SUBMITTED PURPOSE

BY TO PROVIDE THE
MOTHER AND PARTNER
Andreana Faye Fillar
Section 207
WARNING SIGNS THE NECESSARY
INFORMATION ON THE
Maternal and Child Nursing
OF LABOR WARNING SIGNS
LABOR IN ORDER TO
OF

IDENTIFY PROBLEM,
FORESEE ANY
UNEXPECTED
PROBLEMS AND TAKE
APPROPRIATE ACTION.
 OBJECTIVES STRATEGY &
After a 10-minute teaching session, RATIONALE
the mother and partner will be able to

Demonstration
execute how to properly measure the
mother’s blood pressure using a
sphygmomanometer. Using a demonstration strategy
allows the learners to see how the
procedure is first done.

RESOURCES
Return-Demonstration
Sphygmomanometer
Stethoscope Measurement of
Blood Pressure
Chair
Followed by a return-demonstration,
Pen
this allows the learner to become an
Paper
active learner. This further
Instructional Video
emphasizes the learning and solidifies
Instructional Brochure
the learning from the demonstration.

EVALUATION
After the 10-minute teaching session Time, Date, Venue
the clients were able to:

Time: 10:00 – 11:00 AM

execute proper measurement of
Venue: Barangay Clinic
blood pressure using a
Date: October 4, 2020
sphygmomanometer
 4. Place stethoscope and
measure pulse over
brachial artery

5. Pump cuff until the pulse

disappears and deflate
1. Subject seated on char
and relax for 3-5 minutes
Measurement of until pulse reappears.
Record the readings.
Blood Pressure
2. Explain the process of with BP 6. The reappearance of the
recording blood pressure
Apparatus pulse is the systolic blood
pressure and the
3. Loosen any tight disappearance of the pulse
clothing and place the is the diastolic blood
cuff in the upper arm pressure.
 STRATEGY &
OBJECTIVES RATIONALE
After a 20-minute teaching session,
the mother will be able to compare Lecture
the different signs of true labor and
false labor. Lecture, followed by discussion,
centers the teaching session. The
lecture focuses the on the learning

RESOURCES process and delivers the topics in a

controlled manner

Pen
Paper
True and False Discussion
Flashcards

Signs of Labor The discussion allows room for

Time, Date, Venue

comfort and allows the learners to
become active leaners, rather than
passive listeners.
Time: 10:00 – 11:00 AM
Venue: Barangay Clinic
Date: October 4, 2020
Role Play

EVALUATION By using role play, the client is able to

act and therefore manifest the
different signs of true and false labor.
After a 20-minute teaching session,
the mother was able to:

compare the different signs of true

labor and false labor.
 TRUE LABOR FALSE LABOR
1. May be slightly irregular at first, 1. Remain irregular
then becomes regular and
predictable in a matter of hours 2. Generally confined to the abdomen

2. First felt in the lower back and 3. No increase in duration, frequency

sweep around to the abdomen in a and intensity. Intervals are long
wave

3. Increase in duration, frequency and

True and False
intensity. Intervals are short
Signs of Labor
4. Continue no matter what the
woman’s level of activity is
5. Achieves cervical dilation
4. Disappears with ambulation or
sleep
5. Do not achieve cervical dilation
6. Decrease number of contractions
by sedation

6. Does not stop by sedation

 OBJECTIVES STRATEGY &
After a 10-minute teaching session,
the mother and partner will be able
RATIONALE
to:

1. explain at least 3 out of 5 fetal

Lecture
danger signs within 7 minutes.
Lecture, followed by discussion,
centers the teaching session. The
2. explain 3 out of 5 maternal danger
lecture focuses the on the learning
signs within 7 minutes.
process and delivers the topics in a
controlled manner.
Maternal and
RESOURCES
Pen
Fetal Warning Discussion
Paper
Brochure
Signs The discussion allows room for
comfort and allows the learners to
become active leaners, rather than

EVALUATION
passive listeners.

After the 10-minute teaching session,

the mother and partner was able to Time, Date, Venue
explain 5 out of 5 fetal danger signs
Time: 10:00 – 11:00 AM
within 10 minutes.
Venue: Barangay Clinic
Date: October 4, 2020
explain 5 out of 5 maternal danger
signs within 10 minutes.
FETAL WARNING MATERNAL
SIGNS WARNING SIGNS
rising or falling blood pressure
> 140 mmHg systolic pressure and > 90
high or low fetal heart rate mmHg diastolic pressure; or an increase
normal is 120 to 160 bpm in the systolic pressure of more than 30
mmHg or in the diastolic pressure of
above 160 indicates fetal
more than 15 mmHg should be reported
tachycardia
abnormal pulse
below 120 indicates fetal a maternal pulse greater than 100
bradycardia beats/min during labor is unusual and
meconium staining should be reported because it may be
an indication of hemorrhage
Maternal and Fetal
a green color in the amniotic fluid
inadequate or prolonged contractions
reveals the fetus has had a loss of
less frequent, less intense, or shorter in

Warning Signs
rectal sphincter control; may
duration uterine contractions may
indicate fetus is experiencing indicate uterine exhaustion (inertia)
hypoxia > 70 seconds of uterine contractions
hyperactivity compromise fetal well-being
may be a subtle sign of hypoxia abnormal lower abdominal contour
because frantic motion is a appears as a round bulge on the lower
anterior abdomen if the woman has a
common reaction to the need for
full bladder; bladder may be injured by
oxygen the pressure of the fetal head and the
fetal acidosis with pH below 7.2 pressure of the full bladder may not
low oxygen saturation allow fetal head to descend
a oxygen saturation of less than ask women to try to void about every 2
40% needs further assessment; hours during labor
increasing apprehension
normal is around 40 – 70 %
may be a sign of oxygen deprivation or
internal hemorrhage.
 OBJECTIVES STRATEGY &
After a 5-minute discussion, the RATIONALE
mother and partner will verbalize any
concerns, worries, and/or questions
regarding the warning signs of labor. Discussion
Discussions allow for an open
environment, hence, inviting more

RESOURCES Expression of expression of thoughts and concerns

about the warning signs of labor.

Pen
Emotions and The discussion allows room for
Paper
Questions comfort and allows the learners to
become active leaners, rather than
passive listeners.

EVALUATION
After the 5-minute discussion, the
Time, Date, Venue
mother and partner:
Time: 10:00 – 11:00 AM
Venue: Barangay Clinic
verbalized worries about their
Date: October 4, 2020
confidence in identifying the warning
signs when the situation arise.
 AGENDA
Summarize Common Promote Openness
Concerns
Address concerns and questions of Promote openness so that the clients
the clients regardnig the warning feel comfortable to open themselves.

Expression of
signs of labor and/or labor in general.

Emotions
Explore Feelings
Explore the thoughts of the clients
and allow them to express their
feelings freely.

Explore felings on becoming parents.

 Institute of Nursing, FEU.
(n.d.). NCM 107 Labor and

References
Pillitteri, A. (2018). Maternal
Delivery PPT. FEU Canvas.
and Child Health Nursing (8th
https://feu.instructure.com/c
ed., Vol. 1). Wolters Kluwer.
ourses/51571/files/5976267?
module_item_id=1632584