Shadow Health Uncomplicated Delivery | Assessment, Questions & Answers 2026/2027

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Shadow Health - Uncomplicated Delivery
Patient: Daanis LaFontaine
Status: 39 weeks pregnant, early labor, 5 cm dilated at admission
Support System: Strong (mom, dad, sister involved)
Pain Level: 6/10 during contractions
Preferences: Epidural, support from mom and family, delayed prenatal care (started at 16 weeks)
Cultural Request: Wants to keep placenta for spiritual/cultural reasons
Postpartum Plan: Wants to breastfeed, open to vaccinations, plans to be primary caregiver



 Clinical Judgment Model (NCJMM) Breakdown
Step Details from Simulation

1. Recognize Cues - Daanis reports lower back pain and contraction pain (6/10).
- Concerned water hasn’t broken.
- Reports emotional nervousness, overwhelmed.
- Supportive family, strong cultural values (placenta burial).

2. Analyze Cues - Labor appears normal with consistent contractions.
- No signs of complications, vitals WNL.
- Clear fetal heart tones and position vertex, posterior.

3. Prioritize - Primary nursing focus: pain management, emotional support,
Hypotheses patient education.
- Anticipate progression into active labor.

4. Generate - Offer epidural and explain process.
Solutions - Suggest repositioning to help labor progression and relieve
discomfort.
- Provide reassurance about water not breaking (normal variation).
- Initiate birth plan and postpartum planning discussion.

5. Take Action - Educated on pain management (epidural vs. IV meds vs. natural).
- Repositioned patient.
- Assessed vitals, fetal heart tones, and contraction frequency.
- Documented preferences and discussed breastfeeding benefits.

6. Evaluate - Patient verbalized understanding of birth and postpartum care
Outcomes plan.
- Agreed to pain strategy and birth plan.
- Demonstrated readiness for effective parenting.




This study source was downloaded by 1827175 from cliffsnotes.com on 01-08-2026 20:29:58 GMT -06:00


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Delivery10/16/2026,Health
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 Nursing Care Plan Summary
Readiness
Nursing Diagnosis:
for effective parenting

Patient
Short-Term Goal:
will verbalize understanding and agreement with post-delivery care instructions during hospital stay.

 Interventions:
● Teach newborn care: diapering, feeding frequency, sleep safety

● Explain breastfeeding techniques and emotional postpartum changes

● Reinforce cultural wishes (placenta, family presence)

● Assess understanding with teach-back method


GoalEvaluation:
met – Daanis agreed with all instructions, showed comprehension of care topics.



 Patient Education & Empathy Gaps
You missed some opportunities to provide comfort or education when she expressed:

● Nervousness about water not breaking (should reassure her it’s normal)

● Fear and uncertainty about the birthing process


Example Follow-up (for empathy):

"It’s completely normal to feel unsure, especially during your first birth. You're doing great, and we’re
here to support you every step of the way.”



Discussion Points for Conference
● How do cultural preferences (like placenta burial) influence nursing care?

● What communication strategies improve trust with nervous first-time mothers?

● How can nurses support late prenatal care patients without judgment?

● What should be included in early postpartum education before discharge?




This study source was downloaded by 1827175 from cliffsnotes.com on 01-08-2026 20:29:58 GMT -06:00


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