Case Overview &
Patient Background
questions with answers
1. What is Luna Morales's age and ethnicity in the Shadow Health NRFS case?
A) 28-year-old Caucasian female
B) 35-year-old Puerto Rican female
C) 32-year-old Hispanic female
D) 40-year-old African American female
Answer: B. Luna Morales is a 35-year-old Puerto Rican female .
2. What is Luna Morales's obstetric history (GTPAL)?
A) G2-T1-P0-A0-L1
B) G3-T2-P0-A0-L2
C) G3-T1-P1-A0-L3
D) G4-T2-P1-A0-L3
Answer: B. Her obstetric history is G3-T2-P0-A0-L2 (third pregnancy, two previous vaginal
deliveries) .
3. What was Luna Morales's gestational age at admission?
A) 38 weeks and 0 days
B) 39 weeks and 3 days
C) 40 weeks and 2 days
D) 41 weeks and 0 days
Answer: C. She was admitted at 40 weeks and 2 days gestation .
4. Why was Luna Morales admitted to the hospital?
A) Scheduled C-section
B) Induction due to post-term pregnancy
C) Spontaneous rupture of membranes after OB visit for induction discussion
D) Preterm labor
Answer: C. Luna was admitted when her membranes spontaneously ruptured at the OB
office. She had originally presented to discuss plans for induction .
5. What is Luna Morales's primary patient preference for her birth experience?
A) Epidural anesthesia as soon as possible
,B) Scheduled C-section under general anesthesia
C) Natural, unmedicated birth using essential oils, yoga breathing, position changes, and a
birthing tub
D) Induction with Pitocin and no pain medication
Answer: C. She desires a natural, unmedicated birth using essential oils, yoga breathing,
position changes, and a birthing tub for water birth .
6. Who accompanied Luna Morales to the hospital?
A) Her mother
B) Her partner Javier
C) Her sister
D) A doula
Answer: B. She was brought in by her partner, Javier .
7. What was Luna Morales's cervical dilation at the time of initial assessment?
A) 2 cm
B) 5 cm
C) 7 cm
D) 10 cm
Answer: B. Luna was 5 cm dilated at the time of initial assessment .
8. What were Luna Morales's laboratory findings on admission?
A) Positive drug screen and STD panel
B) Negative drug screen and STD panel, blood type O Rh+
C) Elevated white blood cell count with left shift
D) Low platelet count and elevated liver enzymes
Answer: B. Her labs showed negative drug screen and STD panel, blood type O Rh+, and
CBC/UA within normal limits .
9. How long had Luna Morales been in labor when she arrived at the hospital?
A) 2 hours
B) 5 hours
C) 7 hours
D) 12 hours
Answer: C. Labor began approximately 7 hours ago .
10. What is the primary complication that Luna Morales experienced during her labor?
A) Preeclampsia
B) Non-reassuring fetal status (NRFS)
C) Placental abruption
D) Uterine rupture
, Answer: B. She experienced non-reassuring fetal status (NRFS), which is the current focus of
the case .
Section 2: Vital Signs & Physical Assessment (生命体征与身体评估)
11. What was Luna Morales's temperature on admission?
A) 36.0°C
B) 36.7°C
C) 37.2°C
D) 37.8°C
Answer: B. Luna's temperature is 36.7°C (98.1°F). Her vital signs are within normal limits .
12. What was Luna Morales's blood pressure on admission?
A) 110/68 mmHg
B) 117/72 mmHg
C) 128/84 mmHg
D) 140/90 mmHg
Answer: B. Luna's blood pressure is 117/72 mmHg. This is within normal range for a laboring
patient .
13. What was Luna Morales's heart rate on admission?
A) 72 bpm
B) 88 bpm
C) 98 bpm
D) 110 bpm
Answer: B. Luna's heart rate is 88 bpm. This is within the normal range of 60-100 bpm .
14. What was Luna Morales's respiratory rate on admission?
A) 14 breaths/min
B) 18 breaths/min
C) 22 breaths/min
D) 26 breaths/min
Answer: B. Luna's respiratory rate is 18 breaths/min, which is within the normal range of 12-
20 breaths/min .
15. What was Luna Morales's oxygen saturation on room air?
A) 92%
B) 94%
C) 98%
D) 100%
Answer: C. Her SpO2 is 98% on room air .
Patient Background
questions with answers
1. What is Luna Morales's age and ethnicity in the Shadow Health NRFS case?
A) 28-year-old Caucasian female
B) 35-year-old Puerto Rican female
C) 32-year-old Hispanic female
D) 40-year-old African American female
Answer: B. Luna Morales is a 35-year-old Puerto Rican female .
2. What is Luna Morales's obstetric history (GTPAL)?
A) G2-T1-P0-A0-L1
B) G3-T2-P0-A0-L2
C) G3-T1-P1-A0-L3
D) G4-T2-P1-A0-L3
Answer: B. Her obstetric history is G3-T2-P0-A0-L2 (third pregnancy, two previous vaginal
deliveries) .
3. What was Luna Morales's gestational age at admission?
A) 38 weeks and 0 days
B) 39 weeks and 3 days
C) 40 weeks and 2 days
D) 41 weeks and 0 days
Answer: C. She was admitted at 40 weeks and 2 days gestation .
4. Why was Luna Morales admitted to the hospital?
A) Scheduled C-section
B) Induction due to post-term pregnancy
C) Spontaneous rupture of membranes after OB visit for induction discussion
D) Preterm labor
Answer: C. Luna was admitted when her membranes spontaneously ruptured at the OB
office. She had originally presented to discuss plans for induction .
5. What is Luna Morales's primary patient preference for her birth experience?
A) Epidural anesthesia as soon as possible
,B) Scheduled C-section under general anesthesia
C) Natural, unmedicated birth using essential oils, yoga breathing, position changes, and a
birthing tub
D) Induction with Pitocin and no pain medication
Answer: C. She desires a natural, unmedicated birth using essential oils, yoga breathing,
position changes, and a birthing tub for water birth .
6. Who accompanied Luna Morales to the hospital?
A) Her mother
B) Her partner Javier
C) Her sister
D) A doula
Answer: B. She was brought in by her partner, Javier .
7. What was Luna Morales's cervical dilation at the time of initial assessment?
A) 2 cm
B) 5 cm
C) 7 cm
D) 10 cm
Answer: B. Luna was 5 cm dilated at the time of initial assessment .
8. What were Luna Morales's laboratory findings on admission?
A) Positive drug screen and STD panel
B) Negative drug screen and STD panel, blood type O Rh+
C) Elevated white blood cell count with left shift
D) Low platelet count and elevated liver enzymes
Answer: B. Her labs showed negative drug screen and STD panel, blood type O Rh+, and
CBC/UA within normal limits .
9. How long had Luna Morales been in labor when she arrived at the hospital?
A) 2 hours
B) 5 hours
C) 7 hours
D) 12 hours
Answer: C. Labor began approximately 7 hours ago .
10. What is the primary complication that Luna Morales experienced during her labor?
A) Preeclampsia
B) Non-reassuring fetal status (NRFS)
C) Placental abruption
D) Uterine rupture
, Answer: B. She experienced non-reassuring fetal status (NRFS), which is the current focus of
the case .
Section 2: Vital Signs & Physical Assessment (生命体征与身体评估)
11. What was Luna Morales's temperature on admission?
A) 36.0°C
B) 36.7°C
C) 37.2°C
D) 37.8°C
Answer: B. Luna's temperature is 36.7°C (98.1°F). Her vital signs are within normal limits .
12. What was Luna Morales's blood pressure on admission?
A) 110/68 mmHg
B) 117/72 mmHg
C) 128/84 mmHg
D) 140/90 mmHg
Answer: B. Luna's blood pressure is 117/72 mmHg. This is within normal range for a laboring
patient .
13. What was Luna Morales's heart rate on admission?
A) 72 bpm
B) 88 bpm
C) 98 bpm
D) 110 bpm
Answer: B. Luna's heart rate is 88 bpm. This is within the normal range of 60-100 bpm .
14. What was Luna Morales's respiratory rate on admission?
A) 14 breaths/min
B) 18 breaths/min
C) 22 breaths/min
D) 26 breaths/min
Answer: B. Luna's respiratory rate is 18 breaths/min, which is within the normal range of 12-
20 breaths/min .
15. What was Luna Morales's oxygen saturation on room air?
A) 92%
B) 94%
C) 98%
D) 100%
Answer: C. Her SpO2 is 98% on room air .
