This case involves a woman with a pregnancy in 40.6 weeks gestation admitted in labor. Misinterpretation of the fetal heart strips, failure to appreciate acceptable standards of care, lack of appropriate communication, and failure to document are evident in the chart. What went wrong? In this Risk Management Radio Podcast sponsored by PPIC, Deborah Price, RN, MSN, PhD, Director of Risk Management and Tricia Bliujus, RN, BSN, MHA, CHPN, CCM, Claims Analyst/Risk Consultant discuss this case where the baby was born with brain damage - a delay in delivery and negligent use of stimulants during the labor process are alleged in this medical malpractice case.