Guided Reflection Questions
Opening Questions
How did the simulated experience of Amelia Sung’s case make you feel ?
I felt somewhat nervous due to never performing such as applying suprapubic pressure and
assisting the patient into McRoberts maneuver.
Describe the actions you felt went well in this scenario.
I felt the actions went well since the baby was delivered without complications.
Scenario Analysis Questions1
EBP What risk factors specific to shoulder dystocia were identified in Amelia Sung’s case?
The head was presented resembling a turtle; therefore, it’s called the turtle sign. The body isn’t
emerging at all.
PCC/I Prioritize your nursing actions for Amelia Sung based on your assessment.
Priority is to obtain the past medical history identifying previous delivery of the shoulder
dystocia, NICU notified of risk, obtain the necessary equipment needed for delivery. Prepare
for any emergencies. Continue to educate patient and family when possible.
EBP List potential problems for Amelia Sung and her baby related to the shoulder dystocia.
Uterine rupture, vaginal tears, postpartum hemorrhage, fetal clavicle fracture and if not
delivered within a certain time there may be an asphyxia injury to the fetal.
T&C List the interprofessional health care team that should be involved in Amelia Sung’s case.
The anesthetists, Nurses, Physcian, NICU TEAM, Operating Team and any other available
medical staff.
1
The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN)
competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP),
Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
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