SWIFTRIVER MATERNITY MAIN CORE QUESTIONS
AND ANSWERS SURE A+
✔✔Jessica Wu: Scenario Action #2 - ✔✔- Continuous EFM
- Complete Blood Count (CBC)
- Transabdominal ultrasound
- Weigh perineal pads
✔✔Jessica Wu: Scenario Action #3 - ✔✔- Admit the client for further evaluation and
treatment.
- Lactated Ringer's at 150mL/hr via continuous Iv infusion.
- Maintain continuous EFM.
- Administer betamethasone 12 mg IM now.
- Insert an indwelling urinary catheter and measure hourly output.
✔✔Jessica Wu: Scenario Action #4 - ✔✔- Maintain pelvic rest.
- Return to hospital immediately if vaginal bleeding occurs.
- Attend all recommended follow-up appoinments.
- Continue bed rest with bathroom and daily shower privileges until next provider
appointment.
✔✔Jessica Wu: Scenario Action #5 - ✔✔- Insert a large-bore IV catheter and begin a
bolus infusion of lactated Ringer's.
- Apply oxygen at 10L/min via nonrebreather face mask.
, - Place the client in a left lateral position.
- Administer terbutaline 0.25 mg SQ.
- Obtain a blood specimen for type and crossmatch.
- Complete Blood Count (CBC).
✔✔Susie Smith: Priority Assignments - ✔✔Maslow's Hierarchy of Needs:
- High priority
Airway, Breathing, Circulation:
- Low priority
Safety and Risk Reduction:
- Low priority
Urgent vs. nonurgent:
- Low priority
Chronic vs Acute/Stable vs Unstable:
- Low priority
✔✔Susie Smith: Client Concerns - ✔✔-Psychosocial: Stress and Coping
-Physiological: Gas exchange
- Health Promotion: Client Education
✔✔Susie Smith: Scenario Action #1 - ✔✔- Reassess placement of the
tocodynamometer and transducer.
- Educate the client about the oxytocin contraction stress test (CST).
- Position the client in a reclining chair with slight lateral tilt.
- Assist the client to empty her bladder.
✔✔Sussie Smith: Scenario Action #2 - ✔✔- Assess fetal heart rate (FHR).
- Obtain maternal vital signs.
- Begin an infusion of intravenous solution.
- Administer oxytocin 30 units in 500 mL Lactated Ringer's via secondary line.
AND ANSWERS SURE A+
✔✔Jessica Wu: Scenario Action #2 - ✔✔- Continuous EFM
- Complete Blood Count (CBC)
- Transabdominal ultrasound
- Weigh perineal pads
✔✔Jessica Wu: Scenario Action #3 - ✔✔- Admit the client for further evaluation and
treatment.
- Lactated Ringer's at 150mL/hr via continuous Iv infusion.
- Maintain continuous EFM.
- Administer betamethasone 12 mg IM now.
- Insert an indwelling urinary catheter and measure hourly output.
✔✔Jessica Wu: Scenario Action #4 - ✔✔- Maintain pelvic rest.
- Return to hospital immediately if vaginal bleeding occurs.
- Attend all recommended follow-up appoinments.
- Continue bed rest with bathroom and daily shower privileges until next provider
appointment.
✔✔Jessica Wu: Scenario Action #5 - ✔✔- Insert a large-bore IV catheter and begin a
bolus infusion of lactated Ringer's.
- Apply oxygen at 10L/min via nonrebreather face mask.
, - Place the client in a left lateral position.
- Administer terbutaline 0.25 mg SQ.
- Obtain a blood specimen for type and crossmatch.
- Complete Blood Count (CBC).
✔✔Susie Smith: Priority Assignments - ✔✔Maslow's Hierarchy of Needs:
- High priority
Airway, Breathing, Circulation:
- Low priority
Safety and Risk Reduction:
- Low priority
Urgent vs. nonurgent:
- Low priority
Chronic vs Acute/Stable vs Unstable:
- Low priority
✔✔Susie Smith: Client Concerns - ✔✔-Psychosocial: Stress and Coping
-Physiological: Gas exchange
- Health Promotion: Client Education
✔✔Susie Smith: Scenario Action #1 - ✔✔- Reassess placement of the
tocodynamometer and transducer.
- Educate the client about the oxytocin contraction stress test (CST).
- Position the client in a reclining chair with slight lateral tilt.
- Assist the client to empty her bladder.
✔✔Sussie Smith: Scenario Action #2 - ✔✔- Assess fetal heart rate (FHR).
- Obtain maternal vital signs.
- Begin an infusion of intravenous solution.
- Administer oxytocin 30 units in 500 mL Lactated Ringer's via secondary line.
