Swift River Maternal-Newborn Test Questions with 100% Verified Answers
Graded A+
Reason for admission:
22-year-old Muslim female, G1 T0 P0
A0 L0, 39 5/7 weeks gestation. NKDA.
Pregnancy uncomplicated. Woke up ear-
ly morning feeling wet; wasn't sure if
leaking urine or membranes ruptured.
Has continued to stay wet and needed to
wear a pad for the last 4 hours. No con-
tractions or vaginal bleeding. Her hus-
band, Mohammad, is with her. He is at- Educational Needs
tending his first year of medical school at Fall Risk
the University and both are in the United Health Change
States on VISAs. He called the obstetrics Physiological Needs
office and the certified nurse midwife told
them to come to the hospital for eval-
uation and possible induction of labor.
Aminiah looks to her husband to answer
questions. He reads English fluently but
both Aminiah and her husband struggle
to speak and understand English conver-
sation. Both appear nervous and have a
lot of questions about an induction.
Carly Madison: Room 302
Reason for admission:
30 y/o G1P0 who was admitted 4 hours
ago in labor. Her cervical exam on admit
revealed: 4 cm, 70%, fetal vertex at -1,
slight bloody show, leaking membranes.
She doesn't remember when the leaking Educational Needs
began. Contractions on admit were q 5 Pain Level
minutes x 45 seconds. Mrs. Madison re- Physiological Needs
ported a pain level at 4/10. She and her
husband have been to a Lamaze Pre-
pared Childbirth series and their Birth
Plan includes the desire for a non-med-
icated labor and birth. She and her
husband have been doing Slow-Chest
breathing and conscious relaxation tech-
, Swift River Maternal-Newborn Test Questions with 100% Verified Answers
Graded A+
niques since admission. She is NPO oth-
er than ice chips; she has no IV at this
point. Vital signs - BP 124/70, P 80, R 20,
FHR is reassuring with a 136 BPM base-
line with moderate variability no deceler-
ations and +accelerations (Category 1).
She is ambulating in her room with a
portable maternal-fetal monitor applied.
She puts her call light on and ask to see
a nurse stating, "how much longer is this
going to be? I am getting really tired."
Cindy Mason: Room 303
Reason for admission:
28 y/o G2P1 at 40 weeks gestation. She
and her husband present to OB Triage
with complaint of early labor. Her pre-
natal history indicates an uncomplicat-
ed first pregnancy with a spontaneous
vaginal delivery. Her current pregnancy
Educational Needs
has also been uncomplicated with no
Fall Risk
risk factors identified. She and her hus-
Health Change
band have attended Lamaze Prepared
Pain Level
Childbirth classes and their Birth Plan
Psychological Needs
indicates a desire for an unmedicated
labor and birth and breastfeeding. Mrs.
Mason states her contractions are oc-
curring every 4 minutes and lasting 60
seconds. She is using slow-chest breath-
ing and rates her pain at 4/10. She also
reports leaking clear fluid from her vagi-
na. She believes the leaking began about
two hours ago.
Clara Guidry: Room 304
Reason for admission:
Patient is a 34 y/o G5P4 who gave birth
to a 9lb. 3 oz male infant following a
, Swift River Maternal-Newborn Test Questions with 100% Verified Answers
Graded A+
12-hour elective oxytocin induction of la-
bor. She had an uncomplicated labor,
epidural anesthesia and a rapid second
stage, no episiotomy or perineal lacer-
ations. Indwelling urinary catheter was
removed prior to delivery. She is now
one hour postpartum and is breastfeed-
ing her baby. An IV of 1000 mL Lac-
tated Ringers is infusing at KVO rate Educational Needs
with an infusion of Lactated Ringers with Fall Risk
oxytocin 20 Units infusing IVPB at 125 Health Change
mL/hour. Upon entering her room, she Psychological Needs
tells you that she "feels wet", and may Sensorium
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 com-
plains of feeling light-headed. Her hus-
band is at her bedside.
Higher numbered acuities are at most
risk:
Clara Guidry, Acuity 3, room 304
Acute pain
Patient is a 34 y/o G5P4 who gave birth
Bleeding
to a 9lb. 3 oz male infant following a
Deficient fluid volume related to uterine
12-hour elective oxytocin induction of la-
atony/postpartum hemorrhage
bor. She had an uncomplicated labor,
Impaired mobility
epidural anesthesia and a rapid second
Impaired patterns of elimination
stage, no episiotomy or perineal lacer-
Ineffective tissue perfusion related to hy-
ations. Indwelling urinary catheter was
povolemia
removed prior to delivery. She is now
Deficient knowledge
one hour postpartum and is breastfeed-
ing her baby. An IV of 1000 mL Lac-
tated Ringers is infusing at KVO rate
with an infusion of Lactated Ringers with
oxytocin 20 Units infusing IVPB at 125
Graded A+
Reason for admission:
22-year-old Muslim female, G1 T0 P0
A0 L0, 39 5/7 weeks gestation. NKDA.
Pregnancy uncomplicated. Woke up ear-
ly morning feeling wet; wasn't sure if
leaking urine or membranes ruptured.
Has continued to stay wet and needed to
wear a pad for the last 4 hours. No con-
tractions or vaginal bleeding. Her hus-
band, Mohammad, is with her. He is at- Educational Needs
tending his first year of medical school at Fall Risk
the University and both are in the United Health Change
States on VISAs. He called the obstetrics Physiological Needs
office and the certified nurse midwife told
them to come to the hospital for eval-
uation and possible induction of labor.
Aminiah looks to her husband to answer
questions. He reads English fluently but
both Aminiah and her husband struggle
to speak and understand English conver-
sation. Both appear nervous and have a
lot of questions about an induction.
Carly Madison: Room 302
Reason for admission:
30 y/o G1P0 who was admitted 4 hours
ago in labor. Her cervical exam on admit
revealed: 4 cm, 70%, fetal vertex at -1,
slight bloody show, leaking membranes.
She doesn't remember when the leaking Educational Needs
began. Contractions on admit were q 5 Pain Level
minutes x 45 seconds. Mrs. Madison re- Physiological Needs
ported a pain level at 4/10. She and her
husband have been to a Lamaze Pre-
pared Childbirth series and their Birth
Plan includes the desire for a non-med-
icated labor and birth. She and her
husband have been doing Slow-Chest
breathing and conscious relaxation tech-
, Swift River Maternal-Newborn Test Questions with 100% Verified Answers
Graded A+
niques since admission. She is NPO oth-
er than ice chips; she has no IV at this
point. Vital signs - BP 124/70, P 80, R 20,
FHR is reassuring with a 136 BPM base-
line with moderate variability no deceler-
ations and +accelerations (Category 1).
She is ambulating in her room with a
portable maternal-fetal monitor applied.
She puts her call light on and ask to see
a nurse stating, "how much longer is this
going to be? I am getting really tired."
Cindy Mason: Room 303
Reason for admission:
28 y/o G2P1 at 40 weeks gestation. She
and her husband present to OB Triage
with complaint of early labor. Her pre-
natal history indicates an uncomplicat-
ed first pregnancy with a spontaneous
vaginal delivery. Her current pregnancy
Educational Needs
has also been uncomplicated with no
Fall Risk
risk factors identified. She and her hus-
Health Change
band have attended Lamaze Prepared
Pain Level
Childbirth classes and their Birth Plan
Psychological Needs
indicates a desire for an unmedicated
labor and birth and breastfeeding. Mrs.
Mason states her contractions are oc-
curring every 4 minutes and lasting 60
seconds. She is using slow-chest breath-
ing and rates her pain at 4/10. She also
reports leaking clear fluid from her vagi-
na. She believes the leaking began about
two hours ago.
Clara Guidry: Room 304
Reason for admission:
Patient is a 34 y/o G5P4 who gave birth
to a 9lb. 3 oz male infant following a
, Swift River Maternal-Newborn Test Questions with 100% Verified Answers
Graded A+
12-hour elective oxytocin induction of la-
bor. She had an uncomplicated labor,
epidural anesthesia and a rapid second
stage, no episiotomy or perineal lacer-
ations. Indwelling urinary catheter was
removed prior to delivery. She is now
one hour postpartum and is breastfeed-
ing her baby. An IV of 1000 mL Lac-
tated Ringers is infusing at KVO rate Educational Needs
with an infusion of Lactated Ringers with Fall Risk
oxytocin 20 Units infusing IVPB at 125 Health Change
mL/hour. Upon entering her room, she Psychological Needs
tells you that she "feels wet", and may Sensorium
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 com-
plains of feeling light-headed. Her hus-
band is at her bedside.
Higher numbered acuities are at most
risk:
Clara Guidry, Acuity 3, room 304
Acute pain
Patient is a 34 y/o G5P4 who gave birth
Bleeding
to a 9lb. 3 oz male infant following a
Deficient fluid volume related to uterine
12-hour elective oxytocin induction of la-
atony/postpartum hemorrhage
bor. She had an uncomplicated labor,
Impaired mobility
epidural anesthesia and a rapid second
Impaired patterns of elimination
stage, no episiotomy or perineal lacer-
Ineffective tissue perfusion related to hy-
ations. Indwelling urinary catheter was
povolemia
removed prior to delivery. She is now
Deficient knowledge
one hour postpartum and is breastfeed-
ing her baby. An IV of 1000 mL Lac-
tated Ringers is infusing at KVO rate
with an infusion of Lactated Ringers with
oxytocin 20 Units infusing IVPB at 125
