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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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OB

Concepts Covered:

Pregnancy Risks
Labor Complications
Newborn Complications
Fetal Development
Terminology
Prenatal Concepts
Newborn Care
Postpartum Care
Postpartum Complications
Medication Administration
Labor and Delivery
Studying
Communication

Study Plan Lessons

Abortion in Nursing: Spontaneous, Induced, and Missed

Abruptio Placentae (Placental abruption)

Acyclovir (Zovirax) Nursing Considerations

Addicted Newborn

Alpha-fetoprotein (AFP) Lab Values

Anemia in Pregnancy

Antepartum Testing

Antepartum Testing Case Study (45 min)

Betamethasone and Dexamethasone

Betamethasone and Dexamethasone in Pregnancy

Butorphanol (Stadol) Nursing Considerations

Cardiac (Heart) Disease in Pregnancy

Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)

Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)

Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)

Chorioamnionitis

Day in the Life of a Labor Nurse

Day in the Life of a Postpartum Nurse

Discomforts of Pregnancy

Disseminated Intravascular Coagulation (DIC)

Ectopic Pregnancy

Ectopic Pregnancy Case Study (30 min)

Emergent Delivery (OB) (30 min)

Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)

Erythroblastosis Fetalis

Eye Prophylaxis for Newborn

Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)

Family Planning & Contraception

Fertilization and Implantation

Fetal Alcohol Syndrome (FAS)

Fetal Circulation

Fetal Development

Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)

Fetal Heart Monitoring (FHM)

Fetal Environment

Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)

Fundal Height Assessment for Nurses

Gestation & Nägele’s Rule: Estimating Due Dates

Gestational Diabetes (GDM)

Gestational HTN (Hypertension)

Glucose Tolerance Test (GTT) Lab Values

Gravidity and Parity (G&Ps, GTPAL)

HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)

Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care

Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)

Hepatitis B Vaccine for Newborns

Homocysteine (HCY) Lab Values

Hydatidiform Mole (Molar pregnancy)

Hyperemesis Gravidarum

Hypovolemic Shock Case Study (OB sim) (60 min)

Incompetent Cervix

Infections in Pregnancy

Initial Care of the Newborn (APGAR)

Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)

Labor Progression Case Study (45 min)

Leopold Maneuvers

Lung Surfactant for Newborns

Magnesium Sulfate (MgSO4) Nursing Considerations

Magnesium Sulfate in Pregnancy

Maternal Risk Factors

Mechanisms of Labor

Meconium Aspiration

Meds for Postpartum Hemorrhage (PPH)

Menstrual Cycle

Newborn of HIV+ Mother

Newborn Physical Exam

Newborn Reflexes

Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage

Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption

Nursing Care Plan (NCP) for Chorioamnionitis

Nursing Care Plan (NCP) for Dystocia

Nursing Care Plan (NCP) for Ectopic Pregnancy

Nursing Care Plan (NCP) for Gestational Diabetes (GDM)

Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia

Nursing Care Plan (NCP) for Hyperemesis Gravidarum

Nursing Care Plan (NCP) for Incompetent Cervix

Nursing Care Plan (NCP) for Mastitis

Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL

Nursing Care Plan (NCP) for Meconium Aspiration

Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia

Nursing Care Plan (NCP) for Newborns

Nursing Care Plan (NCP) for Placenta Previa

Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)

Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)

Nursing Care Plan (NCP) for Preterm Labor / Premature Labor

Nursing Care Plan (NCP) for Process of Labor

Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)

Nursing Care Plan (NCP) for Transient Tachypnea of Newborn

Nursing Case Study for Maternal Newborn

Nutrition in Pregnancy

OB (Labor) Nurse Report to OB (Postpartum) Nurses

OB Non-Stress Test Results Nursing Mnemonic (NNN)

Obstetric Trauma for Certified Emergency Nursing (CEN)

Obstetrical Procedures

Opioid Analgesics in Pregnancy

Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)

Oxytocin (Pitocin) Nursing Considerations

Pediatric Vital Signs (VS)

Phytonadione (Vitamin K) for Newborn

Placenta Previa for Certified Emergency Nursing (CEN)

Possible Infections During Pregnancy Nursing Mnemonic (TORCH)

Post-Partum Assessment Nursing Mnemonic (BUBBLE)

Postpartum Discomforts

Postpartum Hematoma

Postpartum Interventions

Postpartum Physiological Maternal Changes

Preeclampsia (45 min)

Postpartum Thrombophlebitis

Precipitous Labor

Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate

Pregnancy Outcomes Nursing Mnemonic (GTPAL)

Preterm Labor for Certified Emergency Nursing (CEN)

Process of Labor – Mom Nursing Mnemonic (4 P’s)

Process of Labor – Baby Nursing Mnemonic (ALPPPS)

Prolapsed Umbilical Cord

Prostaglandins in Pregnancy

Rh Immune Globulin in Pregnancy

Signs of Pregnancy (Presumptive, Probable, Positive)

Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)

Tips & Advice for Newborns (Neonatal IV Insertion)

Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)