‫بسم هللا الرحمن الرحيم‬

Modern University College

‫الكليــة العـصريـة الجامعـيـة‬
Ramallah – Palestine
‫رام هللا – فــلسـطـيــن‬
University College Offers ‫كـليـة جـامـعـيـة تـمنـح‬
Bachelor & Associate Degree Programs ‫درجتي البكالوريوس والدبلوم المتوسط‬

SECTION I: SCENARIO OVERVIEW

Scenario Title: Case Normal Delivery in 25-year-old primipara
Original Scenario Developer(s): RN
Date - original scenario
Validation:
Revision Dates:

Estimated Scenario Time: 15-20 Debriefing time: 30-40

minutes minutes
Target group: Pre-licensure RN
students
Core case: 25-year-old
primipara ,stage of labor management
newborn care
QSEN Competencies:
 Safety
 Patient Centered Care

Teamwork and Collaboration

Brief Summary of Case: 25-year-old married L.M.P.................... ,admitted to labor

word in active labor, accompanied by sister , with GDM during this pregnancy ,
free medical and surgical hx , c\o moderate to sever lower abdominal and back pain
, AFTER ASSESSMENT
Cx dilatation 6 cm , 3\10 min moderate contraction , FHR 134 b\min , intact
membrane BP 120\78 mmgh , p 94 b\min , temp 36,7 c axillary ,RR 20 b\min .

After delivary female baby wt 3.960 kg ,A\S 9\10

 SECTION II: CURRICULUM INTEGRATION
A. SCENARIO LEARNING OBJECTIVES
Learning Outcomes
1. Utilize principles and care practices related to normal labor and delivery.
2. Implement critical thinking and clinical decision-making skills necessary to interpret data.
3. Integrate understanding of multiple dimensions of patient-family centered care.
4. Provide safe care to laboring patients, prioritizing and implementing interventions for mother and fetus.
Specific Learning Objectives
1. Accurately assess the laboring mother and estimate labor progress based on client responses.
2. Recognize normal fetal heart rate pattern.
3. Implement appropriate nursing interventions at this point in the labor process.
4. Effectively communicate with client throughout simulation to keep informed and relieve anxiety.
Critical Learner Actions
1. Identifies self and role to patient and family members.
2. Performs hand hygiene.
3. Identifies patient using 2 identifiers.
4. Prioritizes assessment for both mother and fetus.
5. Attaches fetal monitor.
6. Communicates calmly with patient and family members while implementing interventions.
7. Recognizes signs of imminent delivery.
8. Reassesses mother and fetal heart tracing throughout.
9. Considers patient need for privacy and need for family support when making decisions about care.

B. PRE-SCENARIO LEARNER ACTIVITIES

Prerequisite Competencies
Knowledge
 Normal Labor and Delivery
 Pain theory related to child birth
 Pharmacology of medications administered
during post -partum period.
 Therapeutic communication with patient and
Family
Skills/ Attitudes
 General survey and focused assessment of newly
admitted patient in active labor
 Recognition of and interventions for normal fetal
heart patterns
 Comfort measures for laboring patient including
family involvement
 Dimensions of patient-family centered care in
dealing with distressing situations
 SECTION III: SCENARIO SCRIPT
A.Case summary

25-year-old married L.M.P 1\3\2021 ,admitted to labor word in active labor,

accompanied by sister , with GDM during this pregnancy , free medical and surgical hx ,
c\o moderate to sever lower abdominal and back pain , AFTER ASSESSMENT
Cx dilatation 6 cm , 3\10 min moderate contraction , FHR 134 b\min , intact membrane
BP 120\78 mmgh , p 94 b\min , temp 36,7 c axillary ,RR 20 b\min .
After delivary female baby wt 3.960 kg ,A\S 9\10

B. Scenario Cast

Patient/ Client
 Mid-level simulator

Role Brief Descriptor Standardized Participant (SP)

(Optional) or Learner (L)
RN 1 – new graduate Assessment of patient Learner
RN 2 – experienced Assists with paperwork Learner
Perinatal preceptor Assesses fetal monitor
Mother Expresses concern over sister’s acute pain Standardized Participant
Charge nurse Assists with delivery Standardized Participant

C.Patient/Client Profile
Last name: SADEQ First name: YUMNA
 Gender: Fe Age:25 Ht: 160 Wt 93 Code Status: Full
Spiritual Practice: Muslim Hgb : 12g\dl Primary Language spoken:
Arabic
1. History of present illness
Chief Complaint: lower abdominal and back pain .
start Regular mild abdominal pain at 4:00 am , SROM occur AT 9 :00AM com to hospital with her mother at
9:30 am .

Full term pregnancy for

Primary Medical Diagnosis normal delivery
Reactio
Medication allergies: n:
Reactio
Food/other allergies: n:
Please monitor the FHR , contraction & glucose check , and apply IVF N\S 0.9 Q6 hrs. .
Post-partum : apply complete active management .

Drug Dose Route Frequency sig

Currentmedications

Oxytocin 10 \ IU I.M State

Oxytocin 20 \ IU I.V State

Cytotic 600 mcg b.r State

V\S Monitoring

Hrs BP RR P Temp SPO2

 Nurses note

Name :………………………………………………
Time Nurse,s notes Time Nurse,s notes