Amy jumps for the door, trying to get out, and the peep-hole was never there. It all seems very hallucinatory and very preggers-related, in a space-age Rosemary's Baby way, like, this is when I really started thinking we are getting something vastly different from what's actually occurring -- which is both cool and annoying because what's the point -- but then also you might just be getting odd effects or intentional brain-games from the Silence at this point. Something about that specific phrase, "She's just dreaming," puts me in mind of Moffat's #2 trope, You Are In The Matrix, so that's worrisome. Or maybe it's just weird for weirdness's sake, again:
Through the door to the shiny nurse room, but suddenly it's a child's bedroom. There's a clever painting on the wall of a ballerina which looks like an upside-down Silent head, which, I thought I was just making things up, but they keep framing Amy in front of it, so good on you for that.
This is the point where Amy finds, among many framed photos near the bed, a picture of herself holding her baby and smiling. The picture is like sepia-toned, which at first just seemed like a dumb prop choice -- Amy's baby would be born in the age of color photographs, and doing it this way just makes it seem old-timey relative to the room she's in -- but then, if I'm right and they've managed to get her to deliver the baby in-between all these creepy scenes, it actually makes a lot more sense that she'd be having a 1969-looking photo of herself. Which is actually the most terrifying thing about all this mess: Amy alone, getting tied up and interfered with. Again. And us none the wiser.
Then the Spaceman comes walking in, causing her to flip out, and the faceplate comes up to once again reveal the little girl Jefferson. "Just tell me who you are! I'm sorry, I didn't mean to shoot you. I'm glad I missed." (Cliffhanger resolution! She ... missed.) "But you killed the Doctor, or you're going to kill him..." The little girl is not so forthcoming -- and even though Amy blew a hole in the faceplate, she's still doing the vacuum-breathing thing for some reason -- with details, but just keeps begging (in an American accent, note) for Amy to help her. Staring, staring, and then two Silence appear flanking the Spacegirl, and Amy shrieks (because sure) and the door slams shut on them, locking us out.