Maryland Next Gen NCLEX Test Bank Project

Maryland Next Gen NCLEX Test Bank Project January 25, 2023 Case Study Topic &

Standalone trend:

Intimate Partner Violence (IPV)

Author:Nicole Hall, EdD, RN, CNE

Kristen Hammerer, MSN, RNC-NIC Salisbury University Case Summary A 26-year-old primigravida at 34 weeks gestation arrives to maternity unit following a fall. While the nurse is obtaining a health history, intimate partner violence is suspected. Students will use critical thinking skills to identify the red flags that are present as well as use therapeutic communication throughout.Objectives

• Apply critical thinking skills to an intimate partner violence scenario.
• Identify red flags that may indicate intimate partner violence.
• Recognize therapeutic communication skills principles to client interaction.

Case Study LinkCase Study QR Code

https://umaryland.az1.qualtrics.com/jfe/form/SV_

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V_3dwgukUoLee9CkK Case References Murray, S., McKinney, E., Holub, K., & Jones, R. (2019.) Foundations of maternal-newborn and CJCST Version 2.1 designed by Desirée Hensel, 2022. Permission granted to use and modify template for educational purposes. 1 / 2

women’s health nursing (7 th ed.). Saunders Elsevier.

ACOG. (2022). Intimate Partner Violence. Retrieved from:

https://www.acog.org/clinical/clinical-guidance/committee-

opinion/articles/2012/02/intimate-partner-violence Case Study Question 1 of 6 A 26-year-old, 34- week primigravida arrives to labor and delivery after a fall.Phase Sheet Name Olivia LodnerGender Female Age 26Weight 182 lbs (82.5 kg)Allergies none Preferred language English Admission Notes 0700 - Client arrived at Labor and Delivery unit after a reported fall down the stairs. Placed on fetal monitor, IV placed, labs drawn. Ready for health history and admission paperwork.

Transportation: no driver’s license, spouse

Education: 10

th grade; no stated occupation

Relationship: married; private insurance

History & Physical 26-year-old primigravida. Prenatal care initiated at 32 weeks. Prenatal labs drawn and no abnormalities. Reports some caffeine intake with coffee. Denies alcohol or illicit substances.Pregnancy course benign.Vital Signs Time 0700 Temp 98.4 P 84 RR16

B/P 128/64

Pulse oximeter99 Oxygen RA Pain 4 Fetal heart rate158 Which 2 findings are most concerning?First prenatal visit at 32 weeks* Blood pressure 128/64 Fetal heart rate 158 Fall at 34 weeks* Caffeine intake

Scoring rule: 0/1

Rationale: The two findings that are concerning is the first prenatal visit at 32 weeks fall which the client is presenting with. Prenatal care should begin in the first trimester not at 32 weeks, this is well into the 3 rd trimester. All other findings, blood pressure finding of 128/64, fetal heart rate 158, and CJCST Version 2.1 designed by Desirée Hensel, 2022. Permission granted to use and modify template for educational purposes.

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