should be monitored in the NICU, she started to feel sad, overwhelmed, and consistently tearful. She frequently felt irritable and would never talk to her husband, and just kept blaming herself. Her husband shows unwavering support by making sure the necessity of the requirement as to the health care needs of their baby is prioritized. the Pediatrician tells them that the baby was diagnosed with Sepsis and needs to be administered antibiotics. After knowing her baby’s condition, Narda felt guilty, and feels inadequate as a mother, stating”I was reckless when I had her, I should not be a mom”. “Whatever happens to my baby, I should be responsible”, while weeping with tears. QUESTION: Can you make a list of NURSING DIAGNOSIS about this Case Scenario?

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