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Maternity Case 4_ Carla Hernandez Guided Reflection Questions
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Maternity Case 4_ Carla Hernandez Guided Reflection Questions
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MATERNITY CASE 4
CARLA HERNANDEZ
GUIDED REFLECTION QUES TIONS
Opening Questions
How did the simulated experience of Carla Hernandez’s case make you feel?
I was worried that I wasn’t acting quickly enough, but I knew what I needed to do, and recognized the importance of staying methodical and organized.
Describe the actions you felt went well in this scenario.
I correctly assessed the umbilical prolapse, and was able to treat and medicate the patient while working with her care team to implement the necessary interventions.
Scenario Analysis Questions1
EBPConsider the emergent nature of umbilical cord prolapse. What nursing actions should be initiated immediately? Why?
I immediately put her into the Trendelenburg position to relieve cord
pressure, and manually relieved cord pressure before I notified the provider.
PCCWhat is the priority need for Carla Hernandez at this time?
To administer the necessary medications / interventeions (LR, Terbutaline and oxygen) so her baby can receive more oxygen.
T&CWhat key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-
recommendation (SBAR) format.
a.S- Patient hand off for Carla Hernandez: I am concerned that her umbilical cord has prolapsed. Maternal vitals :HR- 85, Pulse- present, BP 138/83, Temp 37 C, R-15, SpO2 100% on 100% Non-rebreather mask. EFM: baseline, Late deceleration,
FHR:94 but with drops to 63
b.B- mother was admitted on
i.Fetus is showing late, non-reassuring decelerations with
a heart rate of 88-89
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