Sexual identity, sexual function, and reproduction

Class 1. Sexual identity

The state of being a specific person in regard to sexuality and/or gender

Code Diagnosis Page

None at present time
Class 2. Sexual function
The capacity or ability to participate in sexual activities
Code Diagnosis Page
00059 Sexual dysfunction 305
00065 Ineffective sexuality pattern 306
Class 3. Reproduction
Any process by which human beings are produced
Code Diagnosis Page
00221 Ineffective childbearing process 307
00208 Readiness for enhanced childbearing process 309
00227 Risk for ineffective childbearing process 310
00209 Risk for disturbed maternal–fetal dyad 311

Domain 8. Sexuality Class 2. Sexual Function

00059
Sexual dysfunction
(1980, 2006; LOE 2.1)
Definition
A state in which an individual experiences a change in sexual function
during the sexual response phases of desire, excitation, and/or orgasm,
which is viewed as unsatisfying, unrewarding, or inadequate.
Defining Characteristics
■■ Alteration in sexual activity
■■ Alteration in sexual excitation
■■ Alteration in sexual satisfaction
■■ Change in interest toward
others
■■ Change in self-interest
■■ Change in sexual role
■■ Decrease in sexual desire
■■ Perceived sexual limitation
■■ Seeks confirmation of
desirability
■■ Undesired change in sexual
function
Related Factors
■■ Absence of privacy
■■ Absence of significant other
■■ Alteration in body function
(due to anomaly, disease,
medication, pregnancy,
radiation, surgery, trauma, etc.)
■■ Alteration in body structure
(due to anomaly, disease,
pregnancy, radiation, surgery,
trauma, etc.)
■■ Inadequate role model
■■ Insufficient knowledge about
sexual function
■■Misinformation about sexual
function
■■ Presence of abuse (e.g.,
physical, psychological, sexual)
■■ Psychosocial abuse (e.g.,
controlling, manipulation,
verbal abuse)
■■ Value conflict
■■ Vulnerability

Domain 8. Sexuality Class 2. Sexual Function

00065
Ineffective sexuality pattern
(1986, 2006; LOE 2.1)
Definition
Expressions of concern regarding own sexuality.
Defining Characteristics
■■ Alteration in relationship with
significant other
■■ Alteration in sexual activity
■■ Alteration in sexual behavior
■■ Change in sexual role
■■ Difficulty with sexual activity
■■ Difficulty with sexual behavior
■■ Value conflict
Related Factors
■■ Absence of privacy
■■ Absence of significant other
■■ Conflict about sexual orientation
■■ Conflict about variant
preference
■■ Fear of pregnancy
■■ Fear of sexually transmitted
infection
■■ Impaired relationship with a
significant other
■■ Inadequate role model
■■ Insufficient knowledge about
alternatives related to
sexuality
■■ Skill deficit about alternatives

related to sexuality
Domain 8. Sexuality Class 3. Reproduction
00221
Ineffective childbearing process
(2010; LOE 2.1)
Definition
Pregnancy and childbirth process and care of the newborn that does not
match the environmental context, norms, and expectations.
Defining Characteristics
During Pregnancy
■■ Inadequate prenatal care
■■ Inadequate prenatal lifestyle
(e.g., elimination, exercise,
nutrition, personal hygiene,
sleep)
■■ Inadequate preparation of
newborn care items
■■ Inadequate preparation of the
home environment
■■ Ineffective management of
unpleasant symptoms in
pregnancy
■■ Insufficient access of support
system
■■ Insufficient respect for unborn
baby
■■ Unrealistic birth plan
During Labor and Delivery
■■ Decrease in proactivity during
labor and delivery
■■ Inadequate lifestyle for stage of
labor (e.g., elimination,
exercise, nutrition, personal
hygiene, sleep)
■■ Inappropriate response to
onset of labor
■■ Insufficient access of support
system
■■ Insufficient attachment behavior
After Birth
■■ Inadequate baby care
techniques
■■ Inadequate postpartum
lifestyle (e.g., elimination,
exercise, nutrition, personal
hygiene, sleep)
■■ Inappropriate baby feeding
techniques
■■ Inappropriate breast care
■■ Insufficient access of support
system
■■ Insufficient attachment
behavior
■■ Unsafe environment for an

Infant
Related Factors
■■ Domestic violence
■■ Inconsistent prenatal health
visits
■■ Insufficient knowledge of
childbearing process
■■ Inadequate maternal nutrition
■■ Insufficient parental role
model
■■ Insufficient prenatal care
■■ Insufficient support system
■■ Low maternal confidence
■■Maternal powerlessness
■■Maternal psychological distress
■■ Substance abuse
■■ Unplanned pregnancy
■■ Unrealistic birth plan
■■ Unsafe environment

■■ Unwanted pregnancy

Domain 8. Sexuality Class 3. Reproduction

00208
Readiness for enhanced childbearing process
(2008, 2013; LOE 2.1)
Definition
A pattern of preparing for and maintaining a healthy pregnancy, childbirth
process, and care of the newborn for ensuring well-being, which
can be strengthened.
Defining Characteristics
During Pregnancy
■■ Expresses desire to enhance
knowledge of childbearing
process
■■ Expresses desire to enhance
management of unpleasant
pregnancy symptoms
■■ Expresses desire to enhance
prenatal lifestyle (e.g.,
elimination, exercise, nutrition,
personal hygiene, sleep)
■■ Expresses desire to enhance
preparation for newborn
During Labor and Delivery
■■ Expresses desire to enhance
lifestyle appropriate for stage
of labor (e.g., elimination,
exercise, nutrition, personal
hygiene, sleep)
■■ Expresses desire to enhance
proactivity during labor and
delivery
After Birth
■■ Expresses desire to enhance
attachment behavior
■■ Expresses desire to enhance
baby care techniques
■■ Expresses desire to enhance
baby feeding techniques
■■ Expresses desire to enhance
breast care
■■ Expresses desire to enhance
environmental safety for
the baby
■■ Expresses desire to enhance
postpartum lifestyle (e.g.,
elimination, exercise,
nutrition, personal hygiene,
sleep)
■■ Expresses desire to enhance

use of support system

Domain 8. Sexuality Class 3. Reproduction

00227
Risk for ineffective childbearing process
(2010, 2013; LOE 2.1)
Definition
Vulnerable to not matching environmental context, norms and expectations
of pregnancy, childbirth process, and the care of the newborn.
Risk Factors
■■ Domestic violence
■■ Inconsistent prenatal health
visits
■■ Insufficient cognitive readiness
for parenting
■■ Insufficient knowledge of
childbearing process
■■ Inadequate maternal nutrition
■■ Insufficient parental role model
■■ Insufficient prenatal care
■■ Insufficient support system
■■ Low maternal confidence
■■Maternal powerlessness
■■Maternal psychological distress
■■ Substance abuse
■■ Unplanned pregnancy
■■ Unrealistic birth plan

■■ Unwanted pregnancy
Domain 8. Sexuality Class 3. Reproduction
00209
Risk for disturbed maternal–fetal dyad
(2008, 2013; LOE 2.1)
Definition
Vulnerable to disruption of the symbiotic maternal-fetal dyad as a result
of comorbid or pregnancy-related conditions, which may compromise
health.
Risk Factors
■■ Alteration in glucose
metabolism (e.g., diabetes
mellitus, steroid use)
■■ Compromised fetal oxygen
transport (due to anemia,
asthma, cardiac disease,
hypertension, seizures,
premature labor,
hemorrhage, etc.)
■■ Inadequate prenatal care
■■ Pregnancy complication
(e.g., premature rupture of
membranes, placenta previa/
abruption, multiple gestation)
■■ Presence of abuse (e.g.,
physical, psychological, sexual)
■■ Substance abuse

■■ Treatment regimen