vSim Maternity Scenario Clara Guidry Room 301 ALL ANSWERS 100% CORRECT GUARANTEE GRADE A+

Clara Guidry, Patient is a 34 y/o G5P4 who gave birth to a 9lb. 3 oz male infant following a 12-hour elective oxytocin induction of labor. She had an uncomplicated labor, epidural anesthesia and a rapid second stage, no episiotomy or perineal lacerations. Indwelling urinary catheter was removed prior to delivery. She is now one hour postpartum and is breastfeeding her baby. An IV of 1000 mL Lactated Ringers is infusing at KVO rate with an infusion of Lactated Ringers with oxytocin 20 Units infusing IVPB at 125 mL/hour. Upon entering her room, she tells you that she “feels wet”, and may have urinated on herself since she is still numb from the epidural and unable to move legs. Your assessment reveals blood pooling under buttocks onto the underpads with numerous large clots. She is anxious, appears pale, and complains of feeling light-headed. Her husband is at her bedside. You responded correctly to 3 out of 6 evaluations: Category Your response Explanation -Educational Needs Increased acuity Status assessment reports uterine atony and bleeding and need for fundal massage. -Fall Risk Increased acuity Status assessment reports patient is still numb from epidural and unable to move legs. -Health Change Increased acuity Status assessment reports pooling of blood with large clots. -Pain Level Normal acuity Status assessment does not indicate report of pain and patient is still under effects of epidural anesthesia. -Psychological Needs Increased acuity Status assessment reports pooling of blood, patient reports feeling light-headed, appears pale, indwelling urinary catheter removed and patient unable to sense need to void. -Sensorium Increased acuity Status assessment reports patient reporting feeling light-headed and still numb from epidural and is feeling anxious. Clara Guidry Patient is a 34 y/o G5P4 who gave birth to a 9lb. 3 oz male infant following a 12-hour elective oxytocin induction of labor. She had an uncomplicated labor, epidural anesthesia and a rapid second stage, no episiotomy or perineal lacerations. Indwelling urinary catheter was removed prior to delivery. She is now one hour postpartum and is breastfeeding her