Module 1 Antepartum Care For Well Clients

Davao Doctors College, Inc.
College of Allied Health Sciences

Nursing Program
NRG 203: CARE OF MOTHER, CHILD, AND ADOLESCENT (WELL CLIENTS);

ANTEPARTUM PERIOD
Getting to Know the Course Instructor

Hello! I am _______________________, I will be your
Instructor for NRG 203: CARE OF MOTHER, CHILD, AND ADOLESCENT
(WELL CLIENTS), ANTEPARTUM PERIOD.
Before we begin, allow me to introduce myself. I am Ma’am ________ , a
faculty member of the Nursing Program of Davao Doctors College, Inc. I am
a Part-time Clinical Instructor of Davao Doctors College a graduate of San
Pedro College in 1998, with a degree of Bachelor of Science in NURSING. I
finished my Master’s Degree at Liceo de Cagayan University in 2012.
For this semester, I will be your instructor for NRG 203: CARE OF MOTHER,
CHILD, AND ADOLESCENT (WELL CLIENTS); ANTEPARTUM PERIOD. I
am looking forward to guiding you in learning this course well. If you want to
reach me for any academic-related concerns, you can reach me through the
following:
Contact No: (per request)

Facebook account:
E-mail address: @davaodoctors.edu.ph
Consultation hours: Wednesday/Saturday 4:00 – 5:00 PM
Introduction to the Course

The course NRG 203: CARE OF MOTHER, CHILD, AND ADOLESCENT (WELL CLIENTS),
ANTEPARTUM PERIOD deals with concepts, principles, theories and techniques of nursing care
management of a well mother and fetus during antepartum period. In this course, you are expected
to provide nursing care to a well mother utilizing the nursing process. Presented below are the
specific details of this course:
Requirements in Completing the RLE Activities

Since most of our sessions for this semester will be delivered through distance/blended learning
activities, the submissions will also be done online. To do this, you need to have access to the
following applications:
1. Microsoft Office/Google Docs

2. Google Classroom
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3. Google Meet (or any other teleconferencing app, duly agreed by the whole class)
4. Stable Internet connectivity
MODULE 1:
CARE OF WELL MOTHER AND FETUS; ANTEPARTUM PERIOD
Please expect that you might need to print some parts of the worksheets in this module (i.e.,
documentation and transcribing parts). If any difficulties in participating in synchronous classes are
encountered, inform your instructor right away! For absences, secure an excuse slip from your RLE
supervisor.
Submissions must be submitted through the Learning Management System (LMS) so that it will
be traced and secured easily.
Daily Activities
Every week, you are expected to follow through the following deliverables:
Day 1 (Monday/Thursday) Day 2 (Tuesday/Friday) Day 3 (Wednesday/Saturday)

ASYNCHRONOUS Virtual Circle Virtual Circle
Completion of Module, to be Receiving of Handover Case Presentation (cont.)

submitted within the day
Case Presentation Weekly Quiz and Discussion of
Preparation of PPT Module and Quiz Answers
Presentation
Orientation of Next Week’s
Activity
Now that you are done acquainting yourself with the instructor and the course itself, please
proceed to Module 1: Care of Well mother and fetus; Antepartum Period
Term: First Semester S.Y. 2023-2024

Dates: Week 6-September 9-11, 12-14 ,2024
Class Schedule: 7am – 3pm/ 3pm-11pm
No. of Hours: 8 hours/day
Instructions
The case analysis manuscript may be handwritten or computer written. Observe pagination.
Once done, send the compilation of your group’s answers to your clinical instructor.
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After the submission, prepare a PPT presentation for your case presentation slated for Days 2 and
3 of your RLE classes. Each member of the group is expected to present during the case
presentations.
Learning Outcomes
At the end of this module, you are expected to:
1. Utilize the nursing process in the care of well mother and fetus during antepartum period.
2. Perform a holistic health assessment based on the case scenario presented.
3. Utilize assessment information to formulate a patient-centered plan of care.
4. Explain appropriate nursing interventions per problems identified.
5. Apply bioethical concepts/principles, core values, and nursing standards in the care of
clients.
6. Document the care rendered to assigned patient in the simulated health care record
accurately.
As you start with this module, you are free to consult and coordinate with your assigned Clinical
Instructor. Be sure to get his/her email address and contact number for collaboration and
assistance. Just keep going! You can do it! 😊
A. Review on the Process of Fertilization and Fetal Growth and Development:
To kick things off, let us start by answering the following questions.
Part 1: ANATOMY OF THE FEMALE REPRODUCTIVE SYSTEM. Label the external female
reproductive system. Write your answers on the spaces provided.
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Part 2: Name the female reproductive structure:

Match column A to Column B
COLUMN A COLUMN B
1. where fertilization typically occurs A. Clitoris
2. where implantation takes place B. Ovarian ligament
3. that is the birth canal C. Vagina
4. that anchors the ovary to the uterus D. Fallopian tube
5. that functions as erectile tissue E. Uterus
6. covers the vestibule F. Labia Minora
7.fatty area overlying pubic bone G. Mons pubis
8. covers labia minora H. Labia majora
Part 3: MULTIPLE CHOICE
1. Which of the following terms applies to the tiny, blanched, slightly raised end
arterioles found on the face, neck, arms and chest during pregnancy?
a. Linea Nigra
b. Striae Gravidarum
c. Telangiectasis
d. Epulis
2. Gravida refers to _______________.

a. A serious maternal problem
b. Number of pregnancies
c. Number of term pregnancies
d. Number of children an parent has delivered
3. A nurse is reviewing the record of a client who has just been told that a pregnancy
test is positive. The physician has documented the presence of a Goodell’s sign.
The nurse determines this sign indicates:
a. Softening of the cervix
b. dark bluish or purplish discoloration of the vaginal tissue, vulva or cervix
c. light spotting or cramping
d. None of the above
4. While performing Leopold's maneuvers on a laboring woman, the nurse palpates a

flat area in the fundal region, a hard round mass on the left side, a soft round mass
on the right side, and small parts just above the symphysis. The nurse concludes
which of the following?
a. the fetal position is right occiput posterior
b. The fetal attitude is flexed
c. The fetal presentation is scapular
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d. The fetal lie is vertical
5. A gravida G4 P1203, fetal heart rate 142, is 13 weeks pregnant, fundal height 1
cm above the symphysis. She denies experiencing quickening. Which of the
following nursing conclusions made by the nurse is correct?
a. The woman is experiencing a normal pregnancy

b. The woman may be having difficulty accepting this pregnancy
c. The woman must see a nutritionist as soon as possible
d. The woman will likely miscarry the conceptus
PART 4.
Terms in Pregnancy/ Antepartum
Identification:
1. When a pregnant woman starts to feel their baby's movement

in their uterus
2. Typically characterized by a bluish discoloration of the cervix,

vagina, and vulva due to an increase in venous blood flow to
the area.
3. A non-specific indication of pregnancy characterized by the

compressibility and softening of the cervical isthmus
4. The liquid that surrounds a baby in the uterus
5. The period of fetal development in the womb from implantation

to birth.
6. Are also called false labor, commonly occur late in pregnancy.
7. An organ inside of the uterus, which supplies nourishment

(food) to the growing baby.
8. Dark line that develops on your stomach during pregnancy.
9. Are atrophic linear scars that represent one of the most

common connective tissue changes during pregnancy.
10. A hormone that helps prepare the breasts for milk production
and breastfeeding.
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STEPPING IN
Hello, Future Nurse! 😊

Welcome to your very first module. You already had your discussion on Fertilization and Fetal
growth and development from your concepts in Maternal and Child Nursing, and to nursing
procedures addressing care of mother during antepartum period. And just recently, you started
knowing the physiology, diagnostics, medical and nursing management of these patients with these
concerns. Let us have a review of these concepts and see how much you recall.
B. CONCEPT MAP OF WELL MOTHER AND FETUS DURING ANTEPARTUM PERIOD

Instruction: Trace the milestones of fetal growth and development from the first to the last
trimester; maternal physiologic changes; and indicate the nursing management on these
periods to achieve the optimum well-being of the fetus and the mother. Follow the diagram
below: Note: Please base your answer on the case scenario.
Patient Information:
• Signs and Symptoms of
(Name, Age, EDD, AOG
Pregnancy
LMP, Present Complaint)
Milestones of Fetal growth and

development
Medical
Maternal signs and management and
symptoms/ physiologic Nursing
1st trimester milestones
changes Intervention
Maternal signs and Medical

2nd trimester milestones
symptoms/ physiologic management and
changes Nursing
Intervention
3rd trimester milestones
Maternal signs and
symptoms/ physiologic
Medical
changes
management and
Nursing
Intervention
Onset of labor
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You are now ready to meet your patient for this clinical experience.
DEEP DIVE
A CASE STUDY ON THE MOTHER AND CHILD (WELL CLIENT);

ANTEPARTUM STAGE
Case Scenario:
Mrs. Myragie Villa 29-year-old female, married who was 39 weeks 5 days AOG and was
admitted on 8 August 2024 1:55 am in Davao Doctors Hospital – Labor Room with the
complaint of pain in the abdomen and increased fetal movement that started on 7 August
2024 at 11:15 PM with watery vaginal discharge.
ENVIRONMENTAL STATUS
She lived in an urban area wherein pollution is very common. They live in a concrete
bungalow house with 5 occupants. In her hospitalization, she felt some discomfort because
of the setting, two persons sharing in a single-sized bed. According to her, the room is too
small for her to have some quality time to rest.
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LIFESTYLE
She described her habits by watching TV all the time and using her smartphone for social
medias. She was very lazy all the time as she stated. She did not even try to engaged
herself to prenatal exercises citing exhaustion as the reason due to her enlarged abdomen
being heavy. She clearly states that she had a regular check-up “lagi lang ako nasa bahay,
nakahiga nanunuod, nag-cecelphone, ganun kaya siguro baka mahirapan ako manganak
di ako nagkikilos” as verbalized.
FAMILIAL HISTORY
According to her she is the eldest in their family, she is married to Mr. Villa for a year. They
stay on her parents for a while since the do not have enough money on their own to avail
their own place.
She has a younger sister with rheumatic heart disease (resolved) and is now 25 years old.
Both her father and mother were diagnosed with hypertension on their 40’s and now on
maintenance and youngest brother died of status asthmaticus several years back.
PAST HEALTH HISTORY

She experienced some common colds before she got pregnant. She has no allergy to any
medications nor foods. She completed her prenatal check-ups and she is regularly taking
her prenatal supplements such as ferrous sulfate, d3, calcium and folate. During her 7mos
of conception, she did experience UTI and she immediately went to her doctor and gave
her cephalexin 500mg 4 times a day. She completed the prescribed dose and felt better on
the following days.
PRESENT HEALTH HISTORY

About 5-6 hours prior to admission, she had watery vaginal discharged for 12hrs. She was
admitted with chief complaint of consistent labor pain with 30-70 seconds duration and 5 to
10 minutes frequency.
GYNECOLOGICAL HISTORY
Before pregnancy the patient menstrual cycle was regular 28-30 days of cycle and duration
was 3-4 days and Last menstrual period was 3 November 2023. According to her recall her
pad counts usually counts to 3-5x a day with mild to moderate flow, she also added that she
was one of the luckiest girls who did not experience any abdominal discomfort during her
menstrual period.
COMPREHENSIVE PHYSCAL ASSESSMENTS:

Patient general examination was state of health was healthy, conscious, body built thin,
Posture erect, hygiene was good.
General parameter
• Height was 154 cm
• Weight 55 kg.
• Fundic height: 38 cms
• Blood type: O+
• FHT: 156bpm; right lower quadrant via stethoscope
• Vital sign:
o Temperature 36.5˚c,
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o Pulse 84 bpm,
o Respiration 21 cpm
o BP – 120/80 mmHg
PHYSICAL ASSESSMENT
I. MENTAL STATUS
She is oriented in time, place and person. She can identify things and answers the
questions beings asked. She can recall recent and remote memories she
experienced. She is able to read and write and she can speak different dialect like
Bisaya, Hiligaynon, Tagalog and English. She is very responsible and collaborative.
II. EMOTIONAL STATUS

She is cooperative while performing the interview. As stated by her husband they
are very happy for having their first baby. She also states her feeling nervous in her
situation since it is first time and excited to see her first baby.
III. SENSORY STATUS

She has a clear vision no history of eye check-ups. Her hearing ability is normal
using whisper test with the distance of two feet away. Her sense of smell is normal
as well as her sense of taste. No periorbital or dependent edema noted.
IV. MOTOR STATUS

Able to perform activities with minimal assistance specially if no contractions
happening. Presence of edema noted in the lower extremities during prolonged
standing but resolves when the lower extremities are elevated.
V. NUTRITIONAL STATUS
She is able to recognized nutritious food but unable to utilized some of it. She eats
3x a day with some interval of snacks. Her husband bought her fruits during her
pregnancy. She weights 48kgs before she got pregnant. She east variety of
vegetables but mostly meats during lunch. She has no allergies to foods and drugs.
VI. ELIMINATION
She was able to defecate once a day. There were times when she experienced
passing out scybalous stool when she failed to consume 3L of water per day. She is
able to void frequently without pain or discomfort since she had been cured from her
UTI. No reports of urinary retention noted.
VII. REPRODUCTIVE STATUS

PELVIC EXAM: (+) Goodell’s sign, (+) Chadwick’s sign, (+) Hegar’s sign; patient
reported increased frequency in urination.
VIII. PHYSICAL REST AND COMFORT

She usually sleep 6-8hrs at night, she stated that sometimes her sleep is interrupted
because of some discomfort in her sleeping position due to her large abdomen.
IX. SKIN APPENDEGES

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Her skin is tan, her hair is evenly distributed in a dark brown color. Her fingernails
was clean and capillary refill test was less than <2secs and her skin turgor went back
in less than 2 secs when pinched at her right arm. No rashes noted.
Inspection: A faint linea nigra and stretch marks are still visibly noted. Breasts are
asymmetric, no dimpling and discoloration noted, nipples and areolas are dark in
color, according to the patient her breast seem to appear larger and firmer.
Darkening of underarms noted which made her feel too self-conscious and insecure.
Abdomen is globular
Palpation: Breasts are full and tender; Outline of the fetus is identified; Ballottement
noted and fetal outline is identified.
On 7th of August 2024 at late evening, around 10:10 PM, she was awakened by tense and rigid
feeling of uterine contraction. She cried out loud when the pain intensified, and was brought to
the nearest facility and was admitted at Davao Doctors Hospital around 1:55 am with blood
pressure of 120/90mmHg. She was examined by Dr. Villanueva and found out that her cervix
is at 7 cms Dilated, 80-90% Effaced, Intact Bag of water (BoW) and the fetus is on Station: +1
cephalic in presentation, with FHT of 156 beats per minute.
By 2:00am, 5 minutes after further assessment and history taking, doctor’s orders were carried
out:
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DOCTORS O:
DAVAO DOCTORS HOSPITAL
CMC-0001 VILLA, MYRAGIE 09/07/1994 OB WARD DR. GIO VILLANUEVA None
Please admit under my service

August 8, 2024 Secure consent to care
1:55 AM Start IVF D5LR and regulate to 30gtts/min
IVFTF 2 D5LR at 20gtts/min
Hook to EFM and monitor progress of labor
Labs
CBC, Urinalysis
Blood typing + Rh factor, HBsAg
RAT Ultrasound
Medications
Folic Acid 400 mcg OD
Vitamin D 400IU OD
Fe SO4 60 mg OD
Vitamin C 500 mg OD
Senekot 1 tab OD HS
Calcium Citrate 500mg OD
Tetanus toxoid vaccine single dose
Prepare:
Methergine 1mg/0.5mL amp
Oxytocin 10u/amp
Monitor VS q shift with FHT

I & O q shift
Refer for any unusualities
Thanks!
DR. GIO VILLANUEVA

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LABORATORY RESULTS:
A. ULTRASOUND RESULT
VILLA. MYRAGIE 29 F
AUGUST 8, 2024 DR VILLANUEVA
11/03/2022 8/10/2023
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B. BLOOD TYPE WITH Rh FACTOR
VILLA. MYRAGIE 29 F
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C. URINALYSIS, COMPLETE
VILLA. MYRAGIE 29 F
D.
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E. COMPLETE BLOOD COUNT (CBC)
VILLA. MYRAGIE 29 F
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F. COMPLETE METABOLIC PANEL
VILLA. MYRAGIE 29 F
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G. HBSAG
VILLA. MYRAGIE 29 F
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H. PCR TEST RESULT
VILLA. MYRAGIE 29 F
I.
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To immerse yourself in the care management of your patient, let us do some detailed description
of your patient care tasks. Using the Case Scenario assigned to you, you are expected to perform
the following:
1. Fill-up the needed data based on the given scenario/case. Note: Assessment findings of all
other areas must be filled up using fictional data BUT should be within the scope of the case
scenario given.
2. Conduct a history taking and physical assessment of your patient. Use BLUE pen for
normal findings and RED for abnormal findings under Review of Systems (ROS).
3. Develop a Concept Map of your patient’s condition using the Concept Map Format.
4. Present your drug study.
5. Prior to administering a patient’s medications, you are required to make a drug study of
all medications required by your patient in oral or parenteral form and document it. Select
one drug. No duplications of selected drugs for study should be made.
6. Formulate a patient-centered care plan for your patient. Utilize NANDA 12th
EDITION for your Nsg Dx. Don’t forget your FDAR.
7. Clinical Reasoning Questions - Collaboration: A 33-year-old female client who plans

to get pregnant was having second thoughts about getting the Sinovac vaccine. Taking into
consideration that receiving the vax has great significance in lowering down the number of
COVID-19 transmission and cases. She expressed her concern about wanting to get
pregnant but at the same time has thoughts of getting vaccinated because of fears of being
infected. Feeling uncertain about what to do and decide, she approached the nurse
vaccinator and clarify her concern. Knowing that this is a safety concern, how would you
tell this female to intervene and help her out to come up with impartiality and desired
resolution? Follow the CUS method.
CUS method: CUS a communication tool to gives interprofessional team

members a constructive approach to openly discuss an identified safety concern.
(Please refer to the link provided for your guidance on how to do CUS:
https://youtu.be/4VFPfgbk0z8 )
8. Clinical Reasoning Questions - Ethico-Moral-Legal: Patient Villa was uncertain the

first time she learned of her pregnancy. At an early age, a pregnancy not intended and
wanted, and made out of sexual assault and actions will likely complicate things. These
made it difficult for her to decide. She’s an orphan and her relatives were not supportive of
her condition, and treat her like no one else. She had a hard time contemplating if she will
continue the pregnancy and keep the baby, give it up and do abortion or maybe after
delivery give up the baby for adoption. If she asks you, what will I do with my baby? I am
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not yet ready to embrace motherhood. No one will help me with this! What would be your
nursing action in this situation? What ethical principle is applicable in this scenario? Justify.
DESTINATION CHECK
You are nearly done with your module!
Before we end, let us check what you have learned so far and touch the topics which have been
discussed earlier but may not have been covered in the questions asked so far [Answer in a
separate sheet].
Ideally, assessment for pregnancy begins before the pregnancy with preconception counseling.
During a preconception assessment, evaluate a woman’s overall health status, nutritional intake,
and lifestyle; identify any potential problems; and identify a woman’s understanding and
expectations of conception, pregnancy, and parenthood. The following questions:
1. What are the presumptive, probable and positive signs of pregnancy?
2. What are musculoskeletal changes that occur in pregnancy? Why it happen?
3. Calculate of the EED (Nagel’s Rule) and AOG of patient Myragie Villa based on the details
given: LMP- November 3, 2023. Examination date is August 8, 2024.
4. What is the significance of assessing a pregnant woman for the presence of Edema?
5. Leopold’s maneuver is done to assess the fetal lie, position and presentation, enumerate
the steps and rationalization in doing the Leopold’s maneuver?
Have you answered all of the questions above? Great! You are now ready for to proceed
to the next part of the module
REFLECTION TIME
Reflection Time: Make a reading on personal experience of either a patient/family

member/nurse caring for a patient during antepartum period. Please do not forget the link of the
article. Provide a 5 paragraph handwritten reflection. 1sT paragraph will be the introduction of your
article. 2nd paragraph will be your reflection as a Person, 3rd paragraph will be your reflection as
a Student nurse. 4th paragraph will be your reflection as a Future Health professional. Lastly the
5th paragraph will be you conclusion about your reflections.
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Congratulations! You have completed this module. You may now proceed to the weekly quiz.
Please wait for further instructions from you instructor
References:
Berman, A., Snyder, S., & Frandsen, G. (2016). Kozier & Erb’s fundamentals of nursing: Concepts,
process, and practice (10th ed.). Pearson Education, Inc.
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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Drug Study
▪ Use the DDC form for drug studies. Drugs will be assigned by the clinical
instructor according to the concept of the rotation
▪ Must contain the following:
o Generic Name
o Brand Name
o Classification
o Mode of Action
o Indications
o Contraindications
o Side Effects (organized per system; cephalocaudal)
o Adverse Effects (per system; cephalocaudal)
o Dosage
o Nursing considerations
o Reference(s) – Follow APA 7e format
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Nursing Care Plan
For the NCP, please follow the DDC NCP template.

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Disclaimer:
This material is a property of Davao Doctors College, Inc. – Nursing Program, improper
reproduction and utilization of this material is hereby prohibited by the institution; furthermore,
the details presented in this material are all solely for educational purposes intended to the Level
2 Students of Davao Doctors College, Inc. enrolled to the Nursing Program taking the NRG 203 –
Related Learning Experience (RLE); the scenario presented including the patient’s profile,
photograph of the patient, clinical findings and the Health Facility mentioned do not reflect in real
life and are ONLY for but not limited to illustration, application and comprehensive learning
purposes.

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Davao Doctors College, Inc.

College of Allied Health Sciences

NRG 203: CARE OF MOTHER, CHILD, AND ADOLESCENT (WELL CLIENTS);

Getting to Know the Course Instructor

Contact No: (per request)

Introduction to the Course

Requirements in Completing the RLE Activities

1. Microsoft Office/Google Docs

Day 1 (Monday/Thursday) Day 2 (Tuesday/Friday) Day 3 (Wednesday/Saturday)

Completion of Module, to be Receiving of Handover Case Presentation (cont.)

Term: First Semester S.Y. 2023-2024

A. Review on the Process of Fertilization and Fetal Growth and Development:

To kick things off, let us start by answering the following questions.

Part 2: Name the female reproductive structure:

Part 3: MULTIPLE CHOICE

2. Gravida refers to _______________.

4. While performing Leopold's maneuvers on a laboring woman, the nurse palpates a

d. The fetal lie is vertical

a. The woman is experiencing a normal pregnancy

1. When a pregnant woman starts to feel their baby's movement

2. Typically characterized by a bluish discoloration of the cervix,

3. A non-specific indication of pregnancy characterized by the

4. The liquid that surrounds a baby in the uterus

5. The period of fetal development in the womb from implantation

7. An organ inside of the uterus, which supplies nourishment

8. Dark line that develops on your stomach during pregnancy.

9. Are atrophic linear scars that represent one of the most

Hello, Future Nurse! 😊

B. CONCEPT MAP OF WELL MOTHER AND FETUS DURING ANTEPARTUM PERIOD

Milestones of Fetal growth and

Maternal signs and Medical

A CASE STUDY ON THE MOTHER AND CHILD (WELL CLIENT);

PAST HEALTH HISTORY

PRESENT HEALTH HISTORY

COMPREHENSIVE PHYSCAL ASSESSMENTS:

II. EMOTIONAL STATUS

III. SENSORY STATUS

IV. MOTOR STATUS

VII. REPRODUCTIVE STATUS

VIII. PHYSICAL REST AND COMFORT

IX. SKIN APPENDEGES

DAVAO DOCTORS HOSPITAL

CMC-0001 VILLA, MYRAGIE 09/07/1994 OB WARD DR. GIO VILLANUEVA None

Please admit under my service

Monitor VS q shift with FHT

DR. GIO VILLANUEVA

B. BLOOD TYPE WITH Rh FACTOR

E. COMPLETE BLOOD COUNT (CBC)

F. COMPLETE METABOLIC PANEL

H. PCR TEST RESULT

7. Clinical Reasoning Questions - Collaboration: A 33-year-old female client who plans

CUS method: CUS a communication tool to gives interprofessional team

8. Clinical Reasoning Questions - Ethico-Moral-Legal: Patient Villa was uncertain the

Reflection Time: Make a reading on personal experience of either a patient/family

Nursing Care Plan

For the NCP, please follow the DDC NCP template.

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