BACHELOR OF SCIENCE IN NURSING:

INTENSIVE NURSING PRACTICUM

RLE LCP MODULE RLE LCP UNIT WEEK
1 3 1
PLACENTA PREVIA

 Read course and laboratory unit objectives

 Read study guide prior to class attendance
 Read required learning resources; refer to course unit
terminologies for jargons
 Participate in weekly discussion board (Canvas)
 Answer and submit course unit tasks

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

1. Apply the nursing process in the care of client with conditions of Placenta Previa
a. Assess the client’s total health condition and resources.
b. Formulate nursing diagnoses and nursing care plan based on the given scenario.
c. Develop a plan of care for individuals with Placenta Previa under the client’s regimen
with information relevant to client’s condition
d. To determine the different medical and surgical intervention for this client
2. Demonstrate competencies of the beginning staff nurse, nurse leader, and researcher.
3. Promote personal and professional growth by showing independence in performing varied
tasks and responsibilities.
Skills laboratory equipment and materials
To facilitate the practice of students’ nursing skills, the following rules must be implemented:
1. The use of the Nursing Skills laboratory equipment and materials appropriate of the given
case scenario are allowed.
2. Use resources from the required readings.
3. Students must perform the tasks in the worksheet at a given period.
Key Areas of
Competency
Responsibility
1. Safe and Demonstrates knowledge
Quality Nursing about the clients’ health status
Care and set priorities in nursing
care based on clients’ needs
Provides sound decision
making in the care of
individual/ family considering
their beliefs and Values
Promotes safety, comfort, and
privacy
Administers medications and
other health therapeutics
safely (accurately and
correctly)
2. Management Organizes workload to
of Resources facilitate client care.
Utilizes resources to support
client care by ensuring proper
functioning of equipment
3. Health Develops health education
Education plan based on assessed
learning needs
4. Legal Adheres to practices in
Responsibility accordance with the nursing
law, institutional policies and
protocols, and other relevant
legislation.
Expected Performance and Criteria
Identifies the client’s health status in
determining the need of nursing care for client
with Placenta Previa
Gathers and analyzes data relevant to the
client’s health condition.
Maintains a safe environment for the client
with Placenta Previa
Safely ensuring privacy in all aspects of care.
Conforms to the 10 R’s of medication
administration and health therapeutics
Identifies nursing tasks and perform them
based on priorities.
Finishes tasks on time.
Observes appropriate protocols and
institutional policies.
Ensures availability, completeness, and
functionality of equipment and nurse’s
paraphernalia relevant to the performance of
care to the client with Placenta Previa
Implements applicable age-appropriate health
education activities to the client based on
needs assessment
Acts and performs nursing tasks related to
different management and procedures for
client with in a Placenta Previa accordance
with established norms of conduct expected of
a nurse and an OLFU student as well as with
 Key Areas of
Competency Expected Performance and Criteria
Responsibility
the other relevant legislation.
5. Ethico-moral Adheres to Code of Ethics of Maintain the privacy and confidentiality of
responsibility Nurses and respect rights of client’s information.
the client and other individuals
Accepts responsibility and accountability on
involved in the care of the the decisions made relating to the client’s
client. care.
6. Personal and Project a professional image Performs nursing tasks according to
Professional of the nurse professional standards.
Development Demonstrates good manners and right
conduct at all times.
Observes proper grooming and hygiene.
Adapts to changes willingly by being open to
new strategies or approaches relevant to the
performance of different management and
procedures for this client.
7. Quality Identifies and reports Identifies and reports inadequacies and
Improvement variances and recommends problem(s) encountered in the provision of
appropriate solutions. Placenta Previa medical and nursing
management procedures and processes.
Recommends practical and appropriate
solutions.
8. Research Enhances competency level in Specifies researchable problems related to
the utilization of different Placenta Previa and related client care.
forms of data gathering and Gather, analyze, and interpret relevant data.
principles of assessment and
nursing care.
Analyzes and interprets data, Utilizes findings in research in the provision of
disseminate findings and Placenta Previa related measures and client
apply recommend actions. care.
9. Records Maintains accurate and Records outcome of client care.
Management updated documentation of Submits legible, accurate and updated
client care observing legal documentation and/or information regarding
imperatives in documentation the client care.
and record keeping.
10. Communicatio Identifies verbal and non- Interprets and validates client’s body language
n verbal cues and facial expressions
Validates the verbal ques of significant others.
Uses appropriate information Utilizes appropriate means and/or channels of
technology to facilitate communication to support the delivery of care
communication. to clients with conditions of Placenta Previa
11. Collaboration Collaborates plan of care with Respects the role of other members of the
and Teamwork the other health care team health care team in the management and
members. clinical measures to the client.
Refers the client to the appropriate allied
health team partners.
THE CASE OF PREBBIE ZEN O. PLATA

Patient’s profile

Name: Prebbie Cen Plata

Age: 30 years’ old
Gender: Female
Nationality: Filipino
Address: 1850 Inunan St. Sta. Cruz, Manila
Religion: Roman Catholic
Civil status: Married
Occupation: Canteen Helper
Attending Physician: Dr. Margie Nalis
Date of Admission: July 1, 2021 @ 7:18pm
Hospital Number: E18301921 Bed Number OB-8

Chief complaint: Vaginal bleeding (LMP- Nov. 16,2020)

History of Present illness:

This is a case of Prebbie Zen O. Plata, 30 years’ old female (G4P3) who was diagnose of
Complete Placenta Previa based on the UTZ result. On her 7 th month of pregnancy she
experienced bleeding amounting to 1 pad slight soaked for 2 days. This prompt her to seek
medical attention. She went to local health center, upon assessing by the Health center medical
officer she was advised to transfer to Tertiary hospital for further evaluation. And upon transfer to
MJRMC thru referral, she was advised by the ER-OB for stat UTZ, and the result revealed that she
has a Complete Placenta Previa which lead to “E” CS. The attending Physician ordered prior to
OR, for CBC, serum electrolyte and for cross matching as part of ancillary test, Order IVF PNSS 1L
to run for 8hours, start Cefazolin IV 950mg after negative skin test then every 12 hours (stock 1g
Q-10cc) For BT of 1 pack whole blood and should properly cross matched, inform the
Anesthesiologist on duty. For insertion of Catheter and monitor FHT

Post Op:
Delivered a baby Girl with diagnosis of Small for Gestational Age (33 weeks via UTZ) with Apgar’s
Score of 1st minute of life score of 6 and after 5minutes score of 6 that prompted the Pediatrician
advised for stand by intubation, ordered IV therapy of D5IMB 150cc via soluset to run for 12 hours
and placed in an incubator with temperature control - 30°C, Oxygen flow of 30% and humidity of
65%
For continuous maternal and newborn monitoring.
History of Past illness:

In 2018 the patient was hospitalized because of 3 rd pregnancy with indication of Malpresentation
(Breech) and delivered a baby Boy via CS, the neonate undergone treatment for Meconium
aspiration syndrome for 2 weeks, Appropriate for Gestational Age (38 weeks)

In 2015 2nd pregnancy was delivered via Normal Spontaneous Delivery by a Midwife in a Lying in
clinic to a baby Girl 39 weeks by AOG with no medical indication

In 2010 1st pregnancy was delivered via Normal Spontaneous Delivery by a Midwife in a Lying in
clinic to a baby Boy 38 weeks by AOG with no medical indication

Vital Signs:
Temp – 37.9°C PR – 80 bpm RR – 20cpm BP – 110/70mmHg O2 sat – 98%

Familial Health History

Diabetes Mellitus is present in the paternal side

Hypertension in maternal side

Personal and Social History:

The patient is an occasional drinker and heavy smoker, fond of eating junks foods. Minimal
prenatal check-up.

Menstrual History:
Menarche: 12 years’ old
Interval: 28-30 days’ cycle
Duration: 3 – 5 days
Amount: 3-4 pads per day
Symptoms: (+) Dysmenorrhea

TASKS:
Complete the following activities to provide high quality care for the client accomplish the
worksheet below.

1. Write the Obstetrical History and fill up the patients record (30 pts)
2. Perform the Incubator care and BT checklist (40 pts)
3. Computation of AOG by LMP and Drug/ IV computation (30 pts)
Obstetrical History

G_ P_ (T_ P_ A_ L_)
LMP:
AOG (by LMP):
AOG (by UTZ):

PREGNANC YEAR PREGNANCY AOG IN GENDER BIRTH PRESENT

Y ORDER OUTCOME WEEKS WEIGHT STATUS

WORKSHEET

Patient Records

PATIENT DETAILS
Name Meghan Age:
Gender Male Female
Civil Status Single Married Divorced Widowed
Address 123 Sumulong Highway, Fatima Village, Antipolo City
Date of Birth March 25, 1988
Hospital Number FUMC-456-789
Attending Physician Dr. Con
Height (cm)
Weight (kg)
Admitting Diagnosis:

History of Present Illness

Family History:

Past Medical History:

Allergies:

Medications:

Social History:

Medication Chart

PATIENT DETAILS DIAGNOSIS: ________________________

Name Age:
Gender Male Female
Civil Status Single Married Divorced Widowed
Address
Date of Birth
Hospital Number
Attending Physician
Height (cm)
Weight (kg)
 MEDICATION: dose, route, frequency TIME SUN MON TUES WED THURS FRI SAT

Nurse’s Notes

F: D:

A;

R:
(Evaluation Tool – refer to the given rubrics)

Date Completed:
Date Submitted:

https://www.webmd.com
https://www.dhhs.nh.gov/dphs/bchs/mch
https://jrrmmc.gov.ph
https://www.ncsl.org/research/health/maternal-and-child-health-overview.aspx
Pilliteri, Adele, Maternal and Child Health Nursing, 8 h ed. Philippines edition