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Ateneo de Zamboanga University

College of Nursing

Name: Juwak, Jassim A.


Section: 2BSN – B
Clinical Experience: Nursing Care Management 109j (RLE)
Week: 11 - 12
Date of Rotation: March 28 – 30, April 04 - 06, 2022
Time: 08:00AM – 12:00PM ( Monday, Tuesday, Wednesday)
Clinical Instructor: Lilia F. Wahab RN MAN

General Objective:
- After 24 hours of exposure to OB-GYNE Department, I will be able to : Make use of the
maximum Related Learning Experience to develop the competence, to acquire, integrate, and
demonstrate Knowledge, skills, and Attitude towards the care of at risk/ high risk/ sick client and
families during child bearing and child rearing Years towards health promotion, disease
prevention, restoration and maintenance and rehabilitation to provide safe appropriate and
holistic nursing care utilizing the Nursing Process.

Learning Objectives:
At the end of 24 hours of Related Learning Experience (RLE), I will be able to:

1. Establish rapport with duty mates and my clinical instructor.


2. Provide nursing care for maternal clients by utilizing the process and procedures.
3. Identify and list the discomforts of pregnancy during maternal period.
4. Understand about routine standard operating procedures, policies, and the physical setup
of the OB-GYNE department.
5. Utilize critical thinking skills to manage nursing care for culturally diverse clients who are
experiencing specific pregnancy-related complications.
6. Recognizes the importance of the nurse's role in the admission and discharge of patients.
7. Identify factors that increase the likelihood of developing postpartum complications;
recognize signs and symptoms that indicate maternal or infant complications; and
describe medical management for these problems.

8. List the fetal and maternal complications that can occur as a result of abnormal labor.

9. Describe the pain management techniques used during labor.

10. Provide proper clinical education and counseling to women in labor and their families
during the labor process.

11. Provide the best possible care and follow-up for pregnant women and their newborns;
make use of existing support systems, including consultation, in the hospital and
community.
12. Perform all necessary documentation for a woman who has a term newborn pregnancy
and presents to Labor and Delivery in labor, from the time of admission through the time
of birth and discharge.

13. Demonstrate skills on Nipple Stimulated Contraction Stress Test and Oxytocin Challenge
Test (OCT) or Contraction Stress Test (CST)
Ateneo de Zamboanga University
College of Nursing
RLE OBJECTIVES AND PLAN
OF ACTIVITIES
(WEEK 1)
Monday (March 28, 2022)
TIME ACTIVITY
8:30 AM – 8:50 AM Checking the attendance, uniforms, and
paraphernalia’s
8:50 AM – 8:55 AM Opening Prayer
8:55 AM – 10:00 AM Discussion on:
1. Problem with the powers
a. Dystocia or difficult labor
✓ Hypertonic uterine
dysfunction
✓ Hypotonic uterine
dysfunction
✓ Abnormal progress in
labor
✓ Retraction ring
b. Premature Labor

10:00 AM – 10:15 AM Break Time


10:15 AM – 11:00 AM Discussion on (continuation)
c. Precipitate Labor and birth
d. Uterine inversion
e. Uterine rupture

11:00 AM – 11:30 AM 
Feedbacking
 Reminders of submission of tasks,
assignments, and quiz
 Closing prayer
1:00 PM – 3:00 PM Asynchronous Activity

Tuesday (March 29, 2022)


TIME ACTIVITY
8:30 AM – 11:30 AM Asynchronous Activity

1:00 PM – 1:10 PM Checking the attendance, uniforms, and


paraphernalia’s
1:10 PM – 1:15 PM Opening Prayer
1:15 PM – 2:15 PM Discussion on
2. Problems of the Passenger
a. Fetal Malposition
✓ Types of fetal malposition
b. Fetal malpresentation
1. Vertex malpresentation
2. Breech presentation
✓ Management:
• External/ podallic version
• Forceps delivery
Ateneo de Zamboanga University
College of Nursing
RLE OBJECTIVES AND PLAN• Vacuum delivery
OF ACTIVITIES • Cesarean Delivery
• Obstetrical surgery
2:15 PM – 2:30 PM Break time
2:30 PM – 3:30 PM Discussion on (continuation)
3. Shoulder presentation
✓ Compound presentation
c. Prolapse umbilical cord
d. Fetal distress

3:30 PM – 4:00 PM  Feedbacking


 Reminders of submission of tasks,
assignments, and quiz
 Closing prayer

Wednesday (March 30, 2022)

8:30 AM – 11:30 AM Asynchronous Activity

1:00 PM – 1:10 PM Checking the attendance, uniforms, and


paraphernalia’s
1:10 PM – 1:15 PM Opening Prayer
1:15 PM – 2:15 PM Discussion on
3. Problems with the Passage
a. Abnormal size or shape of the pelvis
b. Cephalopelvic disproportion
2:15 PM – 2:30 PM Break time
2:30 PM – 3:30 PM Discussion on (continuation)
c. Shoulder dystocia

3:30 PM – 4:00 PM  Feedbacking


 Reminders of submission of tasks,
assignments, and quiz
 Closing prayer
Ateneo de Zamboanga University
College of Nursing
RLE OBJECTIVES AND PLAN
OF ACTIVITIES
WEEK 2
(April 04, 2022)

TIME ACTIVITY
8:30 AM – 8:50 AM Checking the attendance, uniforms, and
paraphernalia’s
8:50 AM – 8:55 AM Opening Prayer
8:55 AM – 10:00 AM Discussion on:
4. Placental problems
a. Implantation in the lower uterine segment

10:00 AM – 10:15 AM Break Time


10:15 AM – 11:00 AM Discussion on (continuation)
b. Premature detachment of placenta

11:00 AM – 11:30 AM  Feedbacking


 Reminders of submission of tasks,
assignments, and quiz
 Closing prayer
1:00 PM – 3:00 PM Asynchronous Activity

Tuesday (April 05, 2022)

TIME ACTIVITY
8:30 AM – 8:50 AM Checking the attendance, uniforms, and
paraphernalia’s
8:50 AM – 8:55 AM Opening Prayer
Ateneo de Zamboanga University
College of Nursing
8:55 AM –RLE
10:00OBJECTIVES
AM AND PLANDiscussion on:
OF ACTIVITIES5. Problems with the psyche factors
a. Inability to bear down properly

10:00 AM – 10:15 AM Break Time


10:15 AM – 11:00 AM Discussion on (continuation)
b. Fear/anxiety

11:00 AM – 11:30 AM Feedbacking


 Reminders of submission of tasks,
assignments, and quiz
 Closing prayer
1:00 PM – 3:00 PM Asynchronous Activity

Wednesday (April 06, 2022)

TIME ACTIVITY
8:30 AM – 8:50 AM Checking the attendance, uniforms, and
paraphernalia’s
8:50 AM – 8:55 AM Opening Prayer
8:55 AM – 11:00 AM Return demonstration on the following:
▪ Contraction Stress Test ( CST )
▪ Bishop Scoring in Induction of Labor
▪ Amniotomy
▪ Pelvimetry

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