College of Nursing Rizal Street, Iloilo CityCourse Outline I-Course Name: NCM 102 II-Course Description: This course deals with the concept of disturbances and 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 adolescent stage. III-Credit: Clinical) 5 units lecture, 6 units RLE ( 1 unit Skills Lab/ 5 units IV-Required Number of Hours: 90 lecture hours, 306 RLE hours V-Prerequisite: Care of Mother, Child and Family VI-Course Objectives: At the end of the course and given actual or simulated situations/conditions involving individual client (mother, newborn, and children) and family at risk/ with problem, 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 setting. 1.1Assess with the client his/her health condition and risk factors affecting health. 1.2Identify actual/at risk nursing diagnosis 1.3Plan with the client appropriate interventions for identified problems. 1.4Implement with client appropriate interventions for identified problems. 1.5Evaluate with client the progress of their condition 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 of country and people). Course Content: PRELIM I.MOTHER A.4. Heart Diseases -Classification -Prognosis -Rheumatic heart disease . Assessment of risk factors -Prenatal History . Pre-gestational conditions 1. Identifying Clients at Risk 1. VII. Screening Procedures -Cervical Screen -Sexually Transmitted Infections -TORCH Test Series -Breast Exam 3. Diagnostic tests and laboratory exams -Diagnostic Testing during Early Pregnancy -Diagnostic Test for First Prenatal Visits -Diagnostic Test for Return Prenatal Visits (Second / Third Trimester) -Diagnostic Test during Postpartum b. High-Risk Prenatal Client a. Relate effectively with clients.Obstetrical History *Type of births -Medical History -Surgical History -Sexual History -Social History -Physical Examination 2. members of health team and others in work situation related to nursing and health. RH Incompatibility -Diagnostic test -Preventive vaccine -ABO Incompatibility 6. Hyperemesis Gravidarum -Causative factors -Complications -Diagnostic -Management . HIV/ AIDS -Definition -Etiology -History -Physical Examination -Treatment -Complications -Consultations and referrals -Follow-up 5. Diabetes Miletus -Maternal effects -Fetal effects -Newborn effects 3.(signs and symptoms. Iron Deficiency Anemia -Definition -Signs and symptoms -Management c. Substance Abuse -Definition -Substances Commonly Abused -Risk Factors -Problems associated with substance abuse -Barriers to substance abuse 4. management) 2. Gestational condition 1. High Risk Factors .Nursing Care of the client with high-risk labor & delivery & her Family 1. Gestational Throphoblastic Disease (H-mole) -Assessment -Nursing Care 4. Abortion -Spontaneous -Habitual -Missed -Induced 6. Incompetent Cervix -Management -Health teaching . Pregnancy-Induced Hypertension -Gestational HPN -Preeclampsia -Eclampsia B. Abruption Placenta -Cause -Assessment -General nursing care 8.-Nursing Considerations 2. Placenta Previa -Assessment -Nursing Care 7. Ectopic Pregnancy -Definition -Nursing care -Management 3.Shhirodkar procedure 5. Premature Rupture of the membranes -Causative Factors -Management -Nursing Considerations 9. Passageway or pelvic bones and other pelvic structure 1. Factors that may increase a woman's chance of depression 2. Powers of Uterine Contractions D. Psyche 3. Fetal malpresentation 1. Power 2. Vertex malpresentation a) brow presentation b) face presentation c) sincipital presentation 2. Problems of the Passenger 1. Placenta 1. Passenger 1. Fetal malpositions -Types -Nursing Care -Medical Management 2.A. Signs of Placental Separation E. Breech presentation a) types b) maternal risks . Landmark -Measurements -Data Base C. Fetal Accommodation to Passageway -Fetal Lie -Presentation -Position -Attitude -Station -Engagement B. Maternal Pelvis 2. Signs and symptoms of post partum depression 2. Client’s psyche or psychologic state 1. Early Decelerations. Shoulder dystocia 4.c) vaginal evolving of breech d) external/podalic version 3. Causes 2. Variable Deceleration) 6. Bradycardia. Decelerations. Evaluating the baseline fetal heart rate -Changes to Baseline Fetal Heart Rate (Tachycardia. Clinical Manifestations 4. Late Decelerations. Nursing responsibility in fetal monitoring -Intermittent Auscultation -Continuous Fetal Monitoring (External & Internal Fetal Monitoring) 5. Risk Factors 3. Signs/ symptoms 3. Fetal Distress 1. Causes 2. Prolapsed Umbilical Cord 1. Nursing Interventions for Non-Reassuring FHR Pattern 7. Problems with passageway 1. Problems with the powers . Variability) -Changes in the Fetal Heart Rate (Accelerations. Nursing interventions 4. Shoulder presentation a) Compound presentation 4. Cephalopelvic Disproportion 3. Monitoring Contractions 4. Nursing Interventions 4. Nursing care of client with malpresentation 3. Abnormal Size and shape of the pelvis 2. Management 3. Nursing Diagnosis 5. Placenta Previa 2. Precipitate Labor 6. Abnormal Progress of Labor -Medical Care 3. Nursing Diagnoses. Mangaement) B.1. Placental Problems 1. Treament 2. Postpartal Hemorrhage A. Postpartal Puerperal Infection A. Dystocia -Causeas. Nursing Intervention 2. Uterine Inversion 7. Late Postpartal hemorrhage subinvolution . Nursing Care for the High Risk Post-Postpartal Client 1. Types. Early Postpartal hemorrhage -Uterine Atony -Lacerations -Hematoma -DIC B. Endometritis (Signs ans Symptoms. Inability to bear down -Causes. Uterine Rupture -Causes. UTI) . Anxiety/ Fear -Causes. Hospital Management 5. Incisional Infection. Problems with the psyche factors -psychological changes 1. Signs and symptoms 5. Wound Infection (Mastitis. Nursing Interventions C. Retraction Rings 4.Retained Placental Fragments -Hematoma 2. Defining Characteristic. Abruptio Placenta 6. Premature Labor -Home Management. CHILD A. Thromboembolic disorders 4. Common health problems that develop during infancy 1. Problems related to maturity -Prematurity -Postmaturity 2. Trisomy 21 -Clinical Manifestation. Failure to thrive -Common Parameters -Approach to a child with FTT -History finding in FTT -3 General Categories (Organic. Intussusception (Signs and Symptoms. Nursing care of the high-risk newborn to maturity 1. Prognosis. Acute conditions of the neonates such as: -Respiratory distress syndrome -Meconium aspiration syndrome -Sepsis -Hyperbilirubinemia -Sudden death syndrome (SDS) B. Causes of infertility in males and females 2. Idiopathic) 3. Physical Manifestations.3. Diagnostic tests 3. Nursing interventions MIDTERM II. Nonorganic. Possible Nursing Diagnoses . Care of couple with problems of infertility 1. Postpartal psychiatric disorder D. Treatment) 2. Problems related to gestational weight -Small for gestational age (SGA) -Large for gestational age (LGA) 3. Management. 10. Treatment.Diagnosis. Rheumatic fever 3. Risk Factors) -Physical Abuse. Shunt Care) -Sings of CFS infection 9. Rheumatic arthritis . Leukemia 2. Acetaminophen. Ddiabetes mellitus 2. Prevention. Legal Duty to Report. Urinary Tract Infection (UTI) E. Wilm's tumor (nephroblastoma 3. Health problems most common in school aged children 1. Cerebral Palsy D. Meningitis (Pathophysiology. Cleft Lip and Cleft Palate -Signs and Symptoms. Otitis Media (Predisposing Factors. Health problems common in preschooler 1. Management -Shunting (Complications. 12.4. Child abuse (Definition. S&Sx. Poisoning (Lead. Management 5. Febrile seizure (Seizure Activity. Burns 2. Diagnostic Test. Hirchsprung's Disease 7. Health problems common in toddlers 1. Spina Bifida 8. Management. Autism/ ADHD C. Management) 11. Aasthma 4. Sexual Abuse -Management 4. Imperforated Anus 6. S&Sx. Nursing Diagnosis. Aspirin poisoning) 3. Food. Hydorcephalus -Mechanisms of Fluid imbalance in Hydrocephalus -Clinical manifestations of hydrocephalus -Manifestations of Hydrocephalus in childhood . Assessment of the family capability to perform health tasks a. Scoliosis 2. FAMILY A. Definition of contributing risk factors -Predisposing factors -Enabling factors -Reinforcing factors 4. Accidents (trauma/injury) 4. Secondary assessment 2. Obesity 8. Amenorrhea 6. The family with health problems 1. STD 5.4. Bone tumors 3. Primary assessment b. Family health problem identification a. Suicide SEMI-FINALS III. Determination of categories of family health problems -Health deficits -Health threats -Foreseeable crisis/stress points -Enhanced capability for health promotion 3. Health problems common in adolescent 1. Scabies 5. Impetigo F. Dysmenorrhea 7. Criteria of setting priorities among family health problems: -Nature of the problem -Magnitude of the problem . Anorexia nervosa. Pediculosis 6. Substance abuse 10. 9. Fluid and electrolyte balance c. Health promotion b. Concepts. Implementation of Individual & Family Health Nursing Care 1. Promotes client safety. Principles of collaboration and advocacy to be considered to ensure continuity of care FINALS C. Curative e. Standards of care & interventions that address acute and chronic illness 5. Applicable.-Modifiability of the problem -Preventive potential -Salience 5. Rehabilitative care 2. Examples of DOH programs: -National Tuberculosis Program – Direct Observed -Short Course Treatment (NTP-DOTS) -Integrated Management of Childhood Illness (IMCI) -Control of Diarrheal Diseases (CDD) 3. Parameters for selecting nursing interventions: a. Component of care in acute and chronic illness a. Disease prevention c. Planning of individual & family health nursing care 1. Programs and services that focus on primary & secondary prevention of communicable and non-communicable diseases a. principles. phases and components in planning family health interventions 2. appropriate and available to the home community setting b. Tool of analysis -Social determinants of health B. Restorative d. Oxygenation b. Identification of goal of care for priority problems 4. Bio-behavioral interventions and holistic care for individuals & Family with specific problems in a. comfort & hygiene c. Metabolic and endocrine function . Evaluation Tool: • • • Graded recitation Paper & Pencil Test: Objective type (enumeration. Standard format 2.References: • Maternal and Child Health Nursing Care of the Childbearing and Childrearing Family -Adele Pillitteri. Promoting behavior change b. Legal principles involved in documentation VII. Principles of behavior change 5. Ensuring a well organized & accurate documentation & reporting 1.Grading System: 60 base equivalent in all major exam and quizzes. Sources of evaluative data 3.3. PNP IX. Referral system 6. PhD. RN. Evaluation of progress and outcome of care 1. identification) and Essay Examinations VIII. Alternative strategies & approaches for specific problems & objectives E. Methods & tools in evaluating effectiveness of family health interventions 2. . Strategies in meeting health problems of family a. Creating a supportive environment towards healthy lifestyle 4. Concept & principles of collaboration & advocacy D. Cut off grade is 2.75 FG: PG+MG+SFG+TFG/4x50%+50% of the FE Term Grade= ½ CS + ½ TE Class Standing =30% (QRAP) + 50% Unit/ long test + 20% Conduct (C-A-R-E) .