Davao Doctors College, Inc.

College of Allied Health Sciences

Nursing Program

NRG203: CARE OF MOTHER, CHILD, AND ADOLESCENT

(WELL CLIENTS)

POSTPARTUM CARE
[STUDENT COPY]

Getting to Know the Course Instructor

Hello! I am ___________, your clinical instructor for the
week, and I’d like to welcome you to your second simulation
with standardized patient module for NRG203: CARE OF
MOTHER, CHILD AND ADOLESCENT (WELL CLIENTS).
I, on behalf of the Nursing Program, am looking forward to
guiding you in learning this course well and in developing
your critical thinking and communication skills in the process.
Please read the RLE Practice Guidelines for Simulation with Standardized Patient
before proceeding to the next part of this module.

Once you are done acquainting yourself with the instructor and the course itself, please
proceed to SP Module 2: Care of a Woman in the Postpartum Period.

Title: Care of Woman in the Postpartum Period

Focus Area: Obstetric Nurse Station

SCENARIO OVERVIEW

Case: Postpartum patient, 28-year-old female, married, multipara

Mrs. Dana Dee, 28-year-old female (G4T3P1A0L4) is one hour post-vaginal delivery of a 4200g
baby girl at 38 weeks and 6 days. The delivery was straightforward and uncomplicated, with
moderate blood loss, with repaired second-degree laceration and the patient did not require
epidural anesthesia but anxiety was high. She was discharged after 3 days.

When the patient returned home, she cared for the infant on her own and took her medications
at home as prescribed. In the evenings, her husband assisted her. Her mother and sister also
helped as well, but her husband insisted on her being able to care for the child on her own. The
feeding process was difficult, and she is giving her best care for her child, self, home, and
family.

Nine days after delivery, she came to the OB/GYNE clinic for a follow-up check-up. She stated,
“I enjoyed motherhood, but sometimes I feel sad and irritable for about a week after giving
birth.” Moreover, she was always tired and didn’t get enough sleep at night yet had the chance
to nap during the time because her husband and family are supportive of her. Her appetite is
back to normal wherein she completed her meals three times a day with snacks in between to
support her nutritional needs in lactation.

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 1

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

NONE: NO KNOWN ALLERGIES

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 2

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

031900 Dana Dee March 10, 1993 204 Dr. Valdez NONE: NO KNOWN ALLERGIES

October 19, 2021 @ 8:00AM

Cont. Postpartum Orders
CC: (+) Abdominal Pain, Pain Scale
5/10
- Increase Oral Fluid Intake
- Continue vital signs monitoring every 15
BP: 85/55 mmHG PR: 110 cpm minutes
RR: 23 cpm T: 37.9 C - Watch out for hypotension, tachycardia and
tachypnea
O2Sat: 95%
Medications:
(+) lethargic - Methylergonovine 0.2mg/ml, 1 ml IM now
- Methergine 0.2mg/tablet, 1 tablet PO q6
(+) soaked perineal pad in 30 minutes
hours
(-) blood clots - Ampicillin 1g IVTT q6 hours
- Mefenamic Acid 500mg 1 tablet PO q 6 hrs
(+) intact episiorrhaphy
- Omeprazole 40 mg 1 Capsule PO, BID
(+) uterus 2 cm above umbilicus, - Nalbuphine 5mg IVTT every 8 hrs. PRN
boggy - Plasil 10mg IVTT every 6 hours PRN
(+) distended bladder - Watch out untoward effects of medications
Refer accordingly
(+) 10 ml/hr urine output

(+) 400 ml EBL

D
Hazel Valdez, MD

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 3

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 4

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 5

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

Laboratories:

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 6

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 7

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 8

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

URINE GSCS

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 9

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

SP MODULE 6: CARE OF WOMAN IN INTRAPARTUM STAGE (WELL CLIENT) 10

Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

Scenario Objectives

1. Establish rapport with the patient.

2. Utilize concepts, principles and evidence-based practices related to the care of puerperium.

3. Assess the physical and psychological changes of a postpartum client

4. Determine the risk and warning signs during the different phases of postpartum.

5. Prioritize patients' needs.

6. Develop an appropriate plan of care, involving the patient.

7. Provide effective, safe, holistic management to normal and risk postpartum client.

8. Communicate relevant patient information to the team using the SBAR tool.

9. Provide health education and counselling.

10.Demonstrate critical thinking and clinical decision-making skills necessary to interpret data

11. Integrate knowledge, skills and bioethical considerations in providing patient-family

centered care.

12. Evaluate the patient's health status accurately.

Point to Review:

1. Nurse-Patient Interaction with an admitted patient, or clinic follow-up check up.

2. Phase of puerperium, regressive and progressive changes, warning signs.

3. Plan of care to a woman up to 6 weeks after delivery.

4. Nursing responsibilities and nursing process in the care of postpartum.

5. Provide health education to the new mother and family.

6. Ending the shift

Note: Please be informed that there will be a pre-briefing session prior to the start of the
simulation. After all simulations, a debriefing session will be conducted together with the CI and
SP

References:

Berman, A., Snyder, S., & Frandsen, G. (2016). Kozier & Erb’s fundamentals of nursing:
Concepts, process, and practice (10th ed.). Pearson Education, Inc.

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Davao Doctors College, Inc.
College of Allied Health Sciences
Nursing Program

Silbert-Flagg,J. & Pillitteri, A. (2018). Maternal & Child Health Nursing, Care of the childbearing
& Childrearing Family, 8th Edition. Wolter Kluwer Health

Doenges, M., Moorhouse, M. & Murr, Alice (2016). Nurse’s Pocket Guide Diagnoses, Prioritized
Interventions, and Rationales(15th Edition). F.A. Davis Company

Quigley, B., Palm, M.L., & Bickley, L. (2012). Bates’ nursing guide to physical examination and
history taking (1st ed.). Wolters Kluwer Health

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