Maternity Case 2: Brenda Patton - vSim for
Nursing
1. The nurse is providing education to a patient about group B streptococcus (GBS) during a prenatal visit. This
education session would include which statement from the following choices?: Between 35 and 37 weeks' gestation,
GBS screening is done to detect this bacteria.
2. What are the possible complications that a newborn can acquire from the mother with a positive GBS status
during the birthing process?: Pneumonia, sepsis, meningitis.
3. The nurse is carrying out a provider's order to administer an antibiotic by intravenous secondary infusion. In
what order would the nurse complete the steps below?: 1.) Verify the provider's order
2.) Check the patient's allergy status
3.) Confirm patient identity with two identifiers
4.) Explain the procedure to the patient
5.) Assess the patient's IV site
6.) Check the rights of medication administration
4. A laboring woman with a positive GBS status was admitted to the hospital with ruptured fetal membranes.
What maternal temperature reading would be reported to the primary healthcare provider?: 100.8 F
5. A patient is admitted in active labor, and she has a right occipitoanterior (ROA) presentation. The nurse is
applying the external fetal monitor. Where does the nurse place the fetal ultrasound transducer?: Right lower
quadrant.
6. A patient with ruptured fetal membranes has been in labor for several hours. What signs and symptoms of
intrapartum infection would the nurse report to the primary medical provider?: Cloudy, foul-smelling vaginal
discharge. Fetal heart rate at 168 bpm.
7. A primigravida is admitted to labor and delivery. A review of her prena- tal records revealed a
urinanalysis with a negative WBC count, RBC count, leukoesterase, and nitrates, and positive glucose and
ketones; a serology
report that was positive for hepatitis B surface antigens; and a microbiology report positive for GBS. For which of
the following reasons would the nurse initiate intrapartum prophylaxis antibiotics?: Positive GBS culture.
8. What range is considered a normal baseline FHR?: 110 to 160 bpm
9. In what stage and phase of labor is a woman experiencing contractions every 5-10 minutes and with a
vaginal examination of 2cm dilation, 50% effacement, and -2 station?: First stage, latent phase
10.The nurse needs to administer an IV dose of Pencillin G potassium to a laboring woman. This client has a
peripheral IV lock. Which of the following is the safest method to give this dose of medication?: Check IV for
patency
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3
Nursing
1. The nurse is providing education to a patient about group B streptococcus (GBS) during a prenatal visit. This
education session would include which statement from the following choices?: Between 35 and 37 weeks' gestation,
GBS screening is done to detect this bacteria.
2. What are the possible complications that a newborn can acquire from the mother with a positive GBS status
during the birthing process?: Pneumonia, sepsis, meningitis.
3. The nurse is carrying out a provider's order to administer an antibiotic by intravenous secondary infusion. In
what order would the nurse complete the steps below?: 1.) Verify the provider's order
2.) Check the patient's allergy status
3.) Confirm patient identity with two identifiers
4.) Explain the procedure to the patient
5.) Assess the patient's IV site
6.) Check the rights of medication administration
4. A laboring woman with a positive GBS status was admitted to the hospital with ruptured fetal membranes.
What maternal temperature reading would be reported to the primary healthcare provider?: 100.8 F
5. A patient is admitted in active labor, and she has a right occipitoanterior (ROA) presentation. The nurse is
applying the external fetal monitor. Where does the nurse place the fetal ultrasound transducer?: Right lower
quadrant.
6. A patient with ruptured fetal membranes has been in labor for several hours. What signs and symptoms of
intrapartum infection would the nurse report to the primary medical provider?: Cloudy, foul-smelling vaginal
discharge. Fetal heart rate at 168 bpm.
7. A primigravida is admitted to labor and delivery. A review of her prena- tal records revealed a
urinanalysis with a negative WBC count, RBC count, leukoesterase, and nitrates, and positive glucose and
ketones; a serology
report that was positive for hepatitis B surface antigens; and a microbiology report positive for GBS. For which of
the following reasons would the nurse initiate intrapartum prophylaxis antibiotics?: Positive GBS culture.
8. What range is considered a normal baseline FHR?: 110 to 160 bpm
9. In what stage and phase of labor is a woman experiencing contractions every 5-10 minutes and with a
vaginal examination of 2cm dilation, 50% effacement, and -2 station?: First stage, latent phase
10.The nurse needs to administer an IV dose of Pencillin G potassium to a laboring woman. This client has a
peripheral IV lock. Which of the following is the safest method to give this dose of medication?: Check IV for
patency
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