SWIFTRIVER MATERNITY ACTUAL FINALS
QUESTIONS AND ANSWERS SURE A+
: Scenario Action #1 - ✔✔- "Place a urine collection bag on Jesse."
- "Perform Neonatal Abstinence Scoring (NAS)."
✔✔Jesse Harris: Scenario Action #2 - ✔✔- Loose watery green stools.
- Diminished sleep cycles.
- Tachypnea
- Poorly coordinated feeding
- Frequent
✔✔Jesse Harris: Scenario Action #3 - ✔✔- Decrease lighting in the room.
- Maintain constant eye contact during feedings.
- Weigh the newborn daily.
✔✔Jesse Harris: Scenario Action #4 - ✔✔- Administer oral morphine
✔✔Jesse Harris: Scenario Action #5 - ✔✔- "I should hold Jesse firmly against my body
with his elbows and knees bent."
- "Jesse will probably be fussy and stiff for several months after discharge."
- "If I notice that Jesse is avoiding eye contact, arching his back, or yawning, it means
that he is feeling over-whelmed."
,✔✔Carly Madison: Priority Assignments - ✔✔Maslow's Hierarchy of Needs:
- High priority
Airway, Breathing, Circulation:
- Low priority
Safety and Risk Reduction:
- Low priority
Urgent vs. nonurgent:
- High priority
Chronic vs Acute/Stable vs Unstable:
- Low priority
✔✔Carly Madison: Client Concerns - ✔✔- Physiological: Comfort
- Physiological: Pain
- Safety: Injury Prevention
✔✔Carly Madison: Scenario Action #1 - ✔✔- Encourage client to use slow-breathing
pattern during the contraction.
- Ask the client and their support person about their birth plan.
✔✔Carly Madison: Scenario Action #2 - ✔✔- Teach support person to apply counter
pressure to the sacral area.
- Remind client to void every 2 hours.
- Offer clear fluids such as apple juice or ginger-ale to client.
✔✔Carly Madison: Scenario Action #3 - ✔✔- A full bladder
- Dystocia
✔✔Carly Madison: Scenario Action #4 - ✔✔- Assess FHR tracing every 15 minutes and
with every change in dose.
- Limit IV intake to 1000mL in 8 hours.
- Observe for maternal hypotension.
✔✔Carly Madison: Scenario Action #5 - ✔✔- Perform a vaginal exam
, - Instruct the woman to combine the slow breathing pattern with a modified paced
breathing.
✔✔Jenny Smith: Priority Assignments - ✔✔Maslow's Hierarchy of Needs:
- High priority
Airway, Breathing, Circulation:
- Low priority
Safety and Risk Reduction:
- Low priority
Urgent vs. nonurgent:
- High priority
Chronic vs Acute/Stable vs Unstable:
- Low priority
✔✔Jenny Smith: Client Concerns - ✔✔- Health Promotion: Client Education
-Psychosocial: Grief
- Physiological: Pain
- Psychosocial: Mood and Affect
✔✔Jenny Smith: Scenario Action #1 - ✔✔- Monitor B-human chorionic gonadotropin
(hCG) levels.
- Educate the client regarding a transvaginal ultrasound.
- Assist with a speculum examination of the client's cervix.
- Monitor client's complete blood count (CBC).
✔✔Jenny Smith: Scenario Action #2 - ✔✔- Avoid sexual activity.
- Repeat B-hCG levels in 48 hr.
- Monitor vaginal bleeding for an increase in amount or foul odor.
✔✔Jenny Smith: Scenario Action #3 - ✔✔- Obtain blood specimens to send to the
laboratory.
- Medicate the client for pain.
QUESTIONS AND ANSWERS SURE A+
: Scenario Action #1 - ✔✔- "Place a urine collection bag on Jesse."
- "Perform Neonatal Abstinence Scoring (NAS)."
✔✔Jesse Harris: Scenario Action #2 - ✔✔- Loose watery green stools.
- Diminished sleep cycles.
- Tachypnea
- Poorly coordinated feeding
- Frequent
✔✔Jesse Harris: Scenario Action #3 - ✔✔- Decrease lighting in the room.
- Maintain constant eye contact during feedings.
- Weigh the newborn daily.
✔✔Jesse Harris: Scenario Action #4 - ✔✔- Administer oral morphine
✔✔Jesse Harris: Scenario Action #5 - ✔✔- "I should hold Jesse firmly against my body
with his elbows and knees bent."
- "Jesse will probably be fussy and stiff for several months after discharge."
- "If I notice that Jesse is avoiding eye contact, arching his back, or yawning, it means
that he is feeling over-whelmed."
,✔✔Carly Madison: Priority Assignments - ✔✔Maslow's Hierarchy of Needs:
- High priority
Airway, Breathing, Circulation:
- Low priority
Safety and Risk Reduction:
- Low priority
Urgent vs. nonurgent:
- High priority
Chronic vs Acute/Stable vs Unstable:
- Low priority
✔✔Carly Madison: Client Concerns - ✔✔- Physiological: Comfort
- Physiological: Pain
- Safety: Injury Prevention
✔✔Carly Madison: Scenario Action #1 - ✔✔- Encourage client to use slow-breathing
pattern during the contraction.
- Ask the client and their support person about their birth plan.
✔✔Carly Madison: Scenario Action #2 - ✔✔- Teach support person to apply counter
pressure to the sacral area.
- Remind client to void every 2 hours.
- Offer clear fluids such as apple juice or ginger-ale to client.
✔✔Carly Madison: Scenario Action #3 - ✔✔- A full bladder
- Dystocia
✔✔Carly Madison: Scenario Action #4 - ✔✔- Assess FHR tracing every 15 minutes and
with every change in dose.
- Limit IV intake to 1000mL in 8 hours.
- Observe for maternal hypotension.
✔✔Carly Madison: Scenario Action #5 - ✔✔- Perform a vaginal exam
, - Instruct the woman to combine the slow breathing pattern with a modified paced
breathing.
✔✔Jenny Smith: Priority Assignments - ✔✔Maslow's Hierarchy of Needs:
- High priority
Airway, Breathing, Circulation:
- Low priority
Safety and Risk Reduction:
- Low priority
Urgent vs. nonurgent:
- High priority
Chronic vs Acute/Stable vs Unstable:
- Low priority
✔✔Jenny Smith: Client Concerns - ✔✔- Health Promotion: Client Education
-Psychosocial: Grief
- Physiological: Pain
- Psychosocial: Mood and Affect
✔✔Jenny Smith: Scenario Action #1 - ✔✔- Monitor B-human chorionic gonadotropin
(hCG) levels.
- Educate the client regarding a transvaginal ultrasound.
- Assist with a speculum examination of the client's cervix.
- Monitor client's complete blood count (CBC).
✔✔Jenny Smith: Scenario Action #2 - ✔✔- Avoid sexual activity.
- Repeat B-hCG levels in 48 hr.
- Monitor vaginal bleeding for an increase in amount or foul odor.
✔✔Jenny Smith: Scenario Action #3 - ✔✔- Obtain blood specimens to send to the
laboratory.
- Medicate the client for pain.
