Tutorial: Real Life RN Maternal Newborn 4.0
Module: Preterm Labor
Individual Name: Israel Lopez
Institution: West Coast U Ontario BSN
Program Type: BSN
Standard Use Time and Score
Date/Time Time Use Score
Preterm Labor 5/3/2024 7:30:19 PM 4 min Strong
Reasoning Scenario Details
Preterm Labor - Use on 5/3/2024 7:25:58 PM
Reasoning Scenario Performance Related to Outcomes:
*See Score Explanation and Interpretation below for additional details.
Needs
Body Function Strong Satisfactory Improvement
Cardiac Output and Tissue Perfusion 100%
Excretion 100%
Mobility 100%
Reproduction 100%
Needs
NCLEX RN Strong Satisfactory Improvement
RN Management of Care 100%
RN Safety and Infection Control 100%
RN Health Promotion and Maintenance 100%
RN Pharmacological and Parenteral Therapies 100%
RN Reduction of Risk Potential 100%
RN Physiological Adaptation 100%
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Report Created on: 5/3/2024 07:30 PM EDT REP_RSIndv_ModuleReport_1_0
, Needs
QSEN Strong Satisfactory Improvement
Safety 100%
Patient-Centered Care 100%
Evidence Based Practice 100%
Decision Log:
Optimal Decision
Scenario Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation
when voiding.
Question Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation
when voiding. Which of the following clinical findings should Darla anticipate?
(Select all that apply.)
Selected Ordering Dysuria Urinary frequency Fever
Rationale Fever is a common clinical finding associated with urinary tract infections.
Optimal Decision
Scenario Nurse Darla is evaluating Ms. Goodwin for uterine contractions.
Question Nurse Darla assists Ms. Goodwin to bed. Which of the following is an
appropriate action for Darla to take?
Selected Option Apply a fetal monitor and tocotransducer.
Rationale The nurse should use a tocotransducer to transabdominally evaluate the
presence and frequency of uterine contractions.
Optimal Decision
Scenario Nurse Darla confirms uterine contractions are occurring on the fetal monitor.
Question Nurse Darla confirms uterine contractions are occurring on the fetal monitor.
Which of the following is the priority nursing intervention?
Selected Option Check for effacement and cervical dilation
Rationale The greatest risk to the client and her fetus is preterm labor. Assessing for
effacement and cervical dilation will indicate if labor has begun. This is the
priority nursing intervention at this time.
Optimal Decision
Scenario Nurse Darla completed a vaginal examination on Ms. Goodwin.
Question Nurse Darla completed a vaginal examination on Ms. Goodwin and notified the
provider of her findings. Which of the following actions is the highest priority?
Selected Option Administer nifedipine (Procardia).
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Report Created on: 5/3/2024 07:30 PM EDT REP_RSIndv_ModuleReport_1_0