Students will provide intrapartum care for Anthony Thompson, a 30-year-old transgender male presenting in active labor at 39 weeks and 6 days of gestation. Anthony, who was assigned female at birth, identifies as male and prefers they/them pronouns. They conceived during a break in testosterone treatment due to financial constraints. The scenario involves careful monitoring and intervention due to variable decelerations in fetal heart rate, while respecting Anthony's desire for a natural labor and birth experience. Students will navigate through three stages of labor, with the aid of a simulated EHR and possible role-play to enhance learning.