ACTIVITY 2
ROLE-PLAYING ACTIVITY: “A Journey Through Labor and Birth”
Course: NCM 107 – Maternal and Child Nursing
Topic: Labor and Delivery Process
Learning Modality: Skills Laboratory / Simulation
Learning Objectives
At the end of the activity, students will be able to:
1. Demonstrate appropriate nursing care during the stages of labor.
2. Apply effective communication, empathy, and therapeutic presence when caring for a
woman in labor.
3. Perform nursing responsibilities during delivery (assisting in normal spontaneous
delivery).
4. Show teamwork and role awareness in a delivery room setting.
Characters / Roles
1. Laboring Mother – demonstrates behaviors and expressions appropriate to each stage of
labor.
2. Support Person / Partner – provides emotional and physical support to the mother.
3. Nurse (Labor Room) – assesses, monitors vital signs, provides comfort measures, assists
in breathing techniques, and documents progress.
4. Obstetrician – leads the delivery, gives medical orders, ensures safe birth.
5. Nursery Nurse / Newborn Care Nurse – receives the baby, performs initial newborn
assessment and EINC (Essential Intrapartum and Newborn Care).
6. Recorder / Observer – documents the events, monitors whether procedures and
communication are done correctly.
7. Narrator
Materials Needed
• simulation bed
• Maternity mannequin / pillow (as pregnant abdomen)
• Baby mannequin (for delivery)
• Delivery tray set (simulated or real)
• Towels, sheets, gloves, apron, mask, clamps, scissors (mock or sterile simulation)
• BP apparatus, stethoscope
• Clean table, chart, and documentation forms
• Props (for realism): ID tags, curtains, IV line, pillow
Procedure / Flow of the Activity
I. Introduction (5)
• Facilitator explains the purpose of the role play.
• Brief discussion on the 4 stages of labor and corresponding nursing interventions.
II. Role Play Proper (20 minutes)
Stage 1: Early Labor
• Mother complains of regular contractions every 5 minutes.
• Nurse assesses vital signs, contraction pattern, cervical dilation, and offers comfort (deep
breathing, positioning).
• Support person assists in relaxation techniques.
• Documentation by observer.
Stage 2: Delivery (Expulsive Stage)
• Mother shows bearing down efforts.
• Nurse and OB assist with pushing, ensure sterile field, encourage mother.
• Delivery occurs (baby mannequin).
• Nurse (newborn care) clamps and cuts cord, ensures newborn warmth, performs EINC
steps.
• OB delivers placenta, checks for completeness.
• Documentation continues.
Stage 3: Immediate Postpartum
• Mother monitored for bleeding and uterine contraction.
• Nurse massages fundus, records vital signs, and ensures comfort.
• Newborn nurse performs newborn assessment (APGAR scoring) and identification tagging.
Stage 4: Recovery and Bonding
• Mother and baby are allowed skin-to-skin contact and early breastfeeding.
• Nurse assists and provides health teaching about post-delivery care.
Evaluation Criteria (Rubric)
Needs
Criteria Excellent (5) Good (4) Fair (3)
Improvement (2)
Knowledge of Clearly demonstrated Minor errors Several missing Lacks
Labor Stages all stages accurately noted details understanding
Nursing Safe, appropriate, Some incorrect Unsafe or
Minor omissions
Interventions timely care techniques inappropriate
Communication & Therapeutic and Generally Needs Poor
Empathy professional effective improvement communication
Excellent Some gaps in Limited
Teamwork Disorganized
coordination coordination cooperation
Complete and Incomplete or
Documentation Mostly complete Partial
accurate absent
