THE COLLEGE OF MAASIN
Nisi Dominus Frustra
Tunga-Tunga, Maasin City, Southern Leyte, Philippines
SELF-LEARNING MODULE ON RELATED LEARNING EXPERIENCE (RLE)
Course Code NCM 104/ NCM 105
Course Name/ Title CARE OF MOTHER, CHILD, ADOLESCENT (WELL CLIENTS)/
CARE OF MOTHER, CHILD, AT RISK OR WITH PROBLEMS
(ACUTE AND CHRONIC)
Level Offering, Academic LEVEL II- A.Y. 2020-2021; FIRST/ SECOND SEMESTER
Year and Semester:
Clinical Area of ANTEPARTUM
Assignment
Date of Clinical Jan. 11- 13, 2021
Exposure:
No. of Hours 24 hours
MODULE OVERVIEW:
Nursing is a profession that requires intensive training on both theoretical and clinical
perspective. NCM 104 deal with 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. While, NCM 105, 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.
For this module, you will be providing nursing care for antepartum clients with conditions
specified on the cases, hereafter. Having gone through extensive theoretical inputs on the
previous semester regarding care of these clients, the next step is to apply these principles and
techniques in nursing care. For this 24-hour related learning experience, you will be catered to a
flexible clinical learning experiences through this self-instructional and learning module.
Kindly take note that this self-learning module shall not be a substitute for the actual
clinical experience, but this can benefit your navigation through your patient care experiences in
this alternative learning platform. This module has the following components:
LEARNING OBJECTIVES:
At the end of this 24-hour related learning exposure, you are expected to:
1. Utilize the nursing process in the holistic care of client for the promotion and
maintenance of health.
1.1. Assess with the client his/her health condition and risk factors affecting health
1.2. Identify wellness /at risk nursing diagnosis
1.3. Plan with client appropriate interventions for health promotion and maintenance
of health
1.4. Implement with client appropriate interventions for health promotion and health
maintenance taking into consideration relevant principles and techniques
1.5. Evaluate with client the progress of one’s health 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.
LEARNING ACTIVITIES (Clinical Simulation/ Exploration and Application)
Case No. 1
Mrs. Cruz, a 37-year-old Caucasian woman, presented to your OB/GYN office for her first
prenatal visit. Mrs. Cruz states her last menstrual period began January 15th and a positive
pregnancy test reveals she is pregnant for the sixth time. Her previous pregnancy history
includes three spontaneous abortions because of cervical insufficiency/premature dilation of the
cervix. Her last two pregnancies were carried to term, but Mrs. Cruz had to stay in bed for three
months. She also developed gestational diabetes during her last pregnancy. Mrs. Cruz is 5 foot
2 inches tall, weighs 190 lbs., and smokes 1 ½ packs per day.
Kindly answer the following questions:
1. Use Nagele’s rule to calculate the EDC.
2. Define gravida, para, primigravida, and multipara.
3. What is Mrs. Cruz’ gravida and para, utilizing the GTPAL system?
4. List four factors that place Mrs. Cruz in a high risk pregnancy category and identify why
they are risks.
5. Throughout Mrs. Cruz’s pregnancy, many anatomical and physiological changes will
occur. As a result of these changes, she will experience various minor discomforts and
complaints.
5.1. For the following organs or systems, explain the changes that will occur, the
trimester in which the changes are expected to occur, and physiological basis for
each change.
5.1.1. Uterus
5.1.2. Urinary System
5.1.3. Heart and Circulatory System
5.1.4. Digestive System
5.1.5. Respiratory System
5.1.6. Breast
.2. Related to these anatomical and physiological changes, discuss five discomforts a
woman might experience during pregnancy, and explain the suggestions you
would give her to alleviate or manage each discomfort based on evidence based
research or scientific rationale.
6. At the beginning of pregnancy Mrs. Cruz’s hematocrit was 42. At 32 week’s gestation
her hematocrit measures 36. Explain the rationale for this drop in her hematocrit. Is this
a true anemia or a pseudoanemia?
7. Briefly summarize psychological responses or behaviors seen in each trimester as a
woman adjusts to pregnancy.
8. Make at least five (5) NURSING CARE PLAN for Mrs. Cruz.
Case No. 2
Mary Lou Sanchez is pregnant for the first time. After several visits, she realized that her
blood pressure, weight, and urine were measured or tested during each appointment.
1. She asked the nurse why it is important to do these tests every time she visits your
clinic. What is the explanation for obtaining a blood pressure, weight, and urine dipstick
at each visit? What screening tests are included in the urine dipstick?
2. Assuming Mary Lou has an uncomplicated pregnancy, what will be the routine schedule
for her prenatal visits to the health care provider?
3. At her first prenatal visit and at subsequent visits, laboratory tests will be obtained.
Briefly describe each of the following tests, explain what gestational age they will be
performed at, why each is done, and any anticipated interventions.
3.1. Blood type and Rh factor
3.2. Antibody Screen
3.3. Hct/ Hgb
3.4. Hepatitis B
3.5. Pap Smear
3.6. Urinalysis/Urine culture
3.7. HIV screen
3.8. Biophysical Profile (BPP)
4. At these prenatal visits, Mary Lou will need some guidance in planning an appropriate
diet. What information will you give Mary Lou regarding the number of calories she
should consume during her pregnancy? What additional factors should be considered?
5. What are the recommended guidelines for weight gain during each trimester?
6. What will you teach her about risks of medications, alcohol, and smoking during
pregnancy?
7. Mary Lou asks about the physical activity she can engage in during pregnancy. What
exercise and safety guidelines would you suggest she follow when engaging in sports
and physical activities? What benefits of exercise would you identify?
LEARNING EXTENSION:
Suppose you are having daily home visits to the 2 clients. In your 3-day duty, you are
required to document your care for Mrs. Cruz and Ms. Sanchez. Formulate FDAR (Focus-Data-
Action-Response) per day for each of the cases. Be sure to indicate vital signs and
comprehensive data using your own clinical judgment.
