Management and Care of a Woman Postpartum

ANIETE, JENNY ROSE T.

NCMP106 LEC
RR22

ENHANCING RETENTION

CLIENT PROFILE

Mrs. A is 18 years of age and gave birth to her first baby at home 10 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 sore, red nipples. Her
baby is with her.

History:

 Mrs. A is feeling well but has sore, red nipples.

 She reports that the baby breastfeeds approximately are normal or without significance.
 All other aspects of her history are normal or without significance.

Physical Examination:

 Mrs. A generally appears well.

 Vital signs as follows 110/72, pulse is 76 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.
 All findings on examination of the baby are within normal range and without
significance.
 All other aspects of her physical examination are within normal range and without
significance.
Management and Care of a Woman Postpartum

QUESTIONS:

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

Based from the given findings, the problem that causes Mrs. A’s nipples to
appeared sore and red was the poor position and latch as well as improper
sucking of the baby. It was stated that the findings are within normal range,
but it was also stated that the baby wasn’t attaching well to the breast.

2. Based on your diagnosis (problem/need identification), what is your plan of

care for Mrs. A and why?

Based on the problem that I identified on Mrs. A, my plan of care is to teach

her on how to proper position and latch the baby to her breast. This would
also assist the baby to suck correctly. Proper positioning and correct latching
at the breast prevent sore, red nipples.