Included In This Lesson

Outline

Outline

A 27-year-old female who is 40 weeks and 2 days pregnant, with contractions occurring once every 10 minutes. The patient is checked in, vital signs are normal, fetal heart tones are normal and the mother and father to-be are settled into their room for the night. It is 4 am and the call light goes off. The patient reports she is feeling contractions every 2 minutes now and she thinks her water may have broken.

Critical Thinking Check

Bloom's Taxonomy: Application

How can the nurse find out if the patients water has broken?

View Answer

Critical Thinking Check

Bloom's Taxonomy: Comprehension

What color should the test be if the membranes have ruptured?

View Answer

The nurse prepares to test the fluid that has leaked down the patients’ leg. The test comes back positive for amniotic fluid. The nurse informs the doctor and prepares the patient to deliver.

Critical Thinking Check

Bloom's Taxonomy: Application

What is the most important thing to have ready at this time?

View Answer

The nurse is prepared for the delivery and is talking the mother through her breathing, the cervix is dilated to 7 cm and the contractions are now 1 minute apart.

Vital signs are as follows:

RR 30 bpm

HR 125 bpm

BP 110/67 mmHg

Fetal HR 133 bpm

The nurse checks the presentation of the baby and notes the baby head is in the vertex position, the bottom is in the frank position and baby is in the -1 station.

Critical Thinking Check

Bloom's Taxonomy: Comprehension

What station number means the baby is starting to come out?

View Answer

Critical Thinking Check

Bloom's Taxonomy: Comprehension

What cardinal movement is the baby currently in?

View Answer

The nurse monitors mom and baby for another hour and upon re-checking the position of the baby the nurse notes that the baby is now +1 station and the cardinal movement is descent and flexion.

Critical Thinking Check

Bloom's Taxonomy: Application

What does the nurse need to make sure has happened?

View Answer

As the baby is delivered the occiput is facing the right side of the pelvis and towards the front.

Critical Thinking Check

Bloom's Taxonomy: Comprehension

What position is the newborn in at delivery?

View Answer

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Related Lesson

06.01 Process of Labor

Nursing Case Studies

Course Description

Jon Haws, BS, BSN, RN, CCRN Alumnus

Miriam Wahrman, MSN/Ed, RNC-MNN

Chance Reaves, MSN-Ed, RN

Abby Rose, BSN, RN

This nursing case study course is designed to help nursing students build critical thinking. Each case study was written by experienced nurses with first hand knowledge of the “real-world” disease process. To help you increase your nursing clinical judgement (critical thinking), each unfolding nursing case study includes answers laid out by Blooms Taxonomy to help you see that you are progressing to clinical analysis.We encourage you to read the case study and really through the “critical thinking checks” as this is where the real learning occurs. If you get tripped up by a specific question, no worries, just dig into an associated lesson on the topic and reinforce your understanding. In the end, that is what nursing case studies are all about – growing in your clinical judgement.

Module Nursing Case Studies Introduction

Nursing Case Study Introduction

Module Cardiac Nursing Case Studies

Myocardial Infarction (MI) Case Study (45 min)

Questions: 6
Cheat Sheets: 1

Heart Failure Case Study (45 min)

Questions: 7
Cheat Sheets: 1

Hypovolemic Shock Case Study (OB sim) (60 min)

Questions: 5

Septic Shock (Sepsis) Case Study (45 min)

Cheat Sheets: 1

Hypertensive Crisis Case Study (45 min)

Endocarditis Case Study (45 min)

Questions: 4

Nursing Case Study for Rheumatic Heart Disease

Questions: 5

Nursing Case Study for Cardiogenic Shock

Questions: 5
Cheat Sheets: 1

Module GI/GU Nursing Case Studies

Acute Kidney Injury Case Study (60 min)

Questions: 4

Peptic Ulcer Disease Case Study (60 min)

Inflammatory Bowel Disease Case Study (45 min)

Questions: 2
Cheat Sheets: 1

Cirrhosis Case Study (45 min)

Questions: 8

Urinary Tract Infection Case Study (45 min)

Cheat Sheets: 1

Nursing Case Study for Hepatitis

Questions: 5

Nursing Case Study for Acute Kidney Injury

Questions: 6
Cheat Sheets: 1

Module Obstetrics Nursing Case Studies

Ectopic Pregnancy Case Study (30 min)

Questions: 5
Cheat Sheets: 1

Antepartum Testing Case Study (45 min)

Labor Progression Case Study (45 min)

Reyes Syndrome Case Study (Peds) (45 min)

Cheat Sheets: 1

Preeclampsia (45 min)

Disseminated Intravascular Coagulation Case Study (60 min)

Questions: 7
Cheat Sheets: 1

Emergent Delivery (OB) (30 min)

Nursing Case Study for Maternal Newborn

Questions: 8

Module Respiratory Nursing Case Studies

Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)

Questions: 10

ARDS Case Study (60 min)

Questions: 4

Chest Tube Management Case Study (60 min)

Questions: 6

Tuberculosis (TB) Case Study (60 min)

Questions: 6
Cheat Sheets: 1

Nursing Case Study for Pneumonia

Questions: 7

Module Pediatrics Nursing Case Studies

Appendicitis Case Study (Peds) (30 min)

Questions: 6

Nephrotic Syndrome Case Study (Peds) (45 min)

Fever Case Study (Pediatric) (30 min)

Questions: 7
Cheat Sheets: 1

Varicella Case Study (Peds) (30 min)

Questions: 3
Cheat Sheets: 1

Reyes Syndrome Case Study (Peds) (45 min)

Cheat Sheets: 1

Nursing Case Study for Pediatric Asthma

Questions: 12
Cheat Sheets: 1

Module Neuro Nursing Case Studies

Cerebral Perfusion Pressure Case Study (60 min)

Questions: 2

Encephalopathy Case Study (45 min)

Questions: 2

Stroke Case Study (45 min)

Questions: 7
Cheat Sheets: 1

Spinal Cord Injury Case Study (60 min)

Questions: 4
Cheat Sheets: 1

Seizures Case Study (45 min)

Questions: 4
Cheat Sheets: 1

Nursing Case Study for Head Injury

Questions: 5

Module Mental Health Nursing Case Studies

Somatoform Disorder Case Study (30 min)

Alcohol Withdrawal Case Study (45 min)

Questions: 2
Cheat Sheets: 1

Schizophrenia Case Study (45 min)

Questions: 5
Cheat Sheets: 1

Nursing Case Study for Bipolar Disorder

Questions: 9
Cheat Sheets: 1

Nursing Case Study for (PTSD) Post Traumatic Stress Disorder

Questions: 5
Cheat Sheets: 1

Nursing Case Study for Mania (Manic Syndrome)

Questions: 5

Module Metabolic/Endocrine Nursing Case Studies

Cushing’s Syndrome Case Study (60 min)

Questions: 8

Diabetes Mellitus Case Study (45 min)

Questions: 6

Diabetic Ketoacidosis (DKA) Case Study (45 min)

Questions: 6

Hyperthyroidism Case Study (75 min)

Diabetes Insipidus Case Study (60 min)

Questions: 5

Chronic Kidney Disease (CKD) Case Study (45 min)

Questions: 8
Cheat Sheets: 1

Nursing Case Study for Type 1 Diabetes

Questions: 5
Cheat Sheets: 1

Nursing Case Study for Diabetic Foot Ulcer

Questions: 10

Nursing Care Plan (NCP) for Cushing’s Disease

Questions: 8

Module Other Nursing Case Studies

Disseminated Intravascular Coagulation Case Study (60 min)

Questions: 7
Cheat Sheets: 1

AIDS Case Study (45 min)

Questions: 4
Cheat Sheets: 1

Leukemia Case Study (60 min)

Questions: 5
Cheat Sheets: 1

Burn Injury Case Study (60 min)

Questions: 2

Gout Case Study (45 min)

Questions: 2

Nursing Case Study for Breast Cancer

Questions: 7

Labor Progression Case Study (45 min)

Included In This Lesson

Outline

How can the nurse find out if the patients water has broken?

What color should the test be if the membranes have ruptured?

What is the most important thing to have ready at this time?

What station number means the baby is starting to come out?

What cardinal movement is the baby currently in?

What does the nurse need to make sure has happened?

What position is the newborn in at delivery?

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Clear, Concise, Visual Nursing School Supplement

Nursing Case Studies

Module Nursing Case Studies Introduction

Module Cardiac Nursing Case Studies

Module GI/GU Nursing Case Studies

Module Obstetrics Nursing Case Studies

Module Respiratory Nursing Case Studies

Module Pediatrics Nursing Case Studies

Module Neuro Nursing Case Studies

Module Mental Health Nursing Case Studies

Module Metabolic/Endocrine Nursing Case Studies

Module Other Nursing Case Studies

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Labor Progression Case Study (45 min)

Included In This Lesson

Outline

How can the nurse find out if the patients water has broken?

What color should the test be if the membranes have ruptured?

What is the most important thing to have ready at this time?

What station number means the baby is starting to come out?

What cardinal movement is the baby currently in?

What does the nurse need to make sure has happened?

What position is the newborn in at delivery?

Try NURSING.com Risk Free for 3 Days

Clear, Concise, Visual Nursing School Supplement

Nursing Case Studies

Module Nursing Case Studies Introduction

Module Cardiac Nursing Case Studies

Module GI/GU Nursing Case Studies

Module Obstetrics Nursing Case Studies

Module Respiratory Nursing Case Studies

Module Pediatrics Nursing Case Studies

Module Neuro Nursing Case Studies

Module Mental Health Nursing Case Studies

Module Metabolic/Endocrine Nursing Case Studies

Module Other Nursing Case Studies

Quiz