Swift River Maternal-Newborn Exam Practice Questions and Answers

Swift River Maternal-Newborn Exam Practice Questions and Answers Miranda Johnson - ANSWER-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 - ANSWER-Risk for Impaired Urinary Elimination Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright © Stuvia International BV Page 2/28 Risk for Maternal Injury Deficient knowledge Risk for Fall Miranda Johnson - ANSWER-Scenario 1: 1. Review prenatal record 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 Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright © Stuvia International BV Page 3/28 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 3. Notify the charge nurse 4. Administer pre-op meds 5. Offer reassurance Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright © Stuvia International BV Page 4/28 Scenario 5: 1. Maintain efficient, timely 2. Thoroughly document 3. Discuss patient load 4. Always sign out 5. NEVER ASSUME ANYTHING Carly Madison - ANSWER-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. Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024 Copyright © Stuvia International BV Page 5/28 Physiological Needs - Increased acuity: Status assessment indicates that the client is in labor. Sensorium Needs - Normal acuity Carly Madison - ANSWER-Acute Pain Anxiety Related to Labor and Birthing Process Fatigue Related to Energy Expenditure Required for Labor and