REMEDIOS TRINIDAD ROMUALDEZ MEDICAL FOUNDATION

COLLEGE OF NURSING
Tacloban City
NURSING CARE MANAGEMENT 101
CARE OF THE MOTHER, CHILD AND FAMILY
Course Description:

Principles and techniques of caring for the normal mothers, infants,

children and family and the application of principles and concepts on
family and family health nursing process.

Course Credit:

4 Units Lecture, 4 Units RLE ( 1 Unit skills lab/3 Units clinical)

Contact Hours:

72 Lecture Hours, 204 RLE hours

Pre-requisites:

Theoretical Foundations in Nursing (TFN), Health Assessment (HA) and

Anatomy and Physiology

Co-requisites:

Microbiology

Placement:

Level II, 1st Semester

Terminal Competencies::

Given actual or simulated situations/conditions involving the client

(normal pregnant woman, mother, and/or newborn ,Baby, children and
the family), the student will be able to:
1. Utilize the Nursing Process in the care of families in various settings.
1.1 Identifies actual and potential nursing diagnosis.
1.2 Plans appropriate nursing intervention with the client and the
clients family with maternal and child health problems.
1.3 Implements plan of care with the client and the clients family.
1.4 Evaluates progress of the plan of care.
2. Apply nursing theories in the management of care of clients with
maternal and child health problems.
3. Live the core values cherished by the Nursing profession such as
Love of God, Love of Country and Love of People.
4. Ensure a well organized and accurate documentation system (oral
and written).
5. Relates with the clients and their families and collaborates with the
Health Team members.
6. Observes bioethical concepts and principles and the 11 key areas of
responsibility in the care of clients with maternal and child health
problems.
7. Assumes responsibilities for personal and professional growth.
8. Demonstrates leadership and management skills in the care of
clients with maternal and health problems.
9. Utilize research findings to improve the Health Care Delivery
System.

DATE

LECTURER

JUNE 20-21

MS. N DE VEYRA

CONTENT

I. THE FAMILY
A. The Family and
Family Health

DATE
(RLE)

TEACHINGLEARNING
ACTIVITIES (RLE)

ACT 1
JUNE 17-18

Advance assignment:

1.Concept /
Definition of family
2. Family structure
and functions
3. Universal
characteristics of
families
4. Characteristics of
a healthy family
5. Family stages and
tasks
6. Levels of
prevention in family
health
B.
The
Health
Process

Film Showing:
Central Theme on
family dynamics and
family relations
depicting Filipino and
Non-Filipino culture

Reflection and
Processing of the
essay

Family
Nursing

1. Definition of
Family Health
Nursing
2. Principles of
family nursing
process
3. Steps of family
health nursing
process
4. Initial assessment
/ database for
family
for family nursing
practice.
5. Family structure,
characteristics,
dynamics
6. Social, economic
and cultural factors
7. Health status of
each family member
8. Values and
practices on health
promotion
C. Methods of Data
Gathering
1. Health
assessment of each
family member
2. Observation /
Interview/review of
records / reports

ESSAY:
Who am I?

-Group
Discussion:
Divide the class into
small groups and allow
the
students
to
conduct a round table
Discussion focusing on
the theme PEOPLE I
VALUE IN MY LIFE

ACT 2
JUNE 24-25

Group Dynamics:
-Workshop on the use
of
interview
and
survey forms

and laboratory
results
3. Assessment tools
used in family
assessment
D. Typology of
Nursing problems in
Family Nursing
Practice
st
1. 1 Level
assessment: Identify
heath threats,
foreseeable crisis,
health deficits and
wellness
potential/state
nd
2. 2 Level
assessment:
determining familys
ability to perform
the family health
tasks on each health
threat/health
deficit/foreseeable
crisis or wellness
potential

JULY 4-5

MS N DE VEYRA

ACT 2
JUNE 24-25

Workshop on using
the initial data base
for family nursing
practice
-Workshop on making
st
nd
1
and 2
level
assessment based on
information given in a
hypothetical sample
case
-Workshop
on
collation of results
gathered
from
interview or survey

ACT 2
JUNE 24-25

E. Statement of
Family Health
Nursing Problem
F. Developing the
care plan

H. Categories of
health care
strategies and
intervention
1. Preventivecurative
2. Rehabilitative

Group Dynamics:
-Workshop on proper
documentation
Workshop
on
identification
of
problems:
Health
threats,
health
deficits, foreseeable
crisis/stress pts

1. Priority setting
2. Defining /setting
goals / objectives
3. Specifying
intervention plan
4. Developing the
evaluation plan
G. Categories of
Nursing
Interventions in
family nursing
practice include:
1. Human becoming
methods / processes
2. Competency
based teaching
3. Motivation
support for behavior
challenge / lifestyle
modification

Group Dynamics:

Group Dynamics:
-Workshop
on
planning
and
prioritization of family
nursing
problems
based on information
in a given hypothetical
sample case
-workshop on
computation of
problems for
prioritization using
salience, modifiability
of the problem and
preventive potential
Group Dynamics:

ACT 3
JULY 1-2
ACT 4
JULY 8-9

-Workshop on
Developing the Family
Nursing Care Plan

3. Facilitative
I. Evaluation
1. Qualitative and
quantitative data for
evaluation
2. Methods and
sources of
evaluative data
3. Steps in
evaluation
4. Evaluation criteria
5. Evaluation in
family nursing
practice
J. Records in Family
Health Nursing
Practice
K. Mother and Child
Health

JULY 11-12

MISS N. DE
VEYRA

MR A DE VEYRA

ACT 5
JULY 15-16

Film showing:
Central theme on the
process of conception,
implantation and
placentation as well as
reproduction
Film showing:
Central theme on fetal
developmental
milestones

II. ANTEPARTUM /
PREGNANCY
A. Anatomy and
Physiology of the
Male and Female
Reproductive
System
B. Physiology of the
Menstrual Cycle
C. The process of
Conception,
implantation and
placentation
D. Fetal Circulation
E. Milestones of
fetal development

Film Showing:
Central theme on
Genetic Abnormalities
Group Dynamics:
-Divide the class into
small groups and
discuss about the
prevalent genetic
abnormalities and
instruct the students
to come up with a
teaching plan
appropriate for
couples/clients
seeking consultation
before and during
conception

1. Procreative
health
1.1 Definition and
theories related to
procreation
1.2 Process of
human reproduction
1.3 Risk factors
that will lead to
genetic disorders
1.4 Common tests
for determination of
genetic
abnormalities
1.5 Utilization of
the nursing process
in the prevention of
genetic alteration
and in the care of
clients seeking
services before and
during conception.

JULY 18-19
JULY 25-26

ACT 5
JULY 15-16

ACT 6
JULY 22-23

Pre-natal assessment
-workshop on how to
perform:
a. health history taking
b. interview
c. obstetrical history
taking (LMP, EDC,

F. Estimating EDC
G. Common
teratogens and their
effects
H. Health History:
Past, present,
potential,
biographical data,
menstrual history,
current pregnancy,
(EDC, AOG, Gravida,
para), previous
pregnancies and
outcomes (TPAL
score), gynecologic
history, medical
history, nutritional
status

AUGUST 1-2

MS N DE VEYRA

I. Normal changes
during pregnancy
a. local and systemic
physical changes
including vital signs,
review of systems
b. emotional
changes including
dangers of
pregnancy
c. Leopolds
maneuver
d. Common
discomforts during
pregnancy and its
corresponding
interventions
J. Danger signs of
pregnancy
K. Normal diagnostic
/ laboratory findings
and deviations
a. pregnancy test
b. urine test
c. blood test (CBC)
d. ultrasonography
L. Appropriate
Nursing diagnosis
M. Prenatal
exercises
N. Preparation for
labor and delivery

AUGUST 15-16
AUGUST 22-23

MR A DE VEYRA

III. INTRAPARTUM
(Process of Labor
and Delivery)
1. Factors affecting
labor and delivery
a. passenger
b. passage
c. power (primary
and secondary)

AOG, GP score
determination)
d. physical exam
Group Dynamics:
-workshop
on
provision of health
education to
child
bearing women and
their family

ACT 7
JULY 29-30
ACT 8
AUG 12-13

-workshop
on
medication skills lab:
a. intradermal
b. intramuscular
c. subcutaneous
d.IVF monitoring
d. IV calculation and
computation
e. Drug calculation and
computation
f.
different
preparation
of
medication and their
specific modes of
administration
g. carrying out MDs
order
(medicine
tickets)
h.
actual
administration
of
drugs
i.
recording
and
reporting
of
care
rendered
and
response of patients
to the drug
k. health education to
client and their family

ACT 9
AUG 19-20
ACT 10
AUG 19-20
(WHOLE DAY/24
HOURS FOR THE
WEEK)
ACT 11
AUG 27 WHOLE
DAY (12 HOURS)
in lieu of August
26 National
Heroes Day)

DEMONSTRATION and
RETURN
DEMONSTRATION:
various
procedures
necessary in labor and
delivery:
a. handwashing
b. gloving
c. gowning
d. perineal shaving
e. instrumentation
f. catheterization
g. draping
Film Showing:
Central Theme on
Labor and Delivery

d. placenta
2. Functional
relationship of
presenting part
3. Theories of labor
onset
4. Common signs of
labor
5. Stages of labor
and delivery
6. Common
discomforts of the
woman during labor
and delivery
7. Danger signs
during labor and
delivery
8. Appropriate
Nursing Diagnosis
9. Care of the clients
experiencing labor
and delivery
10. Physical and
Psychological
preparation of the
client
11. Monitoring of
progress and labor
and delivery
12. Provision of
personal hygiene,
safety and comfort
measures (perineal
care, management
of labor pains,
bladder and bowel
elimination)
13. Coping
mechanisms of
womans partner
and the family of
the stresses of
pregnancy, labor,
delivery and
puerperium.
14. Preparation of
the labor and
delivery room.
15. Preparation of
the health
personnel

AUG 5-10

MIDTERMS

AUG 29-30

MS N DE VEYRA

IV. POSTPARTUM
1. Definition
2. Specific body
changes on the
mother
3. Psychological
changes on the

ACT 12
SEPT 2-3
ACT 13
SEPT 9-10

DEMONSTRATION and
RETURN
DEMONSTRATION:
a. mechanisms of
labor
b. nursing skills during
labor and delivery
Simulation on labor
and delivery
-workshop on labor
watch
-monitoring of vital
sign
and
uterine
contractions
-workshop
on
counseling of clients
with ante and intra
partal problems

-Divide the class into

small groups and
discuss on the health
teaching needs of the
mother relevant in the
following:
a. nursing care of the
mother
at
this
period(INTRAPARTUM)
b. safety measures
c. comfort measures
d.
measures
to
prevent complication
e. support for the
psychosocial
adjustment

mother
4. Phases of
Puerperium
a. Taking In
b. Taking hold
c. Letting Go
5. monitoring vital
signs, uterine
involution, amount
and pattern of
lochia, emotional
responses to drug
therapy, episotomy
healing
6. Possible
complications
during postpartum:
bleeding and
infection
7. Appropriate
nursing diagnosis
8. Nursing Care of
the mother during
postpartum
a. safety measures :
limitation
in
movement,
protection
from
falls, provision of
adequate clothing,
wound care
b. comfort
measures: exercises,
initiation of
lactation, relief of
discomforts like
breast engorgement
and nipple sores,
hygiene measures,
maintaining
adequate nutrition
c. measures to
prevent
complication:
ensuring adequate
uterine contraction
to prevent bleeding,
adequate
monitoring, early
ambulation, prompt
referral for
complications
d. support for the
psychosocial
adjustment of the
mother
e. Health teaching
needs of the
mother, newborn
and family
f. accurate
documentation and

ACT 14
SEPT 16-17

RETURN
DEMONSTRATION:
How to perform
a. APGAR Scoring
b. Ballards Scoring
c.
Taking
of
anthropometric
measurements
Newborn Care:
a. suctioning
b. oil bathing
c. bathing of the
newborn
d. cord care
e.
anthropometric
measurements
f. instillation of eye
prophylaxis
g. vitamin K injection
RETURN
DEMONSTRATION:
How to facilitate the
following:
a. sensory stimulation
b.vestibular
stimulation
c. breastfeeding
d. burping
e. cuddling

ACT 14
SEPT 16-17

Nursing application of
theories of Freud,
Erickson and Piaget
Present an illustration
reflecting chronologic
development of
milestones and
secondary sex
characteristics

reporting as needed
9. Health beliefs and
practices of
different cultures in
pregnancy, labor,
delivery and
puerperium
10. Current trends in
maternal and child
care
11. Family Planning

Group Dynamics:

ACT 14
SEPT 16-17

a.Natural methods
standard days
method with cycle
beads, billings
method,
symptothermal
method, lactation
amenorrhea
method (LAM)

Evidence based
nursing: what it is like
to be a parent of an
infant? (make use of
journals/ news clips)
Ask the students to
formulate a teaching
plan focusing on:
Tips to help introduce
solid foods to infants

b. Artificial methods
use of hormones,
intra uterine device,
barrier methods,
tubal ligation,
vasectomy
E. THE NEWBORN

SEPT 5-6

MS N DE VEYRA

A. Profile of the
Newborn
1. Physiologic
function and
appearance, APGAR
score, Ballards
score, Review of
systems,
Anthropometric
measurements
(weight, head,
chest, abdomen
circumference,
length)
2. vital signs, patent
airway
3. Behavioral
assessment and
other significant
information
4. Newborn
screening
B. Nursing Care of
the Newborn
1. Establishment of
respiration
2. Maintaining
patent airway
3. Water/oil bath,

-Divide
class
into
groups and come out
with a
disciplinary care map
for common infant
problems
using
information given on a
hypothetical sample
case

ACT 15
SEPT 24
(WHOLE DAY in
lieu of Sept 23
RTRMF
Foundation Days)

-Conduct a round table

discussion focusing on:
a. diversity of care:
child rearing practices
across cultures
Divide class into small
groups and conduct
round table discussion
focusing on:
a. diversity of care:
toilet training

Evidence
based
nursing: what type of
accidents occurs most
frequently
among
toddlers? (use news
clips/journals)
Allow students to
formulate teaching
plan focusing on:
a. common safety
measures to prevent
accidents during the
pre school years
Ask students to
formulate teaching

tub bath, changing

of diapers
4. eye prophylaxis
5. cord care
6. vitamin K
administration
7. regulation of
temperature
8.sensory
stimulation (audio
and tactile)
9.vestibular
stimulation
10.breast feeding
11. burpring
12. elimination
13. cuddling

SEPT 12-13

MS N DE VEYRA

III. Concept of
Growth and
Development
1. Definition
2. Principles of
Growth and
Development
3. Major factors
influencing growth
and development
4. Foundations of
Growth and
Development
a. age periods
b. methods of
studying growth and
development: cross
sectionals,
longitudinal
c. patterns of
growth and
development
d. individual
differences
5. Biologic growth
and development
6. Development of
mental function and
personality
development
7. Theories
a. psychosexual
b. psychosocial
c. cognitive
d. moral
e. relational
f. behaviorism
8. development of
self concept, body
image and self
esteem.

plan focusing on:

a. guidelines for
adolescents regarding
sexuality
b. guidelines for
prevention of:
-accidents
-rape
-substance abuse
-suicide warning signs

ACT 16
SEPT 30-OCT 1
HOSPITAL
PLACEMENT
ACT 17
OCTOBER 7-8
HOSPITAL
PLACEMENT

Assign students to
hospitals for clinical
placement in the
Labor and Delivery
room:
-Allow students to
perform safe and
quality nursing care
appropriate for ante
and intrapartal period
utilizing the nursing
process
assessment of the
general status of the
mother
-monitoring of the
frequency
and
progress of uterine
contraction
-monitoring of the
vital signs
-Provision of personal
hygiene, safety and
comfort
measures
(perineal
care,
management of labor
pains, bladder and
bowel elimination)
-preparation of the
labor and delivery
room
-counselling
and
health education
Assign students to a
post partal client and
allow them to perform
caf
and
quality
nursing care utilizing
the nursing process
-Allow students to
perform
nursing
interventions during
the post partal period:
a.
control
hemorrhage

of

SEPT 19-20

SEPT 26-27

OCT 3-4

MR A DE VEYRA

MR A DE VEYRA

MS N DE VEYRA

F. THE INFANT AND

THE FAMILY
1. Definition of
terms
2. Growth and
Development of the
infant biologic
proportional
changes and
maturation of
systems
development
milestones fine
and gross motor,
language,
psychosocial,
cognitive, social,
social image
development,
temperament
3. Coping with
concerns related to
normal growth and
development
4. Promotion of
health during
infancy
5. Prevention of
injury
G. THE TODDLER
AND THE FAMILY
1. Definition
2. Growth and
development of the
toddler
3. Coping with
concerns related to
normal growth and
development
4. Promotion of
health during
toddlerhood
5. Prevention of
injury
H. THE
PRESCHOOLER AND
THE FAMILY
1. Definition of
terms
2. Growth and
development of the
preschooler
3. Coping with
concerns related to
normal growth and
development
4. Promotion of
health
5. Prevention of

b.
promotion
of
comfort and hygiene
c.
provision
of
adequate nutrition as
early as possible to
regain strength
d. increase dietary
fiber and fluid intake
e.
promote
early
ambulation
f. regular rest and
sleep
-Allow the students to
discuss
with
the
mother
health
teaching needs of the
mother relevant in the
care of the newborn
-allow students to
impart
health
teachings on :
a. measures to prevent
complication: ensuring
adequate uterine
contraction to prevent
bleeding, adequate
monitoring, early
ambulation, prompt
referral for
complications
-allow students to
impart
information
regarding
family
planning methods as
part of post partal
instructions
-Allow students to
perform
nursing
interventions for the
immediate newborn
care in an actual case
-assist
mother
in
breastfeeding
- provision of health
education to mothers
regarding how to clean
genitals after bowel
movement to prevent
infection
Assign students to
ward and allow them
to:
a. perform assessment
by eliciting a complete
health history from a
child and caregiver
using standard

injury
I. THE ADOLESCENT
AND THE FAMILY

components of
pediatric health
history, physical exam
and developmental
screening (DDST)

1. Definition
2. Growth and
development
3.Promotion of
health during
adolescence

Utilize
various
techniques
of
approaching children
at
different
developmental levels
before
performing
physical examination

J. ADULTHOOD

OCT 10-11

MS N DE VEYRA

1. Early Adulthood
Workshop on how to
perform the Denver
Developmental
Screening Test (DDST)
-guidelines
-materials
-how to complete the
DDST form

A. Theories,
physiological,
cognitive, moral and
psychosocial
development
B. Nursing
Implications
2.MiddleAdulthood
A. Physical,
Cognitive, Moral
and Psychosocial
Development
B. Nursing
Implications

ACT 18
OCT 21-22

3. Late Adulthood

(Adolescence, early
ADULTHOOD)

A. Viewpoints on
Aging
B. Theories of Aging
C. Biologic,
Sociologic,
Psychologic changes
D. Needs of the
older persons
E. Nursing
Implications

OCT 14-19

FINALS

OCT 21-26

COMPLETION

Symposium

Symposium
(Middle and Late
Adulthood)

**Time frame for the Lecture is arranged by WEEK/S, exclusive of the week/s designated for MIDTERMS
and FINALS. Total Lecture week/s: 18 weeks. LECTURE set every THURSDAYS and FRIDAYS 1:00-3:00 PM.
**Time allotted for RELATED LEARNING EXPERIENCE (RLE) is set at 6 hours/day MONDAYS and
TUESDAYS. Total RLE week/s: 18 weeks
Prepared By:

Level II Instructors

MS NICOLE C. DE VEYRA, RN, MAN

Level II Coordinator

Approved By:
DR. SOCORRO SALVACION GASCO
Dean, College of Nursing