Competency-Based Assessments
1
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How might the psychologic aspect (psyche) of the five P’s influence the progression of labor? Provide an example and discuss nursing interventions to support the laboring person's psychologic well-being.
2
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In a scenario where a laboring person has a contracted pelvis (passage), how might this impact the powers (contractions) and the overall birthing process? What actions would you take as a nurse?
3
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During the late active phase of the first stage, a laboring person expresses feeling overwhelmed and anxious. How would you adapt your communication and support strategies to address their emotional needs?
4
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A laboring person exhibits prolonged bleeding during the third stage of labor. How would you differentiate between normal uterine contractions and potential postpartum hemorrhage? What immediate actions would you take?
5
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A laboring person in the active phase of the first stage appears fatigued and anxious. As an attending nurse, how would you explain the physiologic changes contributing to their fatigue, and what nursing interventions might address both physical and emotional aspects?
6
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A postpartum person complains of chills and diaphoresis within the first hour after birth. How would you explain the physiologic changes contributing to these symptoms, and what nursing interventions might provide comfort?
7
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A laboring person in the active phase of the first stage becomes increasingly anxious and requests pain medication despite initially planning for a natural birth. As a nursing student, how would you explain the psychologic changes contributing to this shift, and what nursing interventions might address the patient’s evolving emotional state?