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NURSING CARE MANAGEMENT 107: Care of Mother, Child and Adolescent (Well Clients)
Learning Module
Care of a Woman in the Postpartum Stage

DESIRED LEARNING OUTCOME:

Formulate plan of care to address health conditions, needs, problems and issues of a woman in the postpartum stage
based on priorities.

ENABLING LEARNING OUTCOMES:

KEY CONTENT: Assessment During Postpartum; Care of Postpartum Woman

In addressing the health care needs of a woman in the postpartum stage, you must be equipped with the
basic knowledge in the physiological changes she experiences after giving birth. The tasks in this
module will help you achieve it! These are meant to SUPPORT the LEARNING ACTIVITIES you do in
class. ARE YOU READY FOR THE LEARNING ADVENTURE? I am just here if you need me! LET THE
LEARNING PROCESS BEGIN!
 ENABLING LEARNING OUTCOME 1
Identify the health conditions, needs, problems and issues of a woman in the
postpartum stage.

LEARNING ACTIVITY 1.
Re-Learn to Learn Well!
This activity will test your knowledge on the physiological changes a postpartum woman experiences.
Using the table below, list the physiological changes and the physiological basis of this change.

SYSTEM CHANGES RATIONALE

Reproductive

Lactation

Endocrine

Renal
 SYSTEM CHANGES RATIONALE

Hematologic

Cardiovascular

Gastrointestinal

Integumentary

Respiratory
LEARNING ACTIVITY 2.
Re-Learn to Learn Well!
Now, you are familiar with the physiological changes in the postpartum stage. It’s ASSESSMENT TIME!!!
Below is the list of key points to be assessed during the postpartum stage. Are YOU READY?

AREA TO BE EXPECTED NORMAL ASSESSMENT

B-ladder

U-terus

B-owel

B-reast

L-ochia

E-pisiotomy

H-oman’s Sign

E-motion
LEARNING ACTIVITY 3.
Bring Me!!
Print pictures of drugs commonly used during the postpartum period. Make a drug study using the format provided.

LEARNING ACTIVITY 4.
It’s EVALUATION TIME!!!!
It is best to measure your learning before we will proceed with the next learning activity.
Answer the following questions to gauge how far you have learned! After this, let’s talk about your scores!
DIRECTIONS: Read the questions carefully. Select the letter of your choice. Write the letter of your choice before the number.

1. Maria, a primigravidan on her 2nd day postpartum, complains,” Wala man jud koy gatas Nurse. Sig era ug hilak akong anak.” What will be
your immediate response?
A. “You can buy milk formula as a breastmilk substitute until you will have breastmilk.”
B. “You do not have to worry. All mothers experiences that always.”
C. “It is still your second day after giving birth. Continue breastfeeding the child to stimulate milk production.”
D. “Just ignore the crying episodes of your baby. He will get tired of it.”
2. The doctor orders Methylergonovine maleate 1 tablet TID PO. Before giving this drug, which measures should you do?
A. Check if patient has eaten her meal.
B. Check respiratory rate.
C. Check blood pressure.
D. Check if she has allergy of this drug.
3. Kimmy, during your ward rounds, complains of lightheadedness and claims, “It seems I am having a heavy flow.” Upon checking, you have
noticed a distended bladder and a soft boggy uterus. What will you do?
A. Prepare a catheterization set and icepack.
B. Check vital signs.
C. Massage the fundus.
D. Place patient on a Trendelenburg position.
4. What medical intervention would you expect to be given to Kimmy?
A. Oxytocin IV drip
B. Transfusion of fresh whole blood
C. Emergency hysterectomy
D. Tranexamic acid IVTT
5. Marites is asking “Why I have afterpains?” What will be your response?
A. “The afterpains is due to bearing down during the delivery of the baby.”
B. “It is the uterus contracting so that you will not bleed.”
C. “Sometimes pain is manifested when we think of it as real.”
D. “You just need more rest to recover.”
6. In order to prevent thrombophlebitis, which intervention should you encourage to the mother?
A. Encourage passive range of motion exercises of the lower extremities.
B. Apply anti-embolic stockings on both legs.
C. Encourage ambulation.
D. Give anti-thrombotic medications.
7. Alexis asked you, “What to do to speed up my wound healing in my perineum?” Which response is correct?
A. Continue taking your antibiotic therapy to prevent wound infection.
B. Encourage ambulation.
C. Do Kegel’s exercise.
D. Do hot sitz bath.
8. During assessment on Alexis, you have noted a soft boggy uterus. What will you do next?
A. Massage the fundus.
B. Apply cold compress.
C. Give oxytocic agent.
D. Place patient on trendelenburg position.
9. Marian is on her day 1 postpartum. She is socially withdrawn and does not participate in the care of her baby. What will be your response?
A. Allow her to take more rest.
B. Encourage participation in the caring activities for her baby.
C. Refer to a psychiatric consult.
D. Reprimand her of her inappropriate behaviour towards her child.
10. Marian claims, “I am afraid to defecate because of the episiotomy. What will I do to facilitate easy defecation?” Your response will be:
A. Encourage ambulation.
B. Increase water intake and fiber in the diet.
C. Take laxatives.
D. Withhold your bowel movement.
 ENABLING LEARNING OUTCOME 2
Customize nursing interventions based on priorities.

LEARNING ACTIVITY 1.
It’s time to take an action!
With the given situation, formulate a plan of care to address the individual needs identified in the situation. Follow the format provided in
making your nursing care plan. Use the separate sheet provided. Output should be handwritten. Write legibly.

Situation A:
Liza is a primigravidan. She just had her first baby delivered via normal spontaneous vaginal delivery with midline incision
episiotomy. During your nursing rounds, she complains of having perineal pains and is afraid to defecate because of her incision. What
will be your nursing diagnoses with this situation? How will you address her needs?

Situation B.
Marie, a G1P1, is on her 3rd day postpartum. She complains of severe pain in her breasts. You checked it and observed
breast engorgement. During your assessment, Marie verbalized, “I am scared. I’m afraid to overfeed my baby.” With this situation, how
will you handle it?

Situation C.

Gwen, a G2P2, just delivered her baby. She complains of pain in her suprabic area. During assessment, you have observed a
globular mass above the symphysis pubis. It has been 4 hours since she delivered her baby. To prevent further complications, what will
be your nursing interventions?

LEARNING ACTIVITY 2.
It’s field time!
Make a list of common traditional and cultural beliefs and practices among Filipinos during the postpartum stage. Then,
conduct a survey among 15 women who have given birth. List at least 10 practices they do after giving birth. Follow the format
attached. Use long bond-paper. Entry should be handwritten.
 ENABLING LEARNING OUTCOME 3
Devise a health teaching plan to address health care needs of a woman in the
postpartum stage.

LEARNING ACTIVITY 1.
It’s time to work as a GROUP!!!!

In a group of 3, make a health teaching plan with the topics listed below. Use the format provided. Use long-sized bond-paper. Use
ARIAL NARROW FONT SIZE 12. Prepare also necessary instructional materials.

HEALTH TOPICS:

1. Breastfeeding
2. Promoting Good Nutrition for Postpartum Mothers
3. Exercises for Postpartum Mothers
4. Preventing Complications during Postpartum Stage
5. Adjusting and Adapting Postnatal Physiological Changes
6. Life of a Mother: Attending Needs of a Neonate