OB - Level 2B
28-year-old female presenting to the hospital in active labor experiencing contractions at 40w1d. She is 4 cm dilated. Her water breaks as the student meets her in the Labor and Delivery room at 0900. Students provide routine intranatal care throughout all three states. In State 2, Olivia progresses to the Transitions stage and is 7 cm dilated. In State 3: Olivia begins pushing. Several augmented reality videos and images are provided to simulate the progression of the baby through the birth canal. In addition, videos of the husband at the bedside are provided and someone can continue to role-play the husband throughout the scenario to add further family dynamics. 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 scenario content, to stimulate student critical thinking and discussion about prenatal care topics.
2. Provide patient centered care by utilizing the nursing process for a patient in active labor
3. Relate patients’ health status to assessment findings, medications, laboratory and
diagnostic test results, medical and nursing interventions
4. Plan pain management during labor based on patient preferences
5. Plan assessments and interventions associated with epidural anesthesia
6. Observe fetal presentations and movements during labor and birth via videos and
images.
7. Provide patient education during active labor