BACHELOR OF SCIENCE IN NURSING:

MATERNAL AND CHILD NURSING

RLE MODULE RLE UNIT WEEK
2 9 8
Pre-eminent signs of Labor, True vs. false labor

 Read course and unit objectives

 Read and understand practicum and study guide
 Participate in online discussion
 Present and submit practicum/unit tasks

At the end of this unit, the students are expected to:

Cognitive

 Assist a woman who is showing signs of true labor

 Learn how to differentiate true vs. false labor
Affective
 Practice effective listening during class discussion
 Inquire on topics c are not completely understood
 Share opinions on the subject matter that can enhance class discussion

Psychomotor

 Follow class rules and netiquettes

 Participate during class discussion
 Computer device or smartphone with internet access (at least 54 kbps; average data
subscription will suffice)

Case presentation:

Maria is a 34-year-old G1P0 38 4/7 weeks AOG, she came into the clinic this morning for
abdominal pain. During interview she said that she feels like she is having uterine contractions but
is unsure if it is really happening. She also said that she feels it whenever she is moving around
the house but goes away when she is at rest. She has been feeling this since last night. She
denies bloody show and ruptured bag of water.

The nurse did an internal examination, it reveals the following findings:

Cervical os: closed

Effacement: 0
Station: Floating
Membranes: Intact

She was ordered by her doctor to go home, ambulate for 30 minutes every 4 hours during day time
and come back if the contractions become more regular. Maria went home.

The next morning, Maria went back to the clinic to report that she is having uterine contractions
every 4 to 5 minutes, lasting for about 1 minute. She also reported bloody show and a sudden
gush of fluid from her vaginal area while in the vehicle going to the clinic.

The nurse did an IE and it reveals:

Cervical os: 5 cms

Effacement: 80%
Station = +3
Membranes: Spontaneous rupture

She is hooked to the fetal monitor and her initial NST shows:

The doctor ordered the following:

Please admit to labor room

Start NPO

IV Fluids:
PNSS 1 L to run for 100 ml/hour
Side drip, D5NR 1L + 10 units syntocinon 10 units at 8 drops per minute to titrate accordingly
Medications:
Buscopan 20 mg IV every 2 hours to complete 3 doses

Hooked to fetal monitor

Sterile gloves for internal examination
Please refer to anesthesiologist for epidural anesthesia as planned
Please refer pediatrician of this admission

Instructions:

1. You are the delivery room nurse, and you would like to inform your patients regarding the
difference between true and false labor. Create a flyer or a pamphlet re: true and false
labor. Make it creative and interesting
a. Describe the result of the non-stress test.
b. Create drug study for this case
c. Explain why the physician ordered for Maria to go home at first and then ordered to
admit her the next day.
d. Explain the result of the internal examination
e. Why does the doctor ordered to use sterile gloves during internal examination?
f. What is an epidural anesthesia?
g. Create a priority NCP for the patient
Maternal and Child Health Nursing: Care of the
Childbearing and Child Rearing Family 6th edition,
chapter 15 page 343-392 to by: Adele Pillitteri