Maternity Case 5: Fatime Sanogo
Guided Reflection Questions
Opening Questions
1. How did the simulated experience of Fatime Sanogo’s case make you feel?
ANSWER:
I was surprised at the amount of lochia on her bed pads. I wished that the husband would not
have been so distracted and would have noticed a change in his wife’s behavior instead of
playing on his phone the entire time. I was also pretty confused on what to do after each
doctor’s order was completed.
2. Describe the actions you felt went well in this scenario.
ANSWER:
I knew to immediately put her in the Trendelenburg position during my initial assessment, then
obtained the most accurate information and gave her a fundal massage, then I phoned the
provider. She received the appropriate medications and interventions at the right time.
Scenario Analysis Questions
EBP/I What risk factors did you identify in Fatime Sanogo’s case that could have led to
postpartum hemorrhage?
ANSWER:
Postpartum Hemorrhage risk factors that Fatime Sanogo presented with were her rapid
delivery, manual removal of the placenta, second degree perineal laceration, oxytocin
infusion, and a 9 lb baby.
EBP List the actions that should be initiated if administering oxytocin is ineffective.
ANSWER:
A Fundal massage, fluid bolus, and notify physician. If it is uncontrolled, charge nurse
should be notified to see if rapid response notification is recommended.
Guided Reflection Questions
Opening Questions
1. How did the simulated experience of Fatime Sanogo’s case make you feel?
ANSWER:
I was surprised at the amount of lochia on her bed pads. I wished that the husband would not
have been so distracted and would have noticed a change in his wife’s behavior instead of
playing on his phone the entire time. I was also pretty confused on what to do after each
doctor’s order was completed.
2. Describe the actions you felt went well in this scenario.
ANSWER:
I knew to immediately put her in the Trendelenburg position during my initial assessment, then
obtained the most accurate information and gave her a fundal massage, then I phoned the
provider. She received the appropriate medications and interventions at the right time.
Scenario Analysis Questions
EBP/I What risk factors did you identify in Fatime Sanogo’s case that could have led to
postpartum hemorrhage?
ANSWER:
Postpartum Hemorrhage risk factors that Fatime Sanogo presented with were her rapid
delivery, manual removal of the placenta, second degree perineal laceration, oxytocin
infusion, and a 9 lb baby.
EBP List the actions that should be initiated if administering oxytocin is ineffective.
ANSWER:
A Fundal massage, fluid bolus, and notify physician. If it is uncontrolled, charge nurse
should be notified to see if rapid response notification is recommended.
