9.14 Learning Activities
Flashcards
Click the Turn button to flip each card and see the answer, then use the arrow to move to the next card. Continue through the set and revisit cards as needed until you can recall the answers on your own.
NCLEX Next Generation-Style Questions
Test your clinical judgment with these NCLEX Next Generation-style questions.
- Open the activity: NCLEX Next Generation-style case study
- Open the activity: NCLEX Next Generation-style case study
- Open the activity: NCLEX Next Generation-style scenario review
Case Study
Antepartum Care Case Study A
Situation/Background
A pregnant woman enters the clinic for her 38-week routine OB visit. The client is measuring 35 centimeters from her symphysis pubis to the top of her fundus. The client reports having increased vaginal discharge. The client states feeling happy that she can breathe a little easier now. However, she states she urinates much more frequently today. She has had a weight gain of 2 pounds in the past two weeks.
Assessment Data
- Vital Signs: BP 140/94, T 37 centigrade, pulse 78, resp 18, and fetal heart tones 156
- Hgb: 10.1 mg/dl
- Blood type: A negative
- Urine dipstick test: Trace of protein and 1+ glucose
- Group B strep status: Positive
- Rubella status: Non-immune
- Hepatitis B & C status: Negative
Critical Thinking Questions
- Identify abnormal findings requiring follow-up.
- What health teaching and anticipatory guidance should the nurse offer if the client reports the following symptoms?
Case Study
Antepartum Care Case Study B
Situation/Background
A multipara is in for a clinic appointment at 32 weeks and appears apathetic. She is worried how her two year old will accept the new baby and also expresses concerns regarding her partner’s involvement in the pregnancy as he has been distant to her.
Critical Thinking Questions
- How does multiparity affect the maternal tasks of pregnancy?
- How should the nurse respond therapeutically to the client’s concerns?
Case Study
Antepartum Care Case Study C
Situation/Background
A woman gave birth three years ago to twin girls at 38 weeks’ gestation. She had a spontaneous abortion last year at 12 weeks’ gestation. She thinks she may be pregnant now because she has missed a menstrual period and has nausea. The pregnancy is confirmed with a positive urine pregnancy test. Her LMP was August 22.
Critical Thinking Questions
- What is her gravida para history?
- Explain a non-stress test and how to interpret the findings.
- What is a reactive and non-reactive non-stress test?
- Explain the biophysical profile.
