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Fetal Assessment During Labor: Assessment of a Client Who Is at 18 Weeks of Gestation (Active Learning Template – Basic Concept)

 

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Topics To Review

Establishing Priorities (1 item) 3 bullets

Managing Client Care: Prioritizing Client Assessment (Active Learning Template – Basic Concept)

Health Promotion and Maintenance (2 items) 6 bullets

Ante-/Intra-/Postpartum and Newborn Care (2 items) 6 bullets

Fetal Assessment During Labor: Assessment of a Client Who Is at 18 Weeks of Gestation (Active Learning Template – Basic Concept)

Fetal Assessment During Labor: Performing Leopold Maneuvers (Active Learning Template – Nursing Skill)

Nutrition and Oral Hydration (1 item) 3 bullets

Medical Conditions: Hyperemesis Gravidarum (Active Learning Template – System Disorder)

Adverse Effects/Contraindications/Side Effects/Interactions (1 item) 3 bullets

Contraception: Contraindication for Oral Contraceptive Use (Active Learning Template – Medication)

Pharmacological Pain Management (1 item) 3 bullets

Newborn Assessment: Assessing Pain (Active Learning Template – Basic Concept)

Medication Administration (1 item) 3 bullets

Medical Conditions: Managing Diabetes During Pregnancy (Active Learning Template – System Disorder)

Reduction of Risk Potential (5 items)

Changes/Abnormalities in Vital Signs (1 item) 3 bullets

Assessment and Management of Newborn Complications: Findings to Report to the Provider (Active Learning Template – Basic Concept)

Diagnostic Tests (2 items) 3 bullets

Assessment of Fetal Well-Being: Diagnostic Testing Following a Positive Contraction Stress Test (Active Learning Template – Therapeutic Procedure)

Assessment of Fetal Well-Being: Nonstress Test (Active Learning Template – Therapeutic Procedure)

Potential for Complications of Diagnostic Tests/Treatments/Procedures (1 item) 3 bullets

Assessment of Fetal Well-Being: Priority Intervention Following an Amniocentesis (Active Learning Template – Diagnostic Procedure)

Potential for Complications from Surgical Procedures and Health Alterations (1 item) 3 bullets

Labor and Delivery Processes: Rupture of Membranes (Active Learning Template – System Disorder)

Physiological Adaptation (1 item)

Medical Emergencies (1 item) 3bullets

Complications Related to the Labor Process: Priority Intervention for a Client Who Is Nonresponsive (Active Learning Template – System Disorder)

Clinical Judgment (5 items)

Evaluate Outcomes (2 items) 6 bullets

Evaluating Teaching Plan for an Adolescent Who Has an Infection of the Reproductive Tract (Active Learning Template – System Disorder)

Manifestations of Cold Stress of the Newborn (Active Learning Template – System Disorder)

Recognize Cues (1 item) 3 bullets

Recognizing Manifestations of Neonatal Abstinence Syndrome (Active Learning Template – System Disorder)

Analyze Cues (2 items) 6 bullets

Identifying Manifestations of Vaginal Infections (Active Learning Template – System Disorder)

Identifying Potential Newborn Complications (Active Learning Template – Basic Concept)

Outcomes

Nursing Process

No of Points

Individual Score

Description

RN Assessment

16

87.5%

The assessment step of the nursing process involves application of nursing knowledge to the collection, organization, validation and documentation of data about a client’s health status. The nurse focuses on the client’s response to a specific health problem including the client’s health beliefs and practices. The nurse thinks critically to perform a comprehensive assessment of subjective and objective information. Nurses must have excellent communication and assessment skills in order to plan client care.

RN Analysis/Diagnosis

41

43.9%

The analysis step of the nursing process involves the nurse’s ability to analyze assessment data to identify health problems/risks and a client’s needs for health intervention. The nurse identifies patterns or trends, compares the data with expected standards or reference ranges and draws conclusions to direct nursing care. The nurse then frames nursing diagnoses in order to direct client care.

RN Planning

12

75.0%

The planning step of the nursing process involves the nurse’s ability to make decisions and problem solve. The nurse uses a client’s assessment data and nursing diagnoses to develop measureable client goals/outcomes and identify nursing interventions. The nurse uses evidenced based practice to set client goals, establish priorities of care, and identify nursing interventions to assist the client to achieve his goals.

RN Implementation/Therapeutic Nursing Intervention

19

84.2%

The implementation step of the nursing process involves the nurse’s ability to apply nursing knowledge to implement interventions to assist a client to promote, maintain, or restore his health. The nurse uses problem-solving skills, clinical judgment, and critical thinking when using interpersonal and technical skills to provide client care. During this step the nurse will also delegate and supervise care and document the care and the client’s response.

RN Evaluation

14

50.0%

The evaluation step of the nursing process involves the nurse’s ability to evaluate a client’s response to nursing interventions and to reach a nursing judgment regarding the extent to which the client has met the goals and outcomes. During this step the nurse will also assess client/staff understanding of instruction, the effectiveness of interventions, and identify the need for further intervention or the need to alter the plan.

Priority Setting

No of Points

Individual Score

Description

9

55.6%

Ability to demonstrate nursing judgment in making decisions about priority responses to a client problem. Also includes establishing priorities regarding the sequence of care to be provided to multiple clients.

Thinking Skills

No of Points

Individual Score

Description

Foundational Thinking

4

100.0%

The ability to comprehend information and concepts. Incorporates Blooms Taxonomy categories of Remembering and Understanding.

Clinical Application

44

70.5%

The ability to apply nursing knowledge to a clinical situation. Incorporates Blooms Taxonomy category of Applying.

Clinical Judgment

54

53.7%

The ability to analyze and interpret elements of a clinical situation to make a decision and respond appropriately. Incorporates Blooms Taxonomy categories of Analyzing and Evaluating.

NCLEX®

No of Points

Individual Score

Description

RN Management of Care

2

50.0%

The nurse coordinates, supervises and/or collaborates with members of the health care to provide an environment that is costeffective and safe for clients.

RN Safety and Infection Control

3

100.0%

The nurse uses preventive safety measures to promote the health and well-being of clients, significant others, and members of the health care team.

RN Health Promotion and Maintenance

10

80.0%

The nurse directs nursing care to promote prevention and detection of illness and support optimal health.

RN Psychosocial Integrity

2

100.0%

The nurse directs nursing care to promote and support the emotional, mental and social well-being of clients and significant others.

RN Basic Care and Comfort

3

66.7%

The nurse provides nursing care to promote comfort and assist client to perform activities of daily living.

RN Pharmacological and Parenteral Therapies

7

57.1%

The nurse administers, monitors and evaluates pharmacological and parenteral therapy.

RN Reduction of Risk Potential

11

54.5%

The nurse directs nursing care to decrease clients’ risk of developing complications from existing health disorders, treatments or procedures.

RN Physiological Adaptation

10

90.0%

The nurse manages and provides nursing care for clients with an acute, chronic or life threatening illness.

QSEN

No of Points

Individual Score

Description

Safety

13

69.2%

The minimization of risk factors that could cause injury or harm while promoting quality care and maintaining a secure environment for clients, self, and others.

Patient-Centered Care

14

78.6%

The provision of caring and compassionate, culturally sensitive care that is based on a patient’s physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values.

Evidence Based Practice

75

58.7%

The use of current knowledge from research and other credible sources to make clinical judgments and provide client-centered care.

NLN Competency

No of Points

Individual Score

Description

Human Flourishing

11

81.8%

Human flourishing is reflected in patient care that demonstrates respect for diversity, approaches patients in a holistic and patientcentered manner, and uses advocacy to enhance their health and well-being.

Nursing Judgment

88

60.2%

Nursing judgment involves the use of critical thinking and decision making skills when making clinical judgments that promote safe, quality patient care.

Professional Identity

1

100.0%

Professional identity reflects the professional development of the nurse as a member and leader of the health care team who promotes relationship-centered care, and whose practice reflects integrity and caring while following ethical and legal guidelines.

Spirit of Inquiry

2

50.0%

A spirit of inquiry is exhibited by nurses who provide evidence based clinical nursing practice and use evidence to promote change and excellence.

BSN Essentials

No of Points

Individual Score

Description

Liberal Education for Baccalaureate Generalist Nursing Practice

8

75.0%

The need for an education that exposes nurses to multiple fields of study providing the foundation for a global perspective of society as well as high level thinking and acquisition of skills that can be applied to complex patient and system-based problems.

Basic Organization and Systems

Leadership for Quality Care and

Patient Safety

2

50.0%

The need for nurses to be able to understand power relationships and use decision-making and leadership skills to promote safe practice and quality improvement within health care systems.

Scholarship for Evidence-Based Practice

71

63.4%

The need for nurses to be able to understand the research process and base practice and clinical judgments upon fact-based evidence to enhance patient outcomes.

Clinical Prevention and Population Health

6

83.3%

The need for nurses to be able to identify health related risk factors and facilitate behaviors that support health promotion, and disease and injury prevention, while providing population-focused care that is based on principles of epidemiology and promotes social justice.

Baccalaureate Generalist Nursing Practice

15

46.7%

The need for nurses to be able to practice as a generalist using clinical reasoning to provide care to patients across the lifespan and healthcare continuum and to individuals, families, groups, communities, and populations.

Clinical Judgment

No of Points

Individual Score

Description

Recognize Cues

7

71.4%

Filter information from different sources (i.e., signs, symptoms, health history, environment).

Identify relevant information related to the client’s condition.

Use knowledge, experience and evidence to assess clients. Use verbal, nonverbal, written, and electronic modes of communication.

Recognize relevant subjective/objective client data.

Identify subtle and apparent chang

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