Davao Doctors College, Inc.

College of Allied Health Sciences

Nursing Program

NRG203: CARE OF MOTHER, CHILD, AND ADOLESCENT

(WELL CLIENTS)

[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 first 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: Assessment and care of a woman in Intrapartum stage.

SCENARIO OVERVIEW
Case: Normal Delivery in 19 -year-old Primi-Para in Active Labor.

Summary of Case: A 19 -year-old unmarried woman named Denise Grace Lucero, admitted at
Davao Doctors Hospital, Inc. L & D and monitor placed in active labor, accompanied by her
sister and mother. She was brought to the ED due to GI distress and abdominal pain.
Assessment indicates that she is on active labor; primipara presents at 37 weeks estimated
gestational age to Labor and Delivery in early labor with the onset of contractions
approximately one hour ago. Her records indicate she is carrying a singleton pregnancy in
vertex presentation. Her past medical history is uncomplicated, she has no allergies, and she
takes no medications other than prenatal vitamins that were ordered by her OB. Her prenatal
labs are negative and her pregnancy has been uncomplicated.

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

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

031984 Denise Grace Lucero September 1, 200 457 Dr. Valle NONE
NTNEKNOWNKKNOWNALLERGIES

September 15, 2021 @ 7:00AM

-19 yrs.old Primi-Para on her 37

Please admit under the service of Dr. Gloria
weeks AOG -VS q hourly
- Hook EFM monitoring; Monitor labor in progress
(-) vomiting - Please monitorFHT
- I&O q shift
(+) GI distress
- DAT
(+) Abdominal Pain - IVF: D5LR 1L @ 120cc/hr.
Labs:
RAT
T- 36.3 Urinalysis
BP- 120/80
CBC
RR- 20

PR- 81 Chest X-ray

SPO2-98% Blood Typing

TT- 2 doses given Feb. 15, 2021 1st dose

July 18, 2021 2 nd dose

Meds:

-Start Oxytocin Drip

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

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

031984 Denise Grace Lucero September 1, 200 457 Dr. Valle NONE
NTNEKNOWNKKNOWNALLERGIES

September 15, 2021 @ 8:00AM

Labor Admission Orders:
Medications:
- Pt. on active labor 1. Enoxaparin 40 mg subcutaneous every 24
hrs;
2. Nalbuphine 5mg IV every 2 hrs. PRN
moderate pain or Acetaminophen 650mg
PO every 4 hours PRN
3. Aluminum and Magnesium Hydroxide 30 ml
PO every 2 hours PRN for indigestion,
4. 4.Metoclopromide 10mg IV every 4 hours
PRN for nausea and vomiting
5. Pitocin 6 mUnits/min; decrease dose to 4mUnits
when contraction progressed to 5-6cm dilation

Dr. Gayle Gloria, MD

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

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

Patient Name: Denise Grace Lucero

Hospital Number: 031984

No definite abnormal pulmonary densities seen. Heart is not enlarged. Both hemi diaphragms and
costophrenic sulci are intact. Rest of the included structures is unremarkable.
Impression:
Normal Chest Findings

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

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

Name: DENISE GRACE LUCERO Lab no: 210280427

PID: 3393045 Location: Emergency Room - IPD

Age: 19 years old Sex: Female Physician: GAYLE GLORIA, MD

Date Received: 09-15-2021, 07:20 AM Date Released: 09-15-2021 08:15 AM

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TEST RESULT REFERENCE RANGE

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HEMATOLOGY

Blood Type (ABO + Rh)

Blood Type O

Blood Type Rh POSITIVE

*BLOOD TYPING PERFORMED BY: ED FRANCIS CAPULONG, RMT*SAMPLE EXTRACTED BY: PRINCESS TONZO, RN

CBC + PLT

Result Normal Range

Hemoglobin 121.0 g/L 115 - 155

Hematocrit 0.36 0.36 - 0.48

RBC Count 4.56 x10^6/uL 4.20 - 6.10

WBC Count 8.18 x10^3/uL 5.0 - 10.0

Neutrophil 63 % 55 - 75

Lymphocytes 26 % 20 - 35

Monocytes 10% 2 - 10

Platelet Count 268 x10^3/uL 150 - 400

*** This is electronically generated report. No signature is required. ***

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

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

Scenario Objectives
1. Establish rapport with the patient.
2. Utilize principles and care practices related to normal labor and delivery.
3. Accurately assess the laboring mother and estimate labor progress based on client
responses.
4. Recognize normal fetal heart rate pattern.
5. Provide safe care to laboring patients, prioritizing and implementing interventions for
mother
and fetus.
5. Communicate relevant patient information to team using SBAR tool.
6. Implement critical thinking and clinical decision-making skills necessary to interpret
data
7. Implement appropriate nursing interventions at this point in the labor process.
8. Integrate understanding of multiple dimensions of patient-family centered care.

Point to Review:

1. Interacting with an admitted Patient (7-3 shift)

2. Performing nursing tasks done upon encountering a patient after receiving handover
3. Administration of medications
4. Health education for the new mother.
5. 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

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