SWIFT RIVER CERTIFICATION
EVALUATION TESTED QUESTIONS AND
ANSWERS COMPLETE REVIEW
●● Miranda Johnson
Answer: Risk for Impaired Urinary Elimination
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
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
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.
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
EVALUATION TESTED QUESTIONS AND
ANSWERS COMPLETE REVIEW
●● Miranda Johnson
Answer: Risk for Impaired Urinary Elimination
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
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
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.
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
