MaternityCase06_AmeliaSung_Complex_GRQ,WITH VERIFIED ANSWERS GRADED A.

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 S/QI/I Consider what points might be included in a safety checklist for shoulder dystocia. Mother’s Pelvis size, gestational weeks, medial history of diabetes and Maternal age, weight and stature Concluding Questions Reflecting on Amelia Sung’s case, were there any actions you would do differently? Explain. I would have assessed the patient a few other times to get more skills with assessing shoulder dystocia. Describe how you would apply the knowledge and skills that you obtained in Amelia Sung’s case to an actual patient care situation. I now understand to call the NICU and the other teams to assist with the high-risk delivery of the baby. I now understand what equipment which is needed also.