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Emergent Delivery (OB) (30 min)

Emergent Delivery (OB) (30 min)

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Included In This Lesson

Study Tools
Outline
Additional Lessons

Study Tools For Emergent Delivery (OB) (30 min)

Fetal Heart Rate Monitoring (Cheatsheet)

Outline

A 27-year-old female, Jessica, comes to the emergency room with horrible abdominal pain. She is pregnant but not sure how far along she is but thinks 36 weeks. She had no prenatal care and has a history of cocaine use. The patient is disheveled and alone when she arrives.

Critical Thinking Check

What is the nurse’s priority?

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The nurse tells the patient, “I need to see if I can get a fetal heart rate.” The patient is out of control screaming, “it hurts.” The nurse asks, “where does it hurt, is it radiating to your back?” The nurse assesses the abdomen and notes it to feel really firm. The patient continues to say, “I dont feel well. This hurts so bad.” The nurse also notes some blood, which is bloody show. The nurse asks, “Jessica, when was the last time you used cocaine?” The patient responds “I did this morning but it was my first time in a long time.” The nurse tells her “I found the heart rate, it is about 100 bpm”

Critical Thinking Check

What is the nurse’s next step?

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The nurse turns the patient to the the left side and tells her, “I’m going to put oxygen on you because this extra oxygen will go to the baby and help the heart rate. We will also start a fluid bolus.” The patient states, “My stomach just hurts so bad.” The nurse feels the stomach and notes it to feel very rigid and boardlike.

Critical Thinking Check

What is most likely happening with this patient?

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Critical Thinking Check

What is the next step?

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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