Postpartum Vaginal Delivery Case Study


Prepare your students for licensure and real-world practice with this salient scenario that contextualizes nursing care and priority setting with a postpartum patient.

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Case Study Scenario:

Anne Jones is a 17-year-old G1 P1 39 weeks’ gestation who delivered a healthy male infant at 2032 yesterday. Placenta delivered at 2045. No pain medication was given. She received a 250 mL bolus of Pitocin 30 units/500 mL IV after the delivery of the placenta then received 200 mL/hour until the IV bag was completed.

The uterus is firm, one finger breadth below umbilicus and midline — Lochia moderate rubra. Mid-line episiotomy is well approximated, slightly bruised and perineum is slightly swollen. 

Each case study has two levels of complexity to use at a fundamental or advanced level to strengthen and develop clinical judgment skills!

  • SKINNY Reasoning level: Concise and versatile level that can be used in class and clinical post-conference to apply knowledge and make learning active!
    • Has 2 parts-2 pages each
    • Basic clinical reasoning skills include noticing what is most important, interpreting its meaning, and priority interventions
  • UNFOLDING Reasoning level: Increased complexity that is best suited for advanced students or clinical replacement activity.
    • 8-10 pages in length
    • Higher-level clinical reasoning skills including problem recognition, SBAR communication, and an unfolding change of status

Why KeithRN Case Studies?

KeithRN clinical reasoning case studies provide educators with the following innovations that make them valuable tools for developing clinical judgment:

  • Provide a consistent framework of higher-level, open-ended questions (no multiple choice!) that use the nursing process with Tanner’s Clinical Judgment Model (which aligns with the NGN model).
  • Use complex, real-world patient scenarios as a case-based, low-fidelity simulation.
  • Unfold sequentially, just like a nurse experiences patient care in practice.
  • Replicate clinical decision-making in the classroom without using manikins or a simulation skills lab.
  • Include comprehensive answer key.

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