The nursing shortage has placed tremendous demand on clinical sites as schools of nursing struggle to meet the demand for nurses.  Simulation learning is an alternative for clinical learning that provides a safe environment for students to explore application of nursing theory and clinical techniques in the maternal child setting.  Some state boards of nursing have approved the substitution of a limited number simulation learning hours for clinical experience hours.  Using Noelle, the Gaumard Scientific Maternal and Neonatal birthing simulator, students at Cleveland State University engaged in simulation learning through the use of case studies.  This provided BSN program students with opportunities to perform nursing interventions and practice critical thinking in the maternal-child setting.  The simulated learning was evaluated by the 98 students over 2 semesters, giving clinical faculty needed input in what was beneficial to the student’s learning, and more importantly, what was not beneficial.