Case Scenario 1:

Because of her episiotomy, TA is concerned about her first postdelivery bowel movement. It is explained to her that the docusate with sennosides product in her self-administered medication packet will help.

Questions:

1) TA says that she does not want to take the docusate because she plans to breastfeed. What is the appropriate nursing diagnosis based on TA’s communication?

2)As a nurse how will you address TA’s concerns, based on knowledge of the product and breastfeeding?

Case Scenario 2:

TA (gravida 3, para 1) is ready to leave the hospital after delivery of a healthy baby. TA had developed gestational hypertension during her pregnancy, but she had no prior history of hypertension. She plans to breastfeed for 3 months. She desires contraception and asks about hormonal contraceptive methods.

Questions:

TA asks whether she can take combination birth control pills while breastfeeding. Are other CHC methods available for TA besides the pill? What CHC start method is best for TA?

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