SWIFTRIVER MATERNITY QUESTIONS AND
ANSWERS SURE A+
✔✔Jessica Wu Scenario 3 - ✔✔1. Assist client to lateral positioning.
2. Maintain I & O. Bring scale into room and weigh all pads.
3. Bring extra pillows to enhance comfort in side-lying position and place between
knees, behind back, and under abdomen.
4. Bring bedpan, graduated cylinder into room.
5. Educate client and husband about 24-hour urine collection, I&O and documenting
oral intake.
6. Prepare to assist with a vaginal exam to cervical changes.
✔✔Jessica Wu Scenario 4 - ✔✔1. If bleeding resumes, return to the hospital
immediately.
2. Keep all appointments for prenatal visits, fetal assessments, and lab tests.
3. Ensure the client lives within a short distance from the hospital and has constant
access to transportation.
4. Discuss willingness to comply with activity restrictions: bedrest with bathroom
privileges and "pelvic rest".
5. Discuss diversionary activities and provide resources for coping with bedrest.
✔✔Jessica Wu Scenario 5 - ✔✔1. Call for assistance but do not leave client. Keep
family informed of situation. Stay calm and give emotional support.
2. Obtain her vital signs, fetal heart tones, and perform a pain assessment.
3. Administer oxygen via non-rebreather mask at 10 L/min.
4. Insert 18 gauge IV with normal saline solution and send CBC, coagulation panel, and
Type and screen.
5. Insert indwelling catheter.
✔✔Kesha Jackson Scenario 1 - ✔✔1. Assure that the monitor is tracing fetal heart rate
consistently.
2. Adjust fetal heart rate monitor.
, 3. Give mother some cold juice to drink.
4. Reposition mother to left lateral position.
5. Request ultrasound for biophysical profile.
✔✔Kesha Jackson Scenario 2 - ✔✔1. Assess FHR and contraction pattern per monitor.
2. Perform sterile cervical exam to determine dilation, effacement, and station.
3. Obtain urinalysis and lab work such as CBC.
4. Administer IV fluids and/or antibiotics.
5. Consider administration of tocolytics.
✔✔Kesha Jackson Scenario 3 - ✔✔1. Educate Kesha about steroids and the need to
administer them. Verify that she understands the rationale to receive the medication
using the teach back method.
2. Verify the 5 rights of medication administration.
3. Prepare steroids as ordered by the healthcare provider.
4.Choose large muscle for injection and offer ice to site.
5. Establish a plan with Kesha to receive the second required dose of steroids in 24
hours. If discharged, she may have trouble getting transportation and need assistance.
✔✔Kesha Jackson Scenario 4 - ✔✔1. Use therapeutic communication.
2. Allow her to express her feelings and concerns.
3. Ask open ended questions to further develop the conversation.
4. Answer any questions openly and offer support.
5. Document the conversation.
✔✔Kesha Jackson Scenario 5 - ✔✔1. Use therapeutic communication techniques
2. Assess her cognitive level and readiness to learn.
3.Discuss referral to social work/case management. Provide clear information along
with printed material that she can take with her.
4. Allow her to ask any questions that she may have after teaching is complete.
5. Evaluate her understanding of the information provided using proven techniques such
as teach-back or return demonstration.
✔✔Maria Sanchez Scenario 1 - ✔✔1. Wash hands and introduce self to the client and
her husband.
2. Ask client and her husband what they prefer to be called.
3. Ask Maria if she agrees with her mother; if so, bring a bottle to the room for feeding
the newborn.
4. Ask permission prior to touching the client. Obtain her vital signs, perform a pain
assessment and assessment of fundus, lochia, and perineum.
5. Assess newborn vital signs and head-to-toe assessment.
✔✔Maria Sanchez Scenario 2 - ✔✔1. Reassure Maria that engorgement is a common
and temporary condition; lasts about 24 hours, caused by the milk coming in as well as
increased blood supply and swelling.
2. Instruct Maria to breastfeed Juan based on infant feeding cues
ANSWERS SURE A+
✔✔Jessica Wu Scenario 3 - ✔✔1. Assist client to lateral positioning.
2. Maintain I & O. Bring scale into room and weigh all pads.
3. Bring extra pillows to enhance comfort in side-lying position and place between
knees, behind back, and under abdomen.
4. Bring bedpan, graduated cylinder into room.
5. Educate client and husband about 24-hour urine collection, I&O and documenting
oral intake.
6. Prepare to assist with a vaginal exam to cervical changes.
✔✔Jessica Wu Scenario 4 - ✔✔1. If bleeding resumes, return to the hospital
immediately.
2. Keep all appointments for prenatal visits, fetal assessments, and lab tests.
3. Ensure the client lives within a short distance from the hospital and has constant
access to transportation.
4. Discuss willingness to comply with activity restrictions: bedrest with bathroom
privileges and "pelvic rest".
5. Discuss diversionary activities and provide resources for coping with bedrest.
✔✔Jessica Wu Scenario 5 - ✔✔1. Call for assistance but do not leave client. Keep
family informed of situation. Stay calm and give emotional support.
2. Obtain her vital signs, fetal heart tones, and perform a pain assessment.
3. Administer oxygen via non-rebreather mask at 10 L/min.
4. Insert 18 gauge IV with normal saline solution and send CBC, coagulation panel, and
Type and screen.
5. Insert indwelling catheter.
✔✔Kesha Jackson Scenario 1 - ✔✔1. Assure that the monitor is tracing fetal heart rate
consistently.
2. Adjust fetal heart rate monitor.
, 3. Give mother some cold juice to drink.
4. Reposition mother to left lateral position.
5. Request ultrasound for biophysical profile.
✔✔Kesha Jackson Scenario 2 - ✔✔1. Assess FHR and contraction pattern per monitor.
2. Perform sterile cervical exam to determine dilation, effacement, and station.
3. Obtain urinalysis and lab work such as CBC.
4. Administer IV fluids and/or antibiotics.
5. Consider administration of tocolytics.
✔✔Kesha Jackson Scenario 3 - ✔✔1. Educate Kesha about steroids and the need to
administer them. Verify that she understands the rationale to receive the medication
using the teach back method.
2. Verify the 5 rights of medication administration.
3. Prepare steroids as ordered by the healthcare provider.
4.Choose large muscle for injection and offer ice to site.
5. Establish a plan with Kesha to receive the second required dose of steroids in 24
hours. If discharged, she may have trouble getting transportation and need assistance.
✔✔Kesha Jackson Scenario 4 - ✔✔1. Use therapeutic communication.
2. Allow her to express her feelings and concerns.
3. Ask open ended questions to further develop the conversation.
4. Answer any questions openly and offer support.
5. Document the conversation.
✔✔Kesha Jackson Scenario 5 - ✔✔1. Use therapeutic communication techniques
2. Assess her cognitive level and readiness to learn.
3.Discuss referral to social work/case management. Provide clear information along
with printed material that she can take with her.
4. Allow her to ask any questions that she may have after teaching is complete.
5. Evaluate her understanding of the information provided using proven techniques such
as teach-back or return demonstration.
✔✔Maria Sanchez Scenario 1 - ✔✔1. Wash hands and introduce self to the client and
her husband.
2. Ask client and her husband what they prefer to be called.
3. Ask Maria if she agrees with her mother; if so, bring a bottle to the room for feeding
the newborn.
4. Ask permission prior to touching the client. Obtain her vital signs, perform a pain
assessment and assessment of fundus, lochia, and perineum.
5. Assess newborn vital signs and head-to-toe assessment.
✔✔Maria Sanchez Scenario 2 - ✔✔1. Reassure Maria that engorgement is a common
and temporary condition; lasts about 24 hours, caused by the milk coming in as well as
increased blood supply and swelling.
2. Instruct Maria to breastfeed Juan based on infant feeding cues
