OB - Level 2A

This scenario can be used for high- or low-fidelity simulation. In high-fidelity simulation, the patient videos and tabbed chart content can be used to augment the reality of the simulation. In low-fidelity simulation, the instructor can use role play, in association with the iPad content, to stimulate student critical thinking and discussion about various prenatal care topics. In State 1, the patient arrives for her 28 week visit. Students may administer Rhogam and the glucose challenge tolerance test. Students should also review her immunization record to determine if immunizations are needed at this visit. QR codes are provided that demonstrate the following procedures: measuring the fundus, obtaining fetal heart tones, and performing the Leopold’s maneuver. In State 2, Olivia returns for 36-week visit. QR codes are provided that demonstrate a nonstress test with fetal heart monitoring and an image of the strip for interpretation by students

1. Maintain a safe, effective health care environment for a patient seeking prenatal care in a
clinic setting
2. Provide patient centered care by utilizing the nursing process for a patient receiving prenatal care
3. Relate patient’s health status to assessment findings, medications, laboratory and diagnostic test results, medical and nursing interventions
4. Observe fundal height measurement, fetal heart tone monitoring, fetal monitoring, and
Leopold’s maneuver
5. Provide patient education during prenatal care
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