COLLEGE OF NURSING & ALLIED HEALTH SERVICES

MCARE 1- DRILL SET 3

Midwifery
Competency
Appraisal Role
Enhancement 1
COURSE FACILITATOR: LISETTE GRACE U. CABALANG, RN, RM, MN
FB/MESSENGER: Lisette Grace Balgos Umadhay
Email: lumadhay@nonescost.edu.ph
Phone No: 09998815083

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 MISSION

Northern Negros State College of Science and technology envisions a skillful and productive

manpower, qualified and competent professionals endowed with leadership qualities, commitment

to public service, a common shared values, and capacities to integrate and use new knowledge and

skills in various vocations and professions to meet the challenges of the new millennium.

VISION

To train and develop semi-skilled manpower, middle level professionals and competent and

qualified leaders in the various professions responsive to the needs and requirements of the service

areas providing appropriate and relevant curricular programs and offerings, research projects and

entrepreneurial activities, extension services and develop progressive leadership to effect socio-

economic change and thereby improve the quality of life.

INSTITUTIONAL OUTCOMES

1. Demonstrate logical thinking, critical judgment and independent decision-making on any

confronting situations
2. Demonstrate necessary knowledge, skills and desirable attitudes expected of one’s
educational level and field of discipline
3. Exhibit necessary knowledge, skills and desirable attitudes in research
4. Exhibit proactive and collaborative attributes in diverse fields
5. Manifest abilities and willingness to work well with others either in the practice of one’s
profession or community involvement without compromising legal and ethical
responsibilities and accountabilities

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PROGRAM LEARNING OUTCOMES (CMO #33 s.2007)
A. Program Description
Diploma in Midwifery is a two-year program consisting of general education and professional
courses which prepare students for entry-level midwifery competencies. This 2-year direct entry
program includes Clinical Practicum in Foundations of Midwifery, Normal Obstetrics and Care of
the Newborn, Introduction to High-Risk Obstetrics, Basic Care of Infants and Feeding, Basic Family
Planning, Primary Health Care and Midwifery Ethics, Law and Practice. Graduates of the program
are qualified to take the government licensure examination.
B. Program Outcomes
The Diploma in Midwifery aims to:
1. develop the knowledge, attitude and skills of first level midwives in the care of the girl-
child, the adolescent, and the adult woman prior to, during, and following pregnancy.
This prepares the midwives to: give the necessary supervision, care and advice to women
during pregnancy, labor and post-partum period; manage normal deliveries on her own
responsibility and care for the child.
2. Specifically, graduates of the 2-year program are expected to: perform primary health care
services within the community (promotive and preventive care); counsel and educate
women, family and community regarding family planning including preparation for
parenthood/parenting; detect abnormal conditions in the mother and infant; procure
specialized assistance as necessary (consultation or referral).
C. MW Level Outcomes
Graduates of the Diploma in Midwifery Program are expected to be able to:
1. Provide the necessary supervision, care and advise to low-risk women during pregnancy,
labor and puerperium. Specifically, they should be able to:
• Obtain pertinent history; Perform physical assessment including vital signs taking;
Do simple laboratory examinations such as hemoglobin determination and urine
test for sugar and albumin; Assess the progress of labor; Perform relevant
midwifery procedures; Provide appropriate care to the mother and the newborn;
Provide life-saving measures during obstetrical emergencies such as administering
IV fluids and cardiopulmonary resuscitation; Detect abnormal conditions of the
mother and/or newborn; and Facilitate referrals as necessary.
2. Perform primary health care services within the community. Specifically, they should be
able to:
• Implement government health programs following proper protocols; Administer
first aid measures as needed; Give appropriate health teachings to individuals,
families and the community; Supervise barangay health workers; and Manage a
barangay health station.
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Warm greetings!

Welcome to your SUMMER CLASS – for School Year 2020-2021! Welcome to the College of Nursing and Allied
Health Services, welcome to NONESCOST!

Despite of all the happenings around us, there is still so much to be thankful for and one of these is the
opportunity to continue learning.

This module will serve as your drill sets for your MCARE1.

You are right now browsing your course module in MCARE1. As you read on, you will have an overview of
the course, the content, requirements, and other related information regarding the course. The module is
made up of 6 lessons. Each lesson shall contain some or all of these parts:

INTRODUCTION- Overview of the lesson

LEARNING OUTCOMES- Lesson objectives for you to ponder on

MOTIVATION- Fuels you to go on

PRESENTATION- A smooth transition to the lesson

TEACHING POINTS- Collection of ideas that you must discover

LEARNING ACTIVITIES – To measure your learnings in the lesson where you wandered

ASSESSMENT – To test your understanding in the lesson you discovered

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Please read your modules and learn the concepts by heart. It would help you prepare to be effective and
efficient professional in your respective fields.

I encourage you to get in touch with me in case you may encounter problems while studying your modules.
Keep a constant and open communication. Use your real names in your FB accounts or messenger so I can
recognize you based on the list of officially enrolled students in the course. I would be very glad to assist you
in your journey. Furthermore, I would also suggest that you build a workgroup among your classmates.
Participate actively in our discussion board or online discussion if possible and submit your
outputs/requirements on time. You may submit them online through email and messenger.

I hope that you will find this course interesting and fun. I hope to know more of your experiences, insights,
challenges and difficulties in learning as we go along this course. I am very positive that we will successfully
meet the objectives of the course.

May you continue to find inspiration to become a great professional. Keep safe and God bless!

Course Outline in Midwifery Competency Appraisal Role Enhancement 1

Course MCARE1
Number
Course Title Midwifery Competency Appraisal Role Enhancement 1
Course • The course provides the student with the basic/ necessary knowledge, skills and
Description acceptable attitudes in the care of individuals and families.
• It includes comfort measures applied to individual clients, drug administration,
calculation and application/ reviews; and overview of anatomy and physiology of
the reproductive system.
• This could develop and provide the students with the opportunity to demonstrate
critical thinking skills by providing pretest, rationalization and post-test.
No. of Units 3 units
Pre-requisites M100
Course 1. At the end of the semester, the students will have reviewed the various concepts on the
Intended foundations of midwifery.
Learning
Outcomes
Content I. Review of the Female & Male Reproductive System
Coverage II. Communication Principles, Types, Elements, Factors, Techniques, Communication
Process
III. Health Care Process: Assessment, Planning, Implementation:
1. Preventive Measures - Medical asepsis , Body Mechanics
2. Comfort Measures- Bed Making, Hygiene, Massage, Heat and Cold
Application, Rest and sleep, Nutrition and Elimination
3. Common Emergency Measures
4. Principles of Emergency Care
5. Common Emergency Conditions- burns, poisoning, fracture, bleeding,
shock, unconsciousness, Basic Life Support, Artificial Life Support, CPR,
IV. Drug Administration- Classification of Drugs , Factor Influencing Drug action,
Effects of Drugs, Common Abbreviations, Types of Medication Order, Parts of
Drug Order, 10 R’s of Medication, Route of drug Administration, Drugs and
Solution

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References • Kozier, Fundamentals of Nursing,
• Tungpalan, Fundamentals of Nursing
• Fuerst and Wolff, Fundamentals of Nursing,
• Potter, Fundamentals of Nursing
Course • Join the Google Classroom
Requirements • Attend Virtual rationalization sessions
• Answer Drill sets
• Take Quizzes after every virtual rationalization
• Take a Term Exam

Prepared by: LISETTE GRACE B. UMADHAY, RN, RM, MN

Reviewed and Approved by:

Subject Area Coordinator: JOCILYN Q. MATEOS, RN, RM, MN

Dean, CONAHS : AILEEN G. SYPONGCO, RN, RM, MN

GAD Director : MARY ANN T. ARCEŇO, Ph.D.

CIMD, Chairperson : MA. JANET S. GEROSO, Ph.D.

QA Director : DONNA FE V. TOLEDO, Ed. D.

VP- Academic Affairs : SAMSON M. LAUSA, Ph. D

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LESSON

3
6 HOURS
REVIEW OF THE HEALTH CARE
PROCESS

The lesson in this module shall provide you a 30-item drill set
focused on the Health Care Process from assessment to
planning stage.

After this Lesson 3, the students will be able to:

1. Review and apply the different assessment
and planning procedures.
2. Know the answer keys to the drill sets and be
able to attend a rationalization session.

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 Drill Set 3
REVIEW OF THE HEALTH CARE PROCESS

INSTRUCTION: SELECT THE CORRECT ANSWER FROM THE CHOICES GIVEN. ENCODE
YOUR ANSWERS VIA THE GOOGLE ANSWER SHEET PROVIDED.

SITUATION: MW Rachel was instructed to obtain a complete obstetrical history of each patient that
comes into the clinic for their first prenatal check-up.
1. Mw Rachel would like to know the age of menarche of one patient, the best way to assess this is to ask
which question?
a. What age did you have your first intercourse?
b. What age did you experience your first menstruation?
c. When was the last day of your last menstruation?
d. At what age did your mother have her first menstruation?
2. MW Rachel would like to assess the Last Menstrual Period of one patient. What would be her appropriate
question to the patient?
a. When was your last menstruation?
b. Every what days of the week do you have your menstruation?
c. How many days does your menstruation usually last?
d. When was the first day of your last menstruation?
3. MW Rachel was to determine the pregnancy history of one patient. GPTPAL stands for:
a. Gravida, Para, term, pre-term, abortion, live
b. Gestation, pregnancies, term, post-term, abortion, live
c. Gravida, para, term, post term, abortion, live
d. Gestation, preterm, term, post term, abortion, live
4. MW Rachel would like to know the duration of every menstrual period of the patient. How will she ask the
patient?
a. How many days did you bleed during your last menstruation?
b. How many days do you usually menstruate?
c. How many days interval do you have your next period?
d. How many days does your period last since last year?
5. MW Rachel would like to know if the patient’s menstrual cycle is regular or irregular, how will she ask the
patient?
a. Do you menstruate every other month?
b. Do you menstruate every 2 months?
c. Do you menstruate usually the same day every month or not?
d. Do you menstruate every month?
6. MW Rachel would like to know what birth control method they use as a couple. Her appropriate question
would be:
a. Did you plan this pregnancy?
b. What birth control method do you use as a couple?
c. Did you miss your pills that why you got pregnant now?
d. Your birth control method is not effective, what did you use?

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 7. The doctor said that one patient is G2P1 0110. MW Rachel would be incorrect if she says:
a. No living baby as of the moment but is currently on her second pregnancy.
b. Is on her second pregnancy and with one live baby.
c. Is on her second pregnancy and had a history of abortion during the first pregnancy.
d. Had an abortion in her first pregnancy and is now pregnant again.
8. MW Rachel reads the UTZ result of one patient, it reads EDC November 27, 2021. What does this mean?
a. The date she conceived this pregnancy was last November 27, 2021.
b. Her expected date of confinement or delivery is this November 27, 2021.
c. Her expected date of confirmation is on November 27, 2021.
d. She will undergo cesarean section on November 27, 2021.
9. MW Rachel would like to know if the pregnant patient has any hereditary diseases conditions. What
questions should she ask?
a. Do your parents have hypertension, diabetes, or cancer?
b. Does your husband have HIV?
c. Does your brother-in-law have hypertension, diabetes, or cancer?
d. Did your uncle have stroke before?
10. Before MW Rachel starts her interview with the patient, what should she do first and foremost?
a. Wash her hands.
b. Turn on the recorder.
c. Ask permission and introduce self.
d. Provide privacy.
11. MW Rachel learned that one patient is Gravida 5 Para 3. She understands that:
a. This patient has been pregnant 5 times but was only able to give birth to 3 full term babies.
b. This patient has given birth 5 times but only has 3 living children.
c. This patient has been pregnant 5 times and is having twins now.
d. This patient has given birth 3 times and is on her 5th pregnancy.

SITUTAION: MW Karen is on duty in the OB Out-Patient Department, and she is to assist the doctor
during the prenatal checkup of numerous expecting mothers.

12. The doctor instructed MW Karen to get the weight of each patient. She is performing the procedure correctly
if she observes which of the following:
a. Instructs the patient to remove all accessories and extra clothes and her shoes, before stepping into
the weighing scale with a paper lining in place.
b. Instructs the patient to step on the weighing scale without removing her body bag.
c. Instructs the patient to state her usual body weight.
d. Instruct the patient to weigh herself first thing in the morning when she wakes up with no clothes
on.
13. MW Karen was measuring the fundic height of one pregnant mother. She is doing the procedure incorrectly
if:
a. She asks the patient to void first before she starts with the procedure.
b. Have the patient assume supine position with knees slightly flexed or dorsal recumbent position.
c. Places one hand on lower uterine segment, using other hand, palpates the abdomen until the top
of the fundus is located.
d. Record fundal height in inches.
14. When performing visual inspection of the abdomen of the patient. She noticed a dark discoloration crossing
the midline of the abdomen. The patient asks her if this is normal or not, MW Karen’s best response would
be:
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 a. No this is not normal; you should ask your doctor about this.
b. This is an expected physical change for expecting mothers, this is called Linea Nigra.
c. This is called stretch marks and it will fade away after you give birth.
d. This is an abnormal change in your body, it means something is wrong inside your womb.
15. One patient complained of swelling of both her lower legs. MW Karen’s best health teaching to treat this is
to?
a. Elevate legs with a pillow every night.
b. Reduce fluid intake.
c. Take diuretics once a day.
d. Consult a medical specialist because this is not normal.
16. One patient complained of frequent dizziness, and her CBC result revealed low hemoglobin level. What
further assessment shall MW Karen do to check signs of anemia?
a. Check lower conjunctiva for paleness.
b. Check blood pressure.
c. Ask for episodes of bleeding.
d. All of the above.
17. One patient complained of episodes of abdominal contractions in short duration and at long intervals. What
would be MW Karen’s best and most appropriate response?
a. Do further assessment, ask the duration, frequency and character of the contraction and if there are
any vaginal discharges associated to it.
b. Order for pelvic ultrasound.
c. Request for urinalysis.
d. Tell her it is normal and there is nothing to worry.
18. MW Karen is to assess the fetal heartbeat of the baby of one pregnant patient. She performs Leopold
maneuver to easily detect the best spot to measure the FHB. Which step in Leopold’s maneuver will she
perform?
a. First
b. Second
c. Third
d. Fourth
19. MW Karen is now using a doppler ultrasound to measure the FHB. She will alert the physician if she
measures which of the following FHB?
a. 200bpm
b. 145bpm
c. 160bpm
d. 120bpm
20. One patient asked MW Karen if her stretch marks will ever go away. Her best response would be:
a. No ma’am it will not go away but it will slowly fade in appearance.
b. Yes, it will be gone once your baby comes out.
c. It will disappear after your second pregnancy.
d. It is not connected to your pregnancy mam.
21. One patient asked MW Karen when her expected date of confinement will be. Her LMP was last January 20,
2021. Using Naegele’s rule the correct response would be:
a. October 27, 2021
b. November 27, 2021
c. September 20, 2021
d. October 20, 2021

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SITUATION: The Following questions pertain to the common laboratory exams a pregnant woman or
a soon to be pregnant woman usually undergo.

22. What specific hormone does a pregnancy test usually measure, wherein the increased in levels of such
hormone signifies positive pregnancy test?
a. human chorionic gonadotropin hormone
b. estrogen hormone
c. luteinizing hormone
d. progesterone hormone
23. This test is a standard laboratory examination for pregnant women to determine if they have anemia and
will require ferrous sulfate supplementation.
a. urinalysis
b. complete blood count
c. blood typing
d. internal examination
24. For pregnant women who will undergo emergency cesarean section, they are at high risk for possible
bleeding during the surgical procedure. What test is very vital to secure the correct blood for standby?
a. Complete blood count with platelet count
b. Blood typing and RH typing
c. Ultrasound
d. Urinalysis
25. In the current practice, all newborns shall undergo newborn screening to detect any metabolic diseases.
The tests usually involve which of the following procedure:
a. The heel of the baby is pricked with a needle and a small blood sample is taken.
b. Blood is withdrawn from the baby’s blood vessel in the hands.
c. An oral swab test is done to collect saliva of the baby.
d. A finger is pricked with a lancet to obtain a small amount of blood for testing.
26. This is a prenatal procedure that detects birth defects from the baby inside the womb, this is performed
between 16-20 weeks into the pregnancy. A small needle is injected into the abdomen and a small amount
of the amniotic fluid is withdrawn and sent for laboratory testing. This procedure is called.
a. Newborn screening
b. Pap smear
c. Amniocentesis
d. Ultrasound
27. This is a direct visualization of the fetus inside the womb. The pregnant mother is placed in semi-fowlers
position and a lubricating jelly is applied on the probe that is manipulate by the doctor.
a. Pap smear
b. CT Scan
c. Ultrasound
d. MRI
28. This test helps in the early detection of any uterine and cervical gynecologic problems. In this test, the
woman is placed in lithotomy position, a lubricated vaginal speculum is inserted, and a swab stick is used
to collect cervical discharges.
a. Internal examination
b. Pap smear
c. Biopsy
d. Ultrasound

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29. An alpha-fetoprotein test (AFP) measures the level if AFP in a mother’s blood to detect signs of birth defects
such as:
a. Down syndrome
b. Spina bifida
c. Twin or multiple births
d. All of the above
30. When assisting a patient for pelvic ultrasound. What instruction would the midwife give to the patient
before the procedure:
a. “Expect that you will be lying in lithotomy position with your legs wide spread.”
b. “A speculum shall be inserted in your vagina for easy access of the doctor.”
c. “Prepare a tissue paper to wipe your abdomen after the procedure, a small handheld probe will be
used by the doctor and placed around your abdomen.”
d. “A radioactive agent will be injected to your vein and a continuous x-ray shall be obtained after the
dye is injected.”

***NOTHING FOLLOWS***

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