Shadow Health For Amber Rhoades Ob Triage Focused Exam
Documentation / Electronic Health Record 2025-2026 Updated
Solutions
BSN 346 - Concepts of Nursing III - January 2025, 20251bsn34606
Return to Assignment (/assignments/1125578/)
Your Results Lab Pass (/assignment_attempts/18681522/lab_pass.pdf)
Overview
Documentation / Electronic Health Record
Transcript
Subjective Data Collection Documentation Flowsheets Prenatal Review
Objective Data Collection
Documentation
Education & Empathy
Documentation Student Documentation Model Documentation
Care Plan
Ms. Amber Rhodes is a 35-year-old female who is 32
Lab Evaluation weeks pregnant with her first child. She presents to the
hospital with headache, blurred vision, nausea, and lower
SBAR extremity edema. Her symptoms started yesterday and
Subjective continued to worsen this morning.
Self Reflection
(No Documentation Made) She has had prenatal care and denies use of alcohol,
tobacco, or recreational drugs during her pregnancy. She
Student Survey has a history of depression and is prescribed sertraline but
stopped taking it when she found out she was pregnant.
She is taking prenatal vitamins but reports missing some
doses.
Ms. Rhodes has significant bilateral lower extremity edema
that started yesterday. Fetal heart rate is within normal
range. Leopold’s maneuver showed that the fetus has a
vertex presentation in a posterior position. Her vital signs
Objective
are as follows: BP 164/104, HR 96, RR 18, O2 saturation
98% on room air, and temperature 37 degrees Celsius.
(No Documentation Made)
Breath sounds were clear in all areas with no adventitious
sounds. Heart sounds had regular rate and rhythm, with S1
and S2 audible and no extra sounds present. Deep tendon
reflexes are hyperactive.
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
Documentation / Electronic Health Record 2025-2026 Updated
Solutions
BSN 346 - Concepts of Nursing III - January 2025, 20251bsn34606
Return to Assignment (/assignments/1125578/)
Your Results Lab Pass (/assignment_attempts/18681522/lab_pass.pdf)
Overview
Documentation / Electronic Health Record
Transcript
Subjective Data Collection Documentation Flowsheets Prenatal Review
Objective Data Collection
Documentation
Education & Empathy
Documentation Student Documentation Model Documentation
Care Plan
Ms. Amber Rhodes is a 35-year-old female who is 32
Lab Evaluation weeks pregnant with her first child. She presents to the
hospital with headache, blurred vision, nausea, and lower
SBAR extremity edema. Her symptoms started yesterday and
Subjective continued to worsen this morning.
Self Reflection
(No Documentation Made) She has had prenatal care and denies use of alcohol,
tobacco, or recreational drugs during her pregnancy. She
Student Survey has a history of depression and is prescribed sertraline but
stopped taking it when she found out she was pregnant.
She is taking prenatal vitamins but reports missing some
doses.
Ms. Rhodes has significant bilateral lower extremity edema
that started yesterday. Fetal heart rate is within normal
range. Leopold’s maneuver showed that the fetus has a
vertex presentation in a posterior position. Her vital signs
Objective
are as follows: BP 164/104, HR 96, RR 18, O2 saturation
98% on room air, and temperature 37 degrees Celsius.
(No Documentation Made)
Breath sounds were clear in all areas with no adventitious
sounds. Heart sounds had regular rate and rhythm, with S1
and S2 audible and no extra sounds present. Deep tendon
reflexes are hyperactive.
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
