Swift River Maternal-Newborn Exam Test With
100% Complete Solutions
Miranda Johnson - - Educational Needs - Increased acuity
Fall Risk - Increased acuity: Related to pregnancy and changes in balance and center of
gravity.
Health change - Increased acuity: Related to active labor and change in health status.
Pain level - Increased acuity: Related to increased pain level of 7-8 out of 10.
Physiological Needs - Increased acuity: Related to active labor, increased pain, and desire
for epidural.
Sensorium Needs - Normal acuity
Miranda Johnson - - Risk for Impaired Urinary Elimination
Risk for Maternal Injury
Deficient knowledge
Risk for Fall
Miranda Johnson - - Scenario 1:
1. Review prenatal record
@MercyTrishia docs
, Swift River Maternal-Newborn Exam Test With
100% Complete Solutions
2. Witness signing of epidural
3. Initiate IV bolus per order
4. Gather epidural medications
5. Monitor patient
Scenario 2:
1. Educate patient
2. Assess maternal and fetal wellbeing
3. Encourage repositioning
4. Reassess patient's understanding
Scenario 3:
1. Turn epidural pump off.
2. Lower HOB, elevate foot
3. Rapid infusion (bolus)
4. Apply NRB 10L
5. Consider administration of Ephedrine.
Scenario 4:
1. Continually monitor
2. Administer Ephedrine
@MercyTrishia docs
, Swift River Maternal-Newborn Exam Test With
100% Complete Solutions
3. Notify the charge nurse
4. Administer pre-op meds
5. Offer reassurance
Scenario 5:
1. Maintain efficient, timely
2. Thoroughly document
3. Discuss patient load
4. Always sign out
5. NEVER ASSUME ANYTHING
Carly Madison - - Educational Needs - Increased acuity: Status assessment reports
she is a G1 having attended childbirth classes, but first-time mothers require focused
education and reinforcement of concepts learned.
Fall Risk - Normal acuity
Health change - Normal acuity
Pain level - Increased acuity: Status assessment indicates a pain level of 4/10, desiring an
unmedicated birth.
@MercyTrishia docs
100% Complete Solutions
Miranda Johnson - - Educational Needs - Increased acuity
Fall Risk - Increased acuity: Related to pregnancy and changes in balance and center of
gravity.
Health change - Increased acuity: Related to active labor and change in health status.
Pain level - Increased acuity: Related to increased pain level of 7-8 out of 10.
Physiological Needs - Increased acuity: Related to active labor, increased pain, and desire
for epidural.
Sensorium Needs - Normal acuity
Miranda Johnson - - Risk for Impaired Urinary Elimination
Risk for Maternal Injury
Deficient knowledge
Risk for Fall
Miranda Johnson - - Scenario 1:
1. Review prenatal record
@MercyTrishia docs
, Swift River Maternal-Newborn Exam Test With
100% Complete Solutions
2. Witness signing of epidural
3. Initiate IV bolus per order
4. Gather epidural medications
5. Monitor patient
Scenario 2:
1. Educate patient
2. Assess maternal and fetal wellbeing
3. Encourage repositioning
4. Reassess patient's understanding
Scenario 3:
1. Turn epidural pump off.
2. Lower HOB, elevate foot
3. Rapid infusion (bolus)
4. Apply NRB 10L
5. Consider administration of Ephedrine.
Scenario 4:
1. Continually monitor
2. Administer Ephedrine
@MercyTrishia docs
, Swift River Maternal-Newborn Exam Test With
100% Complete Solutions
3. Notify the charge nurse
4. Administer pre-op meds
5. Offer reassurance
Scenario 5:
1. Maintain efficient, timely
2. Thoroughly document
3. Discuss patient load
4. Always sign out
5. NEVER ASSUME ANYTHING
Carly Madison - - Educational Needs - Increased acuity: Status assessment reports
she is a G1 having attended childbirth classes, but first-time mothers require focused
education and reinforcement of concepts learned.
Fall Risk - Normal acuity
Health change - Normal acuity
Pain level - Increased acuity: Status assessment indicates a pain level of 4/10, desiring an
unmedicated birth.
@MercyTrishia docs
