, NURS 2310 Real Life RN Maternal Newborn-Preeclampsia
graded A
Reasoning Scenario Performance related to Outcomes:
Needs
Body Function Stron Satisfactor Improveme
g y nt
Cardiac Output and Tissue Perfusion 100%
Cognition and Sensation 100%
Excretion 100%
Oxygenation 100%
Reproduction 100%
Needs
NCLEX RN Stron Satisfactor Improveme
g y nt
Reduction of Risk Potential RN 2010 100%
Management of Care RN 2013 100%
Safety and Infection Control RN 2013 100%
Pharmacological and Parenteral Therapies RN 100%
2013
Reduction of Risk Potential RN 2013 100%
Physiological Adaptation RN 2013 100%
Needs
QSEN Stron Satisfactor Improveme
g y nt
Safety 100%
Decision Log:
Scenario Nurse Alex performed a focused assessment and is preparing to
transfer Ms. Kline to the maternal newborn unit.
Question Nurse Alex is reviewing the EMRs in preparation to transfer Ms. Kline
to the maternal newborn unit. Use the SBAR format to prepare a
transfer report. (Type your response in the text box below and then
click the submit button.)
Selected Option S: Katherine Kline is a 25 y/o female, 27 weeks gestation, BP 162/98,
Pulse 92, Resp. 22, O2 97%, Temp 37.0. She reports RUQ pain, N/V,
blurred vision, and headache. B: Katherine has no known allergies.
This is her first pregnancy. She is 160 cm and weighs 62 kg.
Gestational age is 27 weeks. Urine protein 1+.
Deep tendon reflexes 3+ A: Katherine's symptoms suggest that she
may be experiencing preeclampsia. HTN, increased respirations,
blurred vision, and headache show this. R: Katherine should be
admitted immediately for treatment and observation.
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