April Tom O.

Cuenca
Section N-22
1. I will react to the mother's concern by telling her that the child's behavior is completely normal. I will utilize
therapeutic communication to inform the mother that occasional masturbation and fixation with genitals is a normal
behavior of preschoolers as most children in this age group discover masturbation while exploring their bodies. The
best way to respond would be advising the mother to accept the child sexual interest in their own genitals as her
reaction to Jerry's behavior can have long-term consequences to the child's self-esteem. I would also educate the
mother that during the pre-school period, children's pleasure zone shift from the anal to the genital area which
according to Sigmund Fred is the period called the "phallic phase" which Jerry is currently at. This knowledge will
help the mother talk about masturbation as neutral as possible with her kid which would promote safety and increase
the child's self-esteem. 

In Jerry's condition, the guideline that I would utilize to provide advice to the mother is Sigmund Freud's
Psychosexual Stages of Development. According to Freud, children’s pleasure-seeking urges are focused on a
different area of the body, called an erogenous zone, at each of the five stages of development: oral, anal, phallic,
latency, and genital. With regards to the child's fixation with genitals, I will educate the mother that child is currently
at the phallic stage of psychosexual development where children experience heightened interest in their genitals.
When discussing Jerry's situation with the mother, I will emphasize the fact that most children masturbate at some
point during the phallic stage so that the mother will keep in mind that masturbation is widespread among children. I
will also inform the mother that no scientific evidence supports the position that masturbation is harmful in any way,
with the exception of guilt and other negative emotions arising from others' reactions. Ultimately, I would advise the
mother not to vigorously prohibit the practice as it may be psychologically damaging to the child over time. Instead, I
will teach the mother to help her child learn more about the socially appropriate use of their genitals so that the child
can act accordingly. 

Health education builds an individual's knowledge, skills, and positive attitudes about health. Providing health
education to the mother and the child will help them behave in a manner conducive to the promotion and maintenance
of health. I will discuss the child's behavior with the mother and emphasize the fact that most children masturbate
during the phallic stage of Freud's Psychosexual Stages of Development where Jerry is currently at so that the mother
will understand that it is a normal behavior manifested by children.

 I would tell the mother that young children pick up on their parents’ attitudes towards masturbation from an early
age. If parents react negatively to body exploration, self-soothing behavior or nudity, their child can feel ashamed
of their body, sexual feelings and behaviors.
 With this in mind, I would remind the mother to remember that children masturbate for many different reasons,
including curiosity, exploration and sensory pleasure and reassure her that masturbation in children is normal.
 I would encourage the mother to try to focus on the setting, rather than the activity itself. For example, if Jerry
masturbates in public, she should tell him that what he's doing is fine, but it is a private behavior that he can do in
a private place, like toileting. The mother should be able to teach her child how to behave appropriately.
 Ultimately, I would advise the mother to understand that children may turn to masturbation in times of stress. If
Jerry's masturbation is affecting playtime and other activities, she should find out what is making them anxious or
upset.
 If Jerry has any questions with regards to his genitals, the mother should be open and ready to answer so that the
child won't be confused. I will remind the mother that it is important not to convey that body parts are never to be
talked about so that an open line of communication for sexual questions will develop between her and her child.

References:
Development Psychology. (n.d.). Retrieved September 29, 2020, from https://www.cliffsnotes.com/study-guides/psychology/development-
psychology/psychosocial-development-age-26/sexuality-age-26
Cherry, K. (n.d.). What Are Freud's Stages of Psychosexual Development? Retrieved September 29, 2020,
from https://www.verywellmind.com/freuds-stages-of-psychosexual-development-2795962
Adele Pillitteri, P. R. (2006). Maternal & Child Health Nursing Care of Childbearing & Childbearing Family Fifth Edition. Medicine & Health
Science Books
Department of Health & Human Services. (2015, May 31). Masturbation. Retrieved October 05, 2020, from
https://www.betterhealth.vic.gov.au/health/HealthyLiving/masturbation

LEARNER OUTCOMES
1. The mother will be able
to describe the process of
conception
2. The mother will be able
to understand the essential
topics to be discussed
during the second trimester
of pregnancy since she is
already 6 months pregnant
3. The mother will be able
to understand the essential
topics to be discussed
about the third trimester of
pregnancy so she can
prepare herself for the
following last months of
pregnancy
4. The mother will be able
to understand the vital
intrapartum procedures to
prepare her for childbirth
Nursing Teaching Plan
Pregnancy and Birth or the Arrival of the Baby
April Tom O. Cuenca, Section N-22
CONTENT OUTLINE METHODOLOGY TIME EVALUATION
FRAME
Process of conception from ovulation to Using pregnancy visuals 15 The mother was
fertilization and implantation either through power minutes able to verbalize
points or videos that the various
depicts the phases of phases of
conception conception
Topics to be discussed include: Review and lecture 45 The mother
- Physiologic and psychological changes discussion with printed minutes understands the
- Body changes handouts and images essential
- Common discomforts about the topics to be knowledge with
- Mood swings discussed regards to the
- Self-help remedies for discomforts second trimester
- Fetal growth and development, of pregnancy
quickening
- Weight gain and health habits
- Promotion of breast-feeding
- Warning signs of second trimester
Topics to be discussed include: Review and lecture 45 The mother
- Physiologic and psychological changes discussion with printed minutes understands the
- Body changes handouts and images essential
- Common discomforts about the topics to be knowledge with
- Fetal growth and development; tests for discussed regards to the
fetal wellness third trimester of
- Fetal movement counts pregnancy
- Continuation of second-trimester
instructions
- Signs of labor: contractions, rupture of
membranes, and bloody show
- Analgesia and anesthesia for labor and
birth
- Discussion of birth plan: routine
procedures for labor and birth
Topics to be discussed include: Discussion of the 20 The mother was
- Need for intrapartum surveillance during following intrapartum minutes able to describe
labor and delivery procedures and each intrapartum
- Induction and augmentation of labor explanation of the procedure and
- Episiotomy indications and list the
- Operative vaginal delivery contraindication for each contraindications
- Breech delivery procedure and indications
- Cesarean delivery for each