NUR 4150 Mother Baby Simulation PRE SIM

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**Monday simulation must be submitted by Friday at 2359, Wednesday simulation must be submitted by Sunday at 2359**

Review client’s medical record (Susan Wilson)

Provider Charts:
- Provider Orders-Need to review and be aware of orders prior to SIM
- H & P-Need to review and be aware of client history
- Progress Notes-Need to review notes
- Vital Signs-Review
- Client Charting– Review
Provider Prescriptions (orders)
Labs: Review and understand abnormal and blood typing

NUR 4150 Mother Baby Simulation PRE SIM: Pathophysiology (7 points total)

Compare estimated blood loss (EBL) to quantified blood loss (QBL) as utilized in the obstetrical setting. Explain “how” loss is calculated. Which part of the nursing process does this satisfy? (Cite your sources; 2 points)

Complete the following postpartum hemorrhage care management (Cite your sources; 3 points/1 point each section):
1. List 3 factors that place Susan at risk for a postpartum hemorrhage:
  1. __________________________________________________
  2. __________________________________________________

__________________________________________________

List 3 nursing assessments to manage a postpartum hemorrhage:
1. __________________________________________________
2. __________________________________________________

__________________________________________________

List 3 nursing interventions to manage a postpartum hemorrhage:
1. _________________________________________________
2. _________________________________________________

_________________________________________________

Complete the following newborn care management (Cite your sources; 2 points/1 point each section):
1. List 3 nursing assessments for the newborn transition period:
  1. _________________________________________________
  2. _________________________________________________

_________________________________________________

List 3 nursing interventions anticipated in the newborn transition period:
1. _________________________________________________
2. _________________________________________________

_________________________________________________

Potential Nursing Diagnoses (1 point/ 0.25 point each)

Document two potential nursing diagnoses for Susan based on her pathophysiology and two potential nursing diagnoses for her neonate based on physiology. As these are potential nursing diagnoses, your diagnoses will be at “Risk For” nursing diagnosis. Remember to include the nursing diagnosis and the related to factor in your potential nursing diagnoses for your client. Please come to simulation prepared with appropriate interventions for your client based on your potential nursing diagnoses.

Potential Nursing Diagnosis #1-Susan

Potential Nursing Diagnosis #2-Susan

Potential Nursing Diagnosis #3-Neonate

Potential Nursing Diagnosis #4-Neonate

Communication (2 points / 0.5 point each)

You are the primary nurse calling Dr. Loose to communicate the current cervical exam at 0600. Using the space provided, briefly write out the “SBAR” you would use to effectively report your findings.

Situation: (Who are you? Who are you reporting about?)

Background: (Pertinent prenatal/medical history)

Assessment Findings: (VS, fetal heart tones contraction pattern, etc.)

Recommendation/Request: (What do you want? What do you suggest?)

Medical Record for Susan Wilson

Client Information:

Name: Susan Wilson

DOB: 4/13/___

Age: 42

Provider: Kelly Loose MD

Record number: 5600326

Home address: 1112 Main St

City: Grand Rapids

St: MI

Zip code:

49505

Phone: 555-432-9678

Marital status: married: Jarod Wilson

Education: College

Occupation: Preschool teacher

Father of Baby: Jarod Wilson currently deployed

Prenatal Visits

Add prenatal visits

Visit Number	1	2	3	4	5	6	7	8
Date/Weeks Gestation	10 weeks	14 weeks	18 weeks	22 weeks	26 weeks	30 weeks	32 weeks	34
Medications					Rhogam
Weight	147	150	153	157	162	166	170	174
Blood Pressure	120/68	122/70	118/68	120/70	124/70	116/66	122/70	118/70
Urine Protein	Negative	Negative	Negative	Negative	Negative	Negative	Negative	Negative
Urine Glucose	Negative	Negative	Negative	Negative	Negative	Negative	Negative	Negative
Edema	None	None	None	None	None	None	None	None
Fetal Heart Rate	155	155	150	145	145	140	135	140
Fundal Height	Not palpated	14	18	22	26	29	33	34
Fetal Activity	NA	NA	NA	Present	Present	Present	Present	Present
Presentation	NA	NA	NA	NA	Cephalic	Cephalic	Cephalic	Cephalic
Preterm Labor Symptoms	None	None	None	None	None	None	None	None
Next Appointment	4 weeks	4 weeks	4 weeks	4 weeks	4 weeks	2 weeks	2 weeks	2 weeks
Initials	KL	KL	KL	KL	KL	KL	KL	KL

Medical History

History of Substance Use

Tobacco

Positive History of Tobacco Use

Yes No

Number of Years Smoking

-SELECT- Less than 1 1 2 3 4 5 6 7 8 9 10 or More

Smoking During this Pregnancy

Yes No

Type of Tobacco Used:

Alcohol

Positive History of Alcohol Use

Yes No

Number of Years of Alcohol Use

-SELECT- Less than 1 1 2 3 4 5 6 7 8 9 10 or More

Alcohol Use During this Pregnancy

Yes No

Drinks per Day (average):

-SELECT- 1 2 3 4 5 or more

Illicit Drug Use (Prescription or Street)

Positive History of Illicit Drug Use

Yes No

Number of Years of Drug Use

-SELECT- Less than 1 1 2 3 4 5 6 7 8 9 10 or More

Drug use During this Pregnancy

Yes No

Drugs Used:

Family History

Pertinent Family History:

Review of Systems (serious illness, injury, chronic diseases)

Pertinent Review of Systems:

Allergies

Allergies:

Immunization Status

Tetanus, Diphtheria, Pertussis (Td/Tdap):

Current Partial Doses Received