V-Sim Clinical Day #1
Patient Introduction
Brenda Patton is an 18-year-old Caucasian female, G1P0 at 38 2/7 weeks of gestation
admitted to the labor and birthing unit for labor assessment.
The patient states that her water may have broken earlier this morning and she thinks
she is in labor. AmniSure was positive. Vaginal exam reveals 50% effacement of cervix,
cervical dilation 4 cm, and fetus at -2 station.
The patient's boyfriend is present, and she has phoned her mother to inform her of her
admission. The provider has been notified, and prenatal records have been pulled.
The lab report indicates that the patient's group B strep vaginorectal culture taken at 36
weeks was positive. The patient wishes to have a natural birth without medication.
Admission intrapartum orders have been initiated, initial labs have been drawn, and a
saline lock has been placed in her forearm.
Readings:
1. Admission assessment and continuous fetal monitoring – Page 137
2. Inspecting amniotic fluid – Page 143
3. Group Beta Strep – Page 111
4. Pain Management during Labor – Page 166
5. Pregnant Adolescent – Page 66
Also review:
1. Diagnostic Testing: WBC and differential (hyperlink in V-Sim Course)
2. Penicillin G (hyperlink in V-Sim Course)
3. Promethazine (hyperlink in V-Sim Course)
, V-Sim Clinical Day #1
Concept Map Worksheet Activity
Patient Complaint and Pathophysiology of Disease/Condition:
Group B streptococcus is a type of bacterial infection that can be found in a pregnant woman’s vagina or rectum.
This type of bacteria is normally found in the vagina and/or rectum of about 25% of all healthy adult women. A
mother can pass this infection to her baby during delivery.
Diagnostic Tests: Anticipated Findings:
Group B strep test Patient Information: Clear water
Amnisure Brenda Patton is an 18-year- Pain
old Caucasian female, G1P0
External Fetal at 38 2/7 weeks of gestation Increased respirations
Monitoring admitted to the labor and
birthing unit for labor Increased BP
CBC w/Diff assessment.
Contractions
The patient states that her
water may have broken
earlier this morning and she
thinks she is in labor.
AmniSure was positive.
Anticipated Nursing Interventions:
Administer O2 to help with breathing
Educate patient on medications given for prevention of passing infection to baby
Use therapeutic touch
Teach breathing techniques
Assist the patient with attention focusing
Weigh pads from under patient
Patient Introduction
Brenda Patton is an 18-year-old Caucasian female, G1P0 at 38 2/7 weeks of gestation
admitted to the labor and birthing unit for labor assessment.
The patient states that her water may have broken earlier this morning and she thinks
she is in labor. AmniSure was positive. Vaginal exam reveals 50% effacement of cervix,
cervical dilation 4 cm, and fetus at -2 station.
The patient's boyfriend is present, and she has phoned her mother to inform her of her
admission. The provider has been notified, and prenatal records have been pulled.
The lab report indicates that the patient's group B strep vaginorectal culture taken at 36
weeks was positive. The patient wishes to have a natural birth without medication.
Admission intrapartum orders have been initiated, initial labs have been drawn, and a
saline lock has been placed in her forearm.
Readings:
1. Admission assessment and continuous fetal monitoring – Page 137
2. Inspecting amniotic fluid – Page 143
3. Group Beta Strep – Page 111
4. Pain Management during Labor – Page 166
5. Pregnant Adolescent – Page 66
Also review:
1. Diagnostic Testing: WBC and differential (hyperlink in V-Sim Course)
2. Penicillin G (hyperlink in V-Sim Course)
3. Promethazine (hyperlink in V-Sim Course)
, V-Sim Clinical Day #1
Concept Map Worksheet Activity
Patient Complaint and Pathophysiology of Disease/Condition:
Group B streptococcus is a type of bacterial infection that can be found in a pregnant woman’s vagina or rectum.
This type of bacteria is normally found in the vagina and/or rectum of about 25% of all healthy adult women. A
mother can pass this infection to her baby during delivery.
Diagnostic Tests: Anticipated Findings:
Group B strep test Patient Information: Clear water
Amnisure Brenda Patton is an 18-year- Pain
old Caucasian female, G1P0
External Fetal at 38 2/7 weeks of gestation Increased respirations
Monitoring admitted to the labor and
birthing unit for labor Increased BP
CBC w/Diff assessment.
Contractions
The patient states that her
water may have broken
earlier this morning and she
thinks she is in labor.
AmniSure was positive.
Anticipated Nursing Interventions:
Administer O2 to help with breathing
Educate patient on medications given for prevention of passing infection to baby
Use therapeutic touch
Teach breathing techniques
Assist the patient with attention focusing
Weigh pads from under patient
