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NUR 4130 shadow health uncomplicated delivery Daanis lafontaine, Exams of Health sciences

NUR 4130 shadow health uncomplicated delivery Daanis lafontaine

Typology: Exams

2021/2022

Available from 11/24/2022

nathandoctor
nathandoctor 🇺🇸

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Patient Status
shadow health uncomplicated delivery.
Category
Scored
Items
Experts selected these topics as essential components of a strong, thorough
interview
with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The
following details are facts of the patient's case.
Finding:
Asked about patient's status
Finding:
Reports feeling alright
(Found)
Pro Tip: At the start of your conversation, check in with a patient about
their current feelings so you can immediately build rapport through
empathetic communication.
Example Question:
How are you feeling?
Finding:
Asked about patient's needs
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Patient Status

Category Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case.

Finding:

Asked about patient's status

Finding:

Reports feeling alright

(Found)

Pro Tip: At the start of your conversation, check in with a patient about their current feelings so you can immediately build rapport through empathetic communication.

Example Question:

How are you feeling?

Finding:

Asked about patient's needs

Finding:

Denies needing anything

(Found)

Pro Tip: At the start of your conversation, check in with a patient about their current feelings so you can immediately build rapport through empathetic communication.

Example Question:

Do you need anything?

Finding:

Asked about feelings towards pregnancy or delivery

Finding:

Reports nervousness

(Found)

Pro Tip: At the start of your conversation, check in with a patient about their current feelings so you can immediately build rapport through empathetic communication.

Example Question:

How are you feeling about giving birth?

Finding:

Reports excitement over being a mom

(Available)

Finding:

Followed up on pain

Finding:

Reports feeling contractions low in her groin

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

Where is the pain from your contractions?

Finding:

Reports 6/10 pain during contractions

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

How would you rate the pain during contractions?

Finding:

Asked about relieving factors

Finding:

Reports walking helped alleviate pain

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

Does anything help your pain?

Finding:

Reports walking stopped being effective for pain relief 15 minutes prior

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

Does walking still help your pain?

Finding:

Asked about current position

Finding:

Reports current position is acceptable

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

How is the position you're in?

Reports contractions began 5 hours ago

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

When did the contractions begin?

Finding:

Reports not being sure how long contractions last

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

How long do the contractions last?

Finding:

Asked how long she has been in labor

Finding:

Reports labor started 5 hours prior

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

How long have you been in labor?

Finding:

Asked if water has broken

Finding:

Reports concern that water has not broken

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

Has your water broken?

Finding:

Asked about pregnancy timeline

Finding:

Reports being 39 weeks into pregnancy

(Found)

Pro Tip: Ask a patient about their comfort and any symptoms, so that you can determine the nature of their condition and where follow-up is needed.

Example Question:

How far along are you?

Finding:

Reports due date was projected for 5 days from now

Past Medical History

Pro Tip: Asking a patient about their health and health maintenance throughout their pregnancy can inform you of their readiness for delivery and any problems to look out for.

Example Question:

Why did your prenatal visits start late?

Finding:

Reports waiting until after older sister's wedding to disclose pregnancy

(Found)

Pro Tip: Asking a patient about their health and health maintenance throughout their pregnancy can inform you of their readiness for delivery and any problems to look out for.

Example Question:

Why did your prenatal visits start late?

Finding:

Asked about pregnancy complications

Finding:

Denies complications

(Found)

Pro Tip: Asking a patient about their health and health maintenance throughout their pregnancy can inform you of their readiness for delivery and any problems to look out for.

Example Question:

Have you had any complications with your pregnancy?

Finding:

Asked about preexisting conditions

Finding:

Denies preexisting conditions

(Found)

Pro Tip: Asking patients about their past medical history can help contextualize their current illness and inform you of health considerations that need to be made for this visit.

Example Question:

Do you have any medical conditions?

Finding:

Asked about allergies

Finding:

Denies allergies

(Found)

Pro Tip: Asking patients about their past medical history can help contextualize their current illness and inform you of health considerations that need to be made for this visit.

Example Question:

Do you have any allergies?

Finding:

Reports more family members will arrive soon

(Available)

Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient all of these diverse questions to understand how a patient's behaviors are affecting their health.

Example Question:

Do you have more family coming?

Finding:

Asked about substance use

Finding:

Reports drinking once before she knew she was pregnant

(Found)

Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient all of these diverse questions to understand how a patient's behaviors are affecting their health.

Example Question:

Have you drank alcohol while pregnant?

Finding:

Denies tobacco use

(Found)

Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient all of these diverse questions to understand how a patient's behaviors are affecting their health.

Example Question:

Have you used tobacco while pregnant?

Finding:

Asked about education

Finding:

Reports recently graduating from high school

(Found)

Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient all of these diverse questions to understand how a patient's behaviors are affecting their health.

Example Question:

What education have you received?

Finding:

Reports planning to start online college classes soon

(Found)

Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient all of these diverse questions to understand how a patient's behaviors are affecting their health.

Example Question:

Do you have plans to go to college?

Finding:

Review of Systems

Asked about home medications

Finding:

Reports taking prenatal vitamins

(Found)

Pro Tip: Asking a patient what medications they take at home can help you understand their health, what requires medication, and how different prescription affect symptoms differently.

Example Question:

Do you take any medications?

Finding:

Asked about review of gastrointestinal system

Finding:

Reports last bowel movement was early in labor

(Available)

Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others.

Example Question:

Have you had a bowel movement since labor began?

Finding:

Finding:

Denies cardiovascular symptoms Denies hemorrhoids

(Found)

Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others.

Example Question:

Have you gotten hemorrhoids?

Finding:

Asked about review of urinary system

Finding:

Denies needing to urinate

(Available)

Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others.

Example Question:

Do you need to urinate currently?

Finding:

Asked about review of cardiovascular system

Assessed Labs 1 of 1 point Temperature (1/5 point)

  • Normothermic
  • Hyperthermic
  • Hypothermic Heart Rate (1/5 point)
  • Normal
  • Tachycardic
  • Bradycardic Respiratory Rate (1/5 point)
  • Normal
  • Tachypnea
  • Bradypnea O2 Saturation (1/5 point)
  • Normal
  • Hypoxemia Blood Pressure (1/5 point)
  • Normotensive
  • Hypertensive
  • Hypotensive Blood Type (1/5 point)
  • O+
  • O-
  • A+
  • A-
  • B+
  • B-
  • AB+
  • AB- Std Test (1/5 point) Assessed Vitals 1 of 1 point

Assessed IV Site 1 of 1 point Inspected Abdomen 1 of 1 point

Test does not indicate presence of syphilis or HIV

  • Test indicates presence of syphilis but not HIV
  • Test indicates presence of HIV but not syphilis
  • Test indicates presence of HIV and syphilis Drug Screening (1/5 point)
  • Negative for substances
  • Positive for substances Complete Blood Count (Cbc) (1/5 point)
  • No abnormal levels present
  • Abnormal levels present Group B Strep Test (See Prenatal Review) (1/5 point)
  • Negative for Group B Strep
  • Positive for Group B Strep Insertion Site (1/2 point)
  • No visible abnormal signs
  • Erythema
  • Infiltration Dressing (1/2 point)
  • Dry and intact
  • Wet dressing Symmetry (1/2 point)
  • Symmetric
  • Asymmetric Appearance (1/2 point)
  • No visible abnormalities
  • Rash
  • Bulging around umbilicus
  • Distension