OB - Level 3

28-year-old female who presented to the hospital twelve hours ago in active labor at 40w1d gestational age. As she progressed to cervical dilation 8 cm, she developed Category 3 fetal heart tones with intermittent late decelerations and light meconium stained fluid. Students will prepare the patient for an emergent Cesarean Section and provide appropriate therapeutic communication to the patient and her husband as they prepare to go into the operating suite. She does have an epidural in place. 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. Videos of the husband at the bedside are provided. Someone can continue to role-play the husband’s role throughout the scenario.