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Maternity Case 01 Olivia Jones Core GRQ
Foundations for Nursing Practice (RNSG 1413)
Lee College
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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 simulaion. I knew the signs and symptoms of preeclampsia and the intervenions needed to keep mother and fetus safe.
Describe the acions you felt went well in this scenario. Assessing the paient from head-to-toe went well, it is important to monitor the paient’s symptoms pertaining to preeclampsia. Communicaion with the paient was efecive also.
Scenario Analysis Questions 1 EBP What are the risk factors for Olivia Jones and her baby if preeclampsia is not treated in a imely manner? If not treated in a imely 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 luid imbalance.
PCC What should the priority teaching for Olivia Jones include? Priority teaching would include bed rest, limiing simuli to keep blood pressure down and the pathophysiology of the disorder. Its important to teach paient the signs and symptoms of worsening preeclampsia. Paient should also know the only cure is the birth of the fetus.
T&C What key elements would you include in the handof report for this paient? Consider the situaion-background-assessment-recommendaion (SBAR) format. S- 23 y/o African American female, G1P0 at 36 weeks gestaion presents to L&D with nausea, faigue and edema and 8lb weight gain over 2 weeks. B: unevenful pregnancy up unil today’s prenatal appointment. This is pt’s irst pregnancy and baby is acive with a baseline FHR of 130/min A: BP 146/92, DTR is normal at +2, UA was negaive for ketones, +2 for protein, negaive 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 contracions felt on palpaion and bag of waters is intact.
1 The Scenario Analysis Quesions are correlated to the Quality and Safety Educaion for Nurses (QSEN) competencies: Paient-Centered Care (PCC), Teamwork and Collaboraion (T&C), Evidence-Based Pracice (EBP), Quality Improvement (QI), Safety (S), and Informaics (I). Find more informaion at: htp:qsen/
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
R: Coninue monitoring I&O’s, Vitals, reduce simuli, and maintain seizure precauions. Monitor FHR and contracions for preterm labor.
PCC What communicaion techniques could be iniiated to decrease the anxiety of Olivia Jones and her mother? Open ending quesions can help the paient communicate fears. Paient educaion and answering all the paient’s quesions with honesty can decrease anxiety.
S What safety measures should be iniiated while Olivia Jones is in the hospital? Keeping the lights dim, noise down, and helping the paient keep comfortable helps her blood pressure from geing to high. Also, because her condiion can develop to eclampsia, her bed should be ited with seizure pads with call light in reach.
I Consider what informaion 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 Relecing on Olivia Jones’s case, were there any acions you would do diferently? 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 irst ime 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 paient care situaion. The skills learned in the simulaion will be helpful in treaing future paients. 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 simuli, dim the lights, and encourage rest.
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
Maternity Case 01 Olivia Jones Core GRQ
Course: Foundations for Nursing Practice (RNSG 1413)
University: Lee College
