Amelia Sung Core Guided Reflection.pdf

Maternity Case 5: Amelia Sung (Core) Guided Reflection Questions Opening Questions How did the simulated experience of Amelia Sung’s case make you feel? At first, I was nervous because I didn’t know what to do first, But I made sure I went over the orders well and then I just did what needed to be done. Describe the actions you felt went well in this scenario. I feel I was a bit slow, but I got everything I needed to get for the delivery, I made sure the patient stayed calm, and made sure all her vital signs were stable. Scenario Analysis Questions1 EBP/I Discuss why shoulder dystocia is an obstetrical emergency. It’s an obstetrical emergency because physicians may cause injuries such as brachial plexus palsy, broken bones, and facial injuries. Depending on if an injury occurs after shoulder dystocia, the symptoms may include nerve damage and pain in the injured area, a claw-like hand appearance, light paralysis of the affected limb. Mothers are also at risk for medical complications if shoulder dystocia occurs, such as hemorrhaging, uterine rupture, and lacerations. EBP Name one of the two distinct signs that indicate shoulder dystocia is present. One distinct signs of shoulder dystocia is the “turtle sign”, which involves the appearance and retraction of the fetal head (analogous to a turtle withdrawing into its shell), and another sign is the erythematous, puffy face indicative of facial flushing. This occurs when the baby's shoulder is obstructed by the maternal pelvis. EBP List potential problems for Amelia Sung and her baby related to the shoulder dystocia. She is already prone for it because she has a history of it. So, the potential problems are that it could happen again, and if it does the baby can have nerve damage and pain in the injured area, a claw-like hand appearance, or light paralysis of the affected limb. Mothers are also at risk for medical complications, such as hemorrhaging, uterine rupture, and lacerations. PCC/T&C What preventive measures were put in place related to Amelia Sung’s history of a previous shoulder dystocia? 1The 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: From vSim for Nursing | Maternity. © Wolters Kluwer Health. This study source was downloaded by from CourseH on :38:18 GMT -05:00 This study resource was shared via CourseH