Swift River Maternal-Newborn With complete solution | Updated 2024/25

Swift River Maternal-Newborn With
complete solution | Updated 2024/25
Miranda Johnson - Educational Needs - Increased acuity
II II II II II II II II II




Fall Risk - Increased acuity: Related to pregnancy and changes in balance and center of
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gravity.
II




Health change - Increased acuity: Related to active labor and change in health status.
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Pain level - Increased acuity: Related to increased pain level of 7-8 out of 10.
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Physiological Needs - Increased acuity: Related to active labor, increased pain, and II II II II II II II II II II II



desire for epidural.
II II II




Sensorium Needs - Normal acuity II II II II




Miranda Johnson - Risk for Impaired Urinary Elimination
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Risk for Maternal Injury
II II II



Deficient knowledge II



Risk for Fall II II




Miranda Johnson - Scenario 1:
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1. Review prenatal record
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2. Witness signing of epidural
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3. Initiate IV bolus per order
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4. Gather epidural medications
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5. Monitor patient
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Scenario 2: II II



1. Educate patient
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2. Assess maternal and fetal wellbeing
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3. Encourage repositioning
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4. Reassess patient's understanding
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Scenario 3: II II



1. Turn epidural pump off.
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2. Lower HOB, elevate foot
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3. Rapid infusion (bolus)
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4. Apply NRB 10L
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5. Consider administration of Ephedrine.
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Scenario 4: II



1. Continually monitor
II II

, 2. Administer Ephedrine
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3. Notify the charge nurse
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4. Administer pre-op meds
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5. Offer reassurance
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Scenario 5: II



1. Maintain efficient, timely
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2. Thoroughly document
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3. Discuss patient load
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4. Always sign out
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5. NEVER ASSUME ANYTHING
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Carly Madison - Educational Needs - Increased acuity: Status assessment reports she is
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a G1 having attended childbirth classes, but first-time mothers require focused education
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and reinforcement of concepts learned.
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Fall Risk - Normal acuity
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Health change - Normal acuity II II II II




Pain level - Increased acuity: Status assessment indicates a pain level of 4/10, desiring an
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unmedicated birth.
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Physiological Needs - Increased acuity: Status assessment indicates that the client is in II II II II II II II II II II II II



labor.
II




Sensorium Needs - Normal acuity II II II II




Carly Madison - Acute Pain
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Anxiety Related to Labor and Birthing ProcessII II II II II II



Fatigue Related to Energy Expenditure Required for Labor and Coping Skills
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Impaired Comfort II



Risk for Fluid Volume Deficit
II II II II



Deficient Knowledge II



Maternal Infection II




Carly Madison - Scenario 1:
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1. Offer support and explain
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2. Assess the FHR
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3. Place a clean, dry pad
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4. Assist the HCP
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5. Reassess the FHR
II II II




Scenario 2: II



1. Reassure client
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2. Assist woman to restroom
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