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Republic of the Philippines TARLAC STATE UNIVERSITY COLLEGE OF NURSING Lucinda Campus, Brgy.

Ungot, Tarlac City Philippines

VISION The college of nursing pursues the Vision of the University which states that The Tarlac State University shall be a strong comprehensive institution of excellence in higher education for total human development. MISSION The College of Nursing pursues the mission of the University which states: The Tarlac State University is committed to develop, promote and sustain the efficiency of quality and relevant programs in higher education for people improvement, professional development and global competitiveness. GOAL The goal of the college is on the development of the whole person in the service of man for the greater glory of God through creating a quality educational experience and environment that promotes values, professional competence, leadership and social responsibility. OBJECTIVES To prepare graduates for the practice of nursing in various settings by providing a broad basic education necessary for the proper understanding of principles and methods of modern scientific nursing. To provide students the broadest the broadest possible background of cultural and professional knowledge and equip the students with skills for future leadership position in nursing. To provide students with theories, concepts, techniques and practices in the efficient and effective discharge of their duties which should rebound to an over-all increase in work efficiency and in production. To provide nurses with the spirit of service, social insight, commitment and humanitarian dedication in health care of the nation. To contribute towards the regional, as well as national economic development and meaningful holistic social growth of the people. To continue to strengthen & facilitate health research initiatives & maintain active outreach programs with the

SYLLABUS Nursing Care Management 102 School year 2012-2013 2nd Semester




Recommending Approval: Prof. Andrew Sebastian G. Matias, RN, MAEd, MSN Chairman, Academic Instruction


Approved by: Prof. Lucila O. Sunga, RN, MPA, MAN College Dean



Dr. Lolita V. Sicat Vice President for Academic Affairs



Course Name : Course Code : Course Description:

CARE OF MOTHER, CHILD, FAMILY AND POPULATION GROUP AT RISK OR WITH PROBLEMS NCM 102 This course deals with the concept of disturbances & pre-existing health problems of pregnant women and the pathologic changes during intrapartum and post partum periods. This course further deals with the common problems occurring during infancy to adolescence stage. 5 units lecture, 6 units RLE [1unit Skills Lab/5units Clinical] 90 lecture hours Care of Mother, Child and Family Pharmacology; Nutrition with Diet Therapy 2nd year, 2nd semester

Course Credit : Contact Hours/Sem Prerequisite : Co-requisite : Placement :

General Objectives: At the end of the course, given actual or simulated situations /conditions involving individual client (mother, newborn baby, children) and family at risk/with problem, the nursing students will be provided a foundation on the concept on common maternal and pediatric physiological alterations and understanding the vast amount of information required to become a safe and caring practitioner especially of mother and children. Specific Objectives: The student will be able to: 1. Utilize the nursing process in the holistic care of client for the promotion and maintenance of health in community and hospital settings. 1.1 Assess with the client his/her health condition and risk factors affecting health 1.2 Identify actual/at risk nursing diagnosis 1.3 Plan with client appropriate interventions for identified problems 1.4 Implement with client appropriate interventions for identified problems 1.5 Evaluate with client the progress of their 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 5. Update to recent trends, studies/issues management related to maternal and pediatric cases.

Course Requirements: Quizzes, Recitation, Seatwork, Term Exams, Research activities Determination of Grades: Midterm/Final Exam 40%

Class Standing Recitation/Problem Solving Quizzes (long/short) Attendance/Attitude Requirements Total: FG = Computed MG & Final Term Grade 2 Course Outline : MATERNAL NURSING Orientation UNIT I. High-Risk Prenatal Client

60% 10% 30% 10% 10 % 100%


2.5 15

At the end of the learning unit, the student will be able to:
1. Cognitive a. Identify prenatal client at risk b. List the medical conditions complicating pregnancy and management. 2. Psychomotor a. State the different gestational conditions common in pregnancy. b. Describe antepartal complications and state the nursing management 3. Affective a. Discuss updates on different issues/trends/management of prenatal client. a. Identifying Clients at Risk Assessment of risk factors Screening procedures Diagnostic tests and laboratory exams b. Pre-gestational conditions such as rheumatic heart disease diabetes mellitus, substance abuse, HIV/AIDS, Rh Sensitization, anemia c. Gestational condition such as hyperemesis gravidarum, ectopic pregnancy, gestational trophoblastic disease (H-mole), incompetent cervix, spontaneous abortion, placenta previa, abruption placenta, premature rupture of membranes, pregnancyinduced hypertension d. Current trends, issues and management of high-risk Prenatal Client UNIT II. Nursing Care of the client with high-risk labor and delivery 12

At the end of the learning unit, the student will be able to:
a. Cognitive a. Define high risk labor and delivery b. Identify high risk factors affecting normal labor and delivery. c. Describe the management of intrapartal complications.

b. Psychomotor a. Explain the different problems/ conditions common during labor and delivery c. Affective a. Identify updates on different issues/trends/management of problems during labor and delivery. b. Identify fetal malpresentation 1. High-Risk factors: (may happen at anytime during the course of labor to a client who has been otherwise been healthy throughout her pregnancy and maybe related to stress/stressor; adaptive process): passenger or fetus passage way or pelvic bones & other pelvic structures, powers or uterine contractions placenta clients' psyche or psychologic state 2. Problems of the Passenger a. Fetal malposition 1. Types of fetal malposition 2. Nursing care 3. Medical Management b. Fetal malpresentation 1. Vertex malpresentation brow presentation face presentation sincipital presentation 2. Breech presentation types maternal risks vaginal evolving breech external/podalic version 3. Shoulder presentation Compound presentation 4. Nursing care of client with malpresentation c. Fetal distress 1. causes 2. signs/symptoms 3. nursing interventions d. Prolapsed umbilical cord 1. cause 2. contributing factors 3. assessment & nursing diagnoses 4. nursing interventions e. Current trends, issues and management of high-risk labor and delivery



3. Problems with the passageway a. abnormal size or shape of the pelvis b. cephalopelvic disproportion c. shoulder dystocia d. nursing care of client with problems of the passageway 4. Problems with the Powers a. dystocia or difficult labor hypertonic uterine dysfunction hypotonic uterine dysfunction abnormal progress in labor retraction rings b. premature labor c. precipitate labor and birth d. uterine prolapsed e. uterine rupture 5. Placental problems a. Implantation in the lower uterine segment b. Premature detachment of placenta 6. Problems with the psyche factors a. Inability to bear down properly b. Fear/anxiety 7. Current trends, issues and management UNIT III. Nursing Care of the High-Risk Postpartal Client 7.5

At the end of the learning unit, the student will be able to:
1. Cognitive a. Identify high risk factors affecting normal postpartal client. b. Discuss the different problems/ conditions common during the postpartal period c. Define post partal hemorrhage & puerperal infection 2. Psychomotor a. Differentiate the different thromboembolic disorders b. Describe postpartal psychiatric disorders 3. Affective a. Identify management of postpartal complications. b. Identify different issues /trends/ management of problems after delivery.

1. Postpartal hemorrhage a. Early postpartal hemorrhage b. Late postpartal hemorrhage subinvolution 2. Postpartal puerperal infection a. Endometritis b. Wound infection c. UTI 3. Thromboembolic disorders 4. Postpartal psychiatric disorder 5. Current trends, issues and management of high-risk postpartal client UNIT IV. Care of Couple with Problems of Infertility 5.0

At the end of the learning unit, the student will be able to:
1. Cognitive a. Define infertility b. Identify different infertility problems/conditions common in couples.

2. Psychomotor a. utilize the nursing process in caring couple with problems of infertility, 3. Affective a. Identify updated on issues/trends/management of couple with problems of infertility. 1. Causes of infertility in males and females 2. Diagnostic tests 3. Nursing interventions Current trends, issues and management related to problems of infertility. FINAL EXAMINATION 1.5

TOTAL Summary of Learning Unit Hours

Learning Unit Title Orientation Learning Unit I -. High-Risk Prenatal Client Learning Unit II - Nursing Care of the client with high-risk labor and delivery

(45 hours)

Number of Hours 17.5 Hours 12 Hours

7.5 Hours Learning Unit III - Nursing Care of the HighRisk Postpartal Client Learning Unit III- Care of Couple with Problems of Infertility Midterm Final Exams 45 Hours Total Number of Hours 5.0 Hours

3 Hours

Teaching Methodology: Lecture Interactive Discussion Case Discussion Sit work/group activities Research work and reporting

Instructional Materials Acetate Handouts LCD projector/Power Point presentation Pen/paper/board

TEXT BOOK: Maternal-Newborn Nursing Care. Philippine Edition published by Pearson Education. Copyright 2010. Maternal and Child Health Nursing. Care of the Childbearing and Child Rearing Family. 5th Edition. Adele Pillitteri. Volume 1 and 2. Copyright 2007. Nicki L. Potts et al., Pediatric Nursing: Caring for children and their families. Delmar, a division of Thomson Learning. 2002. OTHER REFERENCES: Concepts of Obstetric Nursing. Brenda and Goodner Maternal and Child Health Nursing Review Series by Mosby Lippincott Maternal - Child Health Nursing. Mckirney, James, Murray, Ashwill. 2nd Edition. Volume 1 and 2. Copyright 2007. Maternal Newborn Care Plan. Guidelines for Client Care. Denges, Kenty, Moorhouse Maternal and Child Health Nursing. Ingalls and Salerno, Novak and Broom. 9th Edition. 2008.