Nursing Seminar 1

Module #5 Student Activity Sheet

Name: _________________________________________________________ Class number: _______

Section: ____________ Schedule: ___________________________________ Date: _______________

Lesson title: OBSTETRICS & GYNECOLOGY NURSING (WELL- Materials:

CLIENTS) PART 2 Electronic gadget, pen, & notebook

Learning Targets:
At the end of the module, students will be able to:
1. Prepare the family for childbirth and parenting through Reference:
patient education;
2. Apply the nursing skills learning in facilitating the labor and Pillitteri, A. (2009). Maternal & child health
delivery of the mother; and, nursing: Care of the childbearing &
3. Assist the woman recover during the postpartum period and childrearing family (6th ed.). Lippincott
promote the mother and infant’s well-being. Williams & Wilkins

A. LESSON PREVIEW/REVIEW

Let us have a quick review of what you have learned. Kindly take a review of all posted questions with answers and
rationale from the previous session.

B. MAIN LESSON

Outline of the Topics:

I. Preparing the family for childbirth and parenting

a. Childbirth education
b. The childbirth plan
c. Methods to manage pain in childbirth
d. The birth setting
e. Alternative methods of birth
f. Women with unique needs

II. Nursing care of a family during labor and birth

a. Theories of labor
b. The components of labor
c. The stages of labor
d. Maternal and fetal responses to labor
e. Measuring progress in labor
f. Maternal and fetal assessments during labor
g. The care of the woman in the 4 stages of labor
h. The woman with unique concerns in labor

III. Nursing care of a postpartal family

a. Psychological changes of the postpartal period
b. Physiologic changes of the postpartal period
c. Nursing care of a woman and family during the first 24 hours after birth
d. Nursing care of a woman and family in preparation for health agency discharge
e. Nursing care of a postpartal woman and family with unique needs

This document is the property of PHINMA EDUCATION

 Nursing Seminar 1
Module #5 Student Activity Sheet

Name: _________________________________________________________ Class number: _______

Section: ____________ Schedule: ___________________________________ Date: _______________

Check for Understanding

After studying the main lesson, you may now answer the following multiple choice questions and provide the rationale for
each item.

SITUATION: Baby James, an 8-hour old newborn is admitted to the NICU because of low APGAR Score. His mother had
a prolonged second stage of labor.

1. Which of the following is the most important concept associated with all high-risk newborn?
a. Support the high-risk newborn's cardiopulmonary adaptation by maintaining adequate airway
b. Identify complications with early intervention in the high risk newborn to reduce morbidity and mortality
c. Assess the high risk newborn for any physical complications that will assist the parent with bonding
d. Support mother and significant others in their request toward adaptation to the high risk newborn
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

2. 2. Which of the following would the nurse expect to find in a newborn with birth asphyxia?
a. Hyperoxemia
b. Acidosis
c. Hypocapnia
d. Ketosis
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

3. When planning and implementing care for the newborn that has been successfully resuscitated, which of the following
would be important to assess?
a. Muscle flaccidity
b. Hypoglycemia
c. Decreased intracranial pressure
d. Spontaneous respiration
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

4. When assessing the head of the newborn’s head, the nurse has observed for swelling and the appearance of the
head is as though it appears like a cone. Which of the following terms must the nurse note on her chart?
a. Caput succedaneum
b. Molding
c. Cephalhematoma
d. Craniosynostosis
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

This document is the property of PHINMA EDUCATION

 Nursing Seminar 1
Module #5 Student Activity Sheet

Name: _________________________________________________________ Class number: _______

Section: ____________ Schedule: ___________________________________ Date: _______________

5. For this newborn who is experiencing birth asphyxia, which of the following would be the most appropriate nursing
diagnosis?
a. Imbalanced nutrition: less than body requirements
b. Risk for hypothermia
c. Ineffective breathing pattern
d. Impaired gas exchange
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

SITUATION: Rhea, a 32-year-old primigravida at 39-40 weeks AOG was admitted to the labor room due to hypogastric
and lumbo-sacral pains. Internal examination revealed a fully dilated, fully effaced cervix. Station 0.

6. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near?
a. A desire to defecate
b. Begins to bear down with uterine contraction
c. Perineum bulges
d. All of the above
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

7. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority?
a. High risk for infection related to membrane rupture
b. Risk for injury related to prolapsed cord
c. Alteration in comfort related to increasing strength of uterine contraction
d. Anxiety related to unfamiliar procedure
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

8. Rhea complains of severe abdominal pain and back pain during contraction. Which two of the following measures will
be MOST effective in reducing pain?
a. Rubbing the back with a tennis ball and effleurage
b. Guided imagery
c. Proper breathing techniques
d. Offer warm compresses
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

This document is the property of PHINMA EDUCATION

 Nursing Seminar 1
Module #5 Student Activity Sheet

Name: _________________________________________________________ Class number: _______

Section: ____________ Schedule: ___________________________________ Date: _______________

9. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done
immediately following procedure?
a. Reposition from side to side
b. Administer oxygen
c. Increase IV fluids as indicated
d. Assess for maternal hypotension
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

10. Which is NOT the drug of choice for epidural anesthesia?

a. Sensorcaine
b. Xylocaine
c. Ephedrine
d. Marcaine
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

SITUATION: Mocha, a 27-year-old mother is at G4P3 at full term gestation is brought to the ER after a gush of fluid
passes through her vagina while shopping at the supermarket.

11. Mocha is brought to the emergency room. The fetal heart tone (FHT) is noted to be 116 beats per minute. Which of
the following actions should the nurse do first?
a. Monitor FHT every 15 minutes
b. Administer oxygen inhalation
c. Ask the charge nurse to notify the obstetrician
d. Place her on the left lateral position
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

12. Nurse Jhunela checks the perineum of Mocha. Which of the following characteristic of the amniotic fluid would cause
an alarm to the nurse?
a. Greenish
b. Scanty
c. Colorless
d. Blood tinged
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

This document is the property of PHINMA EDUCATION

 Nursing Seminar 1
Module #5 Student Activity Sheet

Name: _________________________________________________________ Class number: _______

Section: ____________ Schedule: ___________________________________ Date: _______________

13. Mocha asks nurse Jhunela, "Why do I have to be on complete bed rest? I am not comfortable in this position." Which
of the following response of the nurse is most appropriate?
a. Keeping you on bed rest will prevent the possibility of cord prolapse
b. Completed bed rest will prevent more amniotic fluid to escape
c. You need to conserve your energy so you will be strong enough to push later during the delivery
d. Let us ask your obstetrician when she returns to check on you
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

14. Mocha wants to know how many fetal movements per hour is normal, the correct response of nurse Jhunela would be
a. Twice c. Four times
b. Thrice d. 10-12 times
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

15. Upon examination by the obstetrician, he charted that Mocha is in the early stage of labor. Which of the following is
true in this state?
a. Self-focused c. Lasts for 2 hours
b. Effacement is 100% d. Cervical dilatation of 1-3 cm
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

SITUATION: Baby boy Berlin was delivered spontaneously following a term pregnancy. Apgar scores are 8 and 9
respectively. Routine procedures are carried out.

16. When is the APGAR Score taken?

a. Immediately after birth and at 30 minutes after birth
b. At 5 minutes after birth and at 30 minutes after birth
c. At 1 minute after birth and at 5 minutes after birth
d. Immediately after birth and at 5 minutes after birth
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

17. The best way to position a newborn during the first week of life is to lay him
a. Prone with head slightly elevated c. On his side with his head flat on bed
b. On his back, flat d. On his back with head slightly elevated
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

This document is the property of PHINMA EDUCATION

 Nursing Seminar 1
Module #5 Student Activity Sheet

Name: _________________________________________________________ Class number: _______

Section: ____________ Schedule: ___________________________________ Date: _______________

18. Baby boy Berlin has large sebaceous glands on his nose, chin, and forehead. These are known as
a. Milia
b. Lanugo
c. Hemangiomas
d. Mongolian spots
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

19. Baby boy Berlin must be carefully observed for the first 24 hours for?
a. Respiratory distress
b. Duration of cry
c. Frequency of voiding
d. Range in body temperature
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

20. According to the WHO, when should the mother start breastfeeding the infant?
a. Within 30 minutes after birth
b. Within 12 hours after birth
c. Within a day after birth
d. After infant’s condition establishes
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

C. LESSON WRAP-UP

Thinking about Learning

SUCCESS CRITERIA

You will write 3 or more statements (“I can" statements) based on the learning targets stated above. This will assess your
ability to familiarize and master this session’s topic.

1. I can_________________________________________________________________________________.

2. I can_________________________________________________________________________________.

3. I can_________________________________________________________________________________.

This document is the property of PHINMA EDUCATION