UNFOLDING Reasoning Simulation
Obstetric Hemorrhage
Preparation for Care Activity
Recognizing Clinical Relationships
Review the medical history and home medications of this patient. For each home medication, identify the
pharm. classification and expected outcome for this patient its most common side effect (SE). Finally, draw a
line to determine which medication treats what condition.
Home medication Medical History Pharm. Classification Expected Common SE
Outcome
● Prenatal vitamin (PVI) G1-T1-P0-A0-L1 Decrease of sx of vitamin
HToN, nausea,
vitamin deficiencies.
1 tab PO daily constipation, dark
● Ferrous sulfate 325 mg Increase hemoglobin, stools, diarrhea, gastric
iron supplement improve iron deficiency
PO daily anemia pain, skin staining
Part I: Developing Noticing and Interpreting Skills
1. Which findings from the present problem are most important and noticed by the nurse as clinically significant?
Most Important Findings Clinical Significance
550ml of blood loss greater than 500ml
second degree peritoneal laceration could be cause of extra bleeding
H&H low needs monitored to make sure it does get worse
platelets low
2. Which data from the social history is most important and noticed by the nurse as clinically significant?
Most Important Findings Clinical Significance
9lb 4oz baby Larger babies can cause hemorrhage
breast feeding Breast feeding can help induce uterine contractions
3. To provide compassionate, holistic care for this patient, answer the following questions.
What is the patient likely
experiencing/feeling right now in
exhausted and anxious
this situation?
What can you do to engage
yourself with this patient's
encourage her that even though her delivery was long and difficult
experience and show that they she did it and had a healthy baby boy.
matter to you as a person?
, UNFOLDING Reasoning Simulation
4. Which findings from the contextual factors are most important and noticed by the nurse as clinically significant?
Most Important Findings Clinical Significance
Temp temp increasing
RR RR increasing
HR HR increasing
Patient Care Begins
5. Which current vital sign findings are most important and noticed by the nurse as clinically significant?
Most Important Data Clinical Significance
Temp infection
RR hemorrhage
HR hemorrhage
6. What assessment data needs to be noticed as most important? Interpret its clinical significance.
Most Important Data Clinical Significance
Dripping blood when urinating laceration could be bleeding
Anxious anxious d/t blood loss
Fundal Massage & Lochia
● Place a circle where the nurse would place their dominant hand to perform fundal massage.
● Place a rectangle where the nurse would place their non-dominant hand to perform fundal massag
Obstetric Hemorrhage
Preparation for Care Activity
Recognizing Clinical Relationships
Review the medical history and home medications of this patient. For each home medication, identify the
pharm. classification and expected outcome for this patient its most common side effect (SE). Finally, draw a
line to determine which medication treats what condition.
Home medication Medical History Pharm. Classification Expected Common SE
Outcome
● Prenatal vitamin (PVI) G1-T1-P0-A0-L1 Decrease of sx of vitamin
HToN, nausea,
vitamin deficiencies.
1 tab PO daily constipation, dark
● Ferrous sulfate 325 mg Increase hemoglobin, stools, diarrhea, gastric
iron supplement improve iron deficiency
PO daily anemia pain, skin staining
Part I: Developing Noticing and Interpreting Skills
1. Which findings from the present problem are most important and noticed by the nurse as clinically significant?
Most Important Findings Clinical Significance
550ml of blood loss greater than 500ml
second degree peritoneal laceration could be cause of extra bleeding
H&H low needs monitored to make sure it does get worse
platelets low
2. Which data from the social history is most important and noticed by the nurse as clinically significant?
Most Important Findings Clinical Significance
9lb 4oz baby Larger babies can cause hemorrhage
breast feeding Breast feeding can help induce uterine contractions
3. To provide compassionate, holistic care for this patient, answer the following questions.
What is the patient likely
experiencing/feeling right now in
exhausted and anxious
this situation?
What can you do to engage
yourself with this patient's
encourage her that even though her delivery was long and difficult
experience and show that they she did it and had a healthy baby boy.
matter to you as a person?
, UNFOLDING Reasoning Simulation
4. Which findings from the contextual factors are most important and noticed by the nurse as clinically significant?
Most Important Findings Clinical Significance
Temp temp increasing
RR RR increasing
HR HR increasing
Patient Care Begins
5. Which current vital sign findings are most important and noticed by the nurse as clinically significant?
Most Important Data Clinical Significance
Temp infection
RR hemorrhage
HR hemorrhage
6. What assessment data needs to be noticed as most important? Interpret its clinical significance.
Most Important Data Clinical Significance
Dripping blood when urinating laceration could be bleeding
Anxious anxious d/t blood loss
Fundal Massage & Lochia
● Place a circle where the nurse would place their dominant hand to perform fundal massage.
● Place a rectangle where the nurse would place their non-dominant hand to perform fundal massag
