CEU Example.docx

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Nursing

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ST6P CONTINUING EDUCATION ASSIGNMENT Student: Article: Emergency Cesarean Delivery in the Labor and Delivery Room Author: Gracelia A Scott Lab approval date: 06/28/2021 Month/Year of Article August 2010 For each of the continuing education articles that you will be reading this semester, please fill out this form. Provide a rationale for each answer with a documentable source. An excellent rationale not only explains why the answer is correct, but also explains why the other choices are incorrect. Textbooks (such as: Fuller, Frey, Alexander’s, Berry and Kohn or Goldman book) If you are going to use a web sourced based references, it has to be from a reputable source. This form should be submitted to your instructor via email in simple Word format with no alterations other than the expanding boxes. Documents that fail to open or have been altered and/or unreadable will be returned and will not count as submitted. A five (5) point deduction will be assessed for each day an assignment is late. Also PLAGIARISM will NOT be tolerated. Question #1 : (please type the entire question) Early practice of Caesarean section often resulted in Multiple Choice Answers: (please type all choices) A: Fetal bradycardia B: Shoulder dystocia C: Cardiac arrest D: All of the above Correct Answer: (provide the correct answer) D: All of the above Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) D: According to Scott, in the “1960’s the maternal mortality rate secondary to Cesarean delivery in severe emergencies such as fetal bradycardia, shoulder dystocia, and cardiac arrest, was almost zero because of major advances in anesthesiology and controlling bleeding” (article, pg. 1). A: Fetal bradycardia is a baby’s heart rate of 110 beats per minute or less. (cancertherapyadviser, 2019) B: Shoulder dystocia is an injury which happens at birth because the baby’s anterior shoulder gets caught in the mother’s pubic bone (AFP, 2020) C: Cardiac arrest in babies is due mostly to lack of oxygen in the blood or difficult breathing due to airway issues. (Rossfellercasey, 2016) Question #2 : (please type the entire question) What is the important innovation helped make the Cesarean delivery safer in the mid-1800s Multiple Choice Answers: (please type all choices) A: Anesthesia B: Blood bank C: ESU D: Oxytocin Correct Answer: (provide the correct answer)

A: Anesthesia Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) A: Since anesthesia was introduced it has helped make cesarean delivery safer (article, pg.2) B: Blood bank is where donated blood or plasma is processed and stored for transfusion. C: ESU is the device used to cut and coagulate tissue. (Fuller pg. 662) D: Oxytocin is a hormone which stimulates the uterus causing contractions (Pharmacology for the surgical tech pg. 102) Question #3 : (please type the entire question) The_ must be present in the LDR during Code Blue Multiple Choice Answers: (please type all choices) A: Patient’s next of kin B: Anesthesiologist C: Blood bank D: In-house obstetric attending physician Correct Answer: (provide the correct answer) B: Anesthesiologist Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) B: According to Scott, during “Code Blue” the anesthesiologist must be present to help the patient through their critical status (article, pg. 3). A: Patient’s “next of kin” means their closest living family member. Family members are not allowed to remain inside the OR during a procedure. C: Blood bank is where blood products are stored. D: In-house obstetric attending physician is an obstetrician that attends a patient’s home for medical care. Question #4 : (please type the entire question) The rarest presentation of a breech birth Multiple Choice Answers: (please type all choices) A: Kneeling breech B: Complete breech C: Frank breech D: Footling breech Correct Answer: (provide the correct answer) A: Kneeling breech Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) A: Kneeling breech is a position in which one or both baby’s hip joints are extended, and knee joints are flexed. Per Scott it is the rarest presentation of a breech birth (article, pg. 3). B: Complete breech is when both hips and knees are flexed (article pg. 3). C: Frank breech position is when hip joints are flexed, and knee joints extended (article pg. 3). D: Footling breech is when one or both hip and knee joints are extended (article pg. 3). Question #5 : (please type the entire question) T he_ is placed in charge of obtaining additional supplies in emergency situations Multiple Choice Answers: (please type all choices)

A: Nurse manager B: Assistant nurse manager C: Patient’s primary nurse D: Runner Correct Answer: (provide the correct answer) D: Runner Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) D: Runner is placed in charge of quickly obtaining additional supplies required for the emergency (article pg. 3). A: Nurse manager’s duty is supervising the nursing staff, a specific unit or shift in the hospital. B: Assistant nurse manager works with the nurse manager in overseeing patient care and nursing staff as well as provide administrative and operational support. (Jobhero.com, 2021) C: Patient’s primary nurse is an individual assigned to care for a specific patient for an extended period (Jobhero, 2021). Question #6 : (please type the entire question) During the delivery, the _ is delivered first Multiple Choice Answers: (please type all choices) A: Bottom B: Head C: Feet D: Umbilical cord Correct Answer: (provide the correct answer) B: Head Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) B: During the delivery, the head is delivered first and is achieved by the flexing and elevating of the fetal head (article, pg. 5) A: Bottom first is termed as Frank breech (article, pg. 3) C: Feet first is called Footling breech (article, pg. 3) D: Umbilical cord first is known as umbilical cord to prolapse and is a potentially fatal situation for the infant (article, pg. 3). Question #7 : (please type the entire question) Breech birth risks include_ Multiple Choice Answers: (please type all choices) A: Umbilical cord prolapse B: Head entrapment C: Oxygen deprivation D: All of the above Correct Answer: (provide the correct answer) D: All of the above Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) D: According to Scott, the breech risks are the umbilical prolapse, head entrapment and deprivation of oxygen (article, pg. 3). *All other choices are correct.

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Question #8 : (please type the entire question) What size blade does the surgical technologist need to incise the patient’s skin? Multiple Choice Answers: (please type all choices) A: #20 B: #11 C: #15 D: #10 Correct Answer: (provide the correct answer) D: #10 Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) D: A #10 blade is used to incise the skin via a vertical midline incision to the level of fascia (article, pg. 5). A: # 20 is same as #10 but slightly larger. (Fuller pg. 235) B: #11 blade is used for stab/puncture incisions. (Fuller pg. 235) C: #15 blade is used for cutting small vessels and delicate tissue. (Fuller pg. 235) Question #9 : (please type the entire question) Which of the following factors is not influential in the occurrence of a breech birth? Multiple Choice Answers: (please type all choices) A: The sex of the baby B: Multiple fetuses C: Premature labor D: Uterine abnormalities Correct Answer: (provide the correct answer) A: The sex of the baby Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) A: According to Scott, “factors that occurs during breech birth are premature labor, uterine abnormalities and the multiple fetuses. And the sex of the baby is not influential in the occurrence of a breech birth.” (article, pg. 3). B: See answer A C: See answer A D: See answer A Question #10 : (please type the entire question) Who determines if the patient should be moved to the OR for further patient management and/or closure? Multiple Choice Answers: (please type all choices) A: Team leader B: Physician C: Medication nurse D: None of the above Correct Answer: (provide the correct answer) B: Physician

Rationale: (provide a brief explanation of the correct answer, and disprove the other choices) B: Physicians are those that determine if a patient should be moved to the OR for the further patient management and or closure (article, pg. 2). A: Team leaders can be physicians, nurses, pharmacist as well as many other titles/positions. According to Scott, only physicians can make that decision (article, pg. 2). C: Medication nurse is responsible for the preparation and administration of the medications for patients, not direct care (nih.gov, 2021). D: Does not apply, refer to answer B. Work cited “Assistant Nurse Manager Resume Examples.” JobHero , www.jobhero.com/resume/examples/nursing/assistant-nurse-manager. Copel, Joshua, and Unzila Nayeri. “Fetal Bradycardia.” Cancer Therapy Advisor , 17 Jan. 2019, www.cancertherapyadvisor.com/home/decision-support-in-medicine/obstetrics-and-gynecolo gy/fetal-bradycardia/. Cattabiani, Mario. “My Baby's Heart Stopped During Birth- Could It Be The Doctor's Fault?” Philadelphia Personal Injury Attorneys Ross Feller Casey , 23 Mar. 2016, www.rossfellercasey.com/news/my-babys-heart-stopped-during-birth-could-it-be-the-doctors -fault/. Emergency Cesarean Delivery in the Labor and Delivery Room. (August 2010) Hughes, Ronda G. “Medication Administration Safety.” Patient Safety and Quality: An Evidence-Based Handbook for Nurses. , U.S. National Library of Medicine, www.ncbi.nlm.nih.gov/books/NBK2656/. KOTCHER, JOANNA. SURGICAL TECHNOLOGY: Principles and Practice . Fuller. Richard Fischer, MD. “Breech Presentation.” Overview, Vaginal Breech Delivery, Cesarean Delivery , Medscape, 27 Aug. 2020, emedicine.medscape.com/article/262159-overview. Snyder, Katherine, and Chris Keegan. Pharmacology for the Surgical Technologist . Elsevier, 2017. “Umbilical Cord Prolapse: Causes, Diagnosis & Management.” Cleveland Clinic , my.clevelandclinic.org/health/diseases/12345-umbilical-cord-prolapse. “Uterine Anomalies Treatment: TRM: Chattanooga.” Tennessee Reproductive Medicine , 1 Sept. 2020, trmbaby.com/library/conditions/uterine-anomalies/. Grading Rubric Grade` Format Complete/ on time Rationales Subject Mastery and Enthusiasm A All questions, choices, answers and rationales are filled in Assignment is complete and submitted on time. 25 All rationales both explains why the answer is correct and disproves Student displayed enthusiasm and professionalism. Student also provided

completely and sentence structure is grammatically correct. 25 the other choices using reputable resources. 25 unequivocal proof that they have a solid foundation on the article and demonstrated subject mastery. 25 B Most questions, choices, answers and rationales are filled in completely. Answers have some grammatical flaws but it does not detract from the answer. 22 Assignment is partially complete or submitted one day late 22 Some rationales either explain why the answer is correct or disproves the other choices using reputable resources but does not achieve both. 22 Student presented the subject matter with authority and some mastery, but was not eager to expand or develop their thoughts on the substance of the article. 22 C Some questions, choices, answers and rationales are condensed which demonstrates a lack of seriousness about the assignment. Many grammatical flaws that make the rationale difficult to understand 19 Assignment is partially complete or submitted more than a day late 19 A few rationales either explains why the answer is correct or disproves the other choices. Rationales are brief, hurried and do not provide a greater understanding of the subject matter. Some references and sources were questionable. 19 Student exhibited enthusiasm but failed to quantify their subject mastery. 19 D Most questions, choices, answers and rationales are shortened which exhibits a lack of student professionalism 17 Assignment is incomplete or submitted more than a week late 17 Rationales do not explain why the answer is correct nor does it disprove the other choices. Little thought or research was put into this assignment. No documented sources for rationales.17 Student did not demonstrate any subject mastery or enthusiasm. 17 F (below 60) Did not follow instructions of format. Incomplete/ submitted late 15 No rational explanations 15 Student has no desire to learn from the article, nor improve their knowledge base

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Grammatically flawed or plagiarized. 15 provided by the article. 15 RF 2017 GRADE: 100 (25, 25, 25, 25) COMMENTS: Nicely done. Nice usage of references. S TUDENT SIGNATURE :_________________________________________ INSTRUCTOR SIGNATURE : Nancy Rowland__ ________________

CEU Example.docx

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