NUR 252: Amelia Sung Vsim/TOP SCORE/.BEST SOLUTION

Worksheets to Prepare for Simulation Cases Module – Maternity vSim Scenario (Patient) – Amelia Sung (Complex) Part 1: Plan of Care Concept Map (adapted from vSim template) Simulation Patient O verview  Client summary: presentation, medical history and background, physical assessment findings, medications, diagnostics  brief summary of pathophysiology and rationale for clinical manifestations Amelia Sung is a 36-year-old Filipino female, G2P1 (L1) at 39 weeks of gestation, who was admitted 24 hours ago for induction of labor. First-born male delivered vaginally 3 years and 3 months ago. Weight: 3,345 g (7 lb 6 oz). Length 55 cm (22 in). She was started on oxytocin at 1 mL/1 mU, and the infusion was increased throughout the day per protocol. A mainline IV of lactated Ringer's is running at 125 mL/hr, and oxytocin (30 units in 500 mL normal saline) is running at 20 mU/min (20 mL/hr). Her cervical exam at admission was 2 cm dilation, 80% effaced, at -1 station, with fetus in vertex position. At 0100 hours, dilation was 4 cm, 100% effaced, still at -1 station and fetus in vertex position. She received an epidural shortly after that, and 1 hour later, her membranes ruptured; the fluid was clear.