Complete Shadow Health Focused Exam: Uncomplicated Delivery for Daanis LaFontaine. Full labour assessment, subjective and objective data collection, therapeutic communication documentation, EHR nursing notes, SBAR handoff to Preceptor Diana and Care Plan. Used in maternity and obstetric nursing programs.
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Daanis LaFontaine is a pregnant woman presenting in active labour for an uncomplicated delivery. This focused exam tests your ability to perform a complete intrapartum nursing assessment — reviewing EHR orders, gathering subjective and objective data, conducting therapeutic communication and preparing for handoff to Preceptor Diana.
The assessment covers the full labour history including onset and progression of contractions, rupture of membranes status, fetal movement, pain assessment and birth plan preferences. Objective data includes vital signs, cervical examination findings, fetal heart rate monitoring interpretation and contraction pattern assessment.
The SBAR handoff to Preceptor Diana documents the Situation (patient in active labour, uncomplicated), Background (obstetric history, current pregnancy), Assessment (labour progress, maternal and fetal status) and Recommendation (ongoing labour support, delivery preparation). The Care Plan addresses pain management, fetal surveillance, emotional support and delivery preparation.
Focused on: intrapartum assessment, therapeutic communication, SBAR handoff and Care Plan documentation. All subjective data collected using the Question tab, education via the Educate tab, and empathy via the Empathize tab as required by the Shadow Health rubric.