NCM 107 LEARNING PACKET ON RELATED LEARNING EXPERIENCE

RLE FOCUS UNIT: CARE OF NEWBORN

COURSE CODE:
COURSE TITLE:
YEAR LEVEL, ACADEMIC YEAR:
CLINICAL AREA OF ASSIGNMENT:
DATE OF CLINICAL EXPOSURE:
NO. OF HOURS:
NCM 107
CARE OF MOTHER, CHILD, ADOLESCENTS (WELL CLIENTS)
LEVEL 2, 1ST SEMESTER SY 2020-2021
NEONATAL INTENSIVE CARE UNIT(NICU)
64

MODULE OVERVIEW
Nursing is a profession that requires intensive training on both theoretical and clinical
perspective. This module deals with concepts, principles, theories and techniques in the nursing
care of individuals and families during childbearing and childbearing years toward health
promotion, disease prevention, restoration and maintenance, and rehabilitation emphasizing
the care on newborns. The learners are expected to provide safe, appropriate and holistic
nursing care to newborns utilizing the nursing process.
Having gone through the theoretical inputs in the NCM 107 lecture, the next step that you need
to learn is on the application of these principles and techniques in the nursing care of these
clients.
For this 64- hour related learning experience, you will be catered to flexible clinical learning
experiences through this self-instructional module.
Remember, this might not be a substitute for the actual clinical experience, but this can help
you navigate through your patient care experiences in this alternative learning platform. This
module has the following parts:

Prepared by: RELATED LEARNING EXPERIENCE ROTATION

Jennifer R. Macagba, MAN NEONATAL INTENSIVE CARE UNIT

CLINICAL INSTRUCTOR
 LEARNING MAP

At the end of this 48-hour related learning exposure, you are expected to:

1. Conduct comprehensive newborn assessment

2. Describe the normal characteristics of a term newborn.
3. Assess newborn for normal growth and development
4. Identify expected outcomes for a newborn and family during the first 4 weeks of life.
5. Plan nursing care of a normal newborn such as instructing parents on how to take care of their
newborn
6. Identify areas related to newborn assessment and care that could benefit from additional
nursing research or application of evidence -based practice.
7. Integrate knowledge and skills of newborn care and development and immediate care needs
with the nursing process to achieve quality maternal and child health nursing care.

Prepared by: FIRST STEP TOLEARNING

RELATED ACHIEVE YOUR
EXPERIENCE OBJECTIVE
ROTATION

Jennifer R. Macagba, MAN NEONATAL INTENSIVE CARE UNIT

CLINICAL INSTRUCTOR
 You had your discussion on the concepts and principles of Maternal and Child Nursing in
NCM 107 lecture. You have also started knowing about the diagnostics, medical and nursing
management of these patients with varying concerns in Maternal and Child Nursing. Let’s have a
review of these concepts and see how much you can recall.
(sample only)
A nurse’s responsibility includes the identification of concerns of patients upon
admission to any medical facility or during bedside rounds. Choose from among the following
patients who have problems involving maternal and child nursing by placing a (/) check mark and
an (X) if otherwise.
_____ G1P0 mother is complaining of abdominal discomfort on upper right quadrant.
_____ Tisha, 18 y/o, admitted to the ER experiencing vomiting 4x for two days with dizziness.
_____ a 60 y/o mother consulted at ER with complaint of Amenorrhea
_____ Abby, newly wed, complains about having unusual bleeding for 1 month
_____ A 38 weeks G4P2, term is pale upon arrival in the ER and complains of bloody show
_____ Patient Ericka, 34y/o, primigravida has bipedal edema with and difficulty walking.

You are now on duty in the NEOTANAL INTENSIVE CARE UNIT (NICU) of Ilocos
Training and Regional Medical Center. In this 48 hour duty, you are expected to
handle and manage the care of patients in the Neotanal Intensive Care Unit
including the care for new born babies, assist in newborn screening, and
breastfeeding clients. You are assigned to take care of at least 1 patient. You will
be performing the following nursing responsibilities:
 Assist in Receiving new born babies
 Perform the Essential Intrapartum Newborn Care (EINC)
 Vital Signs Monitoring
 Physical Assessment(APGAR scoring and Ballard Scoring)
 Administer Vitamin K and 1st dose of Hepa B and BCG vaccine
 Intake and output Monitoring (I&O)
 Educate mother on the importance of newborn screening, immunization
and Kangaroo Mother Care
 Planning of Nursing Care Plans
 Patient Care Documentation

Prepared by: RELATED LEARNING EXPERIENCE ROTATION

Jennifer R. Macagba, MAN NEONATAL INTENSIVE CARE UNIT

CLINICAL INSTRUCTOR
 In your provision of the nursing care, you are reminded of the following behaviors:

 Professional behaviors – engage appropriate legal and ethical behaviors;

 Communication – communicate effectively with your patient, SO and the health team
 Clinical Decision-Making – develop critical thinking skills to make responsible decisions
related to assessing the patient;
 Caring Interventions – maintaining a safe environment for the patient, including assessing
social, cultural and spiritual influences
 Teaching and Learning – provide health education to patient and SO
 Collaboration – collaborate with patient and SO

As you start with this module, you are free to consult and coordinate with your assigned clinical
instructor. Be sure to get his/ her email address and contact number for collaboration and
assistance. Just keep going, you can do it!

Prepared by: RELATED LEARNING EXPERIENCE ROTATION

Jennifer R. Macagba, MAN NEONATAL INTENSIVE CARE UNIT

CLINICAL INSTRUCTOR
 THE BIG LEAP

CASE SCENARIO:

Upon arriving at the Delivery Room, you are about to receive new born baby boy that is delivered
to a primigravid mother by normal spontaneous delivery. Immediately after birth the baby cries
well and appears normal. The baby has a lot of vernix and a blue mark is noticed over the lower
back. You as a student nurse, perform the Essential Intrapartum Newborn Care, that includes
Thorough drying of the newborn, immediately perform skin to skin contact with the mother by
placing the baby over the abdomen of the mother, properly timed clamping and cutting of the cord
and observe breastfeeding cues. During physical assessment, you note the breathing pattern, Heart
rate, Muscle tone, Reflexes and Skin color are all normal. Using APGAR score, you determine how
well the baby tolerated the birthing process and how well the baby is doing outside the mother's
womb. The baby vital sign is RR – 60cpm, PR – 160bpm, and temp is 36 degree. You also perform
Anthropometric measurements and the result is normal. The baby is male weighing 3000 gms. By
hospital policy, with the supervision of your clinical instructor, you will administer 1 st dose of BCG
and Hepa B vaccine to a normal new born. Upon meeting the mother, at the recovery section she
told you that the baby did not properly suck her breast for breastfeeding. She is worried that the
baby might be hungry, she also express herself regarding newborn screening and immunization.
You then note the concern and give proper health education.

The paediatrician also assessed the term newborn using Ballard scoring after 1 day. For the physical
maturity. The skin is smooth and pink. Lanugo is abundant. Creases covers the entire sole. The
newborn has full areola. Open eyes and her ears are soft they do recoil easily. The testes is
pendulous.

Next is Neuromuscular maturity. The square window ,is measured by bending the wrist and
visualizing how far forward the infant’s hands can go forward. The infant demonstrates a 30 degree
angle when assessing the square window. Arm recoil has much to do with the infant’s flexion. The
paediatrician actively extends the infant’s arm to straight position and letting go in order to
evaluate how far back to full extension the arm. The infant recoils to a 140 degree angle. Actively
extending the infant’s leg and placing the foot near the head may measure the popliteal angle. The
infant extends her leg to a 100-degree angle. The doctor checks the scarf sign. She extends the
infant’s arm across the body and measures how far across the elbow falls. The infant able to get her
elbow to midline. The last marker of neuromuscular maturity is the heel to ear sign. This sign is
measured by actively extending the infant’s foot and attempting to reach the ear. The infant can
only extend his foot to a right angle above his body.

Prepared by: RELATED LEARNING EXPERIENCE ROTATION

Jennifer R. Macagba, MAN NEONATAL INTENSIVE CARE UNIT

CLINICAL INSTRUCTOR
 ARRIVAL CHECK

TASKS: To immerse yourself in the care management of your patient, let’s take note of the detailed
description of your patient care tasks. Using the Case Scenario assigned to you, you are expected to
perform the following: (TASKS MAY VARY ACCORDING TO WHAT YOU HAVE COME UP FOR EACH
SCENARIO please see list of suggested RLE learning activities)

 Conduct a patient history taking and physical assessment of your patient following the
format by the Lorma College of Nursing Patient History and Physical Assessment Form.
 Compute the APGAR scoring and Ballard scoring then interpret
 Formulate a Nursing Care Plan for you patient based on 3 prioritized problems using the
Lorma College of Nursing NCP Form. Integrate your nursing care interventions significant to
bioethical and legal standards in patient care.
 Prior to administering the patient’s medications, you are required to make a drug study of
all medications required by your patient in oral or parenteral form and document it. Use the
Lorma Colleges Drug Study Format for your documentation.
 Submit an article report/case journal using APA format with references. Use Lorma College
of Nursing Journal format.
 In your 5-day duty, you are required to document your care for 3 days (Day 2-5) using Focus
Charting (FDAR). Be sure to indicate your patient’s vital signs using your own clinical
judgment.
 Video on EINC https://www.youtube.com/watch?v=ZWbQTA65tAw
 https://www.youtube.com/watch?v=AjcoR2tozyQ

You will be graded based on your output:

EVALUATION PARAMETERS (please see portfolio)

Patient history and Physical Assessment 30pts 20%

Ballard and APGAR scoring 50pts 20%
Nursing Care Plan 15pts 30%
Drug Study Report 10 pts per drug 15%
FDAR 10pts/day 15%

TOTAL 100%

Prepared by: RELATED LEARNING EXPERIENCE ROTATION

REFLECTION TIME
Jennifer R. Macagba, MAN NEONATAL INTENSIVE CARE UNIT
CLINICAL INSTRUCTOR
REFLECTION
“the BEST way to stay motivated and keep on moving forward is to surround yourself with
people that have the same goals and objectives. Our Goal is to give you that
confidence you need to stay focused on your goal of BEING AN AMAZING
NURSE someday…”
You may relate your experiences and observations for this activity.

OPTION: you can also ask the student to conduct interviews, case study (please see list of
suggested rle activities)

MODULE EVALUATION

Before we move on to the next topic, I would want to listen to your feedback for this RLE
learning packet. Kindly rate each area with a scale of 1-5 with 1 as the lowest and 5 as the
highest.

EVALUATION RATING
1. Comprehensive Content
2. Relevance of Content
3. Clarity of the text and the message
4. Alignment of the assessment activities to learning outcomes

REFERENCES:
Palompon, Daisy (2020) Developing Self-Learning Modules for flexible Learning in the Related Learning
Experience, ADPCN Webinar August 3, 2020.

Prepared by: RELATED LEARNING EXPERIENCE ROTATION

Jennifer R. Macagba, MAN NEONATAL INTENSIVE CARE UNIT

CLINICAL INSTRUCTOR
Prepared by: RELATED LEARNING EXPERIENCE ROTATION

Jennifer R. Macagba, MAN NEONATAL INTENSIVE CARE UNIT

CLINICAL INSTRUCTOR