SWIFTRIVER MATERNITY CORRECT EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔Miranda Johnson: Scenario Action #3 - ✔✔- Lower client's head of bed with legs
elevated.
- Administer IM ephedrine.
- Place the client on oxygen 10 L via nonrebreather.
- Administer rapid IV fluid of lactated Ringer's.
✔✔Miranda Johnson: Scenario Action #4 - ✔✔- Document fetal heart rate and pattern
every 5 minutes.
- Turn on the radiant warmer for the newborn.
- Encourage client to change positions frequently to a position of comfort.
✔✔Miranda Johnson: Scenario Action #5 - ✔✔- Assess the fundus for size,
consistency, and position.
- Monitor bladder for distention.
- Remove epidural catheter.
- Continue to assess client's sensory and motor function.
- Monitor client for excessive bleeding.
✔✔Renee Workman: Priority Assignments - ✔✔Maslow's Hierarchy of Needs:
- High priority
,Airway, Breathing, Circulation:
- Low priority
Safety and Risk Reduction:
- High priority
Urgent vs. nonurgent:
- High priority
Chronic vs Acute/Stable vs Unstable:
- High priority
✔✔Renee Workman: Client Concerns - ✔✔- Health Promotion: Client Education
- Safety: Injury Prevention
- Physiological: Pain
- Physiological: Gas Exchange
-Psychosocial: Stress and Coping
✔✔Renee Workman: Scenario Action #1 - ✔✔- Increased liver enzymes.
- Decreased platelet count.
- Increased urine protein.
✔✔Renee Workman: Scenario Action #2 - ✔✔- Dinoprostone 10 mg insert vaginally x1
- Magnesium sulfate 4 gm over 15 minutes by intermittent intravenous infusion.
- Magnesium sulfate 40 grams in 100mL of lactated Ringer's continuous intravenous
infusion @ 2g/hr.
- Restrict total hourly fluid intake to 125mL/hr.
✔✔Renee Workman: Scenario Action #3 - ✔✔- Placental abruption
- Decreased uteroplacental oxygenation.
- Respiratory depression
- Seizures
- Disseminated intravascular coagulation (DIC).
, ✔✔Renee Workman: Scenario Action #4 - ✔✔- Maintain the client on bedrest.
- Implement seizure precautions.
- Monitor for the occurrence of right upper quadrant pain.
- Decrease environmental stimuli.
- Administer calcium gluconate if respiratory rate is less than 12/min.
✔✔Renee Workman: Scenario Action #5 - ✔✔- Apply oxygen at 10L/min.
- Perform a sterile vaginal examination.
- Assess for rupture of amniotic membranes.
- Increase the rate of the magnesium sulfate infusion.
✔✔David Barton - ✔✔Scenario:
- Decrease the IV flow rate.
- Insert an indwelling urinary catheter
- Place an ice pack directly on the laceration site.
- Apply topical antibiotic cream to the laceration.
- Administer oral ibuprofen (Motrin)
Scenario:
- "Do you have a preferred term for newborn feeding or lactation?"
- "Can you help me clarify, are your pronouns he/him?"
- "What are your plans for newborn feeding and continued medical care?"
- "Do you prefer to have male or female nurse?"
Scenario:
- Measure the diameter of both legs.
- Place a warm compress on the leg.
- Massage the area of warmth.
- Initiate IV Heparin therapy.
- Obtain lab studies for aPTT, PT, and INR.
- Anticipate a lower-extremity ultrasound.
Scenario:
- "Heparin can only be given within 3 hr of onset symptoms."
- "Heparin might increase bleeding, so we'll have to watch your pads closely."
-"If you notice any shortness of breath, anxiety, or chest pain, notify me right away."
-"Norco will help with the pain in your leg."
-"Because Norco can cause constipation, a stool softener has also been prescribed."
QUESTIONS AND ANSWERS SURE A+
✔✔Miranda Johnson: Scenario Action #3 - ✔✔- Lower client's head of bed with legs
elevated.
- Administer IM ephedrine.
- Place the client on oxygen 10 L via nonrebreather.
- Administer rapid IV fluid of lactated Ringer's.
✔✔Miranda Johnson: Scenario Action #4 - ✔✔- Document fetal heart rate and pattern
every 5 minutes.
- Turn on the radiant warmer for the newborn.
- Encourage client to change positions frequently to a position of comfort.
✔✔Miranda Johnson: Scenario Action #5 - ✔✔- Assess the fundus for size,
consistency, and position.
- Monitor bladder for distention.
- Remove epidural catheter.
- Continue to assess client's sensory and motor function.
- Monitor client for excessive bleeding.
✔✔Renee Workman: Priority Assignments - ✔✔Maslow's Hierarchy of Needs:
- High priority
,Airway, Breathing, Circulation:
- Low priority
Safety and Risk Reduction:
- High priority
Urgent vs. nonurgent:
- High priority
Chronic vs Acute/Stable vs Unstable:
- High priority
✔✔Renee Workman: Client Concerns - ✔✔- Health Promotion: Client Education
- Safety: Injury Prevention
- Physiological: Pain
- Physiological: Gas Exchange
-Psychosocial: Stress and Coping
✔✔Renee Workman: Scenario Action #1 - ✔✔- Increased liver enzymes.
- Decreased platelet count.
- Increased urine protein.
✔✔Renee Workman: Scenario Action #2 - ✔✔- Dinoprostone 10 mg insert vaginally x1
- Magnesium sulfate 4 gm over 15 minutes by intermittent intravenous infusion.
- Magnesium sulfate 40 grams in 100mL of lactated Ringer's continuous intravenous
infusion @ 2g/hr.
- Restrict total hourly fluid intake to 125mL/hr.
✔✔Renee Workman: Scenario Action #3 - ✔✔- Placental abruption
- Decreased uteroplacental oxygenation.
- Respiratory depression
- Seizures
- Disseminated intravascular coagulation (DIC).
, ✔✔Renee Workman: Scenario Action #4 - ✔✔- Maintain the client on bedrest.
- Implement seizure precautions.
- Monitor for the occurrence of right upper quadrant pain.
- Decrease environmental stimuli.
- Administer calcium gluconate if respiratory rate is less than 12/min.
✔✔Renee Workman: Scenario Action #5 - ✔✔- Apply oxygen at 10L/min.
- Perform a sterile vaginal examination.
- Assess for rupture of amniotic membranes.
- Increase the rate of the magnesium sulfate infusion.
✔✔David Barton - ✔✔Scenario:
- Decrease the IV flow rate.
- Insert an indwelling urinary catheter
- Place an ice pack directly on the laceration site.
- Apply topical antibiotic cream to the laceration.
- Administer oral ibuprofen (Motrin)
Scenario:
- "Do you have a preferred term for newborn feeding or lactation?"
- "Can you help me clarify, are your pronouns he/him?"
- "What are your plans for newborn feeding and continued medical care?"
- "Do you prefer to have male or female nurse?"
Scenario:
- Measure the diameter of both legs.
- Place a warm compress on the leg.
- Massage the area of warmth.
- Initiate IV Heparin therapy.
- Obtain lab studies for aPTT, PT, and INR.
- Anticipate a lower-extremity ultrasound.
Scenario:
- "Heparin can only be given within 3 hr of onset symptoms."
- "Heparin might increase bleeding, so we'll have to watch your pads closely."
-"If you notice any shortness of breath, anxiety, or chest pain, notify me right away."
-"Norco will help with the pain in your leg."
-"Because Norco can cause constipation, a stool softener has also been prescribed."
