2026 Preeclampsia Simulation:Real
Life RN Maternal Newborn 2.0
Newest Update
1. 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. -Answer--Selected
Option
S- Situation- 25y/o F, G1 P0 @ 27 weeks gestation. Came to the ED @ 08:00 B-
Background Reports sudden wt gain, new onset of N/V w/ blurred vision & HA. Says
she had breakfast earlier this morning but vomited soon after eating A-Assessment
VS= T37.0 P92 R22 BP 162/88 O2 sats 97% Urine protein +1 DTR's +3 Reports R
upper quadrant px, n/v & blurred vision w/ HA R=Recommendations xfer to M/N unit
Rationale
SBAR:
S = Situation: 25 year-old female, gravida 1 para 0, at 27 weeks gestation. Came to
the ED this morning at 0800.
B = Background: Reports sudden weight gain, and a new onset of nausea &
vomiting, also blurred vision and headache. Says she had breakfast earlier this
morning but that she vomited soon after eating.
A = Assessment: Vital Signs: T 37.0, P 92, R 22, BP 162/88, O2 sat 97%, urine
protein 1 +, deep tendon reflexes 3+, reports right upper quadrant pain, nausea and
vomiting and blurred vision with a headache.
R = Recommendation: transfer to maternal newborn unit.
2. Scenario
Nurse Morgan completes the admission assessment and selects the appropriate
nursing interventions.
Nurse Morgan completes an admission assessment for Ms. Klein. Based on the
assessment, which of the following is the priority nursing intervention at this time?
, insert an indwelling urinary catheter
initiate seizure precautions
monitor 1 & O
apply antiembolic stocking -Answer--Selected
Initiate seizure precautions.
Rationale
The greatest risk to the client and fetus is injury from seizures and resulting
hypoxemia. The priority intervention is to initiate seizure precautions.
3 Scenario
Nurse Morgan prepares to call Dr. Hunt and give a report. Which of the following is
the most important clinical data for Morgan to include in the SBAR report?
-elevated bp
-urine protein 1+
-epigastric pain
-absence of vaginal bleeding -Answer--Selected Option
Elevated blood pressure
Rationale
The elevated blood pressure is the priority clinical finding to include in the SBAR
report. The greatest risk to the client and her fetus is impaired tissue perfusion to the
placenta and vital organs secondary to arteriolar vasospasm.
4. Scenario
Nurse Morgan reviews prescriptions from Dr. Hunt.
Question
Nurse Morgan is reviewing prescriptions from Dr. Hunt. For which of the following
manifestations should she plan to monitor following administration of hydralazine
(Apresoline)?
polyuria
tachycardia
dry mouth
hyperglycemia -Answer--Selected Option
Tachycardia
Rationale
Following administration of hydralazine, the nurse should monitor for alterations in
blood pressure and tachycardia.
5. Scenario
Nurse Morgan is reviewing Ms. Klein's laboratory test results.
Question
Life RN Maternal Newborn 2.0
Newest Update
1. 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. -Answer--Selected
Option
S- Situation- 25y/o F, G1 P0 @ 27 weeks gestation. Came to the ED @ 08:00 B-
Background Reports sudden wt gain, new onset of N/V w/ blurred vision & HA. Says
she had breakfast earlier this morning but vomited soon after eating A-Assessment
VS= T37.0 P92 R22 BP 162/88 O2 sats 97% Urine protein +1 DTR's +3 Reports R
upper quadrant px, n/v & blurred vision w/ HA R=Recommendations xfer to M/N unit
Rationale
SBAR:
S = Situation: 25 year-old female, gravida 1 para 0, at 27 weeks gestation. Came to
the ED this morning at 0800.
B = Background: Reports sudden weight gain, and a new onset of nausea &
vomiting, also blurred vision and headache. Says she had breakfast earlier this
morning but that she vomited soon after eating.
A = Assessment: Vital Signs: T 37.0, P 92, R 22, BP 162/88, O2 sat 97%, urine
protein 1 +, deep tendon reflexes 3+, reports right upper quadrant pain, nausea and
vomiting and blurred vision with a headache.
R = Recommendation: transfer to maternal newborn unit.
2. Scenario
Nurse Morgan completes the admission assessment and selects the appropriate
nursing interventions.
Nurse Morgan completes an admission assessment for Ms. Klein. Based on the
assessment, which of the following is the priority nursing intervention at this time?
, insert an indwelling urinary catheter
initiate seizure precautions
monitor 1 & O
apply antiembolic stocking -Answer--Selected
Initiate seizure precautions.
Rationale
The greatest risk to the client and fetus is injury from seizures and resulting
hypoxemia. The priority intervention is to initiate seizure precautions.
3 Scenario
Nurse Morgan prepares to call Dr. Hunt and give a report. Which of the following is
the most important clinical data for Morgan to include in the SBAR report?
-elevated bp
-urine protein 1+
-epigastric pain
-absence of vaginal bleeding -Answer--Selected Option
Elevated blood pressure
Rationale
The elevated blood pressure is the priority clinical finding to include in the SBAR
report. The greatest risk to the client and her fetus is impaired tissue perfusion to the
placenta and vital organs secondary to arteriolar vasospasm.
4. Scenario
Nurse Morgan reviews prescriptions from Dr. Hunt.
Question
Nurse Morgan is reviewing prescriptions from Dr. Hunt. For which of the following
manifestations should she plan to monitor following administration of hydralazine
(Apresoline)?
polyuria
tachycardia
dry mouth
hyperglycemia -Answer--Selected Option
Tachycardia
Rationale
Following administration of hydralazine, the nurse should monitor for alterations in
blood pressure and tachycardia.
5. Scenario
Nurse Morgan is reviewing Ms. Klein's laboratory test results.
Question
