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Sim Case 2

Read Sim Case 2 before completing the Sim Case 2 Assessment. Enter your information below and click “Start” to begin the assessment. 

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Nurse/Provider Sign-out

  1. Baby Paige was born on due date and is now 3-days old.
  2. Mom is on buprenorphine for 2 years and doing well; she is on Zoloft for depression.
  3. Baby was jittery and had high tone and poor feeding on first day, but was better on second day. Symptoms thought likely due to Zoloft and nicotine withdrawal at that time.
  4. During past day, Paige breastfed 8 times, had 3 voids, 3 stools, weight down 5%, 24-hour transcutaneous bilirubinometry (TcB) = 4.0.
  5. Last assessment, approximately 3-hours ago: vital signs stable and jaundice to face. Baby is fussy with slight increase in muscle tone and tremors during exam. Symptoms improve as soon as baby is picked up.
  6. Mom’s recovery coach has been helping in between clinic appointments. No family close by; father of baby is home caring for their 2 other children.
  7. Mom received prenatal education from her recovery coach, and mom is keeping baby with her all the time in a calm, quiet room. Mom is spending lots of time holding baby skin-to-skin when mom is awake. Baby fussy when placed in bassinette.

Sim Case 2 Rating Sheet

Sim Case 2

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