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Antepartum Testing Case Study (45 min)

Antepartum Testing Case Study (45 min)

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Outline

A 38-year-old female is 27 weeks pregnant and hasn’t felt the baby move as she has been. The vital signs are as follows:

HR 110 bpm

RR 20 bpm

BP 98/55 mmHg

Temp 97.6°F

Fetal HR 133

The doctor has ordered a non-stress test due to the mothers age and the decrease of fetal movements. The nurse explains the procedure to the patient and prepares her to begin testing.

Critical Thinking Check
Bloom's Taxonomy: Comprehension

How many transducers does the nurse need?

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Critical Thinking Check
Bloom's Taxonomy: Application

What instructions does the nurse need to give the patient?

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The testing is underway and the patient presses the button. The nurse notes the fetal heart rate has stayed at 130 bpm and has not changed. This happens 2 more times with the same results.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What do these results this mean? What are the implications?

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The doctor decides to further testing by performing a contraction stress test. The nurse knows that she needs to prepare the patient for this by explaining the medication and how it will feel.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What medication is given during a contraction stress test? How would you explain this procedure and medication to the patient?

VIEW ANSWER

Critical Thinking Check
Bloom's Taxonomy: Comprehension

Does the nurse need to get any additional equipment to perform this test?

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The patient is prepared and the Pitocin is administered. The patient presses the button and the nurse notes on the fetal heart monitor that the heart rate has risen to 150 bpm. This result is confirmed 2 more times.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What does this test result mean?

VIEW ANSWER

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Nursing Case Studies

This nursing case study course is designed to help nursing students build critical thinking.  Each case study was written by experienced nurses with first hand knowledge of the “real-world” disease process.  To help you increase your nursing clinical judgement (critical thinking), each case study includes answers laid out by Blooms Taxonomy  to help you see that you are progressing to clinical analysis.

We encourage you to read the case study and really through the “critical thinking checks” as this is where the real learning occurs.  If you get tripped up by a specific question, no worries, just dig into an associated lesson on the topic and reinforce your understanding.  In the end, that is what nursing case studies are all about – growing in your clinical judgement.

Course Lessons

Nursing Case Studies Introduction
Nursing Case Study Introduction
Cardiac Nursing Case Studies
Myocardial Infarction (MI) Case Study (45 min)
Heart Failure Case Study (45 min)
Hypovolemic Shock Case Study (OB sim) (60 min)
Septic Shock (Sepsis) Case Study (45 min)
Hypertensive Crisis Case Study (45 min)
Endocarditis Case Study (45 min)
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Cardiogenic Shock
GI/GU Nursing Case Studies
Acute Kidney Injury Case Study (60 min)
Peptic Ulcer Disease Case Study (60 min)
Inflammatory Bowel Disease Case Study (45 min)
Cirrhosis Case Study (45 min)
Urinary Tract Infection Case Study (45 min)
Nursing Case Study for Hepatitis
Nursing Case Study for Acute Kidney Injury
Obstetrics Nursing Case Studies
Ectopic Pregnancy Case Study (30 min)
Antepartum Testing Case Study (45 min)
Labor Progression Case Study (45 min)
Reyes Syndrome Case Study (Peds) (45 min)
Preeclampsia (45 min)
Disseminated Intravascular Coagulation Case Study (60 min)
Emergent Delivery (OB) (30 min)
Nursing Case Study for Maternal Newborn
Respiratory Nursing Case Studies
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
ARDS Case Study (60 min)
Chest Tube Management Case Study (60 min)
Tuberculosis (TB) Case Study (60 min)
Nursing Case Study for Pneumonia
Pediatrics Nursing Case Studies
Appendicitis Case Study (Peds) (30 min)
Nephrotic Syndrome Case Study (Peds) (45 min)
Fever Case Study (Pediatric) (30 min)
Varicella Case Study (Peds) (30 min)
Reyes Syndrome Case Study (Peds) (45 min)
Nursing Case Study for Pediatric Asthma
Neuro Nursing Case Studies
Cerebral Perfusion Pressure Case Study (60 min)
Encephalopathy Case Study (45 min)
Stroke Case Study (45 min)
Spinal Cord Injury Case Study (60 min)
Seizures Case Study (45 min)
Nursing Case Study for Head Injury
Mental Health Nursing Case Studies
Somatoform Disorder Case Study (30 min)
Alcohol Withdrawal Case Study (45 min)
Schizophrenia Case Study (45 min)
Nursing Case Study for Bipolar Disorder
Nursing Case Study for (PTSD) Post Traumatic Stress Disorder
Nursing Case Study for Mania (Manic Syndrome)
Metabolic/Endocrine Nursing Case Studies
Cushing’s Syndrome Case Study (60 min)
Diabetes Mellitus Case Study (45 min)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Hyperthyroidism Case Study (75 min)
Diabetes Insipidus Case Study (60 min)
Chronic Kidney Disease (CKD) Case Study (45 min)
Nursing Case Study for Type 1 Diabetes
Nursing Case Study for Diabetic Foot Ulcer
Nursing Care Plan (NCP) for Cushing’s Disease
Other Nursing Case Studies
Disseminated Intravascular Coagulation Case Study (60 min)
AIDS Case Study (45 min)
Leukemia Case Study (60 min)
Burn Injury Case Study (60 min)
Gout Case Study (45 min)
Nursing Case Study for Breast Cancer
Nursing Case Study for Colon Cancer
Nursing Case Study for Rheumatoid Arthritis