Maternity Case 4: Carla Hernandez

Guided Reflection Questions

Opening Questions
How did the simulated experience of Carla Hernandez’s case make you feel? It made me feel like I
wasn’t ready to handle a pregnant mom with a cord prolapse

Describe the actions you felt went well in this scenario. Stressed, everything happened so fast.

Scenario Analysis Questions*

EBP Consider the emergent nature of umbilical cord prolapse. What nursing actions should be
initiated immediately? Why? Insert a gloved hand to relive the pressure of the umbilical cord for
fetus to have adequate O2.

PCC What is the priority need for Carla Hernandez at this time? Avoiding pressure on the umbilical
cord.

T&C What key elements would you include in the handoff report for this patient? Consider the
situation-background-assessment-recommendation (SBAR) format. Amniotomy was performed
by the provider.

S/QI/I Based on your experience with Carla Hernandez’s case, reflect on possible nursing actions for
enhanced safety and quality improvement. Patient teaching would improve the quality of care.

Concluding Questions
Reflecting on Carla Hernandez’s case, were there any actions you would do differently? Explain. I don’t
think there would be anything I would do differently.

Describe how you would apply the knowledge and skills that you obtained in Carla Hernandez’s case to
an actual patient care situation. I would probably be able to recognize a cord prolapse better due to
doing this V-Sim

*
The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN)
competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP),
Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/

From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.
From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.