PPH-(Fatime Sanogo) Post-Sim Questions and answers 2021/2022
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Course
NURSING RNSG 2208
Institution
NURSING RNSG 2208
QUESTION 1: Ms. Sanogo is Muslim and she has been in the United States for 7 months. She speaks limited English. During patient
care, she expresses that she is feeling sad because she is away from her family in Mali, West Africa. What are some
methods that the nurse would take to establish therap...
pph fatime sanogo post sim questions and answers 20212022
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NURSING RNSG 2208
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NURS CASE
Quiz Stats
Name: Rebecca Hall Quiz completed in: 1.09 mins
Date: 2020-3-29 Time: 11:15:05 Questions answered: 10
Number correct: 10 (100%)
Answer Key
QUESTION 1: Ms. Sanogo is Muslim and she has been in the United States for 7 months. She speaks limited English. During patient
care, she expresses that she is feeling sad because she is away from her family in Mali, West Africa. What are some
methods that the nurse would take to establish therapeutic communication with Ms. Sanogo? (Select all that apply)
Your Response: Correct!
Correct Response: Be an active listener during interactions with the patient and her husband
Use a translator to give information in two or three different ways if needed
Examine and be aware of one’s own sociocultural upbringing
Explanation: Nurses can be more aware of another person’s cultural differences by understanding what has shaped their own
values and beliefs. To gain the patient’s and her husband’s trust and encourage them to share important
information, the nurse would use active listening skills. The nurse would incorporate a translator in person or over
telecommunications to give the patient and her family member information in several different ways, to ensure their
understanding and overcome any cultural barriers that may be present. While most female patients prefer women to
provide care, the Muslim culture does allow for a male provider to attend to female patients. The husband is allowed
to be present during the birth of a child and while his wife is being assessed for birth complications. It is not a
therapeutic intervention to share experiences that are personal or from other patients, because each person’s
situation is individual and it could break privacy practices.
Ricci, S. Essentials of Maternity, Newborn, and Women’s Health Nursing, 4th Edition, p. 45
QUESTION 2: What were the identifiable risk factors that indicated postpartum hemorrhage for Ms. Sanogo? (Select all that apply)
Your Response: Correct!
Correct Response: Second stage of labor lasting more than 3 hours
Birth within the past 24 hours
A 9 lb (4,082 g) infant
Explanation: The risk factors notable for Ms. Sanogo were that she delivered within the past 24 hours, she delivered a large-for-
gestation infant, and her second stage of labor was prolonged. The postpartum woman benefits by breastfeeding
after delivery due to the natural release of oxytocin. A multiparous woman would be at risk for postpartum
hemorrhage.
Ricci, S. Essentials of Maternity, Newborn, and Women’s Health Nursing, 4th Edition, p. 800
QUESTION 3: Oxytocin is administered to Ms. Sanogo in order to minimize blood loss. Which of the following measures would the
nurse take to evaluate the effectiveness of the oxytocin administration? (Select all that apply)
Your Response: Correct!
Correct Response: Obtain heart rate and pattern, blood pressure, and respiratory rate
Determine the consistency, position, and placement of the fundus
Assess her pain level using a scale of 0 (no pain) to 10 (most pain)
Check Peri-Pad for amount, color, odor, and consistency of lochia
Explanation: Oxytocin is a uterotonic medication that leads to contraction of the uterine muscles. This contraction could lead to
the patient experiencing significant pain; thus, obtaining the patient’s pain level is important in determining the
drug’s efficacy. Monitor the patient’s vital signs to identify any adverse effects due to oxytocin administration.
Fundal and lochia assessments are important to determine if the oxytocin therapy is effective at minimizing the
blood loss. Auscultation of lung and bowel sounds would not identify if oxytocin was minimizing uterine blood loss.
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