[Solved] NR327 Week 3: Real Life Scenario Assignment: Preterm Labor

NR327 Week 3 Real Life Scenario Assignment: Preterm Labor

Purpose
Practice clinical reasoning skills using life-like clinical video and media situations.
Course Outcomes: This assignment enables the student to meet the following course outcomes:
1. Demonstrate understanding of developmental, cognitive, psychosocial, cultural, and physiological life
processes of the woman as she progresses from the onset of menses through the childbearing period, and
concluding with menopause. (PO #1)
2. Demonstrate understanding of developmental, cognitive, psychosocial, cultural, and physiological life
processes of the developing child from conception through the neonatal period. (PO #1)
3. Provide nursing care using the nursing process to child-bearing clients and their families during the
antepartum and postpartum periods in acute care settings. (PO #1)
4. Initiate use of appropriate resources based on healthcare issues mutually identified with clients and families.
(PO #2)
5. Employ communication and therapeutic relationship skills with childbearing clients and their families during
the perinatal period in acute care settings. (PO#3)
6. Demonstrate effective clinical decision-making concerning the nursing care of perinatal clients and their
families based on critical thinking skills; legal, ethical, and professional standards and principles; and nursing
research findings. (PO #4, #6, and #8)
7. Develop a plan to meet own personal, professional, and educational goals, including an investigation of
professional organizations relevant to perinatal clients and their families. (PO #5)
8. Provide nursing care using multiple nursing roles as appropriate to perinatal clients and their families. (PO #7)
Due Date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy
applies to this assignment.
Total Points Possible: 40 points
Preparing the Assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1) Recommend using Firefox browser and clearing the cookies and cache before starting the assignment.
2) Log in to your ATI account and click on the “MY ATI” tab. Click the “Apply” tab and select the Real Life
Maternal Newborn 2.0. In the box that opens, select the following modules to be completed:
• Teaching Prenatal and Newborn Care
• Preterm Labor
• Gestational Diabetes
• Postpartum Hemorrhage
• Preeclampsia
3) Complete the scenario to obtain your overall reasoning score.
4) You may repeat the scenario one time to improve your reasoning score.
5) You must wait 24 hours between the attempts.
6) The document is to be scanned into Canvas for faculty review.

7) Include the following sections (detailed criteria listed below and in the Grading Rubric):
a. Completed Scenario (15 points/37.5%)
• Strong – 15 points
• Satisfactory – 12 points
• Needs Improvement – 7 points
• Does Not Complete – 0 points
b. I-SBAR (15 points/37.5%)
• Completes an I-SBAR based on the Real Life Scenario
• Handwrites the I-SBAR Report Template
• Completes all of the following areas:
o Introduce
o Situation
o Background
o Assessment
o Request/Recommendation
c. Plan of Care (10 points/25%)
• Completes a Plan of Care based on the information reviewed in the Real Life Scenario.
• Completes all of the following:
o Nursing Analysis/Priority Diagnosis
o Patient Goal
o Outcome Criteria
o Met/Not met/Partially met
o Priority nursing interventions
o Reasoning/Rationale
o Evaluation of interventions
• Support from the textbook

 

SOLUTION

Question Nurse Darla confirms uterine contractions are occurring on the fetal monitor. Which of the following is the priority nursing intervention?
Selected Option Check for effacement and cervical dilation
Rationale The greatest risk to the client and her fetus is preterm labor. Assessing for effacement and cervical dilation will indicate if labor has begun. This is the priority nursing intervention at this time.
  Optimal Decision
Scenario Nurse Darla is evaluating Ms. Goodwin for uterine contractions.
Question Nurse Darla assists Ms. Goodwin to bed. Which of the following is an appropriate action for Darla to take?
Selected Option Apply a fetal monitor and tocotransducer.
Rationale The nurse should use a tocotransducer to transabdominally evaluate the presence and frequency of uterine contractions.
  Optimal Decision
Scenario Nurse Darla completed a vaginal examination on Ms. Goodwin.
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