Domain 8. Sexuality
Class 3. Reproduction
Diagnostic Code: 00209
Nanda label: Risk for disturbed maternal-fetal dyad
Diagnostic focus: Maternal-fetal dyad
Introduction to Nursing Diagnosis Risk for Disturbed Maternal-Fetal Dyad
Every pregnancy involves multiple parties with both physiological and psychological factors. The wellbeing of any pregnant patient is tied to the intertwining of those factors and their interrelation to each other. That is why it is important for nurses to recognize and treat different nursing diagnosis that are tied in with a mother and fetus relationship, one being Risk for Disturbed Maternal-Fetal Dyad.
NANDA Nursing Diagnosis Definition
NANDA Nursing diagnosis defines Risk for Disturbed Maternal-Fetal Dyad as the potential for an altered relationship between a pregnant woman and her fetus due to maternal or fetal physical or emotional disturbance. This type of diagnosis begins to manifest itself during the trimester period of conception and it can be the result of disturbances brought about by environmental, cultural, economic and social factors.
There are various factors that may increase the risk of a disturbed maternal-fetal dyad. These may include maternal age (being under 17 years old or over 35 years old can lead to a high-risk pregnancy), poor nutrition, lack of prenatal vitamins, Infertility issues, Inadequate prenatal care, Maternal stress and depression, Uncontrolled Chronic medical conditions, Substance abuse, and Trauma. All of these things can lead to increased risk of a disturbed maternal-fetal dyad.
The presence of any of the above risk factors can often lead to associated conditions that can impact the state of maternal-fetal dyad. These possibilities include Premature delivery, Low birth weight, Anemia, Diabetes, Fetal development delay, Congenital anomalies, Mental health disorders, Fetal or neonatal death, Preterm labor and Intrauterine growth restriction.
Suggestions for Use
When treating this condition, it is important for the nurse to consider its associated factors and determine the best plan of action for the patient’s specific case. Taking into consideration the many factors that must be weighed before action can be taken, it is important to consult with the patient and her healthcare provider to make an informed decision. Furthermore, nurses should take advantage of additional resources and contact any allied healthcare personnel in order to have a more complete view of the patient’s condition.
Suggested Alternative NANDA Nursing Diagnosis
Other NANDA Nursing Diagnosis that could go hand in hand with Risk for Disturbed Maternal-Fetal Dyad include Risk for Infection, Anxiety, Ineffective Health Maintenance, Pain, Imbalanced Nutrition: Less than Body Requirements, and Deficient Knowledge: Prenatal Care.
When treating this condition, it is important for the nurse to understand the gravity of the situation and give the patient the best possible care to ensure a positive outcome. To do this, nurses should keep patient history in mind at all times, monitor for negative indicators and report any suspicious activities that may indicate a problem. Furthermore, nurses should be aware of the specific signs and symptoms associated with a disturbed maternal-fetal dyad, such as distress from the fetus and any maternal behavioral changes.
NOC standards related to Risk for Disturbed Maternal-Fetal Dyad include: Risk Control, Physical Mobility, Diet and Nutrition, Comfort, Self-Care: Transferring, Self-Care: Dressing, Self-Care: Bathing, and Self-Care: Feeding.
Evaluation Objectives and Criteria
When assessing this condition, evaluation objectives and criteria should include a review of the patient history and physical exam, to assess her baseline parameters. Evaluation of the risk factors should also include laboratory tests, imaging and other relevant diagnostic studies. Once all of the appropriate information is obtained, a comprehensive plan should be formulated accordingly.
NIC interventions related to Risk for Disturbed Maternal-Fetal Dyad include Family/Patient Teaching: Maternal-Fetal Dyad, Antepartum Fetal Assessment, Stress Management, Psychological Support, Infant Care Teaching, Nutrition Counseling, Clinical Support Systems, and Health Teaching.
When caring for patients suffering from a disturbed maternal-fetal dyad, nursing activities should include education on proper nutrition, meal planning, stress management and relaxation techniques. Additionally, the nurse should provide counseling for the patient and her family, as well as facilitate referrals to other healthcare professionals or community services.
Risk for Disturbed Maternal-Fetal Dyad is a serious nursing diagnosis that requires a knowledgeable nurse to identify and address any associated risks. The nurse also needs to provide necessary education, counseling and referrals. By recognizing this condition, assessing the risk factors, evaluating the associated conditions and taking applicable measures, the nurse can help ensure a successful outcome.
Q: What is Risk for Disturbed Maternal-Fetal Dyad?
A: Risk for Disturbed Maternal-Fetal Dyad is the potential for an altered relationship between a pregnant woman and her fetus due to maternal or fetal physical or emotional disturbances.
Q: What are the factors that may contribute to Risk for Disturbed Maternal-Fetal Dyad?
A: Factors that may contribute to Risk for Disturbed Maternal-Fetal Dyad include maternal age, poor nutrition, lack of prenatal vitamins, infertility issues, inadequate prenatal care, maternal stress and depression, uncontrolled chronic medical conditions, substance abuse, and trauma.
Q: What are the possible associated conditions of Risk for Disturbed Maternal-Fetal Dyad?
A: Possible associated conditions of Risk for Disturbed Maternal-Fetal Dyad include premature delivery, low birth weight, anemia, diabetes, fetal development delays, congenital anomalies, mental health disorders, fetal or neonatal death, preterm labor, and intrauterine growth restriction.
Q: What do nurses need to be aware of when treating Risk for Disturbed Maternal-Fetal Dyad?
A: When treating Risk for Disturbed Maternal-Fetal Dyad, nurses should be aware of the patient’s history, monitor for negative indicators, be aware of the associated signs and symptoms, and be knowledgeable of the treatments available and their possible risks.
Q: What role do NOC Outcomes, NANDA Nursing Diagnosis, and NIC Interventions play in the care of a patient with Risk for Disturbed Maternal-Fetal Dyad?
A: NOC Outcomes, NANDA Nursing Diagnosis, and NIC Interventions all play a role in the care of a patient with Risk for Disturbed Maternal-Fetal Dyad. For example, NOC Outcomes help caregivers to better understand a patient’s overall condition; NANDA Nursing Diagnosis provide guidance on the appropriate actions to take for a patient’s particular condition; and NIC Interventions guide nurses on which treatments may be best-suited for any given situation.