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NCM 109 Lec Lesson

This syllabus outlines a nursing course on caring for mothers and children at risk or with health problems. It provides the course details including title, code, credits, description and outcomes. The content will cover frameworks for maternal and child nursing, high-risk pregnancies, labor and delivery complications, postpartum issues, and nursing care of at-risk newborns through adolescents. Evaluation includes exams on theory, skills demonstrations, and clinical performance.

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145 views5 pages

NCM 109 Lec Lesson

This syllabus outlines a nursing course on caring for mothers and children at risk or with health problems. It provides the course details including title, code, credits, description and outcomes. The content will cover frameworks for maternal and child nursing, high-risk pregnancies, labor and delivery complications, postpartum issues, and nursing care of at-risk newborns through adolescents. Evaluation includes exams on theory, skills demonstrations, and clinical performance.

Uploaded by

stephanie120021
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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SYLLABUS

AY: 2023 – 2024 Second Semester

I. Course Title : NCM 109 CARE OF MOTHERAND CHILD AT RISK OR


WITH PROBLEMS ( ACUTE AND CHRONIC)
II. Course Code : NUR 2213 / 2213L
III. Course Credit : Theory: 6 Units; (108 hours ) RLE: Skills Lab. – 1 unit
( 51hours); Clinical -5 units ( 255 hours)
IV. Course Description:
This course deals with concepts, principles, theories and theories and
techniques in the nursing care of at risk/ high risk/ sick clients during childbearing and
child rearing years toward health promotion, disease prevention, restoration and
maintenance, and rehabilitation. The leaners are expected to provide safe, appropriate
and holistic nursing care to clients utilizing the nursing process.

V. Course Outcome:
1. Apply concept, theories and principles of sciences and humanities in the
formulation and application
2. Provide safe, appropriate nursing interventions addressing health care
needs of the at-risk/high-risk/ sick clients during childbearing and
childrearing years.
3. Apply evidence-based practice in the delivery of nursing care to the at-
risk/high-risk/ sick clients during childbearing and childrearing years.
4. Practice maternal and child nursing in accordance with existing laws,
legal, ethical and moral principles as it applies to at-risk/high-risk and sick
clients.
5. Communicate effectively in speaking, writing, and presenting using
culturally- and age appropriate language in maternal and child care.
6. Document to include up-to-date reporting of the care of at-risk/high-
risk/sick client accurately and comprehensively.
7. Work effectively in collaboration with inter-, intra- and multi-disciplinary
and multi-cultural teams in the care of at-risk/ high-risk/ sick clients.
8. Practice beginning management and leadership skills in the delivery of
care to at –risk/ high-risk/sick mother and child.
9. Participate in conducting research on at-risk/ high-risk/sick mother and
child as a member of the research team.
10. Engage in lifelong learning with a passion to keep current with national
and global health developments in the care of at-risk/ high-risk/ sick
mother and child.
11. Demonstrate responsible citizenship and pride of being a Filipino.
12. Apply techno-intelligent care systems and processes in health care
delivery of at-risk/ high-risk/ sick mother and child.
13. Adopt the nursing core values in the delivery of care to the mother and
child.

VI. Course Requirement

The following criteria shall be used in the computation that constitutes the major exams as
prelims, midterms and finals.
Course/Subject Grading System/Term (Prelim, Midterm, Finals)

a) Lecture
o Major Exam 40%
o Long Exam 30%
o Group/Individual Activity/Quiz 30%
o Lecture Term Grade 100%
b) Related Learning Experience (RLE)
o Skills Laboratory
• Quiz & Portfolio 20%
• Skills Demonstration 40%
• Major Exam 40%
• Skills Laboratory Grade 100%
o Clinical
• Attitude & Attendance 20%
• Skills Activities 40%
• Knowledge 40%
Quizzes, Evaluation Exam
Journal & Case Presentation
• Clinical Grade 100%
o 50% Skills Laboratory Grade + 50% Clinical Grade = 100%Related Learning
Experience Grade

PRELIM GRADE + MIDTERM GRADE + FINAL GRADE = AVERAGE GRADE


3
VII. Course Content

PRELIM

I. MOTHER
A. Framework for Maternal and child nursing (MCN)
1. Statistics on MCN
2. Genetic and Genetic Counseling

B. High- Risk Prenatal Client


1. Identifying Clients at risk
a. Assessment of risk factors
b. Screening procedures
c. Diagnostic tests and Laboratory exams
2. Pre-Gestational conditions such as:
a. Rheumatic heart disease
b. Diabetes mellitus
c. Substance abuse
d. HIV / AIDS
e. Rh Sensitization
f. Anemia
3. Gestational Conditions such as:
a. Hyperemesis Gravidarum
b. Ectopic Pregnancy
c. Gestational Trophablastic disease ( H – mole )
d. Incompetent Cervix
e. Spontaneous Abortion
f. Placenta Previa
g. Abruptio Placenta
h. Premature Rupture of membranes
i. Pregnancy Induced Hypertension
C. Nursing Care of the client with High-Risk Labor and Delivery with her family

II. LABOR AND DELIVERY


1. High Risk factor related to
a. Passenger or Fetus
b. Passage way or pelvic bones and other pelvic structure
c. Powers or uterine contractions
d. Placenta
e. Client’s psyche or psychological state
2. Specific Problems of the Passenger
a. Fetal Malposition
• Types of fetal malposition, nursing care and Medical
management
b. Fetal Malpresentation
• Vertex Malpresentation ( Brow,Face,Sinciput)
• Breech presentation ( types, maternal risk, vaginal evolving
breech, external/podalic version)
• Shoulder presentation ( compound presentation)
• Nursing care of client with malpresentation
c. Fetal Distress
• Causes, signs/symptoms, Nursing interventions
d. Prolapsed umbilical cord
• causes
• contributing factors
• assessment and nursing diagnoses
• nursing interventions
3. Problems with the Passageway
a. Abnormal size or shape of the pelvic
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
b. Premature labor
c. Precipitate labor and birth
d. uterine prolapse
e. uterine rupture
5. Placental problems
a. Implantation in the lower uterine segment
b. Premature detachment of placenta
6. Problems with the Psyche, factors influencing the psyche of the client
in labor and the effect of fear / anxiety on labor progress

III. NURSING CARE OF THE HIGH - RISK POSTPARTAL CLIENT


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 disorder
4. Postpartal Psychiatric Disorder

IV. Nursing Care of Male and Female Clients with General and Specific Problems in
Reproduction and Sexuality
UNIT EXAM AND PRELIMINARY EXAM………………………………………………

MIDTERM

V. Nursing Care of At-risk/High-risk/ Sick client


1. Newborn
2. Infant and young infant
3. Toddler
4. Preschooler
5. School Age
6. Adolescent
VI. Nursing Care of Children with Alterations in Health Status (Acute and Chronic)
A. Alterations in Oxygenation
1. Responses to altered Cardiac and tissue
➢ Congenital Heart Defects; Acyanotic and Cyanotic disorders
➢ Acquired disorders of the heart
2. Responses to altered transport
➢ Pulmonary disorders in Children
➢ Hematologic disorders in Children
B. Alterations in Fluid and Electrolytes and Acid-Base Balance
➢ Renal Disorders in Children; Congenital and Non-congenital Disorders
C. Alterations with Infectious; Inflammatory and Immunologic Responses
➢ Infectious disorders in Children
➢ Stages of Infectious diseases
➢ Inflammatory disorders in children
➢ Immunologic disorders in children
D. Cellular Aberrations
E. Alterations Nutrition, Gastrointestinal , Metabolism and Endocrine
➢ Different disorders in Nutrition
➢ Gastrointestinal disorders in children
➢ Metabolic disorders in children
➢ Endocrine disorder in children
F. Alterations in Perception and Coordination

UNIT EXAM ANDMIDTERM EXAM…………………………………………

FINALS

VII. Nursing Care of a Child with Life Threatening Conditions /Acutely ill/ Multi-organ
problems/ High Acuity and Emergency situations ( acute and Chronic)
A. Assessment
1. Subjective Data; Heath history
2. Objective Data
➢ Physical Assessment
➢ Diagnostic/ Laboratory Tests
B. Nursing Diagnosis
C. Planning and Implementation of Care
1. Health Promotion and Risk Management
2. Health Restoration and Maintenance Therapies
➢ Pharmacological Therapeutics
➢ BCLS and ACLS in Neonates and Children
➢ Surgical Interventions
➢ Nutrition and Diet Therapies
➢ Complementary and Alternative Therapies
D. Client Education
E. Evaluation of Care
F. Documentation

VIII. Evidence-based Interventions

1. Nursing Care of At-risk/ sick Mother


2. Nursing care of At-risk and Sick Child applying Integrated Management of
Childhood Illnesses ( IMCI )
a. Management of Sick Young Infant Aged 1 week up to 2 Months
b. Management of Sick Child Aged 2 months to 5 years
➢ Assess, Clarify and Identify Treatment
➢ Treat the Child
➢ Give Follow-up Care
➢ Counsel the Mother
➢ Record and Report
IX. Ethico-Legal Considerations and issues in the Care of Sick Mother and Child
A. Assisted Reproductive Techniques
B. Alternatives to Childbirth
C. Protection of Women from Domestic Violence Act
D. Protection of Women Against Sexual Harassment

X. Roles and Functions of the Nurse in Varied Settings in the Delivery of Care to At-risk/
High-risk/ Sick Mother and Child
A. Interprofessional Care Maps
B. Online databases / Journal Articles related to Interventions and Provision of
Maternal and Childcare
C. Critical Thinking Case Studies
D. Filipino Culture , Values and Practices in relation to difficult childbearing and
childrearing :
E. Online databases / Journal Articles related to Interventions and provision of
care
F. Use of IMCI Computerized Adaptation and Training Tool ( ICATT)
G. Roles and Responsibilities of a Maternal Child Nurse in Challenging Situations
H. Career Options in Maternal and Child Nursing

UNIT EXAM AND FINAL EXAM …………………………………………………

REFERENCES:
1. Silbert-Flagg, JoAnne & Pillitteri, Adele ( 2018) ,Maternal & Child Health Nursing: Care of
the Childbearing & Childrearing Family, 8th edition
2. Pilliteri,Adele, (2017) Maternal & Child Health Nursing: Care of the Childbearing &
Childrearing, Lippincott Williams & Wilkins, 8th edition
3. Hockenberry (2015) Wong’s Nursing Care of Infants and Children Vol 1 & 2 , 1st Phil.
edition
4. Perry (2015) Maternal and Child Health Nursing Vol. 1&2 , 7th edition
5. Integrated Management of Childhood Illnesses2008. (IMCI) Chart Booklet
6. www.doh.gov.ph
7. www.wpro.who.int
8. www.icatt-training.org

Prepared by:

Gina C. Ladanan, MAN, RN


Faculty

Approved by:

Aznar, Darwin D. MSN, RN


Dean, College of Nursing

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