Tutorial.
Tonight we had a basic roleplay.
Then another labour ward scenario as people are not clear about the technique of answering despite Monday's tutorial. I hope it will be clearer after tonight.
Scenario 2.
Monday. 0900 hours. You have just come on duty.
| 1 | Mrs A | Para 0+0 | 25 yrs | 41 weeks. In labour 12 hours. Cx 8 cm. No progress for 4 hours. "Dips" reported on CTG |
| 2 | Mrs B | Para 1+2 | 31 yrs | 28 weeks. Just admitted. "Show" + contractions |
| 3 | Mrs C | Para 5+3 | 40 yrs | In labour 8 hours. Cx 6 cm. dilated |
| 4 | Mrs D | Para 1+3 | 27 yrs | 37 weeks. Diabetes. Admitted ½ hour previously. Previous Caesarean section. |
| 5 | Mrs E | Para 1+2 | 32 yrs | 40 weeks. Previous 9 lb. baby. In the second stage for 1 ½ hours. |
| 6 | Miss F | Para 0+0 | 15 yrs | 34 weeks. Concealed pregnancy. In labour. Just admitted. Breech presentation |
| 7 | Mrs G | Para 1+2 | | 26 weeks. Admitted with severe abdominal pain |
| 8 | Mrs H | Para 2+1 | | 39 weeks. In early labour. |
| 9 | Mrs I | Para 1+0 | | Delivered two hours previously by Caesarean section for severe pre-eclampsia. Diastolic BP / 110. Urine output 50 ml. since delivery |
| 10 | Mrs J | Para 1+0 | | Normal delivery + PPH >1,500 ml. one hour ago |
Medical staff:
Consultant: in his Rooms.
You: Registrar.
Foundation Year 2 six months’ experience.
Registrar in anaesthetics.
Midwifery staff:
Senior Sister.
Two staff midwives.
One community midwife.
Two student midwives.
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