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

Maternity Case 2: Olivia Jones (Complex)

Guided Reflection Questions

Opening Questions

How did the simulated experience of Olivia Jones’s case make you feel?

Nervous as it was my first vSim and I did not know what to expect

Describe the actions you felt went well in this scenario.

I feel that the physical assessment and the patient education went well in this simulation. I was

interesting to see the difference in breathing pattern between the patient being in a sitting position

and lying back.

Scenario Analysis Questions*

EBP What are the indications that Olivia Jones’s preeclampsia has progressed?

• Results of LFT's, electrolytes, low platelets

• Current vital signs,

• Bilateral lower extremities +3 pitting edema

• Clonus +4 deep tendon reflexes

• Worsening epigastric pain and headache

PCC What should the priority teaching for Olivia Jones include?

• Priority teaching should include teaching Mrs. Jones to be mindful of the signs of worsening

preeclampsia, in other words, teaching or reinforcing education about the condition, its signs,

symptoms, treatment, and prognosis

PCC/I Olivia Jones was placed on magnesium sulfate for treatment of her preeclampsia. What are the

indications for this drug, and what should be taught to the patient regarding side effects?

• Magnesium sulfate is used for the prevention of seizures in patients with severe preeclampsia

and preterm labor. Mrs. Jones should be educated about the side effects of this medication,

such as confusion, shortness of breath, nausea, dizziness, and dysrhythmia.

T&C What key elements would you include in the handoff report for this patient? Consider the

situation-background-assessment-recommendation (SBAR) format.

* 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/

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vSim Case 1 Complex Olivia Jones

Maternity Nursing Care

Keiser University

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