BRIEF DESCRIPTION:
You are called to attend an emergency C-section of a 38 week infant with an estimated fetal weight of 3000 grams (3 kg). The mother is a G1 P1, 38 years old with a history of poorly controlled DM (diabetes mellitus). The mother was seen in Labor and Delivery triage due to report of decreased fetal movement. The fetal HR (heart rate) on doppler was 40. Amniotic fluid is clear. At delivery, the infant is noted to have tight nuchal cord x 2 requiring surgical reduction.
LEARNING OBJECTIVES: (Fill in the blank). _________________________
PERTINENT HISTORY FOR LEARNERS: (pertinent information gathered from the scenario brief description)
Mother: 38 years old
G 1 P 1
Gestational Age (GA): 38 weeks
Delivery: Cesarean section
OTHER RISK FACTORS (prenatal history, labs, ultrasound results, pertinent maternal and social history, antepartum complications):
Fill in the blank. __________________________________
SCENARIO LOCATION:
Labor and Delivery OR
NECESSARY EQUIPMENT AND SUPPLIES:
Complete resuscitation set-up
Variance in set-up (list additional supplies or equipment required): None
MANNEQUIN PREPARATION:
blood and vernix
INITIAL CONDITION OF NEONATE:
The baby is delivered to the warmer limp, cyanotic, and apneic.
EXPECTED INTERVENTIONS DURING SCENARIO:
(Fill in the blank). _________________________________
SKILLS DEMONSTRATED:
Cognitive: (Fill in the blank). _________________________________
Technical: (Fill in the blank). _________________________________
Behavioral: (Fill in the blank). _________________________________
Source: All rights reserved. Copyright 2010 American Academy of Pediatrics – Revised 11/11/2010
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