REMEDIOS TRINIDAD ROMUALDEZ MEDICAL FOUNDATION

COLLEGE OF NURSING
Tacloban City
NURSING CARE MANAGEMENT 101
CARE OF THE MOTHER, CHILD AND FAMILY
Course Description:
mothers, infants,
of principles and concepts on
nursing process.

Principles and techniques of caring for the normal

children and family and the application
family and family health

Course Credit:
Units clinical)

4 Units Lecture, 4 Units RLE ( 1 Unit skills lab/3

Contact Hours:

72 Lecture Hours, 204 RLE hours

Pre-requisites:
Assessment (HA) and

Theoretical Foundations in Nursing (TFN), Health

Anatomy and Physiology

Co-requisites:

Microbiology

Placement:

Level II, 1st Semester

Terminal Competencies::
Given actual or simulated situations/conditions
involving the client
(normal
pregnant woman,
mother, and/or newborn ,Baby, children and
the family), the
student will be able to:
1. Utilize the Nursing Process in the care of families in
various settings.
1.1Identifies actual and potential nursing diagnosis.
1.2Plans appropriate nursing intervention with the
client and the clients family with maternal and
child health problems.
1.3Implements plan of care with the client and the
clients family.
1.4Evaluates progress of the plan of care.
2. Apply nursing theories in the management of care of
clients with maternal and child health problems.
3. Live the core values cherished by the Nursing
profession such as Love of God, Love of Country and
Love of People.
4. Ensure a well organized and accurate documentation
system (oral and written).
5. Relates with the clients and their families and
collaborates with the Health Team members.
6. Observes bioethical concepts and principles and the
11 key areas of responsibility in the care of clients with
maternal and child health problems.
7. Assumes responsibilities for personal and professional
growth.
8. Demonstrates leadership and management skills in the
care of clients with maternal and health problems.
9. Utilize research findings to improve the Health Care
Delivery System.

DATE

LECTURER

CONTENT

DATE
(RLE)

TEACHINGLEARNING
ACTIVITIES
(RLE)

JUNE 20-21

MS. N DE
VEYRA

I. THE FAMILY

ACT 1
JUNE 17-18

Advance
assignment:

A. The Family
and
Family
Health

ESSAY:
Who am I?

1.Concept /
Definition of
family
2. Family
structure and
functions
3. Universal
characteristics
of families
4.
Characteristics
of a healthy
family
5. Family stages
and tasks
6. Levels of
prevention in
family health

Film Showing:
Central Theme on
family dynamics
and family
relations depicting
Filipino and NonFilipino culture

Reflection and
Processing of the
essay
-Group
Discussion: Divide
the
class
into
small groups and
allow the students
to
conduct
a
round
table
Discussion
focusing on the
theme PEOPLE I
VALUE IN MY LIFE

B. The Family
Health
Nursing
Process
1. Definition of
Family Health
Nursing
2. Principles of
family nursing
process
3. Steps of
family health
nursing process
4. Initial
assessment /
database for
family
for family
nursing
practice.
5. Family
structure,
characteristics,
dynamics
6. Social,
economic and
cultural factors

ACT 2
JUNE 24-25

Group Dynamics:
-Workshop on the

7. Health status
of each family
member
8. Values and
practices on
health
promotion
C. Methods of
Data
Gathering

use of interview
and survey forms

ACT 2
JUNE 24-25

1. Health
assessment of
each family
member
2. Observation /
Interview/review
of records /
reports and
laboratory
results
3. Assessment
tools used in
family
assessment

JULY 4-5
MS N DE
VEYRA

D. Typology of
Nursing
problems in
Family
Nursing
Practice
1. 1st Level
assessment:
Identify heath
threats,
foreseeable
crisis, health
deficits and
wellness
potential/state
2. 2nd Level
assessment:
determining
familys ability
to perform the
family health
tasks on each
health
threat/health
deficit/foreseeab
le crisis or
wellness
potential
E. Statement
of Family
Health
Nursing
Problem
F. Developing
the care plan
1. Priority
setting
2. Defining

Group
Dynamics:

ACT 2
JUNE 24-25

Workshop
on
using the initial
data
base
for
family
nursing
practice
-Workshop
on
making 1st and 2nd
level assessment
based
on
information given
in a hypothetical
sample case
-Workshop
on
collation of results
gathered
from
interview
or
survey

Group Dynamics:
-Workshop
on
proper
documentation
Workshop
on
identification
of
problems: Health
threats,
health
deficits,
foreseeable
crisis/stress pts

ACT 3
JULY 1-2
ACT 4
JULY 8-9

Group Dynamics:
-Workshop
on
planning
and
prioritization
of
family
nursing
problems
based
on information in
a
given
hypothetical
sample case
-workshop on
computation of
problems for
prioritization using
salience,

/setting goals /
objectives
3. Specifying
intervention
plan
4. Developing
the evaluation
plan

JULY 11-12
MISS N. DE
VEYRA

G. Categories
of Nursing
Interventions
in family
nursing
practice
include:
1. Human
becoming
methods /
processes
2. Competency
based teaching
3. Motivation
support for
behavior
challenge /
lifestyle
modification

modifiability of
the problem and
preventive
potential
Group Dynamics:
-Workshop on
Developing the
Family Nursing
Care Plan

ACT 5
JULY 15-16

H. Categories
of health care
strategies and
intervention

Film Showing:
Central theme on
Genetic
Abnormalities

1. Preventivecurative
2. Rehabilitative
3. Facilitative
I. Evaluation

JULY 18-19
JULY 25-26
MR A DE
VEYRA

1. Qualitative
and quantitative
data for
evaluation
2. Methods and
sources of
evaluative data
3. Steps in
evaluation
4. Evaluation
criteria
5. Evaluation in
family nursing
practice
J. Records in
Family Health
Nursing
Practice
K. Mother and
Child Health
1. Procreative
health
1.1 Definition

ACT 5
JULY 15-16

ACT 6
JULY 22-23

Group Dynamics:
-Divide the class
into small groups
and discuss about
the prevalent
genetic
abnormalities and
instruct the
students to come
up with a teaching
plan appropriate
for couples/clients
seeking
consultation
before and during
conception

Film showing:
Central theme on
the process of
conception,
implantation and
placentation as
well as
reproduction

AUGUST 1-2
MS N DE
VEYRA

and theories
related to
procreation
1.2 Process of
human
reproduction
1.3 Risk
factors that will
lead to genetic
disorders
1.4 Common
tests for
determination of
genetic
abnormalities
1.5 Utilization
of the nursing
process in the
prevention of
genetic
alteration and in
the care of
clients seeking
services before
and during
conception.

Film showing:
Central theme on
fetal
developmental
milestones

ACT 7
JULY 29-30
ACT 8
AUG 12-13

Group Dynamics:
-workshop
on
provision of health
education to child
bearing
women
and their family

II.
ANTEPARTUM /
PREGNANCY

AUGUST 1516
AUGUST 2223
MR A DE
VEYRA

A. Anatomy and
Physiology of
the Male and
Female
Reproductive
System
B. Physiology of
the Menstrual
Cycle
C. The process
of Conception,
implantation
and
placentation
D. Fetal
Circulation
E. Milestones of
fetal
development
F. Estimating
EDC
G. Common
teratogens and
their effects
H. Health
History: Past,
present,
potential,
biographical
data, menstrual
history, current
pregnancy,
(EDC, AOG,
Gravida, para),
previous
pregnancies and

Pre-natal
assessment
-workshop on how
to perform:
a. health history
taking
b. interview
c. obstetrical
history taking
(LMP, EDC, AOG,
GP score
determination)
d. physical exam

ACT 9
AUG 19-20
ACT 10
AUG 19-20
(WHOLE
DAY/24
HOURS FOR
THE WEEK)
ACT 11
AUG 27
WHOLE DAY
(12 HOURS) in
lieu of August
26 National
Heroes Day)

ACT 12

-workshop
on
medication skills
lab:
a. intradermal
b. intramuscular
c. subcutaneous
d.IVF monitoring
d. IV calculation
and computation
e.
Drug
calculation
and
computation
f.
different
preparation
of
medication
and
their
specific
modes
of
administration
g. carrying out
MDs
order
(medicine tickets)
h.
actual
administration of
drugs
i. recording and
reporting of care
rendered
and
response
of
patients to the
drug
k.
health
education to client
and their family

outcomes (TPAL
score),
gynecologic
history, medical
history,
nutritional
status

SEPT 2-3
ACT 13
SEPT 9-10

I. Normal
changes during
pregnancy
a. local and
systemic
physical
changes
including vital
signs, review of
systems
b. emotional
changes
including
dangers of
pregnancy
c. Leopolds
maneuver
d. Common
discomforts
during
pregnancy and
its
corresponding
interventions
J. Danger signs
of pregnancy
K. Normal
diagnostic /
laboratory
findings and
deviations
a. pregnancy
test
b. urine test
c. blood test
(CBC)
d.
ultrasonography

AUG 5-10
AUG 29-30

MIDTERMS
MS N DE
VEYRA

Film Showing:
Central Theme on
Labor
and
Delivery

DEMONSTRATION
and
RETURN
DEMONSTRATION:
a. mechanisms of
labor
b. nursing skills
during labor and
delivery
Simulation
on
labor and delivery
-workshop
on
labor watch
-monitoring
of
vital
sign
and
uterine
contractions
-workshop
on
counseling
of
clients with ante
and intra partal
problems

L. Appropriate
Nursing
diagnosis
M. Prenatal
exercises
N. Preparation
for labor and
delivery
III.
INTRAPARTUM
(Process of
Labor and
Delivery)
1. Factors
affecting labor
and delivery
a. passenger

DEMONSTRATION
and
RETURN
DEMONSTRATION:
various
procedures
necessary in labor
and delivery:
a. handwashing
b. gloving
c. gowning
d.
perineal
shaving
e. instrumentation
f. catheterization
g. draping

ACT 14
SEPT 16-17

b. passage
c. power
(primary and
secondary)
d. placenta
2. Functional
relationship of
presenting part
3. Theories of
labor onset
4. Common
signs of labor
5. Stages of
labor and
delivery
6. Common
discomforts of
the woman
during labor and
delivery
7. Danger signs
during labor and
delivery
8. Appropriate
Nursing
Diagnosis
9. Care of the
clients
experiencing
labor and
delivery
10. Physical and
Psychological
preparation of
the client
11. Monitoring
of progress and
labor
and
delivery
12. Provision of
personal
hygiene, safety
and comfort
measures
(perineal care,
management of
labor pains,
bladder and
bowel
elimination)
13. Coping
mechanisms of
womans
partner and the
family of the
stresses of
pregnancy,
labor, delivery
and puerperium.
14. Preparation
of the labor and
delivery room.
15. Preparation
of the health
personnel

-Divide the class

into small groups
and discuss on
the
health
teaching needs of
the
mother
relevant in the
following:
a. nursing care of
the mother at this
period(INTRAPART
UM)
b.
safety
measures
c.
comfort
measures
d. measures to
prevent
complication
e. support for the
psychosocial
adjustment

ACT 14
SEPT 16-17

ACT 14
SEPT 16-17

RETURN
DEMONSTRATION:
How to perform
a. APGAR Scoring
b.
Ballards
Scoring
c.
Taking
of
anthropometric
measurements
Newborn Care:
a. suctioning
b. oil bathing
c. bathing of the
newborn
d. cord care
e. anthropometric
measurements
f. instillation of
eye prophylaxis
g.
vitamin
K
injection
RETURN
DEMONSTRATION:
How to facilitate
the following:
a.
sensory
stimulation

b.vestibular
stimulation
c. breastfeeding
d. burping
e. cuddling

IV.
POSTPARTUM
1. Definition
2. Specific body
changes on the
mother
3. Psychological
changes on the
mother
4. Phases of
Puerperium
a. Taking In
b. Taking hold
c. Letting Go

SEPT 5-6

MS N DE
VEYRA

5. monitoring
vital signs,
uterine
involution,
amount and
pattern of
lochia,
emotional
responses to
drug therapy,
episotomy
healing
6. Possible
complications
during
postpartum:
bleeding and
infection
7. Appropriate
nursing
diagnosis
8. Nursing Care
of the mother
during
postpartum
a.
safety
measures
:
limitation
in
movement,
protection from
falls,
provision
of
adequate
clothing, wound
care
b. comfort
measures:
exercises,
initiation of
lactation, relief
of discomforts
like breast
engorgement
and nipple
sores, hygiene
measures,
maintaining
adequate

ACT 15
SEPT 24
(WHOLE DAY
in lieu of Sept
23 RTRMF
Foundation
Days)

Nursing
application
of
theories of Freud,
Erickson
and
Piaget
Present an
illustration
reflecting
chronologic
development of
milestones and
secondary sex
characteristics
Group Dynamics:
-Divide class into
groups and come
out with a
disciplinary
care
map for common
infant
problems
using information
given
on
a
hypothetical
sample case
Evidence based
nursing: what it is
like to be a parent
of an infant?
(make use of
journals/ news
clips)
Ask the students
to formulate a
teaching plan
focusing on:
Tips to help
introduce solid
foods to infants

SEPT 12-13

MS N DE
VEYRA

nutrition
c. measures to
prevent
complication:
ensuring
adequate
uterine
contraction to
prevent
bleeding,
adequate
monitoring,
early
ambulation,
prompt referral
for
complications
d. support for
the psychosocial
adjustment of
the mother
e. Health
teaching needs
of the mother,
newborn and
family
f. accurate
documentation
and reporting as
needed
9. Health beliefs
and practices of
different
cultures in
pregnancy,
labor, delivery
and puerperium
10. Current
trends in
maternal and
child care
11. Family
Planning
a.Natural
methods
standard days
method with
cycle beads,
billings method,
symptothermal
method,
lactation
amenorrhea
method (LAM)

SEPT 19-20

MR A DE
VEYRA

b. Artificial
methods use
of hormones,
intra uterine
device, barrier
methods, tubal
ligation,
vasectomy
E. THE
NEWBORN

ACT 16
SEPT 30-OCT
1
HOSPITAL
PLACEMENT
ACT 17
OCTOBER 7-8
HOSPITAL
PLACEMENT

-Conduct a round
table
discussion
focusing on:
a. diversity of
care: child rearing
practices across
cultures
Divide class into
small groups and
conduct round
table discussion
focusing on:
a. diversity of
care: toilet
training

Evidence
based
nursing:
what
type of accidents
occurs
most
frequently among
toddlers?
(use
news
clips/journals)
Allow students to
formulate
teaching plan
focusing on:
a. common safety
measures to
prevent accidents
during the pre
school years
Ask students to
formulate
teaching plan
focusing on:
a. guidelines for
adolescents
regarding
sexuality
b. guidelines for
prevention of:
-accidents
-rape
-substance abuse
-suicide warning
signs

A. Profile of
the Newborn

SEPT 26-27

MR A DE
VEYRA

1. Physiologic
function and
appearance,
APGAR score,
Ballards score,
Review of
systems,
Anthropometric
measurements
(weight, head,
chest, abdomen
circumference,
length)
2. vital signs,
patent airway
3. Behavioral
assessment and
other significant
information
4. Newborn
screening
B. Nursing
Care of the
Newborn
1. Establishment
of respiration
2. Maintaining
patent airway

OCT 3-4

MS N DE
VEYRA

OCT 10-11

3. Water/oil
bath, tub bath,
changing of
diapers
4. eye
prophylaxis
5. cord care
6. vitamin K
administration
7. regulation of
temperature
8.sensory
stimulation
(audio and
tactile)
9.vestibular
stimulation
10.breast
feeding
11. burpring
12. elimination
13. cuddling
III. Concept of
Growth and
Development
1. Definition
2. Principles of
Growth and
Development
3. Major factors

Assign students to
hospitals
for
clinical placement
in the Labor and
Delivery room:
-Allow students to
perform safe and
quality
nursing
care appropriate
for
ante
and
intrapartal period
utilizing
the
nursing process
assessment of the
general status of
the mother
-monitoring of the
frequency
and
progress
of
uterine
contraction
-monitoring of the
vital signs
-Provision
of
personal hygiene,
safety
and
comfort measures
(perineal
care,
management
of
labor
pains,
bladder and bowel
elimination)
-preparation
of
the
labor
and
delivery room
-counselling and
health education
Assign students to
a
post
partal
client and allow
them to perform
caf and quality
nursing
care
utilizing
the
nursing process
-Allow students to
perform
nursing
interventions
during the post
partal period:
a.
control
of
hemorrhage
b. promotion of
comfort
and
hygiene
c.
provision of
adequate nutrition
as
early
as
possible to regain
strength
d. increase dietary
fiber
and
fluid
intake
e. promote early

MS N DE
VEYRA

influencing
growth and
development
4. Foundations
of Growth and
Development
a. age periods
b. methods of
studying growth
and
development:
cross sectionals,
longitudinal
c. patterns of
growth and
development
d. individual
differences
5. Biologic
growth and
development
6. Development
of mental
function and
personality
development

OCT 14-19
OCT 21-26

FINALS
COMPLETION

7. Theories
a. psychosexual
b. psychosocial
c. cognitive
d. moral
e. relational
f. behaviorism
8. development
of self concept,
body image and
self esteem.

F. THE INFANT
AND THE
FAMILY
1. Definition of
terms
2. Growth and
Development of
the infant
biologic
proportional
changes and
maturation of
systems
development
milestones
fine and gross
motor,
language,
psychosocial,
cognitive, social,
social image
development,
temperament

ambulation
f. regular rest and
sleep

ACT 18
OCT 21-22

-Allow
the
students
to
discuss with the
mother
health
teaching needs of
the
mother
relevant in the
care
of
the
newborn
-allow students to
impart
health
teachings on :
a. measures to
prevent
complication:
ensuring
adequate uterine
contraction to
prevent bleeding,
adequate
monitoring, early
ambulation,
prompt referral for
complications
-allow students to
impart
information
regarding family
planning methods
as part of post
partal instructions
-Allow students to
perform
nursing
interventions for
the
immediate
newborn care in
an actual case
-assist mother in
breastfeeding
provision
of
health education
to
mothers
regarding how to
clean
genitals
after
bowel
movement
to
prevent infection
Assign students to
ward and allow
them to:
a. perform
assessment by
eliciting a
complete health
history from a
child and
caregiver using

3. Coping with
concerns related
to normal
growth and
development
4. Promotion of
health during
infancy
5. Prevention of
injury
G. THE
TODDLER AND
THE FAMILY
1. Definition
2. Growth and
development of
the toddler
3. Coping with
concerns related
to normal
growth and
development
4. Promotion of
health during
toddlerhood
5. Prevention of
injury
H. THE
PRESCHOOLER
AND THE
FAMILY
1. Definition of
terms
2. Growth and
development of
the preschooler
3. Coping with
concerns related
to normal
growth and
development
4. Promotion of
health
5. Prevention of
injury
I. THE
ADOLESCENT
AND THE
FAMILY
1. Definition
2. Growth and
development
3.Promotion of
health during
adolescence
J. ADULTHOOD
1. Early
Adulthood
A. Theories,
physiological,
cognitive, moral

standard
components of
pediatric health
history, physical
exam and
developmental
screening (DDST)
Utilize
various
techniques
of
approaching
children
at
different
developmental
levels
before
performing
physical
examination
Workshop on how
to perform the
Denver
Developmental
Screening
Test
(DDST)
-guidelines
-materials
-how to complete
the DDST form

Symposium
(Adolescence,
early
ADULTHOOD)
Symposium
(Middle and Late
Adulthood)

and
psychosocial
development
B. Nursing
Implications
2.MiddleAdultho
od
A. Physical,
Cognitive, Moral
and
Psychosocial
Development
B. Nursing
Implications
3. Late
Adulthood
A. Viewpoints on
Aging
B. Theories of
Aging
C. Biologic,
Sociologic,
Psychologic
changes
D. Needs of the
older persons
E. Nursing
Implications

**Time frame for the Lecture is arranged by WEEK/S, exclusive of the week/s
designated for MIDTERMS and FINALS. Total Lecture week/s: 18 weeks. LECTURE set
every THURSDAYS and FRIDAYS 1:00-3:00 PM.
**Time allotted for RELATED LEARNING EXPERIENCE (RLE) is set at 6 hours/day
MONDAYS and TUESDAYS. Total RLE week/s: 18 weeks
Prepared By: Level II Instructors
MS NICOLE C. DE VEYRA, RN, MAN
GASCO
Level II Coordinator

Approved By:
DR. SOCORRO SALVACION
Dean, College of Nursing