College of Nursing

Rizal Street, Iloilo City

Course Outline
I-Course Name: NCM 102
II-Course Description: This course deals with the concept of disturbances and
pree!istin" health proble#s of pre"nant wo#en and the
patholo"ic chan"es durin" intrapartu# and post partu#
periods$ This course further deals with the co##on
proble#s occurrin" durin" infancy to adolescent sta"e$
III-Credit: % units lecture, & units R'( ) 1 unit S*ills 'ab+ % units
Clinical,
IV-Required Number of Hours: -0 lecture hours, .0& R'( hours
V-Prerequisite: Care of Mother, Child and /a#ily
VI-Course Objecties: 0t the end of the course and "i1en actual or si#ulated
situations+conditions in1ol1in" indi1idual client )#other,
newborn, and children, and fa#ily at ris*+ with proble#,
the student will be able to2
1$ 3tilize the nursin" process in the holistic care
of client for the pro#otion and #aintenance of
health in co##unity and hospital settin"$
1$10ssess with the client his+her health condition
and ris* factors a4ectin" health$
1$2Identify actual+at ris* nursin" dia"nosis
1$.5lan with the client appropriate inter1entions
for identi6ed proble#s$
1$7I#ple#ent with client appropriate
inter1entions for identi6ed proble#s$
1$%(1aluate with client the pro"ress of their
condition outco#es of care$
2$ (nsure a well or"anized recordin" and
reportin" syste#$
.$ 8bser1e bioethical principles and the core
1alues )lo1e of 9od, carin", lo1e of country and
people,$
7$ Relate e4ecti1ely with clients, #e#bers of
health tea# and others in wor* situation related
to nursin" and health$
VII- Course Content:
PR!"I#
I$#O%H!R
&$ Hig'-Ris( Prenatal Client
a$ Identifyin" Clients at Ris*
1$ 0ssess#ent of ris* factors
5renatal :istory
8bstetrical :istory
;Type of births
Medical :istory
Sur"ical :istory
Se!ual :istory
Social :istory
5hysical (!a#ination
2$ Screenin" 5rocedures
Cer1ical Screen
Se!ually Trans#itted Infections
T8RC: Test Series
<reast (!a#
.$ =ia"nostic tests and laboratory e!a#s
=ia"nostic Testin" durin" (arly 5re"nancy
=ia"nostic Test for /irst 5renatal >isits
=ia"nostic Test for Return 5renatal >isits )Second + Third Tri#ester,
=ia"nostic Test durin" 5ostpartu#
b$ 5re"estational conditions
1$ :eart =iseases
Classi6cation
5ro"nosis
Rheu#atic heart disease
)si"ns and sy#pto#s, #ana"e#ent,
2$ =iabetes Miletus
Maternal e4ects
/etal e4ects
Newborn e4ects
.$ Substance 0buse
=e6nition
Substances Co##only 0bused
Ris* /actors
5roble#s associated with substance abuse
<arriers to substance abuse
7$ :I>+ 0I=S
=e6nition
(tiolo"y
:istory
5hysical (!a#ination
Treat#ent
Co#plications
Consultations and referrals
/ollowup
%$ R: Inco#patibility
=ia"nostic test
5re1enti1e 1accine
0<8 Inco#patibility
&$ Iron =e6ciency 0ne#ia
=e6nition
Si"ns and sy#pto#s
Mana"e#ent
c$ 9estational condition
1$ :ypere#esis 9ra1idaru#
Causati1e factors
Co#plications
=ia"nostic
Mana"e#ent
Nursin" Considerations
2$ (ctopic 5re"nancy
=e6nition
Nursin" care
Mana"e#ent
.$ 9estational Throphoblastic =isease ):#ole,
0ssess#ent
Nursin" Care
7$ Inco#petent Cer1i!
Mana"e#ent
:ealth teachin"
Shhirod*ar procedure
%$ 0bortion
Spontaneous
:abitual
Missed
Induced
&$ 5lacenta 5re1ia
0ssess#ent
Nursin" Care
?$ 0bruption 5lacenta
Cause
0ssess#ent
9eneral nursin" care
@$ 5re#ature Rupture of the #e#branes
Causati1e /actors
Mana"e#ent
Nursin" Considerations
-$ 5re"nancyInduced :ypertension
9estational :5N
5reecla#psia
(cla#psia
)$Nursing Care of t'e client *it' 'ig'-ris( labor + delier, + 'er -amil,
.$ Hig' Ris( -actors
0$ 5assen"er
1$ /etal 0cco##odation to 5assa"eway
/etal 'ie
5resentation
5osition
0ttitude
Station
(n"a"e#ent
<$ 5assa"eway or pel1ic bones and other pel1ic structure
1$ Maternal 5el1is
2$ 'and#ar*
Measure#ents
=ata <ase
C$ 5owers of 3terine Contractions
=$ 5lacenta
1$ 5ower
2$ 5syche
.$ Si"ns of 5lacental Separation
($ ClientAs psyche or psycholo"ic state
1$ /actors that #ay increase a wo#anBs chance of depression
2$ Si"ns and sy#pto#s of post partu# depression
/$ Problems of t'e Passenger
1$ /etal #alpositions
Types
Nursin" Care
Medical Mana"e#ent
2$ /etal #alpresentation
1$ >erte! #alpresentation
a, brow presentation
b, face presentation
c, sincipital presentation
2$ <reech presentation
a, types
b, #aternal ris*s
c, 1a"inal e1ol1in" of breech
d, e!ternal+podalic 1ersion
.$ Shoulder presentation
a, Co#pound presentation
7$ Nursin" care of client with #alpresentation
.$ /etal =istress
1$ Causes
2$ Si"ns+ sy#pto#s
.$ Nursin" inter1entions
7$ Nursin" responsibility in fetal #onitorin"
Inter#ittent 0uscultation
Continuous /etal Monitorin" )(!ternal C Internal /etal
Monitorin",
%$ (1aluatin" the baseline fetal heart rate
Chan"es to <aseline /etal :eart Rate )Tachycardia, <radycardia,
>ariability,
Chan"es in the /etal :eart Rate )0ccelerations, =ecelerations,
(arly =ecelerations, 'ate =ecelerations, >ariable =eceleration,
&$ Nursin" Inter1entions for NonReassurin" /:R 5attern
?$ Monitorin" Contractions
7$ 5rolapsed 3#bilical Cord
1$ Causes
2$ Ris* /actors
.$ Clinical Manifestations
7$ Nursin" =ia"nosis
%$ Mana"e#ent
0$ Problems *it' passage*a,
1$ 0bnor#al Size and shape of the pel1is
2$ Cephalopel1ic =isproportion
.$ Shoulder dystocia
7$ Nursin" Inter1entions
1$ Problems *it' t'e po*ers
1$ =ystocia
Causeas, Types, Trea#ent
2$ 0bnor#al 5ro"ress of 'abor
Medical Care
.$ Retraction Rin"s
7$ 5re#ature 'abor
:o#e Mana"e#ent, :ospital Mana"e#ent
%$ 5recipitate 'abor
&$ 3terine In1ersion
?$ 3terine Rupture
Causes, Si"ns and sy#pto#s
2$ Placental Problems
1$ 5lacenta 5re1ia
2$ 0bruptio 5lacenta
3$ Problems *it' t'e ps,c'e factors
psycholo"ical chan"es
1$ Inability to bear down
Causes, Nursin" =ia"noses, Nursin" Inter1ention
2$ 0n!iety+ /ear
Causes, =e6nin" Characteristic, Nursin" Inter1entions
C$ Nursing Care for t'e Hig' Ris( Post-Postpartal Client
1$ 5ostpartal :e#orrha"e
0$ (arly 5ostpartal he#orrha"e
3terine 0tony
'acerations
:e#ato#a
=IC
<$ 'ate 5ostpartal he#orrha"e subin1olution
Retained 5lacental /ra"#ents
:e#ato#a
2$ 5ostpartal 5uerperal Infection
0$ (ndo#etritis )Si"ns ans Sy#pto#s, Man"ae#ent,
<$ Dound Infection )Mastitis, Incisional Infection, 3TI,
.$ Thro#boe#bolic disorders
7$ 5ostpartal psychiatric disorder

D$ Care of couple *it' problems of infertilit,
1$ Causes of infertility in #ales and fe#ales
2$ =ia"nostic tests
.$ Nursin" inter1entions
#ID%!R#
II$ CHI"D
&$ Nursing care of t'e 'ig'-ris( ne*born to maturit,
1$ 5roble#s related to #aturity
5re#aturity
5ost#aturity
2$ 5roble#s related to "estational wei"ht
S#all for "estational a"e )S90,
'ar"e for "estational a"e )'90,
.$ 0cute conditions of the neonates such as2
Respiratory distress syndro#e
Meconiu# aspiration syndro#e
Sepsis
:yperbilirubine#ia
Sudden death syndro#e )S=S,

)$ Common 'ealt' problems t'at deelop during infanc,
1$ Intussusception )Si"ns and Sy#pto#s, Treat#ent,
2$ /ailure to thri1e
Co##on 5ara#eters
0pproach to a child with /TT
:istory 6ndin" in /TT
. 9eneral Cate"ories )8r"anic, Nonor"anic, Idiopathic,
.$ Triso#y 21
Clinical Manifestation, 5hysical Manifestations, 5ro"nosis, 5ossible
Nursin" =ia"noses
7$ Cleft 'ip and Cleft 5alate
Si"ns and Sy#pto#s, Nursin" =ia"nosis, Mana"e#ent
%$ I#perforated 0nus
&$ :irchsprun"Bs =isease
?$ Spina <i6da
@$ :ydorcephalus
Mechanis#s of /luid i#balance in :ydrocephalus
Clinical #anifestations of hydrocephalus
Manifestations of :ydrocephalus in childhood
=ia"nosis, Treat#ent, Mana"e#ent
Shuntin" )Co#plications, Shunt Care,
Sin"s of C/S infection
-$ 8titis Media )5redisposin" /actors, SCS!, Mana"e#ent,
10$ Menin"itis )5athophysiolo"y, =ia"nostic Test, SCS!, Mana"e#ent,
11$ /ebrile seizure )Seizure 0cti1ity, 5re1ention, Mana"e#ent,
12$ 0utis#+ 0=:=
C$ Healt' problems common in toddlers
1$ <urns
2$ 5oisonin" )'ead, /ood, 0ceta#inophen, 0spirin poisonin",
.$ Child abuse )=e6nition, 'e"al =uty to Report, Ris* /actors,
5hysical 0buse, Se!ual 0buse
Mana"e#ent
7$ Cerebral 5alsy
D$ Healt' problems common in presc'ooler
1$ 'eu*e#ia
2$ Dil#Bs tu#or )nephroblasto#a
.$ 0asth#a
7$ 3rinary Tract Infection )3TI,

!$ Healt' problems most common in sc'ool aged c'ildren
1$ =diabetes #ellitus
2$ Rheu#atic fe1er
.$ Rheu#atic arthritis
7$ Scabies
%$ 5ediculosis
&$ I#peti"o

-$ Healt' problems common in adolescent
1$ Scoliosis
2$ <one tu#ors
.$ 0ccidents )trau#a+inEury,
7$ ST=
%$ 0#enorrhea
&$ =ys#enorrhea
?$ 8besity
@$ 0nore!ia ner1osa,
-$ Substance abuse
10$ Suicide
4!#I--IN&"4
III$ -&#I"5
&$ %'e famil, *it' 'ealt' problems
1$ 0ssess#ent of the fa#ily capability to perfor# health tas*s
a$ 5ri#ary assess#ent
b$ Secondary assess#ent
2$ /a#ily health proble# identi6cation
a$ =eter#ination of cate"ories of fa#ily health proble#s
:ealth de6cits
:ealth threats
/oreseeable crisis+stress points
(nhanced capability for health pro#otion
.$ =e6nition of contributin" ris* factors
5redisposin" factors
(nablin" factors
Reinforcin" factors
7$ Criteria of settin" priorities a#on" fa#ily health proble#s2
Nature of the proble#
Ma"nitude of the proble#
Modi6ability of the proble#
5re1enti1e potential
Salience
%$ Tool of analysis
Social deter#inants of health
)$ Planning of indiidual + famil, 'ealt' nursing care
1$ Concepts, principles, phases and co#ponents in plannin" fa#ily health
inter1entions
2$ 5ro"ra#s and ser1ices that focus on pri#ary C secondary pre1ention of
co##unicable and nonco##unicable diseases
a$ (!a#ples of =8: pro"ra#s2
National Tuberculosis 5ro"ra# F =irect 8bser1ed
Short Course Treat#ent )NT5=8TS,
Inte"rated Mana"e#ent of Childhood Illness )IMCI,
Control of =iarrheal =iseases )C==,
.$ Identi6cation of "oal of care for priority proble#s
7$ 5ara#eters for selectin" nursin" inter1entions2
a$ 0pplicable, appropriate and a1ailable to the ho#e co##unity settin"
b$ 5ro#otes client safety, co#fort C hy"iene
c$ Standards of care C inter1entions that address acute and chronic illness
%$ 5rinciples of collaboration and ad1ocacy to be considered to ensure continuity of
care
-IN&"4
C$ Implementation of Indiidual + -amil, Healt' Nursing Care
1$ Co#ponent of care in acute and chronic illness
a$ :ealth pro#otion
b$ =isease pre1ention
c$ Restorati1e
d$ Curati1e
e$ Rehabilitati1e care
2$ <iobeha1ioral inter1entions and holistic care for indi1iduals C /a#ily with
speci6c proble#s in a$ 8!y"enation
b$ /luid and electrolyte balance
c$ Metabolic and endocrine function
.$ Strate"ies in #eetin" health proble#s of fa#ily
a$ 5ro#otin" beha1ior chan"e
b$ Creatin" a supporti1e en1iron#ent towards healthy lifestyle
7$ 5rinciples of beha1ior chan"e
%$ Referral syste#
&$ Concept C principles of collaboration C ad1ocacy
D$ !aluation of progress and outcome of care
1$ Methods C tools in e1aluatin" e4ecti1eness of fa#ily health inter1entions
2$ Sources of e1aluati1e data
.$ 0lternati1e strate"ies C approaches for speci6c proble#s C obEecti1es
!$ !nsuring a *ell organi6ed + accurate documentation + reporting
1$ Standard for#at
2$ 'e"al principles in1ol1ed in docu#entation
VII- !aluation %ool:
9raded recitation
5aper C 5encil Test2 8bEecti1e type )enu#eration, identi6cation, and
(ssay
(!a#inations
VIII- References:
Maternal and Child :ealth Nursin"
Care of the Childbearin" and Childrearin" /a#ily
0dele 5illitteri, 5h=, RN, 5N5
I7- 8rading 4,stem:
60 base equivalent in all major exam and quizzes.
Cut off grade is 2.75
FG: G!"G!#FG!$FG%&x50'!50' of t(e F)
$erm Grade* + C# ! + $)
Class #tanding *,0' -./01 !
50' 2nit% long test !
20' Condu3t -C404/4)1