Acuity & Prioritization
Perioperative
Labor & Delivery
Postpartum & Newborn
Endocrine & Renal
100

Patient with HR 110 and mild anxiety—stable or unstable?

What is stable?

100

Pre-op priority: verify what?

What is informed consent?

100

Early decelerations indicate?

What is head compression?

100

Boggy uterus means?

What is uterine atony?

100

Normal adult urine output per hour is what?

What is at least 30 mL/hr?

200

Which is higher priority: pain 8/10 or SpO2 88%


What is SpO₂ 88%?

200

Post-op patient with decreased breath sounds.

What is atelectasis?

200

Priority for late decelerations?

What is reposition, stop oxytocin and start IV fluid bolus?

200

Fundus deviated right indicates?

What is full bladder?

200

What electrolyte imbalance is common in Addisonian crisis?

What is Hyperkalemia and hyponatremia

300

Patient becomes confused with Na⁺ 122.

What is neurologic deterioration?

300

Priority after general anesthesia?

What is airway maintenance?

300

FHR minimal variability + no accelerations.

What is fetal hypoxia?

300

A newborn has blue hands and feet but a pink core.

What is acrocyanosis?

300

K⁺ 6.3 puts patient at risk for what?

What is cardiac dysrhythmia?

400

K⁺ 6.5 with peaked T waves indicates what?

What is risk for lethal dysrhythmia?

400

Signs of malignant hyperthermia?

What is muscle rigidity + hyperthermia + tachycardia?

400

Variable decelerations → cause?

What is cord compression?

400

You have a Postpartum patient with boggy uterus + heavy bleeding or Newborn with temp 36.1°C and jitteriness

What is the postpartum hemorrhage patient?

400

Patient with fever, HR 150, agitation.

What is thyroid storm?

500

Who do you see first, Patient with K⁺ 6.8 and peaked T waves or a Patient with SpO₂ 86% and dyspnea

What is the patient with SpO₂ 86%?

500

Post-op patient: restless, ↓ O₂, tachycardia.

Priority action?

What is apply oxygen and assess airway?

500

You have the following post–cesarean section patients:

  • Patient A: 6 hours post-op, reports pain 8/10, VS stable
  • Patient B: 12 hours post-op, UOP 28 mL/hr, BP 90/58, HR 122
  • Patient C: 24 hours post-op, mild incision redness
  • Patient D: 8 hours post-op, requesting assistance with breastfeeding

Who do you see first?

What is Patient B?

500

You have a Newborn with grunting and retractions or Newborn with acrocyanosis and HR 140

What is the newborn with grunting and retractions?

500

Muscle spasms + tingling + risk for airway compromise.

What is hypocalcemia