Essentials of Maternity, Newborn, and Women’s Health Nursing 2025

Chapter 16: Nursing Management During the Postpartum Period 1. You are caring for Bonnie, age 42, who has just undergone a cesarean birth for her first baby. You are responsible for monitoring her condition during recovery and for teaching her how to take care of herself and her baby. (Learning Objectives 2, 3, 4, 5, and 7) 1A. You note that Bonnie has a positive Homans’ sign in the left leg. What are the risk factors for thromboembolic disorders, and how will you determine if she has a DVT? If Bonnie has a DVT, what else is she at risk for? 1B. Bonnie is ready for discharge and asks you about bleeding, perineal care, and what she should eat while breast-feeding. What are you going to teach her? 1C. Bonnie, the baby, and Bonnie’s husband are following up for newborn care. What nursing interventions should be included to promote parental role adaptation and parent–newborn attachment? 2. You have just received report on the following patient. Hannah G1P1 gave birth vaginally two days ago to a baby girl. She had a midline episiotomy and has protruding hemorrhoids. Hannah is rubella negative and has A– blood type and her daughter is O+. Hannah is breast-feeding her daughter. Hannah is expected to be discharged to home later this afternoon. (Learning Objectives 6 and 8) 2A. Describe the nursing management for Hannah and her family during the postpartum time period. 2B. Hannah and Justin are preparing for discharge. What areas of health education are needed for discharge planning, home care, and follow-up visits for Hannah and her baby girl? Chapter 17: Newborn Transitioning 1. Sarah works in the labor and delivery unit as a transition nurse. Her department has instituted a new bedside transition period where newborns make the transition to extrauterine life in their mother’s recovery room about an hour after birth. Sarah’s next assignment is a new baby boy with Apgar scores of 8 and 9, born by cesarean about 1 hour ago to Lindsay, a 28-year-old G1. Sarah’s assessment findings of the new baby boy are: Vital signs: axillary temperature 37.0° C, heart rate 145, respiratory rate 75 Observations: color pink, respirations rapid and unlabored, good muscle tone, good arm and leg movement Auscultation: breath sounds clear and equal bilaterally, strong heart sounds with a soft murmur, active bowel sounds in all four quadrants Physical assessment: fontanels soft and flat, eyes clear with red reflex in both, ears normal shape and placement, soft and hard palate intact, strong suck, both nares patent, capillary refill less than 2 seconds, both testes descended Measurements: weight 8 pounds 6 ounces, length 20 inches, head circumference 36.2 cm, chest circumference 36.0 cm As Sarah is charting her findings, Lindsay asks Sarah if everything is OK with her baby. (Learning Objectives 2, 3, and 4) Which assessment findings for this newborn are abnormal? What is the most likely cause of these abnormal findings? How would Sarah explain these abnormal findings to Lindsay? Describe the nursing interventions that Sarah would implement based on these findings. 2. Baby girl Destiny was born by cesarean delivery 2 days ago. Destiny weighed 7 pounds 3 ounces, length 19 inches, head circumference 34 cm, chest circumference 34 cm. Her newborn course has been unremarkable. You observe that when held, Destiny appears alert and stares into her caregiver’s face. Destiny appears to be a content baby and cries only when she is hungry or when she needs a diaper change. When hungry, you observe that she brings her hand to her mouth and starts sucking on her fist and then begins to cry. Destiny falls asleep immediately after the feeding. The telephone, which is next to Destiny on her mother’s bed, rings loudly and Destiny does not appear to respond to the loud sound by moving her extremities or awakening briefly. (Learning Objective 5) Based on your observations of Destiny, are her behaviors normal? Which of the five typical behavioral responses were observed? Does Destiny exhibit any behaviors that may be cause for concern? What is the concern and what might you as the nurse do to assess further?

Nursing Assignment Help 2025

Evidence based #4 Remote Collaboration and Evidence-Based Care 2025

Create a 4-6 page paper with you , as a presenter, in which you will propose an evidence-based plan to improve the outcomes for a patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care. As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision. Reflect on which evidence was most relevant and useful when making decisions regarding the care plan. Competency 3: Apply an evidence-based practice model to address a practice issue. Explain the ways in which an EBP model was used to help develop the care plan. Competency 4: Plan care based on the best available evidence. Propose an evidence-based care plan to improve the safety and outcomes for a patient. Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence. Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team. Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style. Professional Context Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care. Scenario The Vila Health: Remote Collaboration on Evidence-Based Care simulation provide the context for this assessment. Instructions Before beginning this assessment, make sure you have worked through the following media: Vila Health: Remote Collaboration on Evidence-Based Care Please find attached word document with Villa Health Scenario For this assessment, you are a presenter! You will create a 5–10-minute video using Kaltura or similar software. In the video: Propose an evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario. Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decision about the plan you proposed Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario. Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Important : You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment. Exemplar Kaltura Reflection . Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different. Make sure that your video addresses the following grading criteria: Propose an evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario. Explain the ways in which an EBP model was used to help develop the care plan. Reflect on which evidence was most relevant and useful when making decisions regarding the care plan. Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team. Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style. Additional Requirements Your assessment should meet the following requirements: Length of video : 5–10 minutes. References : Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements. APA reference page : Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style.

Nursing Assignment Help 2025