Family Folder on Family with Lactating Mother | Community Health Nursing Practical File

🤱 Family Folder on Family with Lactating Mother

Subject: Community Health Nursing Practical | Suitable For: ANM / GNM / BSc Nursing Students

Note: This family folder is prepared for academic practical file purpose. Students can change details according to their selected family.

1. Cover Page

Name of Practical	Family Folder on Family with Lactating Mother
Subject	Community Health Nursing
Student Name	________________________
Course	ANM / GNM / BSc Nursing
Topic	Family with Lactating Mother
Submitted To	________________________
College Name	________________________
Date of Submission	________________________

2. Introduction

A family folder is a systematic record of a selected family prepared during community health nursing practical. This family folder is based on a family having a lactating mother. A lactating mother requires adequate nutrition, rest, personal hygiene, breast care, emotional support and correct breastfeeding practices to maintain her health and promote proper growth and development of the infant.

3. Objectives

To assess the health status of the selected family.
To assess the lactating mother and infant.
To identify health problems related to lactation, nutrition and hygiene.
To assess breastfeeding technique and feeding practices.
To provide health education regarding exclusive breastfeeding and maternal nutrition.
To prepare nursing care plan according to identified problems.
To promote maternal and child health.

4. Family Identification Data

Name of Head of Family	Ramesh Kumar
Address	Ward No. 6, Shiv Colony, Jodhpur, Rajasthan
Type of Family	Nuclear Family
Religion	Hindu
Total Members	4 Members
Monthly Income	₹24,000 per month
Occupation of Head	Private worker
Nearest Health Facility	Urban Primary Health Centre, Jodhpur

5. Family Composition

S.No.	Name	Age	Sex	Relation	Education	Occupation	Health Status
1	Ramesh Kumar	30 years	Male	Head/Husband	10th Pass	Private worker	Healthy
2	Sita Devi	26 years	Female	Lactating Mother	8th Pass	Housewife	Mild weakness
3	Rohan	4 years	Male	Son	Anganwadi	Not applicable	Healthy
4	Baby of Sita	3 months	Female	Infant	Not applicable	Not applicable	Breastfeeding, healthy

6. Socio-Economic Status

Monthly income: ₹24,000 per month
Main source of income: Private job
Economic class: Lower middle class
Education status: Family members are literate
Food expenditure: Approximately ₹10,000 per month
Health expenditure: Approximately ₹1,200 per month
Government services: Anganwadi and Urban PHC services available

7. Housing and Environmental Assessment

Type of House	Pucca house
Number of Rooms	2 rooms and 1 kitchen
Ventilation	Adequate
Lighting	Adequate
Water Supply	Municipal tap water
Toilet Facility	Available
Waste Disposal	Municipal waste collection
Drainage	Closed drainage
Kitchen Hygiene	Satisfactory

8. Lactating Mother Identification Data

Name	Sita Devi
Age	26 years
Education	8th Pass
Occupation	Housewife
Parity	G2P2
Age of Infant	3 months
Type of Delivery	Normal vaginal delivery
Place of Delivery	Government Hospital, Jodhpur
Present Complaint	Mild weakness and inadequate dietary intake

9. Physical Examination of Lactating Mother

General Appearance	Conscious, cooperative, mild weakness
Blood Pressure	110/70 mmHg
Pulse	82/min
Respiration	18/min
Temperature	98.4°F
Pallor	Mild pallor present
Breast Condition	Soft, milk secretion present
Nipple Condition	No crack or soreness
Personal Hygiene	Satisfactory

10. Infant Assessment

Age	3 months
Sex	Female
Birth Weight	2.7 kg
Current Weight	5.1 kg
Feeding	Exclusive breastfeeding
Urine Output	Adequate
Stool Pattern	Normal
Sleep Pattern	Normal
Immunization	Immunization received as per age

11. Breastfeeding Assessment

Mother is practicing exclusive breastfeeding.
Baby is breastfed every 2–3 hours and on demand.
Mother follows sitting position while feeding.
Attachment is satisfactory but needs reinforcement.
No bottle feeding is practiced.
Mother has adequate milk secretion.
Mother was advised to continue exclusive breastfeeding up to 6 months.

12. Nutrition Assessment of Lactating Mother

Diet type: Vegetarian diet.
Meal frequency: 3 meals per day.
Fluid intake: 6–7 glasses per day.
Milk intake: Occasionally.
Iron-rich foods: Inadequate.
Protein intake: Moderate.
Fruits intake: Occasionally.
Dietary problem: Inadequate intake of milk, fruits and green leafy vegetables.

13. Family Health Problems Identified

Mild weakness in lactating mother due to inadequate nutrition and rest.
Mild pallor due to inadequate iron-rich diet.
Deficient knowledge regarding balanced diet during lactation.
Need for reinforcement regarding correct breastfeeding technique.
Need for knowledge regarding infant danger signs.
Need for family planning counselling.

14. Priority Wise Problem List

Mild weakness related to inadequate nutrition and rest.
Risk of anemia related to inadequate iron-rich diet.
Deficient knowledge regarding lactating mother’s diet.
Need for reinforcement regarding breastfeeding technique.
Need for family planning counselling.

15. Nursing Care Plan

Problem	Objective	Nursing Intervention	Health Education	Evaluation
Mild weakness	To improve strength and recovery.	Assessed diet, rest pattern and general condition.	Advised adequate rest, balanced diet, fluids and family support in household work.	Mother understood importance of rest and nutrition.
Risk of anemia	To prevent anemia and improve health status.	Assessed pallor and dietary intake.	Advised iron-rich foods like green leafy vegetables, jaggery, dates, pulses and IFA tablets as advised.	Mother agreed to include iron-rich foods in diet.
Deficient knowledge regarding lactation diet	To improve knowledge about diet during lactation.	Assessed present dietary pattern.	Explained importance of extra calories, protein, milk, fruits, vegetables and adequate water intake.	Mother verbalized important foods required during lactation.
Need for breastfeeding technique reinforcement	To improve effective breastfeeding.	Observed breastfeeding position and attachment.	Taught correct positioning, attachment, burping and feeding on demand.	Mother demonstrated improved breastfeeding technique.

16. Health Education Given

Take balanced diet with extra calories and protein during lactation.
Include milk, dal, green leafy vegetables, fruits, pulses, eggs or other protein-rich foods according to availability.
Drink adequate water and fluids.
Take proper rest and sleep.
Continue exclusive breastfeeding for 6 months.
Do not give water, honey, ghutti, tea or outside milk before 6 months.
Wash hands before breastfeeding and handling infant.
Maintain breast hygiene and observe for nipple cracks or breast pain.
Burp the baby after feeding.
Complete immunization according to schedule.
Use suitable family planning method after counselling.

17. Danger Signs Explained

Danger Signs in Lactating Mother

High fever
Breast pain, redness or swelling
Cracked nipple with severe pain
Pus discharge from breast
Severe weakness or dizziness
Heavy vaginal bleeding
Severe abdominal pain

Danger Signs in Infant

Poor feeding or unable to suck
Fast breathing or difficulty in breathing
Fever or low body temperature
Repeated vomiting
Convulsions
Yellow discoloration of skin or eyes
Lethargy or excessive crying

18. Home Visit Report

Visit No.	Date	Purpose	Observation	Advice Given
1	10 June 2026	Family assessment	Lactating mother had mild weakness. Infant was on breastfeeding.	Advised rest, nutrition and exclusive breastfeeding.
2	15 June 2026	Breastfeeding assessment	Mother needed reinforcement regarding correct attachment.	Taught correct breastfeeding position, attachment and burping.
3	20 June 2026	Follow-up visit	Mother improved diet and breastfeeding technique.	Reinforced immunization, hygiene and family planning advice.

19. Evaluation

The family cooperated during assessment and home visits.
The lactating mother understood the importance of balanced diet and rest.
The mother demonstrated correct breastfeeding technique.
The family understood infant danger signs.
The mother agreed to continue exclusive breastfeeding up to 6 months.
The family agreed for immunization follow-up and family planning counselling.

20. Conclusion

The family folder on family with lactating mother helped in assessing the health status of the family, lactating mother and infant. Mild weakness, risk of anemia, inadequate dietary intake, need for breastfeeding reinforcement and family planning counselling were identified. Health education was provided regarding balanced diet, rest, breast care, exclusive breastfeeding, infant care, immunization, danger signs and family planning.

21. Bibliography

K. Park, Textbook of Preventive and Social Medicine.
Basavanthappa, Community Health Nursing.
D.C. Dutta, Textbook of Obstetrics.
Indian Nursing Council Practical Guidelines.
Government of India Maternal and Child Health Guidelines.

Disclaimer: This content is for nursing academic practical file purpose only. Students should replace details according to actual family assessment and clinical instructor guidance.