NR436 Week 5 iHuman: Jennifer Lee

Abuse Screening Priority

Scenario:
A 28-week pregnant client arrives for a prenatal visit. The nurse observes bruises and abrasions at different healing stages. The client avoids eye contact and appears anxious when asked about the injuries.

Rewritten Question:
Q1. A pregnant woman at 28 weeks gestation presents for a routine prenatal check-up. The nurse notices various bruises and healing abrasions on her limbs. She appears nervous and avoids eye contact when asked about them. What is the nurse’s top priority in this case?

✅ A. Initiate an Abuse Assessment Screen (AAS)
⬜ B. Notify police and document the injuries immediately
⬜ C. Directly question the client about the suspected abuser
⬜ D. Check blood pressure and perform a urine test for protein

Emergency Pregnancy Assessment (Graded Responses)

Question:
Which concerns are most important in assessing a 34-week pregnant woman presenting with heavy vaginal bleeding, abdominal pain, and contractions? (Select all that apply)

Correct Choices:
✅ Blood pressure
✅ Amount of blood loss
✅ Last prenatal check-up
✅ Fetal heart rate

Incorrect/Missed:
❌ Weight gain
❌ Previous pregnancy

Emergency Department Case Stem

Scenario:
A 26-year-old pregnant woman at 34 weeks gestation comes to the ER with sudden vaginal bleeding, abdominal pain, and contractions.

Rewritten Question:
Q2. A 26-year-old woman who is 34 weeks pregnant presents to the ER with heavy vaginal bleeding, lower abdominal pain, and regular contractions. What should be your main areas of concern? (Select all that apply)

⬜ Blood pressure
⬜ Weight gain
⬜ Amount of blood loss
⬜ Last prenatal check-up
⬜ Fetal heart rate
⬜ Previous pregnancy

Scoring penalty applies for selecting extra options.

Normal vs Abnormal Third Trimester Findings (Graded Responses)

Question:
Which of the following are common and expected during the third trimester of pregnancy?

Correct Answers:
✅ Constipation
✅ Low back pain
✅ Lower extremity edema

Incorrect/Missed:
❌ Vaginal bleeding

Third Trimester Normals – Assessment Task

Rewritten Question:
Q3. During a third-trimester assessment, which of these findings are typically considered normal and expected? (Select all that apply)

⬜ Constipation
⬜ Vaginal bleeding
⬜ Low back pain
⬜ Lower extremity swelling

Reminder: Over-selecting options may reduce your final score.

Doorway Information (Jennifer Lee)

Client Summary:
Jennifer Lee, a 26-year-old at 34 weeks gestation, arrives in the ER with new symptoms of vaginal bleeding, abdominal discomfort, and contractions. She mentions having fallen at home and appears emotionally distressed.

Case Instructions Overview

Patient: Jennifer Lee
Height: 68 inches
Weight: 166 lbs
Reason for Visit: Vaginal bleeding and abdominal pain

Instructions:
Refer to your Canvas course for specific assignment instructions and grading. Use the “Help and Resources” tab for tips on navigating the case.

Course Outcomes Covered:

CO 1: Apply public health nursing principles.
CO 2: Assess the health needs of communities and populations.
CO 3: Use evidence-based clinical judgment with vulnerable populations.
CO 4: Integrate nursing roles in community health.
CO 5: Use collaborative strategies for improving population health.
CO 6: Explore collaborative trends in public health nursing.

Key Concepts Applied:

Care of vulnerable groups
Therapeutic communication
Health assessment
Intimate partner violence screening
Psychosocial assessment
Case coordination
Team-based healthcare…………add to cart and purchase the entire simulation at $20 only