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Maternity Case 02 Olivia Jones Complex GRQ
Ob-peds (NU 401)
Fisk University
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Maternity Case 2: Olivia Jones (Complex)
Guided Reflection Questions
Opening Questions How did the simulated experience of Olivia Jones’s case make you feel?
I was nervous about this simulation. The patient was very uncomfortable, and I wanted to make sure I did everything I could to relieve her pain and anxiety. After completing it, I don’t think it was as bad as I anticipated
Describe the actions you felt went well in this scenario.
Administration of Magnesium sulfate and the side effects are two things I felt confident about during this scenario.
Scenario Analysis Questions 1 EBP What are the indications that Olivia Jones’s pre-eclampsia has progressed?
Indications are LFT’s, current vital signs, electrolytes,the +3 pitting edema to bilateral lower extremities, crackles at the bases of her lungs, low platelets, worsening epigastric pain and headache, clonus 4+ deep tendon reflexes.
PCC What should the priority teaching for Olivia Jones include?
Plan of care and prognosis.
PCC/I Olivia Jones was placed on magnesium sulfate for treatment of her pre-eclampsia. What are the indications for this drug, and what should be taught to the patient regarding side effects?
Prevention of seizures and eclampsia.
T&C What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format.
S- Olivia Jones is a 23-year-old African American female, G1PO at 36 weeks of gestation admitted to L&D for assessment and monitoring.
1 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: qsen/
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
B- Around 30 weeks pt had an elevated BP of 146/92, proteinuria and was developing mild pre- eclampsia. She was admitted with Protein dipstick +4, negative ketones and glucose, + dependent edema, and facial puffiness. Pt is experiencing nausea, fatigue, visual disturbances, epigastric pain, and headaches.
A- Pt has pitting edema bilateral of lower extremities +3, crackles at base of both lungs, wet nonproductive cough, hyperreflexia, w/ clonus, and graded to a +4, pts complains of headache, nausea, epigastric pain, and blurred spots.
R- Reduce stimuli in the room, seizure precautions, magnesium sulfate, and communicate with the provider for possible induction of labor
S What safety measures should be initiated while Olivia Jones is in the hospital?
Seizures precautions- pad side rails, have oxygen and suction bedside, do not leave patient.
-Keep the lights dimmed
-reduce stimuli
-continue to monitor patients blood pressure
S/QI Based on your experience with Olivia Jones’s case, reflect on possible nursing actions for enhanced safety and quality improvement.
Implement seizure precautions, administer medication, assess vital signs, and allergies.
Concluding Questions Reflecting on Olivia Jones’s case, were there any actions you would do differently? Explain.
Closely monitor the patient and take more frequent vital signs
Describe how you would apply the knowledge and skills that you obtained in Olivia Jones’s case to an actual patient care situation.
Educate patient, carry out head to toe assessment, monitor vital signs, provide comfort and initiate seizure precautions.
From vSim for Nursing | Maternity. © Wolters Kluwer Health.
Maternity Case 02 Olivia Jones Complex GRQ
Course: Ob-peds (NU 401)
University: Fisk University
