MATERNITY CASE 3: AMELIA SUNG GUIDED
REFLECTION QUESTIONS WITH ANSWERS
DOWNLOAD TO SCORE A
Opening Questions
How did the simulated experience of Amelia Sung’s case make you feel?
• Honestly this VSim made me very excited to experience this in real life. I want to be a
Labor & Delivery nurse, so this made me more aware of how I should be reacting
during a normal birth and what I need to be able to do in case of an emergency.
Describe the actions you felt went well in this scenario.
• During my first attempt, I wasn’t even thinking about medications, so during my second
attempt I felt that my mindset was more inclusive of all of the factors going on,
especially the factor of how the Oxytocin could be affecting the baby. I felt that I was
prepared for the shoulder dystocia and knew what to do for that, however the second
attempt I was much more aware of the interpersonal communication that needed to
occur, even though I was so focused on getting the baby out.
Scenario Analysis Questions1
EBP What risk factors specific to shoulder dystocia were identified in Amelia Sung’s case?
, MATERNITY CASE 3: AMELIA SUNG GUIDED
REFLECTION QUESTIONS WITH ANSWERS
DOWNLOAD TO SCORE A
• Pt history included excessive weight gain and prolonged second stage.
• During delivery, only the head was able to deliver – indicating that the right shoulder
of the infant couldn’t pass through the birth canal. The positive turtle sign was the key
indication that shoulder dystocia
PCC/I Prioritize your nursing actions for Amelia Sung based on your assessment.
• Non-reassuring FHR: d/c oxytocin & deliver 500ml bolus of LR, apply
10L/min O2 via nonrebreather
• Shoulder dystocia: positive turtle sign identified by provider = immediate call to Charge
& NICU
• -> Pt put into McRoberts position & suprapubic pressur applied
• Infant given to charge nurse for assessment and possible resuscitation
EBP List potential problems for Amelia Sung and her baby related to the shoulder dystocia.
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).
REFLECTION QUESTIONS WITH ANSWERS
DOWNLOAD TO SCORE A
Opening Questions
How did the simulated experience of Amelia Sung’s case make you feel?
• Honestly this VSim made me very excited to experience this in real life. I want to be a
Labor & Delivery nurse, so this made me more aware of how I should be reacting
during a normal birth and what I need to be able to do in case of an emergency.
Describe the actions you felt went well in this scenario.
• During my first attempt, I wasn’t even thinking about medications, so during my second
attempt I felt that my mindset was more inclusive of all of the factors going on,
especially the factor of how the Oxytocin could be affecting the baby. I felt that I was
prepared for the shoulder dystocia and knew what to do for that, however the second
attempt I was much more aware of the interpersonal communication that needed to
occur, even though I was so focused on getting the baby out.
Scenario Analysis Questions1
EBP What risk factors specific to shoulder dystocia were identified in Amelia Sung’s case?
, MATERNITY CASE 3: AMELIA SUNG GUIDED
REFLECTION QUESTIONS WITH ANSWERS
DOWNLOAD TO SCORE A
• Pt history included excessive weight gain and prolonged second stage.
• During delivery, only the head was able to deliver – indicating that the right shoulder
of the infant couldn’t pass through the birth canal. The positive turtle sign was the key
indication that shoulder dystocia
PCC/I Prioritize your nursing actions for Amelia Sung based on your assessment.
• Non-reassuring FHR: d/c oxytocin & deliver 500ml bolus of LR, apply
10L/min O2 via nonrebreather
• Shoulder dystocia: positive turtle sign identified by provider = immediate call to Charge
& NICU
• -> Pt put into McRoberts position & suprapubic pressur applied
• Infant given to charge nurse for assessment and possible resuscitation
EBP List potential problems for Amelia Sung and her baby related to the shoulder dystocia.
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).
