Polytechnic College of Davao del Sur

MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur

COURSE NCM 109 – CARE OF MOTHER, CHILD, ADOLESCENT AT RISK OR W/ PROBLEMS (ACUTE AND CHRONIC)
NAME:

COURSE This course deals with the concept of disturbances and pre-existing health problems of pregnant women and the pathologic changes during intrapartum
DESCRIPTION: and post-partum periods. This course deals with the common problems occurring during infancy to adolescence stage.

CREDIT: 6 units lecture, 6 2 units RLE( 1 unit Skills Lab/ 5 Units Clinical)
Contact Hours: 108lecture hours. 51 Skills Lab, 255 hours RLE

PRE NCM 104, NCM 105, NCM 106, NCM 107

REQUISITES:

CO
REQUISITE:

PLACEMENT 2nd Year, 2ndSemester

INDEPENDEN 51-76 HOURS

T STUDY

PROGRAM 1. Apply knowledge of physical, social, natural and health sciences and humanities in the practice of nursing.
OUTCOMES 3. Perform safe, appropriate, and holistic care to individuals, families, population groups, and community utilizing nursing process 4.
Apply guidelines and principles of evidence-based practice in the delivery of care.
 5. Practice nursing in accordance with existing laws, legal, ethical, and moral principles.
6. Communicate effectively in speaking, writing and presenting using culturally-appropriate language.
7. Report/document client care accurately and comprehensively
8. Collaborate effectively with inter-, intra-, and multi-disciplinary and multi-cultural teams.
9. Practice beginning management and leadership skills using systems approach in the delivery of client care
10. Engage in lifelong learning with a passion to keep current with national and global developments in general, and nursing and health
developments in particular
11. Demonstrate responsible citizenship and pride in being a Filipino.
12. Uphold the nursing core values in the practice of the profession

Level Outcomes: The students shall have acquired the holistic understanding of the human person as a bio-psycho-cultural being focused on the concept of health and
illness as it is related to the care of the mother and child in varied settings. The students shall be able to demonstrate the competencies in the
following key areas of responsibility such as safe and quality nursing care, communication, collaboration and teamwork, health education, legal
responsibility, ethico-moral responsibility, personal and professional development, quality improvement, research, management of resources and
environment, and records management.

Course At the end of the course, given actual or simulated situations /conditions involving the client (with disturbances and pre-existing health problems of
Outcomes pregnant women and the pathologic changes during intrapartum and post-partum periods, common problems occurring during infancy to adolescence
stage), the student will be able to:
1. Utilize the nursing process in the holistic care of client for the promotion and maintenance of health.
1.1 Assess with the client his/her health condition and risk factors affecting health
1.2 Identify wellness /at risk nursing diagnosis
1.3 Plan with client appropriate interventions for health promotion and maintenance of health
1.4 Implement with client appropriate interventions for health promotion and health maintenance taking into
consideration relevant principles and techniques
1.5 Evaluate with client the progress of one’s health condition and outcomes of care.
2. Ensure a well-organized recording and reporting system
3. Observe bioethical principles and the core values (love of God, caring, love country and of people)
4. Relate effectively with clients, members of the health team and
others in work situations related to nursing and health.
GARDING LEARNING CONTENT/TOPICS LEARNING LEARNING ASSESSMENT/
PERIOD OUTCOMES STRATEGIES STRATEGIES
EVALUATION
METHOD

CLASSROOM RELATED
LEARNING
EXPERIENCE
(SL, Hospital,
Community)

At the end of the

session, the
student will be
able to:
PRELIM Given relevant I. INTRODUCTION Interactive Virtual RLE on Paper and pencil test
questions, the Discussion Delivery Room &
student will be able A. National Health Situation OB Ward Case
to: focusing on Maternal and Scenarios:
Child Health
B. Statistics on Maternal and
Child Health
Review National Assign students in
Health situation C. Maternal mortality and simulated labor room Google Forms
focusing on MCH morbidity rates
ONLINE
D. Other Important Statistics
CLASSES Via
1. MOTHER GMEET, ZOOM Virtual Oral Exams
Explain the
implications of the Asynchronous
activities
health situation to II. NURSING CARE OF THE Lecture-Discussion and delivery: Rubric for the
the care of mothers CLENTS OF THE HIGH RISK
and children PREGNANT CLIENT Reflection paper

Journal Readings > assess high risk

on Issues and pregnant client
Given an actual A. Assessment of Client at risk trends in Maternal Rubric for essay
pregnant client at begins with the 1st prenatal and Child Health >assess high risk or
risk or with visit and continues through with problems Performance
problems, the the peurperium during pregnancy evaluation checklist
students will be able
to: B. Risk Factors includes
Physiologic, sociological,
demographic, psychologic
and environmental Lecture-discussion > develop
appropriate nursing
Apply knowledge C. Vulnerable groups are diagnosis
pregnant women with: Checklist on NCP
of normal
pregnancy
Anatomy and 1. Physiologic problems such
Physiology and as concurrent illness with
Brainstorming / > develop Post-test
assessment malnutrition appropriate nursing
techniques in group dynamics
2. Mothers who are too with guided question care plan
caring for clients young and too old,
pregnant too frequently\ >assist in delivery
3. Presence of physical
Assess the health deformity
status of a 4. Psychological / mental
pregnant client at retardation
risk or with
problems 5. Marginalized because of:
Conduct jhealth
history and ⮚ Poverty Interactive Rubric for the
Functional Lecture-
⮚ Unemployment Discussion
Health Status Reflection paper
⮚ Lack of Education
⮚ Exposure to teratogens
due to occupation
Perform Rubric for essay
Systematic ⮚ Victims of abuse or
comprehensive domestic violence,
Performance
physical rape, incest evaluation checklist
assessment to ⮚ Single or separated
validate assed data mothers

D. Medical conditions affecting

pregnancy outcomes (Pre-
Interprets gestational Conditions) such Checklist on NCP
deviations from as:
normal findngs in
the physical 1. Rheumatic Heart Disease
assessment,
dagnostic and 2. Diabetes Mellitus Post-test
laboratory 3. Substance Abuse
examination
4. HIV/AIDS
5. Rh Sensitization
6. Anemia, etc
Utilize the
assessed data in E. Gestational Conditions
order to Affecting pregnancy
prioritized outcomes such as: Journal Readings
nursing on Current trends
diagnosis and updates on the
specific disorders
Discuss the
pathophysiologic
al processes
Plan the care of 1. Hyperemesis Gravidarum
clients utilizing 2. Ectopic Pregnancy
evidenced-based
nursing research 3. Gestational Throphoblastic
disease (H-Mole)
4. Spontaneous Abortion
5. Incompetent Cervix
Achieve the best
clinical outcomes 6. Placenta Previa
utilizing ethico- 7. Abruptio Placenta
moral and legal
principles 8. Premature Rupture of
membrane
9. Pregnancy Induced
Hypertension
Actively
participates in 10. Gestational Diabetes Mellitus
p[planning and
coordinating
culturally sensitive
interdisciplinary
care

Provide
appropriate client
education and
health maintenance
and community
based care of clients
 Efficiently and
effectively utilize
available resources
in the care of clients
to achieve
outcomes

Evaluate the
effectiveness of
nursing care plan
as needed to
promote,
maintain, or
restore functional
health
status of clients
with neurologic
function

Accurately
reports and
documents
findings in
clinical practice

Pre-Midterm Given an actual B. Nursing Care of the CLent with Lecture-Discussion Assigns the student Paper and pencil test
pregnant client at high-risk labor and delivery and in the Lying in or
risk or with her Family Brthing Centers,
problems

during labor and 1. High Risk factors ( may Allow the Delivery Room or Performance evaluation
delivery, the happen at anytime during the students to any setting where checklist on assessment
student will be course of labor to a client develop nursing there is pregnant of pregnant client
able to: who has been otherwise been diagnosis for the clients and allow the
healthy throughout her pregnant client students to performs
Apply knowledge pregnancy & may be related assessment.
of normal to stress/stressor, adaptive
pregnancy process):
Anatomy and Interactive Well-written nursing
- Passenger or fetus
Physiology and - Passage way or pelvic bones Discussion diagnosis
assessment and other pelvic structure
techniques in - Powers or uterine contractions
caring for clients - Placenta
- Clients psyche or psychologic Allow the student
state to performs
nursing Well-written nursing
Assess the health 2. Problems of Passenger interventions care plan
status of a a. Fetal Malposition related to the labor
pregnant client at ONLINE and
1. Tyoes of fetal malposition
risk or with 2. Nursing care CLASSES Via delivery care based
problems 3. Medical Management GMEET, ZOOM on the nursing care
plan Post-test
b. Fetal malpresentation
1.Vertex presentation Asynchronous
a. brow presentation activities
Conduct health b. face presentation
history and c. sincipital presentation
Functional 2. Breech presentation
Health Status a. types
b. maternal risks
Perform
Systematic
comprehensive
physical
assessment to
validate assed data
Interprets deviations c. vaginal evolving of breech
from normal d. external/podalic version
findings in the
physical 3.Shoulder presentation
assessment, 4. Compund presentation
diagnostic and
laboratory 4. Nursing care of client with
examination malpresentation

c. Fetal Distress
d. Prolapse of umbilical Cord
Utilize the
assessed data in 3. Problems with the
order to Passageway 4. Problems with
prioritized the Powers
nursing 5. Placental Problems
diagnosis 6. Problems with the Psyche factors

Discuss the
pathophysiologic
al processes

Plan the care of

clients utilizing
evidenced-based
nursing research
Achieve the best
clinical outcomes
utilizing ethico-
moral and legal
principles

Actively
participates in
p[planning and
coordinating
culturally sensitive
interdisciplinary
care

Provide
appropriate client
education and
health maintenance
and community
based care of clients

Efficiently and
effectively utilize
available resources
in the care of clients
to achieve
outcomes

Evaluate the

effectiveness of
nursing care plan
as needed to
promote,
maintain, or
restore functional
health
status of clients
with neurologic
function

Accurately
reports and
documents
findings in
clinical practice
MIDTERM Given an actual post C. Nursing Care of the High-Risk Film showing on Assign the student to Paper and pencil test
partal client at risk Pospartal Client labor and process a full term pregnant
or with problems of delivery client in labor.
1. Postpartal hemorrhage
during labor and
delivery, a. Early postpartal hemorrhage
b. Late postpartal hemorrhage Performance evaluation
the student will checklist on assessment
be able to: Allow student to of a client in labor
2. Postpartal puerperal subinvolution
perform assessment
Apply knowledge Lecture – discussion of the woman, fetus
of normal a. Endometritis
and the labor process
pregnancy b. Wound infection
c. UTI Well-written nursing
Anatomy and
Physiology and
assessment 3. Thromboembolic disorders Vignette: Assess the diagnosis
techniques in 4. Post partal psychiatric disorder Woman on False duration,
caring for clients and True Labor frequency,
E. Care of couple with problems interval, strength
in infertility of uterine
1. Causes of infertility contraction,
Assess the health 2. Diagnostic tests Interactive presentation Well-written nursing
status of a 3. Nursing Interventions Discussion care plan
pregnant client at Assessment of the
risk or with labor process
problems II. CHILD determination of
A. Nursing care of the high-risk stage of labor
Rubric on vignette
newborn to maturity
1. Problems to maturity Post-test
Conduct health a. Prematurity
history and b. Postmaturity Allow the student
Functional 2. Problems related to ONLINE to develop nursing
Health Status gestational weight CLASSES Via care plan
a. SGA GMEET, ZOOM
b. LGA
3. Acute conditions of the Asynchronous
Perform neonates such as: activities Allow the student
Systematic a. Meconium aspiration to perform nursing
comprehensive syndrome intervention
physical b. Sepsis during labor and
assessment to c. Hyperbilirubinemia delivery
validate assed data d. Sudden death
syndrome (SDS(
B. Common Health problems that
develop during infancy Monitoring of VS
Interprets deviations example: and uterine
from normal ⮚ Intussusceptions contractions
findings in the
physical
assessment,
diagnostic and
laboratory ⮚ Sudden infant death
examination syndrome
⮚ Colic
⮚ Failure to thrive
⮚ Trisomy 21
Utilize the ⮚ Cleft palate, lip
assessed data in ⮚ Imperforated anus
order to ⮚ Hirchsprung’s disease
prioritized ⮚ Spina bifida,
nursing hydrocephalus
diagnosis ⮚ Otits media, miningitis
⮚ Febrile siezues
⮚ Autsm,/ADHD

Discuss the
pathophysiologic
al processes

Plan the care of

clients utilizing
evidenced-based
nursing research

Achieve the best

clinical outcomes
utilizing ethico-
moral and legal
principles
Actively
participates in
p[planning and
coordinating
culturally sensitive
interdisciplinary
care

Provide
appropriate client
education and
health maintenance
and community
based care of clients

Efficiently and
effectively utilize
available resources
in the care of clients
to achieve
outcomes

Evaluate the
effectiveness of
nursing care plan
as needed to
promote,
 maintain, or
restore functional
health
status of clients with

neurologic function

Accurately
reports and
documents
findings in
clinical practice

PRE-FINAL Given a sick C. Health problems common in Interactive Assign the student to Paper and pencil test
child with toddlers, example: Discussion a post-partal client
alterations in and perform safe and
health pattern, ⮚ Burns quality nursing
the care utilizing Performance evaluation
student will be ⮚ Poisoning nursing checklist on assessment
able to: ⮚ Child abuse process of post-partal woman
⮚ Cerebral palsy
Apply knowledge
of normal
D. Health problems common in
pregnancy ONLINE Assess the general
Pre-schooler, example:
Anatomy and CLASSES Via condition of the
Physiology and mother
⮚ Leukemia GMEET, ZOOM Well-written nursing
assessment
techniques in ⮚ Wilm’s tumor diagnosis
caring for clients Asynchronous
 (Nephroblastoma) activities
⮚ Asthma

Assess the health ⮚ Urinary tract infection Perform nursing Well-written nursing
status of a (UTI) Lecture-Discussion interventions care plan
pregnant client at during the post
risk or with partal period
problems
Conduct health E. Health problems common in Control hemorrhage Post-test
history and school-aged children,
Functional example:
Health Status
⮚ Diabetes mellitus Promotion of Paper and pencil test
⮚ Rheumatic fever comfort and
hygiene
Perform ⮚ Rheumatic arthritis
Systematic ⮚ Scabies Performance
comprehensive evaluation checklist
physical ⮚ Pediculosis
Provision of on assessment client
assessment to ⮚ Impetigo adequate nutrition
validate assed data as early as possible
F. Health problems common in to regain
Adolescent , example: strength

Interprets deviations ⮚ Scoliosis Increase dietary Well-written nursing

from normal fiber and fluid
⮚ Bone tumor diagnosis
findings in the intake
physical ⮚ Accidents (Trauma,
assessment, injury) Promote early
diagnostic and ambulation
⮚ STD, amenorrhea
laboratory
examination ⮚ Obesity Regular rest and sleep Well-written nursing
⮚ Anorexia nervosa care plan
⮚ Substance abuse
Utilize the ⮚ Suicide
assessed data in
order to Post-test
prioritized
nursing
diagnosis
Discuss the Lecture-Discussion Assign students to Performance
pathophysiologic the OPD/Health evaluation checklist
al processes Center to provide on assessment client
Family
Planning Services

Plan the care of

clients utilizing
evidenced-based
nursing research

Achieve the best

clinical outcomes
utilizing ethico-
moral and legal
principles

Actively
participates in
p[planning and
coordinating
culturally sensitive
interdisciplinary
care

Provide
appropriate client
education and
health
maintenance and
community
based care of clients

Efficiently and
effectively utilize
available resources
in the care of clients
to achieve
outcomes

Evaluate the
effectiveness of
nursing care plan
as needed to
promote,
maintain, or
restore functional
health
status of clients
with neurologic
function

Accurately
reports and
documents
findings in
clinical practice
FINAL Given an actual III. FAMILY Lecture -Discussion Establishes respiration Paper and pencil test
pregnant client at
risk or with A. The family with health Interactive - cleaning of the
problems problems Discussion mouth and
during labor and nose of Performance evaluation
delivery, the 1. Assessment of the family mucous checklist on assessment
student will be capacity to perform health of immediate care of
able to: - oxygen
tasks administration newborn
Apply knowledge 2. Family health problems - suctioning
of normal identification positioning
pregnancy
Anatomy and a. Determination of ONLINE allow students to
Physiology and categories of family CLASSES Via perform
assessment health problems Well-written nursing
GMEET, ZOOM anthropometric diagnosis
techniques in measurement
caring for clients 3. Definition of contributing
risk factors Asynchronous
activities allow student to
4. Criteria of setting administer eye Well-written nursing
priorities among family prophylaxis and care plan
Assess the health health problems Vitamin K
status of a
pregnant client at 5. Tool of analysis
risk or with
problems Post-test

B. Planning of Individual and

family health nursing care
Conduct health Paper and pencil test
history and 1. Concepts, principles, phases
Functional and components in
Health Status planning
family health interventions Performance evaluation
2. Programs and services that
Perform Systematic
comprehensive focus on primary and Assist mother in checklist on
physical secondary prevention of breastfeeding assessment client
assessment to communicable and non
validate assed data communicable diseases

a. Examples of DOH
programs
Interprets deviations
b. Integrated Management of
from normal
findings in the Childhood Illness (IMCI
Nursing
physical Applications of
assessment, 3. Identfication of foal of care
for priority problems Theories of Freud,
diagnostic and Erikson, Piaget
laboratory 4. Parameters for selecting
examination nursing interventions
5. Principles of collaboration and
advocacy to be considered to
ensure continuity of care
Utilize the
assessed data in C. Implementation of Individual
order to & Family Health
prioritized
nursing D. Nursing Care
diagnosis E. Bio-behavioral interventions
and holistic care for
individuals and family wth
specific problems in: Paper and pencil test
Discuss the
pathophysiologic ⮚ Oxygenation
al processes
⮚ F & E balance
Performance evaluation
⮚ Metabolic and

Plan the care of

clients utilizing
evidenced-based
nursing research endocrine function Critical Concept Assign a student t Paper and pencil test
Review the pediatric ward
3. Strategies in meeting health and allow him/her
problems of family to:
Achieve the best
clinical outcomes 4. Principles of behavior 1 Perform
utilizing ethico- assessment by
moral and legal change 5. Referral system eliciting a
principles complete health
history from a child
6. Concept & principles of
and caregiver using
collaboration and advocacy Performance evaluation
standard
components of a
Actively D. Evaluation of progress and pediatric health
participates in outcome of care history, physical
p[planning and
coordinating E. Ensuring a well-organized &
culturally sensitive Interactive
accurate documentation and
interdisciplinary Discussion
reporting
care

Provide
appropriate client
education and
health maintenance
and community
based care of clients

Efficiently and
effectively utilize
available resources
in the care of clients
to achieve
outcomes
Evaluate the examination and Paper and pencil test
effectiveness of development
nursing care plan screening
as needed to
promote, 2. Utilize various
maintain, or techniques of
restore functional approaching
health children at
status of clients different
with neurologic developmental
function levels before
performing
physical examination

Accurately
reports and
documents
findings in
clinical practice
Present an Round-table Performance
illustration on discussion regarding
Assessing the a toddler client
Average Toddler focusing on diversity
of Care: Toilet
Training and
evidenced-based
nursing as to what
accidents
frequently occurs
among
toddlers.
evaluation Paper and

Round-table
discussion
regarding pencil test
Preschooler client
focusing on
diversity of Care:
Asking of
Questions and
evidenced-based
Present a nursing as to why Performance
Multidisciplinary parents decide
Care Map for a against
Preschooler with immunization.
fear

Formulation of
teaching plan
focusing on
Common Safety
Measures to Prevent
Accidents during the evaluation Paper and
Preschool Years
Lecture- Discussion

Facilitate
Discussion on
Nursing Process
Overview for
Healthy
Development of a

pencil test
 School-Age Performance evaluation

Present a table
reflecting the
Chronologic
Development of
Secondary
Characteristics

Prescribed reference book for students:

Pellitteri, A.(2010).Maternal and Child Health Nursing: Care of the Childbearing and Childbearing Family(6th ed.).Philadelphia: Lippincott Williams & Wilkins.

James, Suasan Rowen, Ashwill, Jean Weiler, Nursing Care of Children Principles and Practice (3 rd Ed.), Saunders

Ladewig, Patricia A; London, Marcia L. A Look at Contemporary Maternal-Newborn Nursing , Pearson Edcation