Skills Lab 5: Metabolic, Inflammation, Sexuality
Objectives:
Student
Preparation:
1
List of interventions
Student Worksheets
Blankets(supplies)
Meds?
1. Identify nursing interventions for the patient diagnosed with
preeclampsia
2. Discuss types of hyperbilirubinemia and interventions for associated
risks in the newborn.
3. Describe appropriate nursing interventions for the patient experiencing
hyperemesis.
4. Discuss pregnancy risk categories as they relate to antiemetic medication
use during pregnancy.
5. Apply knowledge of contraceptive options to educate patients based
upon their unique needs.
6. Identify appropriate education for patients related to various sexually
transmitted infections (STIs).
7. Utilize strategies to correctly estimate blood loss in the postpartum
patient.
8. Discuss immunization as it relates to the pediatric and pregnant
population.
Perry: pages 96-112 Infections; pages 653-656 Physiologic problems; pages
349-350 Hyperemesis; pages 335-349 preeclampsia; pages 986-990
immunizations.
Stations:
Seizure Precautions: Preeclamptic patient
In a room adjacent to the skills lab, you will prepare to receive a preeclamptic
patient for observation. Working with your group, please alter the room to
provide appropriate care. On the worksheet provided, note what nursing
diagnoses assisted you in your choices, what interventions were taken, and the
expected outcomes.
2
Hyperbilirubinemia and Safety Intervention
Bilirubin Nomograms
 Identify different types of jaundice
Pictures of Jaundice
 Using the charts provided, identify the newborn risk category associated
Intervention options
with bilirubin levels at different ages.
Sheet for D/C
 Identify appropriate interventions for different risk categories
teaching
 Discuss discharge teaching for parents
3
Case Study
Intervention Table
Hyperemesis Gravidarum:
Case Study: Read the case study accompanying this station and fill out the table
provided with rationale for each intervention and special considerations.
4
Pads
Specipan
Suction canister
"blood"
Scale
Assessment Sheet
Bleeding in Pregnancy:
 For this station, visually estimate the amount of blood in each collection
device. Then, after each team member has provided an estimate, use an
alternative method to measure blood loss. Compare answers to station
answer key.
 Describe information needed to accurately assess a patient who presents
with complaints of bleeding
5
Case Scenarios
Education document
Pictures of STIs
Identification Sheet
6
Pregnancy
immunization record
Pediatric
immunization record
CDC - Vaccines Immunization
Schedules main page
Sexuality:
 Have each person in your group select a case scenario: After 5 minutes,
share with the others how you would educate your patient on the most
appropriate birth control options as determined by her preferences and
circumstances. Using the worksheet provided identify: name of birth
control, method of action, and priority teaching points.
 Complete STI picture matching exercise: With the pictures provided
identify: 1) name of STI, 2) Signs/Symptoms, and 3) Treatment.
Immunizations in Pregnancy: Identify CDC recommended vaccinations
during pregnancy
Immunization in Pediatrics: Accurately complete pediatric immunization
schedule
Debate: To Immunize or Not to Immunize
For this exercise: You have been divided into two groups which will debate the topic of immunization.
Half of you will argue for routine immunization, half of you will argue against routine immunization.
You will not choose which side you will argue. The intent is for you to find support for your assigned
stance and present a compelling argument for why routine immunizations should/should not occur. The
purpose of this activity is twofold: 1) to gain skill in respectfully presenting viewpoints that may differ
from those of your colleagues, other disciplines, and/or your patients and, 2) recognize that while others'
viewpoints may differ from your own, they should still be valued.
To successfully debate, within your group: Identify 3 spokespeople who will present:
1) Opening argument
2) Rebuttal to opposing team
3) Final rebuttal and closing argument
The rest of the team will function as fact finders and organizers of information as arguments are
presented. Time will be limited, so teamwork will be essential!
Hyperemesis Gravidarum Interventions
Intervention
Admission
IV fluids
NPO
I/O
Labs
Promethazine
Sertraline
Ondansetron
Metoclopramide
Social Worker
Rationale
Special Considerations
Pregnancy Vaccines
Vaccine
Before Pregnancy
During Pregnancy
After Pregnancy
Type of Vaccine
Pediatric Immunization Schedule
Vaccine
birth
1
Month
2
Mos.
4
Mos
6
Mos.
12
Mos.
15
Mos.
18
Mos.
19-23
Mos
2-3
Years
4-6
Years
Sexuality Station: Birth Control Options
Name of Birth Control
Method of Action
Special Considerations
Sexuality Station: Sexually Transmitted Infections
Name of STI
Signs/Symptoms
Treatment
Special Considerations
Station Worksheet: Estimated Blood Loss
Type of Collection
Device
Visual
Estimate of EBL
Alternative
Measurement of EBL
Difference
+/-
Peripad
Suction Cannister
Specipan
Disposable
Blue Pad
Linen
Chux Pad
What additional factors might influence/alter EBL measurement: In labor? Postpartum?
What additional information would the nurse want to obtain to accurately assess a patient who
presents with complaints with bleeding?
Preeclamptic Preparedness Worksheet
Nursing Diagnoses:
Interventions:
Expected Outcomes: