SCENARIO: Belle is a nurse practitioner at an obstetrical office

Report to Students Angela Marcum, Core Case Name: Angela Marcum Age: 29 years Gender: Female Time: 1145 h Report: Angela Marcum is a 29-year-old Caucasian female, G2PO (A1) at 39 2/7 weeks gestation, who was admitted about 2 hours ago for induction labor for spontaneous rupture of membranes. Her membranes ruptured 24 hours ago with clear fluid, but contractions failed to initiate. On admission she was afebrile, dilated 2 cm, 50% effaced, and -1 station. She is not to have any further digital exams. She was started on IV antibiotics every 4 hours. The last dose was at 1000 h. She has a main line IV of lactated Ringer’s at 125 mL/h. Oxytocin 30 units in 500 mL normal saline was last increased 45 minutes ago and is running in the proximal port at 6 mu/min (6 mL/). Her contractions are now strong, 3 minutes apart, and lasting 45 seconds. The fetal heart rate is stable around 140/min with moderate variability and apparent accelerations. She received a standard epidural anesthetic of ropivacaine 10 minutes ago and still has sensation in her lower extremities. Her last vital signs were: HR 88/min, RR 16/min, BP 120/78 mm Hg. She needs 2 more checks of vital signs every 5 minutes. This is a lesbian couple. Kara Jones is her partner and is at the bedside. mo Simulation Debriefing Form HONDROS Bar NUR 166 CORanCH COLLEGE OF NURSING Student Name Role in Sim Patient Name: Scenario Date: 1. Prioritizing Care (5 points) a. List 3 concepts that were the highest priority concerns in this scenario. Concept 1 Concept 2 Concept 3 b. What signs/ symptoms did the patient display that relate to the concept(s)? How way it use Snoutnavis ni ross to seogiug ands al ?saw .d What potential complications can occur if the signs/symptoms are not addressed?

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