BACHELOR OF SCIENCE IN NURSING:

NCMA 219: Care of Mother and Child At

Risk or with Problems (Acute and Chronic)
RLE MODULE RLE UNIT WEEK
1 1 1

Antepartal Complications

✓ Read course and laboratory unit objectives

✓ Read study guide prior to class attendance
✓ Read required learning resources; refer to course unit terminologies for jargons
✓ Participate in weekly discussion board (Canvas)
✓ Answer and submit course unit tasks

At the end of this unit, the students are expected to:

1. Understand and analyze properly and a given case scenario about antepartal
complications.
2. Develop a comprehensive nursing care plan based on the case scenario presented.
3. Present a nursing care plan based on the given case scenario.

Adele Pilliteri, JoAnne Silbert-Flagg. (2018). Maternal and Child Health Nursing: Care of the
Childbearing and Childrearing Family. (8 th Ed.).
To facilitate the practice of student’s skills, the following rules must be implemented:

1. Use a NANDA book as reference in formulating a nursing diagnosis.

2. Copy and paste from internet sources are not allowed.
3. Use Powerpoint application for the NCP in preparation for the presentation.
4. Students must submit this accomplished task through email.

Develop a nursing care plan based on the following scenario:

This is a case of a 39y/o G3P1 pregnant patient who was admitted with chief complaint of
headache and dizziness. The client weighs 73 kg and has a height of 148cm.

Patient claim to have complete childhood immunization. The patient has no known history of HPN,
Asthma, DM, PTB, Thyroid Disease, and malignancy. No known allergy to food and medications.
No history of blood transfusions and previous surgeries.

Past Medical History: (-)HPN, (-)Asthma, (-)DM, (-)PTB, (-)Thyroid Disease, and (-)malignancy
Allergies: No known allergy to food; No known allergy to medications

Patient had her menarche at 13 years old occurring at regular interval, lasting for 3-5 days,
consuming 2-3 pads per day, moderately soaked with occasional dysmenorrhea. Subsequent
menses came in regularly with the same amount, flow and duration.

Patient had her first child in 2010 and delivered full term via normal spontaneous delivery. Her
second pregnancy was a missed miscarriage at 12 weeks AOG in 2012. Dilation and curettage
were done in a provincial hospital. Her current pregnancy is on her 28 weeks gestation. She had
been on antibiotic(prescribed) a month ago due to urinary tract infection.

The patient has 2 siblings and she is the eldest. She is a high school graduate, unemployed, single
and currently living in with her partner who works as construction worker. Patient is a non-smoker,
occasional alcohol beverage drinker.
ASSESSMENT:
• Vital signs: T: 37.3C, PR: 120bpm, RR:23cpm, BP 150/100mmHg
• Cardiovascular: (-) orthopnea, (+) fatigability, (-) Palpitations, (-) Chest pain
• Respiratory: (-) cough, (-) shortness of breathing
• GI: (-) nausea and vomiting (-) Diarrhea, (-) constipation, (-) melena
• GU: (-) UTI, no discharges
• Extremities: (+) pedal non pitting edema, (+) edema on upper extremities (Grade 1)
• Skin: fair complexion, good skin turgor, warm to touch, (+) abdominal striae gravidarum,
(-) skin lesions
• Neurological: (-) tingling sensations, (-) tremors, (-) numbness
• IVF: D5Lr 1 liter x 8 hours
• Meds: Hydralazine 5mg, Methyldopa 250mg, Spironolactone 50mg, Furosemide 40mg
• Labs: CBC with BT, Urinalysis (with proteinuria), HbSAG, HVDRL, CTG
• Radiology: BPS, UTZ

Date Completed:
Date Submitted:

Adele Pilliteri, JoAnne Silbert-Flagg. (2018). Maternal and Child Health Nursing: Care of the
Childbearing and Childrearing Family. (8 th Ed.).