Preeclampsia Simulation:Real Life RN
Maternal Newborn 2.0
Nurse Alex is reviewing the EMRs in preparation to trader 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).
- S: Ms. Kline is a 25 year old female that is 27 weeks gestation. She is G1, P0 she came into the ED this
morning. B: Ms. Kline reports sudden wt gain and a new onset of N/V, also with blurred vision and
headache. Says she had breakfast earlier this morning but states she vomitied soon after eating. A: VS-
BP 162/88, HR 92, RR 22, Temp 37, O2 97%, urine protein 1+, deep tendon reflexes 3+, reports right
upper quadrant pain, N/V and blurred vision with a headache. R: transfer to Maternal newborn unit
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?
- initiate seizure precautions
Nurse Morgan prepares to call Dr. Hunt and give report. Which of the following is the most important
clinical data for Morgan to include in the SBAR report?
- Elevated BP
Nurse Morgan is reviewing prescription for Dr. Hunt, For which of the following manifestations should
she plan to monitor following administration of hydralazine (Apresoline)?
- Tachycardia
Nurse Morgan is reviewing Ms. Klein's lab test result. Which of the following findings should Morgan
discuss with Ms. Klein regarding her worsening condition?
- increased proteinuria
Nurse Morgan is preparing to administer hydralazine (Apresoline) 5 mg IV bolus. Available is hydralazine
20 mg/mL. How many mL should Morgan administer? (Round the answer to the nearest hundredth.)
Maternal Newborn 2.0
Nurse Alex is reviewing the EMRs in preparation to trader 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).
- S: Ms. Kline is a 25 year old female that is 27 weeks gestation. She is G1, P0 she came into the ED this
morning. B: Ms. Kline reports sudden wt gain and a new onset of N/V, also with blurred vision and
headache. Says she had breakfast earlier this morning but states she vomitied soon after eating. A: VS-
BP 162/88, HR 92, RR 22, Temp 37, O2 97%, urine protein 1+, deep tendon reflexes 3+, reports right
upper quadrant pain, N/V and blurred vision with a headache. R: transfer to Maternal newborn unit
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?
- initiate seizure precautions
Nurse Morgan prepares to call Dr. Hunt and give report. Which of the following is the most important
clinical data for Morgan to include in the SBAR report?
- Elevated BP
Nurse Morgan is reviewing prescription for Dr. Hunt, For which of the following manifestations should
she plan to monitor following administration of hydralazine (Apresoline)?
- Tachycardia
Nurse Morgan is reviewing Ms. Klein's lab test result. Which of the following findings should Morgan
discuss with Ms. Klein regarding her worsening condition?
- increased proteinuria
Nurse Morgan is preparing to administer hydralazine (Apresoline) 5 mg IV bolus. Available is hydralazine
20 mg/mL. How many mL should Morgan administer? (Round the answer to the nearest hundredth.)
