RLE-level-2-Learning-packet-2-Blue-week-2 (Sanaani, Nur-Fatima, M.)

Ateneo de Zamboanga University
College of Nursing
School Year 2020-2021
Learning Packet in Level 2 RLE - BLUE

Care of Pregnant Woman with conditions affecting pregnancy
Name:SANANAI, NUR-FATIMA M. Date:__________________

Level and Section:BSN-2H Learning Packet No:___#2___
Topic: Care of Pregnant Woman Semester: First

with conditions affecting pregnancy -
week 2
Learning Materials:
 Laptop, computer desktop or android phone
 Ballpen
 Paper
 Video clips
I. INTRODUCTION
What is this about ?
This packet is about Care of family and client during Pregnancy with conditions
affecting pregnancy and Labor…
What will you learn?
1. Precipitate Labor
2.Premature Labor
3.Postmature Labor
This learning packet is a property of ADZU- College of Nursing 2020. Unauthorized reproduction, distribution and selling is strictly prohibited. Page | 1
Learning Competencies and Objectives
At the end of the 24 hour RLE student will be able to:
1. Describe the common conditions affecting pregnancy and labor such as:
A. Precipitate Labor
B. Premature Labor
C. Post mature Labor
2. Assess a woman for physiologic, pathologic and psychological changes during
pregnancy.and labor.
3. Formulate a nursing diagnoses related to conditions affecting pregnancy and
labor.
4. Identify expected outcomes for a pregnant woman with conditions affecting
pregnancy and labor.
5. Plan nursing care for a pregnant client with conditions affecting her pregnancy
and labor.
6. Implement nursing care, such as health teaching related to relief of pregnancy

discomforts (e.g. dizziness, headaches, nausea, vomiting, abdominal pain) and
methods to prevent complications in pregnancy and labor.
7. Evaluate outcome criteria for the achievement and effectiveness of care.
II.LEARNING EXPERIENCE
A. Can you do this?
Activity 1: experience wise
Directions: Interview a mother you know thru social media/ in your household
with experience of being pregnant or is pregnant with any of the following
conditions:
1. Precipitate Labor
2. Premature Labor
3. Postmature Labor
Guide Questions:
1. With the Interview can you make your Learning Objectives?
General Objectives:
 Will be able to do assess during the session
 Nurses will be able to provide care during the session of care
 Nurses will be able to build rapport during the interaction during patient
and nurses assessing health history
Specific objectives:
 Nurses will be able to developed a nursing care plan during session of care
 Nurses will be able to give essential health care intervention
 Nurses will be able to provide health care education after patient will be
discharged
2. on the case scenario #1 (your interview) Can you write the mother’s OB
History?
Biographic Data:
Name: secret Gender: Female
Age:33 Status: Marriage
Religion: Christian
Address: Tetuan, Zamboanga city
Chief Complaint: discomfort in the back
OB Score: G1/P0
History of Present Illness:N/A
History of Past Illness:N/A
Family History:N/A
Social History:N/A
3. Can you make a Cephalocaudal Assessment?
Vital Signs:
 BP-130/70mmHg
 HR-64bpm
 PR-62bpm
 RR-21bpm
General Appearance”
Skin:turgo Good condition
HEENT:
Chest and Lungs:Normal

Abdomen:Normal
Extremities:Normal
4. Can you make Gordon’s 11 functional Pattern?
I the patients defines state of health is at a state of pain during progression of
labour, she pain scale her pain during progression was 8 out of 10(1-10).,when
ever patient felt on having, fever, cough, or colds occurrence from her
interviewed for heath history she usually compensate her symptoms with over-
the-counter medication such as biogesic, and neozep for treating her symptoms
of illness.
II patient in her day to day basis she has an initial 3 times a day of meals, her
calories consumption in the day has initially been 1967kcals, she has a busy
activity work during the day. She often has snacks during breakfast, and during
lunch she often consumes premeals, at night she would usually eat ready food
meals. But during pregnancy she has a high intake of nutrients such as fiber with
papaya, avocado, banana, etc’s her daily calories intake usually at the initial 2002
calories initial from day to basis in her pregnancy.
III patients elimination patterns, usually consist of, defecation usually takes one
week or twice a week, she is experiencing constipation due to her limited
nutrients from her daily initial intake, she has low fiber intake, and low in
nutrients. But during pregnancy she often experience constipation during the
progression of her pregnancy.
IV she is often on her work, she is a busy women her work is a sales lady, 8hrs
duty. During pregnancy she has been limiting a work load for her work for being
sales lady.
V she often sleep late for bonding with his husband which is a taxi driver, they has
limited time during the day, and a night they often watch movies to compensate
their tired day. Her night sleep was at the medium of 5hrs for the night, during
day light they have no time to rest during the day light. But during pregnancy she
often sleeps at the time of night initially 8hrs, and day time naps at length of 2hrs.
VIpatient is graduated at the suffiency of senior high school year, due to limited
financial crisis, due to no financial support, his partners decided to have initial
work for them to enable to have daily food, and cloths for their survival. Patient
has been struggling during pregnant state due to crisis of financial has been
flowing through their wallets, for the patients well-being and foods intake,
supplements, and etc’s.
VII she has often like to socialized with her friends from works, and with her
husband, her family seems to disregard her due to her decision making on
choosing her partners than her own family. She often felt like she was getting fat,
ugly during pregnancy.
VIIIshe is an independent women during her decision to be separated from her
family she begun to strive to her won will, she decision on the relationship role.
IXshe is intellectually aware of her sexual reproductive and he sexual orientation
as an individual person, she is sexually active with her partner.
X when patient has been experiencing excessively stress during the day she often
sleep, to removed the stress sensation that had been lingering from her head. She
often rest and make herself busy to not recognize her scenarios of stressor.
XI her family was a committed Christian often go to church every Sunday, but
starting she begun to separate her herself from her family she begun to not try to
make or make time to go to church her spiritual beliefs begin to removed, and
disappear.
Don’t Forget Putting it All Together
Assessment: The first step in determining a patient’s health status.
 Gather information, put pieces of the health puzzle together.
 Entire plan is based on the data you collect, data needs to be
complete and accurate
 Collect, verify, and organize data, identify patterns, report and
record the data.
 A term pregnancy is 38 to 42 weeks long.
 Preterm labor is labor that occurs before the end of week 37 of
gestation. It occurs in approximately 9% to 11% of all
pregnancies. It is responsible for almost two-thirds of all infant
deaths in the neonatal period (Cootauco & Althaus, 2007). Any
woman having persistent uterine contractions (four every 20
minutes) should be considered to be in labor. A woman is
documented as being in actual labor rather than having false
labor contractions if she is having uterine contractions that
cause cervical effacement over 80% or dilation over 1 cm.
Preterm labor is always serious because if it results in the
infant’s birth, the infant will be immature.
 A pregnancy that exceeds these limits is prolonged (post term
pregnancy, postmature, or postdate). The infant of such a
pregnancy is considered postmature, or dysmature, if there is
evidence that placental insufficiency has interfered with fetal
growth. Post term pregnancy occurs in 3% to 12% of all
pregnancies (Fortner, Althaus, & Gurewitsch, 2007).
B. Let’s start!
1. Based on Scenario 1,What could be a possible nursing diagnosis for this case?
2. What are some of the measures that she can take to relieve pregnancy
discomforts ?
CUES Nursing Diagnosis
Subjective cues “ maam ang sakit ng Acute pain, related to uterus
likod ko maam ” verbalized by patient contraction, as evidence by being at
labour state.
Scaling her pain between 8 out of
10(1-10).
3. Can you formulate a health teaching plan?

CUES OBJECTIV CONTENT STRATEGY TIM EVAL
ES E UATI
Allo ON
tme
nt
Subjec By the end THE COMPONENT OF BREASTMILK: THE 1Ho CLEINT
tive: of the class Human milk, COMPONENT urs WILL
the Nutrients/100ml OF BREASTMILK KNOW
learners  Water FORMULA(lectu and , HAVE
Subjec
will be  Energy ring) ½ APPRO
tive
able to:  Protein hrs PRIATE
cues “  Carbohydrates KNOW
maam 1.) IDE  Fats LEDGE
ang NTI  Calcium ABOU
sakit
FY  Phosphorous T,
TH  Iron WHAT
ng E ARE
 Carotene
likod CO  Thiamine THE
ko MP  Riboflavin NUTRI
ON  Vitamin c ENT
maam EN Caseinogens-lactalbumin THAT
rations
” T THE
(1:2).
verbali OF BREAS
BR TMILK
zed by EAS CONSI
patien TM TYPES OF BREASTMILK: ST FOR
ILK -Colostrums, Transitional HER
t FO milk, Mature Milk TYPES OF BABY(
RM COLOSTRUM: BREASTMILK(lec QUEST
Scaling
UL  First 2-3 days turing) ION
her A  Most suitable food for THE
pain new born baby COMP
betwe  Is producted during late ONEN
stage of pregnancy, until 4 T)
en 8
days after delivery, and is TYPES
out of rich in antibodies OF
10(1- TRANSITIONAL MILK: MILK(
10).  It produced at day 4-10 is QUEST
lower content in protein ION
based comparing to the AND
2.) DE colostrums. ANSW
SCR MATURE MILK: ER)
IBE  It is produce during 10
D days, approximately after
WH delivery up until, the
AT termination of
TYP breastfeeding.
ES
Objec OF
tive: BR Classi Pro Fa Carboh Calor
EAS ficati tein ts( ydrate ies(k
 B TM on: (g) g) s(g) cal)
P ILK Colos 7.5 2 4-5 150
AN trum
- D s
1 IM Trans 2.5 3. 5.5-6.6 60-
3 PO ition 2 80
0 RT Matu 1.1- 3. 7 65-
/ AN re 1.5 5- 70
7 CE 4.
OF 5
0 EA
m CH
m FO  Milk which outpoured,
H RM one feeding can be TYPES OF
g UL classified as: POSITION IN
A BREASTFEEDIN
 H  Fores milk(early milk)- at the
MIL beginning of feeding, it G(demonstratio
R K n/actual
consist of more lactose,
-
protein, and water based positioning)
6 that satisfied infant thirst.
4  Hind milk(late milk)- co,es
b out later afterward the fores
milk, feeds and riche in fats
p
content, provide more
m energy and satisfied baby’s
 P hunger cues.
R  Optimum growth
-  Baby can empty one breast
6  2nd breast should be offered
after 1st breast finished
2
b
p
m
 R TYPES OF POSITION IN
R BREASTFEEDING:
- 1.)
2
1
b
p
m
3.) DE
MO
NS 2.)
TR
ATE
WH
AT
AR
E
TH
E
TYP
ES
OF
PO
SITI
ON
IN
BR
EAS
TFE
EDI
NG
3.)
4.)
5.)
DIFFRENEC OF
GOOD, AND
POOR
ATTECHMENT
OF
INFANT(lecturin
g)
DIFFRENEC OF GOOD, AND POOR

ATTECHMENT OF INFANT:
 To stimulate breast
production of milk, nipple
must be suck, to stimulate
nipple, and provide infant an
adequate supply and good
flow of milk, baby must be at
the state of we attached to
nipple that he/she can suckle
effectively.
 GOOD ATTACHMENT( INSIDE

THE INFACT MOUTH)
-areola and tissue
underneath, including lager
duct, are in the infants
mouth
-breast being stretch to form
long “teat”
-infants tongues is forward
over lower gums, beneath ADVANTAGES
milk ducks OF
-Infants suckling from breast BEASTFEEDING(
not from nipple lecturing)
 POOT ATTACHMENT(INSIDE
INFANTS MOUTH) AT THE END OF
-only nipple infants mouth, THE SESSION
not the entire underlying STUDENTS
4.) DIF breast tissue/ ducts NURSE WIL
FER -Infants tongues is at the GIVE QUESTION
EN back inside his/her mouth, RELATED TO
TIA cannot reach to ducts to TOPIC
TE press ducts.
WH
AT
AR
E
TH
E
DIF
FER
EN
CE ADVANTAGES OF BEASTFEEDING:
FR One of the controversy exist in
OM breastfeeding, is one of th best
GO resources of nutrition for infants.
OD, “Breastfeeding contraindication only
AN for few circumstances”, such as
D given:
PO  An infant with
OR galactosemia (such infants
ATT cannot digest the lactose
EC in milk)
HM  Herpes lesions on a
EN mother’s nipples
T  Maternal diet is nutrient
OF restricted, preventing
INF quality milk production
AN  Maternal exposure to
T radioactive compounds
(e.g., during thyroid
testing)
 Breast cancer
 Mothers receiving
antimetabolites or
chemotherapeutic agents
 Mothers receiving
prescribed medications
that would be harmful to
an infant such as lithium or
methotrexate
Advantages for infant:

 Scaling up breastfeeding can
potentially save lives of more
that 820,000 child under age
of 5
 Breastfeeding correlate with,
is development of 3-4 point
 Children who had
breastfeeding prolonged
period of time, has low rate
of acquiring infectious
morbidity and mortality
rate , than children has short
period of time, or did not
negotiate at breastfeeding.
5.) KN  Breast milk contains
OW secretory immunoglobulin A
WH (IgA), which binds large
AT molecules of foreign
TH proteins, including viruses
E and bacteria, keeping them
AD from being absorbed from
VA the gastrointestinal tract into
NT the infant.
AG  Lactoferrin is an iron-binding
ES protein in breast milk that
OF interferes with the growth of
BE pathogenic bacteria.
AST  Enzyme lysozyme in breast
FEE milk
DIN  apparently actively destroys
G bacteria by lysing (dissolving)
their cell membranes,
possibly increasing the
effectiveness of antibodies.
 Leukocytes in breast milk
provide protection against
common respiratory
infectious invaders.
Macrophages, responsible
for producing interferon (a
protein that protects against
viruses), help interfere with
virus growth.
 The bifidus factor is a specific
growth promoting factor for
the beneficial bacteria
Lactobacillus bifidus. The
presence of L. bifidus in
breast milk interferes with
the colonization of
pathogenic bacteria in the
gastrointestinal tract,
reducing the incidence of
diarrhea.
 anti-infective properties,
breast milk contains the ideal
electrolyte and mineral
composition for human
infant growth. It is high in
lactose, an easily digested
sugar that provides ready
glucose for rapid brain
growth.
 The protein in breast milk is
easily digested, and the ratio
of cysteine to methionine
(two amino acids) in breast
milk favors rapid brain
growth in the early months.
Breast milk contains more linoleic
acid, an essential fatty acid for skin
integrity, and less sodium,
potassium, calcium, and phosphorus
than do many formulas
Activity 2: Video Clip Viewing

1. Pre term Labor: https://www.youtube.com/watch?v=4I4OEgfi-Lk
One Minute Paper: You will be given exactly ‘one minute’ to write down all you
learned or would like to know about the video clip.
3-2-1 reflect
3- What was the most important

or useful piece of information you
learned from these video clips?
2- What two questions do you still

have?
1-What would you like to know

more about?
Activity 3: Contraction Stress Test (Refer to Checklist)

C. Think about these
Activity 4: Think, Pair and Share

Scenario #2: Beverly Pari is a 21-year-old primipara, 30 weeks pregnant, whom
you see in a prenatal clinic. She has had symptoms of a urinary tract infection for
the past few days but did not call the clinic because she knew she had an
appointment today and thought getting some help for it could wait until she came
in. Yesterday she noticed some mild abdominal pain but thought it
was irritation from the bladder infection. During the night, she woke twice
because of a nagging backache. This morning, she has intermittent sharp uterine
contractions. “Why did this happen?” she asks you. “I didn’t
do anything wrong.”
Client Assessment ✽ Gravida 2, para 0, 30 week pregnancy. Heart rate 88 bpm;

respirations 22; blood pressure 130/78. Fetal heart rate 142 bpm; reports positive
fetal movements. Uterine contractions every 7 minutes
lasting 40 seconds. Intravenous tocolytic therapy with terbutaline prescribed.
Guide Questions:
1. What methods will you discuss to prevent complications in pregnancy?
2. What criteria will you be using to evaluate patient progress?
3. How will you encourage the mother to promote a healthy lifestyle during
pregnancy?
Then, you may share and discuss your answer with your partner.
( a predetermined classmate assigned to you)
4. Can you formulate a health teaching plan?
CUES OBJECTIVES CONTENT STRAT TIME EVALU
EGY Allot ATION
ment
Subjecti At the end of  Assess for 45mi Patient
ve: this lecture, Sensorimotor Lecturi ns will be
. “Why mother will stages, by divided ng able to
did this be able to: into 6 substages: with know
happen  Iden -Simple reflexes visualiz and
?” as tify -Primary Circular ation identify
the the reaction the
patients asse -Secondary Circular typical
verbaliz ssm reaction advant
ed. “I ent -Coordination of ages
didn’t for secondary circular and
do infa reaction possibl
anythin nt’s -Tertiary circular e
g phy Reation causes
wrong.” sical -Internalization of of
As the gro Schemes proble
patient wth m
verbaliz  Disc  Why is related
ed. uss Nutrition to
the Importsnt? inadeq
ene -Energy of Daily uate
rgy Living nutrien
and -Maintenance of ts
nutr all Body Function facing
ient -Vita to Growth by
Objectiv s and infant.
e: nee Development
Obstetri ds -Therapeutic
cs of Benefits
score:G infa  Healing
2/P0 nt  Prevention
 Expl
Vital ain  Energy and
signs: the Nutrient
HR- nutr Needs
88bpm itio
RR- n- -
22bpm rela Energy(Calori
BP- ted es)
130/78 pro -
mmHg ble 108kcal/kg/d
FHR- m ay from birth
142bp the to 6 months
m affe -
ct 98kcal/kg/day
the from
infa 6months-
nt 12months
 Factors
that
influen
ce
calories
needs
-weight
and
growth
rate
-
sleep/
wake
cycle
-
temper
ature
and
climate
-phyical
activity
-
metabo
lic
respons
e to
food
-health
status/r
ecover
from
illness
 The
import
ance of
infant
feeding
positio
n
-
Improp
er
positio
ning
may
cause
choking
,
discomf
ort, and
ear
infectio
n
-
positon
young
bottle-
fed
infant
in a
semi-
upright
positio
n
-spoon-
feeding
should
be with
infant
seated
with
back
and
feet
support
-adult
feeding
infant
should
be
directly
in front
of
infant
making
eye
contact
 Commo
n
Nutritio
nal
Proble
m and
concer
n
-Failure
to
thrive
-colic
-iron-
deficie
ncy
anaemi
a
-
constip
ation
-dental
caries
-food
allergie
s
5. What is your nursing Diagnosis?

6. What would be your plan and intervention for this stage?
Direction: 1. Formulate a Nursing Care Plan based on scenario #2
Evaluation Plan
Cues Nursin Objective of Plan of Intervention
Outcome Met
g Nursing
Criteria/ hod/
Diagno Care
Indicator Tool
sis
s,
standards
Subjecti Acute Client will Assess degree of discomfort Patient
ve: pain, identify/use through verbal will be
. “Why related techniques and nonverbal cues; note able to
did this to to control cultural practices on pain manifest
happen uterus pain/discom response. the
?” as contra fort. alleviated
the ction, Client will Assess nature and amount of from the
patients as report vaginal show, cervical pain
verbaliz eviden discomfort dilation, effacement, fetal relate to
ed. “I ce by is station, and fetal descent. contracti
didn’t being minimized. on of
do at Client will uterus
anythin labour appear Time and record the by non-
g state. relaxed/res frequency, intensity, pharmac
wrong.” ting and duration of uterine ological
As the between contractile pattern per method
patient contraction protocol. and by
verbaliz s given
ed. Client will Provide information about pharmac
be free of available analgesics, usual ological
untoward responses/side effects (client medicati
side effects and fetal), and duration of on that
if analgesic effect in light of was
analgesia/a current situation. prescribe
nesthetic d by her
Objectiv agents are Assess BP and pulse every 1– physician
e: administere 2 min after regional injection .
Obstetri d. for first 15 min, then every
cs 10–15 min for remainder of
score:G labor. Elevate head
2/P0 approximately 30 degrees,
alternate position by turning
Vital side to side and use of hip
signs: roll.
HR-
Monitor FHR variability.
88bpm
RR-
22bpm
BP- Using alcohol pad or cotton
130/78 swab on both sides
mmHg of abdomen, assess and
FHR- record level of sensation q 30
142bp
m min.
Monitor FHR electronically,

and note
decreased variability or
bradycardia.
Assess for warmth, redness

of large toe or ball of the
foot, and equal distribution
of spinal medication if used.
Engage client in conversation

to assess sensorium; monitor
breathing patterns and pulse.
Encourage client to void

every 1–2 hr. Palpate
above symphysis pubis to
determine distension,
especially after nerve block.
Provide safety measures;

e.g., encourage client to
move slowly, keep siderails
up after drug administration,
and support legs with
position changes.
Assist with comfort

measures (e.g., back/leg
rubs, sacral pressure, back
rest, mouth care,
repositioning, shower/hot
tub use, perineal care, and
linen changes).
Assist in use of appropriate

breathing and/or
relaxation techniques and in
abdominal effleurage.
Support client’s decision

about the use or nonuse of
medication in a
nonjudgmental
manner. Continue
encouragement for efforts
and use of relaxation
techniques.
Obtain fetal scalp sample if

bradycardia persists for 30
min or more per electronic
monitor.
Administer analgesic such as

butorphanol tartrate (Stadol)
or meperidine hydrochloride
(Demerol) by IV or deep
intramuscular (IM)
during contractions, if
indicated.
Assist with epidural or caudal

block anesthesia using an
indwelling catheter.
Administer emergency
medications as
indicated, e.g., naloxone
(Narcan)
or ephedrine (Ephedra). Succ
inylcholine chloride, and
assist with intubation, as
appropriate.
Feedback
Now , let’s check how you are doing so far in the Think, Pair and Share activity
4- Outstanding
3- Very Satisfactory
2- Satisfactory
1- Unsatisfactory
D. Do you know?
A woman in preterm labor that cannot be halted needs a support person with her
because she is apt to be more concerned than the average woman about labor. She needs
frequent assurance during labor that she is breathing well with contractions or just that she
is “doing well.” She may not be mentally prepared for labor because it has come
unexpectedly. During the postpartum period, she may need continued reassurance. Helping
rebuild self-esteem this way can better prepare her to be a parent to her preterm infant.
Post Term- Remaining in utero for longer than 2 weeks beyond term
creates a danger to a fetus for several reasons.
 Meconium aspiration is more apt to occur as fetal intestinal contents are more likely
to reach the rectum. If the fetus continues to grow, macrosomia could create a birth
problem.
 However, the usual effect of being post term is lack of growth
 A placenta seems to have adequate functioning ability for only 40 to 42 weeks. After
that time, it acquires calcium deposits (becomes grade 3). This exposes a fetus to
decreased blood perfusion. Such a fetus may suffer from a lack of oxygen, fluid, and
nutrients (Neilson, 2007).
 Oligohydramnios (a decreased amount of amniotic fluid from lessened urine
production in the fetus) can lead to variable decelerations from cord compression.
III. LEARNING VALUES
During the time of pandemic. We are facing an invisible enemy. To keep our
self, our family and others safe. We are bound to follow quarantine rules.
Just like in our lessons of taking care of mothers and their family during
Pregnancy and Labor . We too are doing certain actions. Sometimes, we can’t
do things on our own. We also ask and need help from others. Whatever
actions we make, these actions will always have outcomes and consequences.
Therefore we need to be responsible with our actions.
Guide Questions: What are the quarantine rules that may be applied when taking
care of the pregnant client and client in Labor ?
What do you think are the rules as a student in our class , in the
hospital or in the community that you need to follow?
What do you think will happen if we will not follow these rules?
Activity 5: Thought shapes

Directions: Write down inside each shape: what you learned, what you enjoyed,
what you felt and what were your thoughts .
The most important thing I have learned… What I enjoyed most……….
How I feel about using the skills and The thoughts still going around
ideas I have learned… in my head are …
IV.EVALUATION
I. Multiple choice: Write the letter of your choice on the space provided before
the number.
Situation : ( For Items #1 and #2)a 20 year old is in preterm labor. noticed some
mild abdominal pain but thought it was irritation from the bladder infection.
During the night, she woke twice because of a nagging backache.
This morning, she has intermittent sharp uterine contractions.
__________1. When you see her in the emergency department, what should be
your first action?
a. Keep her walking so the fetal head puts harder pressure on the cervix.
b. Ask her to lie down in a side-lying position and assess her contractions.
c. Obtain blood for a human chorionic gonadotropin hormone assessment.
d. Caution her to not allow anyone to start IV fluid; dehydration halts contractions
________2. What would be your Nursing Diagnosis?:

a. Fear related to uncertain outcome of pregnancy.
b. Pain related to labor contractions.
c. Situational low self-esteem related to inability to carry pregnancy to
term.
d. Risk for fetal injury related to preterm birth.
_________3. Remaining in utero for longer than 2 weeks beyond term
creates a danger to a fetus for several reasons EXCEPT:
a. Meconium aspiration is more apt to occur as fetal intestinal contents are
more likely to reach the rectum.
b. If the fetus continues to grow, macrosomia could create a birth problem.
c. Polyhydramnios (a decreased amount of amniotic fluid from lessened urine

production in the fetus) can lead to variable decelerations from
cord compression.
d. Such a fetus may suffer from a lack of oxygen, fluid, and nutrients
You are done! Congratulations for actively participating and answering all the
activities in the learning packet, see you on your next packet. Enjoy Learning!
Do you have questions? Concerns?
Do you need help about the topic?
I am available at our e-class chat room or I am just a text away.
Sources:
Pillitteri, Adele, Maternal and Child Nursing: Care of Child bearing and Child rearing,
Edition 6, 2010 ( Pg 568, 585)
Retreived from:
1. Pre term Labor: https://www.youtube.com/watch?v=4I4OEgfi-Lk
Prepared By:
Maria Rosario M. Romero

Clinical Instructor,
Level 2- RLE-Blue
Ateneo de Zamboanga University, 2020

RLE-level-2-Learning-packet-2-Blue-week-2 (Sanaani, Nur-Fatima, M.)

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Ateneo de Zamboanga University

Learning Packet in Level 2 RLE - BLUE

Name:SANANAI, NUR-FATIMA M. Date:__________________

Topic: Care of Pregnant Woman Semester: First

What will you learn?

At the end of the 24 hour RLE student will be able to:

6. Implement nursing care, such as health teaching related to relief of pregnancy

Chest and Lungs:Normal

3. Can you formulate a health teaching plan?

DIFFRENEC OF GOOD, AND POOR

 GOOD ATTACHMENT( INSIDE

Advantages for infant:

Activity 2: Video Clip Viewing

3- What was the most important

2- What two questions do you still

1-What would you like to know

Activity 3: Contraction Stress Test (Refer to Checklist)

Activity 4: Think, Pair and Share

Client Assessment ✽ Gravida 2, para 0, 30 week pregnancy. Heart rate 88 bpm;

2. What criteria will you be using to evaluate patient progress?

5. What is your nursing Diagnosis?

Monitor FHR electronically,

Assess for warmth, redness

Engage client in conversation

Encourage client to void

Provide safety measures;

Assist with comfort

Assist in use of appropriate

Support client’s decision

Obtain fetal scalp sample if

Administer analgesic such as

Assist with epidural or caudal

III. LEARNING VALUES

Activity 5: Thought shapes

c. Obtain blood for a human chorionic gonadotropin hormone assessment.

________2. What would be your Nursing Diagnosis?:

c. Polyhydramnios (a decreased amount of amniotic fluid from lessened urine

Do you need help about the topic?

I am available at our e-class chat room or I am just a text away.

1. Pre term Labor: https://www.youtube.com/watch?v=4I4OEgfi-Lk

Maria Rosario M. Romero

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