- Information
- AI Chat
Maternity Case 01 Olivia Jones Core GRQ
Care of the childbearing family (RNSG 1251)
Lee College
Preview text
Maternity Case 1: Olivia Jones (Core)
Guided Reflection Questions
Opening Questions How did the simulated experience of Olivia Jones’s case make you feel? I was comfortable with the simulation. I knew the signs and symptoms of preeclampsia and the interventions needed to keep mother and fetus safe.
Describe the actions you felt went well in this scenario. Assessing the patient from head-to-toe went well, it is important to monitor the patient’s symptoms pertaining to preeclampsia. Communication with the patient was effective also.
Scenario Analysis Questions 1 EBP What are the risk factors for Olivia Jones and her baby if preeclampsia is not treated in a timely manner? If not treated in a timely manner, she could progress to eclampsia in which she’d experience seizures, HELLP syndrome, and eventually maternal and fetal demise.
EBP List the warning signs of hypertensive disorder in pregnant women. Edema, epigastric pain, nausea, visual changes, sudden weight gain r/t edema and fluid imbalance.
PCC What should the priority teaching for Olivia Jones include? Priority teaching would include bed rest, limiting stimuli to keep blood pressure down and the pathophysiology of the disorder. Its important to teach patient the signs and symptoms of worsening preeclampsia. Patient should also know the only cure is the birth of the fetus.
T&C What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. S- 23 y/o African American female, G1P0 at 36 weeks gestation presents to L&D with nausea, fatigue and edema and 8lb weight gain over 2 weeks. B: uneventful pregnancy up until today’s prenatal appointment. This is pt’s first pregnancy and baby is active with a baseline FHR of 130/min A: BP 146/92, DTR is normal at +2, UA was negative for ketones, +2 for protein, negative for glucose. HEENT was unremarkable, RR of 18 with clear and equal lung sounds. Skin turgor and integrity WNL, Mild edema +1 noted of the hands and legs. No contractions felt on palpation and bag of waters is intact.
1 The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: qsen/
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
R: Continue monitoring I&O’s, Vitals, reduce stimuli, and maintain seizure precautions. Monitor FHR and contractions for preterm labor.
PCC What communication techniques could be initiated to decrease the anxiety of Olivia Jones and her mother? Open ending questions can help the patient communicate fears. Patient education and answering all the patient’s questions with honesty can decrease anxiety.
S What safety measures should be initiated while Olivia Jones is in the hospital? Keeping the lights dim, noise down, and helping the patient keep comfortable helps her blood pressure from getting to high. Also, because her condition can develop to eclampsia, her bed should be fitted with seizure pads with call light in reach.
I Consider what information on preeclampsia should be provided to Olivia Jones. Pathophysiology of the disorder along with how to monitor her urine output, blood pressure and fetal movement. Educate her on the signs of worsening preeclampsia- (headache that does not go away, epigastric pain, blurry vision, nausea) and when to call the provider. Mother should know that the only cure is delivery of the fetus.
Concluding Questions Reflecting on Olivia Jones’s case, were there any actions you would do differently? Explain. I would make sure to dim the lights to provide comfort and remember to assess for edema. I did a head- to-toe the first time but forgot to assess for edema. This is important considering edema is usually present with preeclampsia.
Describe how you would apply the knowledge and skills that you obtained in Olivia Jones’s case to an actual patient care situation. The skills learned in the simulation will be helpful in treating future patients. I would know the s/s to look for r/t preeclampsia such as edema, nausea, blurry vision, epigastric pain, ect. I would also know to reduce stimuli, dim the lights, and encourage rest.
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
Maternity Case 01 Olivia Jones Core GRQ
Course: Care of the childbearing family (RNSG 1251)
University: Lee College
