We bought a Novell Birthing simulator and use her for a post op appy on a gravid patient. The students have to assess the abdomen with painted on stitiches and dressing of the lap appy of the Gravid patinet between 20-30 weeks. Her abdomen is big enough for them to practice measuring fundal height with the variations. THe students must assess the FHT and assess for cramping and spotting and contractions of the post op patient.
Another simulation we use the Nursing anne for more sounds and actions and apply the pregnant abdomen and leave the belly plate for FHT sounds and then change to BS for bowel sounds assessment. The family member can work the controls for the instructor. We have them yaking and requiring medications for nausea and then cause the FHT to drop due to crossing the placenta barrier.
Durcilla WIlliams, MSN, RN Odessa College