CHINESE GENERAL HOSPITAL COLLEGES

Second Semester, Academic Year 2019 to 2020

COURSE SYLLABUS
Revised Due to COVID-19 Quarantine
(14 April 2020)

Course Title: Care of Mother and Child at Risks or with Problems (Acute and Chronic)
Lec
Course Code: N-109 MCN 2 LEC
Course Unit: 6
Pre-Requisites: N-105 NDT, N-106 PHAR, N-107 MCN 1, MICROPARA 101

Course Description:
This course deals with the application of knowledge, skills, and attitude in providing safe, quality
and holistic care on at-risk/high risk clients during different childbearing stages, including
newborn and children up to adolescents at various developmental stages in the hospital and
community settings.

Level Outcome:
At the end of the 2nd year, given a normal and high risk mother, child, and family in any health
setting, the students will be able to demonstrate safe, appropriate, and holistic care utilizing the
nursing process.

Course Outcomes:
Given actual or simulated situations or conditions involving high risk pregnant women, women
during labor and delivery, postpartum women, neonates, infants, toddlers, preschoolers, school age
children, and adolescents, the student will be able to:
1. Apply concepts, theories, and principles of maternal and child nursing in the formulation and
application of appropriate nursing care to high risk mothers and children.
2. Perform complete and holistic assessment of a couple with reproductive problems; a high
risk mother during pregnancy, labor and delivery, and postpartum; a high risk newborn; and a
child with physiologic problem.
3. Implement safe and appropriate nursing interventions addressing the health care needs of a
high risk mothers and children.
4. Utilize evidence-based nursing practices when caring for high risk mothers and children.
5. Provide health education on maternal and child health using appropriate teaching strategies.
6. Evaluate with mothers and children the progress of their condition and outcomes of nursing
care rendered.
7. Ensure a well-organized, complete, and correct documentation of maternal and child’s
responses to nursing care.
8. Collaborate with the health care team for effective and efficient maternal and child care.

Course Outline:
Week/Date Course Content Activity/Requirement
Week 1
Jan 13
Sec C Course Orientation
Jan 16
Sec A, B
Jan 14 I. The High-Risk Mother Lecture and interactive
Sec C A. Pregnancy Complications discussion using case
Jan 17 1. Bleeding in Pregnancy studies, scenarios, or
Sec A, B 2. Hypertension in Pregnancy vignettes
3. Hydramnios
4. Isoimmunization Exercise 1
5. Hyperemesis Gravidarum

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 Week/Date Course Content Activity/Requirement
Week 2 6. Cardiac Conditions in Pregnancy Lecture and interactive
Jan 20 7. Gestational Diabetes Mellitus discussion using case
Sec C 8. Infections in Pregnancy studies, scenarios, or
9. Adolescent Pregnancy vignettes
Jan 23 10. Prenatal Substance Abuse
Sec A, B
Exercise 2
Jan 21 B. Labor and Delivery Complications Quiz 1 (Pregnancy
Sec C 1. Premature Labor Complications)
Jan 24 2. Prolonged Pregnancy
Sec A, B 3. Prolapsed Umbilical Cord Lecture and interactive
4. Premature Rupture of Membrane discussion using case
5. Precipitous Labor and Delivery studies, scenarios, or
6. Amniotic Fluid Embolism vignettes
Week 3 C. Postpartum Complications Quiz 2 (Labor and
Jan 27 1. Postpartum Hemorrhage Delivery
Sec C 2. Thrombophlebitis Complications)
3. Subinvolution
Jan 30 4. Postpartum Infection Lecture and interactive
Sec A, B
5. Mastitis discussion using case
6. Postpartum Emotional Complications studies, scenarios, or
vignettes
Jan 28 II. Reproductive Health Problems Quiz 3 (Postpartum
Sec C A. Infertility Complications)
Jan 31 B. Sexually Transmitted Diseases
Sec A, B 1. Genital Herpes Lecture and interactive
2. Chlamydia discussion using case
3. Gonorrhea studies, scenarios, or
4. Syphilis vignettes
C. Menstrual Disorders
Week 4 D. Female Neoplasia Lecture and interactive
Feb 3 1. Fibrocystic Breast Disease discussion using case
Sec C 2. Breast Cancer studies, scenarios, or
3. Myoma vignettes
Feb 6 4. Uterine Cancer
Sec A, B
5. Polycystic Ovarian Syndrome Exercise 3
6. Ovarian Cancer
7. Cervical Cancer
E. Male Neoplasia
1. Benign Prostatic Hyperplasia
2. Prostate Cancer
Weeks 4 to 7
Feb 4, 10,11,
17, 18, 24, 25
(People Power Group Activity 1: Submission on Week 8
Anniversary) (Integration of midterm concepts. See guidelines below.)
Sec C
Feb 7, 13, 14,
20, 21, 27, 28
Sec A, B
Week 8
Mar 2
Sec C Quiz 4 (Reproductive Health Problems)
Mar 5
Sec A, B

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 Week/Date Course Content Activity/Requirement
Mar 3
Sec C
Review for Midterm Examination
Mar 6
Sec A, B
Week 9
Mar 9 Midterm Examination
May 5-9
Week 10 III. The High-Risk Newborn Feedback of Midterm
May 11 A. Immediate High-Risk Newborn Care Examination and
Sec C 1. Initiating and Maintaining Respirations Midterm Grades
2. Establishing Extrauterine Circulation
May 14 3. Maintaining Fluid and Electrolyte Balance Lecture and interactive
Sec A, B
4. Regulating Temperature discussion using case
5. Establishing Nutritional Intake studies, scenarios, or
6. Preventing Infection vignettes
7. Establishing Parent and Infant Bonding
8. Providing Developmental Care
May 12 B. Newborn Disorders Quiz 5 (Immediate
Sec C 1. Small and Large for Gestational Age High-Risk Newborn
May 15 2. Prematurity and Postmaturity Care)
Sec A, B 3. Respiratory Distress Syndrome
4. Transient Tachypnea of the Newborn Lecture and interactive
5. Meconium Aspiration Syndrome discussion using case
6. Sudden Infant Death Syndrome studies, scenarios, or
7. Hemolytic Diseases of the Newborn vignettes
8. Necrotizing Enterocolitis
9. Newborns from Diabetic Mothers
10. Newborns from Drug-Dependent
Mothers
Week 11 IV. Children with Physiologic Disorders Quiz 6 (Newborn
May 18 A. Children with Respiratory Disorders Disorders)
Sec C 1. Choanal Atresia
2. Upper Respiratory Infections Lecture and interactive
May 21 3. Lower Respiratory Infections discussion using case
Sec A, B
4. Asthma studies, scenarios, or
5. Aspiration of Foreign Objects vignettes
6. Cystic Fibrosis
May 19 B. Children with Cardiovascular Disorders Quiz 7 (Respiratory
Sec C 1. Congenital Heart Disorders Disorders)
May 22 2. Congestive Heart Failure
Sec A, B 3. Persistent Pulmonary Hypertension Lecture and interactive
4. Rheumatic Fever discussion using case
5. Kawasaki Disease studies, scenarios, or
C. Children with Hematologic Disorders vignettes
1. Iron-Deficiency Anemia
2. Sickle Cell Anemia
3. Glucose-6-Phosphate Dehydrogenase
Deficiency
3. Idiopathic Thrombocytopenic Purpura
4. Hemophilia

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 Week/Date Course Content Activity/Requirement
Week 12 D. Children with Gastrointestinal Disorders Quiz 8 (Cardiovascular
May 25 1. Cleft Lip and Palate and Hematologic
Sec C 2. Esophageal Atresia and Tracheo- Disorders)
Esophageal Fistula
May 28 3. Gastroesophageal Reflux Lecture and interactive
Sec A, B
4. Pyloric Stenosis discussion using case
5. Omphalocele and Gastroschisis studies, scenarios, or
6. Hiatal and Inguinal Hernia vignettes
7. Appendicitis
8. Celiac Disease
9. Hirschsprung’s Disease
10. Kwashiorkor and Marasmus
E. Children with Genito-Urinary Disorders
1. Hypospadias and Epispadias
2. Urinary Tract Infection
3. Vesicoureteral Reflux
4. Hydronephrosis
5. Glomerulonephritis
6. Nephrotic Syndrome
May 26 F. Children with Endocrine Disorders Quiz 9 (Gastrointestinal
Sec C 1. Dwarfism and Genito-Urinary
May 29 2. Gigantism Disorders)
Sec A, B 3. Diabetes Insipidus
4. Syndrome of Inappropriate Antidiuretic Lecture and interactive
Hormone discussion using case
5. Congenital Hypothyroidism studies, scenarios, or
6. Congenital Adrenal Hyperplasia vignettes
7. Cushing Syndrome
8. Diabetes Mellitus
9. Phenylketonuria
10. Maple Syrup Urine Disease
11. Galactosemia
Week 13 G. Children with Neurologic Disorders Quiz 10 (Endocrine
Jun 1 1. Hydrocephalus Disorders)
Sec C 2. Neural Tube Defects
3. Reye’s Syndrome Lecture and interactive
Jun 4 4. Cerebral Palsy discussion using case
Sec A, B
5. Meningitis studies, scenarios, or
6. Guillain-Barré Syndrome vignettes
7. Bell’s Palsy
8. Seizures
Jun 2 Quiz 11 (Neurologic Disorders)
Sec C
Jun 5 Group Activity 2 Submission
Sec A, B (Integration of final concepts. See guidelines below.)
Week 14
Removal Examination
Jun 8-13

Course Evaluation:
Midterm Grade (70%) Final Grade (30%)
Quizzes 35% Quizzes 80%
Exercises 5% Group Activity 20%
Group Activity 20% Total 100%
Midterm Examination 40%
Total 100%
General Average: (Midterm Grade x 0.7) + (Final Grade x 0.3)

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Group Activities

A. Group Activity 1: Submission on Week 8

This is a group activity aimed to integrate concepts of high-risk mothers and reproductive health problems. Total is
100 points. Print your work using Times New Roman font, size 12, in short- size, one-sided, single-spaced bond paper,
paginated on the right bottom page, with 1-inch margin on all sides, and place in a short sliding folder. Submit with a
cover page listing all the members of the group. Do not forget to include the references at the last page following the
APA format. Now, do what is asked and answer all the following questions. For items 1 to 5, all members of the group
must have a narrative entry for each and a synthesis of the answers must be provided in the end.
1. When is pregnancy considered to be a high risk one? Recall what you have learned about fetal
development and identify all possible maternal factors you could think of which can affect
both maternal and fetal health. Would the presence of these risk factors make the occurrence
of maternal and fetal health problems highly probable? (15 points)
Answer of student 1 (indicate name):
Answer of student 2 (indicate name):
And so on…..
Synthesis of the answers:
2. What general principles of care would you consider when caring for a pregnant woman
diagnosed with placenta previa at 7th month gestation? What assessment techniques can be
done to determine fetal well-being and condition as well? (15 points)
Answer of student 1 (indicate name):
Answer of student 2 (indicate name):
And so on…..
Synthesis of the answers:
3. As you did your clinical duties at the labor and delivery room of our base hospital, what
practices have you observed which are not in conjunction with the evidenced-based
recommendations of the Essential Intrapartal and Newborn Care (EINC)? Are there any? If
yes, list down all that you remember and share what have transpired during those times. If
none, what practices you have observed can you commend? What do you think are the factors
that have contributed to such practices, whether they are recommended or not recommended
practices? (15 points)
Answer of student 1 (indicate name):
Answer of student 2 (indicate name):
And so on…..
Synthesis of the answers:
4. As you study the different labor and delivery complications, what insights and reflections do
you have based on your understanding of the significance of the EINC program of the
Department of Health (DOH)? Do you think this would address the issues of Sustainable
Development Goal (SDG) 3 particularly on addressing health problems in labor and delivery?
You may include examples and scenarios in your explanation. (15 points)
Answer of student 1 (indicate name):
Answer of student 2 (indicate name):
And so on…..
Synthesis of the answers:
5. Christmas, 36 years old, G3P3, is suffering from postpartum hemorrhage due to uterine atony.
She gave birth 4 days ago to a 38-week baby girl via vaginal delivery with right mediolateral
episiotomy. What possible factors possibly contributed to the postpartum hemorrhage? What
priority interventions will you consider when caring for this woman? Include the concepts of
EINC and SDG in your discussion. (15 points)
Answer of student 1 (indicate name):
Answer of student 2 (indicate name):
And so on…..
Synthesis of the answers:
6. Look for a woman who is or has been diagnosed with any of the female neoplasias we have
discussed. Interview this woman and make a short narrative summary of all her experiences
associated with the diagnosis, including both physiologic, psychologic, sociologic, and other
concerns. All members of the group must be present during the interview so it is important that
your chosen client agrees to this. Submit proofs that the group did the interview. You may take
photos and attach it in this item. Please ask consent when doing so. Take note that
confidentiality and privacy of clients are most important. Do not show the woman’s face and
no need to mention names. (25 points)

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B. Group Activity 2: Submission on Jun 2 (Sec C) and Jun 5 (Sec A, B)
This is a group activity aimed to integrate concepts of high-risk newborns and children with physiologic disorders.
Total is 100 points. Print your work using Times New Roman font, size 12, in short- size, one-sided, single-spaced
bond paper, paginated on the right bottom page, with 1-inch margin on all sides, and place in a short sliding folder.
Submit with a cover page listing all the members of the group. Do not forget to include the references at the last page
following the APA format. Now, do what is asked and answer all the following questions.
1. Make a narrative analysis of the priority nursing care on basic physiologic needs of a high-risk
newborns who is 7 months premature with respiratory distress syndrome and from a drug-
dependent adolescent mother. Include these needs as oxygenation, fluid and electrolyte,
temperature regulation, nutrition, elimination. How do you think should a nurse provide
developmental care to this newborn confined in an intensive care unit. Include how you can
advocate mother and child bonding even at this stressful condition. (25 points)
Answer of student 1 (indicate name):
Answer of student 2 (indicate name):
And so on…..
Synthesis of the answers:
2. What do you foresee will be the status of neonatal health in the next 10 years in our country.
Would it be the same, slightly changed, or greatly changed? What are your personal reactions
and insights about how the world addresses neonatal mortality? Do you think our Philippine
government is doing its job in protecting the welfare of these children? How can nurses
advocate for neonates experiencing health concerns? Justify your answer. You may cite
examples and scenarios in your discussion. You may also quote from other sources in support
of your answer. (25 points)
Answer of student 1 (indicate name):
Answer of student 2 (indicate name):
And so on…..
Synthesis of the answers:
3. Faith is a 4-year-old girl who has been brought to the clinic by her parents due to three episodes
of coughing and wheezing, with the first episode occurring approximately 6 months
previously. The child has a history of eczema and her mother suffered from asthma. The father
is a smoker. To consider this as a case of asthma, what signs and symptoms are present in the
child? What other symptoms not seen in this child may be expected in asthma? What is the
cause of this condition and how is such a case managed in general practice? (25 points)
Answer of student 1 (indicate name):
Answer of student 2 (indicate name):
And so on…..
Synthesis of the answers:
4. Baby Hope, a 3-week-old infant, was admitted due to severe central cyanosis caused by several
congenital heart problems. Soon after birth, he suffered from respiratory distress, where his
initial oxygen saturation was only about 70%. He was resuscitated and given a prostaglandin.
On appearance, he was dusky-looking and his peripheries were cold and blue. Antenatal scans
and cardiac catheterization both found pulmonary stenosis, overriding aorta, and ventricular
septal defect (VSD). What specific congenital heart condition does this baby have? Briefly
discuss its pathophysiology. What interventions would be implemented to address the baby’s
general health? Include activities to prevent possible complications that may arise. As the nurse
caring for the baby, how would you explain the situation to the neonate’s parents? How would
you include them in the plan of care? (25 points)
Answer of student 1 (indicate name):
Answer of student 2 (indicate name):
And so on…..
Synthesis of the answers:

Prescribed Textbook:
Pilliteri, A. (2014). Maternal and child health nursing (6th ed.). Philadelphia: Lippincott
Williams and Wilkins.

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References:
Blarcom, C. C. V. (2016). Obstetrical nursing: A textbook on the nursing care of the expectant mother, the woman
in labor, the young woman and her baby. Memphis, Tennessee: General Books.
Davidson, M. R. (2014). Fast facts for the antepartum and postpartum nurse: A nursing orientation and care guide
in a nutshell. New York: Springer Publishing Company.
Glasper, E. A., McEwing, G., & Richardson, J. (2016). Oxford handbook of children’s and young people’s nursing
(2nd ed.). New York: Oxford University Press.
Ladewig, P. W., London, M. L., & Davidson, M. R. (2017). Contemporary maternal-newborn nursing care (9th ed.).
Boston: Pearson.
London, M. L., Ladewig, P. W., Ball, J., Bindler, R. M., & Cowen, K. J. (2017). Maternal & child nursing care (5th
ed.). Harlow, Essex: Pearson.
Lowdermilk, D. L., Perry, S. E., Cashion, K., & Bobak, I. M. (2014). Maternity nursing (8th ed.). Maryland Heights,
MO: Mosby Elsevier.
McKinney, E., James, S., Murray, S., Nelson, K., & Ashwill, J. (2013). Maternal-child nursing (4th ed.). St. Louis:
Elsevier Saunders.
Murray, S. S., McKinney, E. S., Holub, K. S., & Jones, R. (2019). Foundations of maternal-newborn and women’s
health nursing (7th ed.). St. Louis, Missouri: Elsevier.
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., Wilson, D., Keenan-Lindsay, L., & Sams, C. A. (2018).
Maternal child nursing care in Canada (2nd ed.). Toronto: Elsevier Canada.
Ricci, S. S., Carman, S., & Kyle, T. (2017). Maternity and pediatric nursing (3rd ed.). Philadelphia: Wolters Kluwer.
Ward, S. L., Hisley, S. M., Kennedy, A. M., (2016). Maternal-child nursing care: The women’s health companion
(2nd ed.). Philadelphia: F. A. Davis Company.
Wilson, D., & Hockenberry, M. (2012). Wong's clinical manual of pediatric nursing (8th ed.). St. Louis: Elsevier
Saunders.

Prepared by: Geraldine Rowena S. Galang-Gatbonton, MAN, RN

Date prepared: 06 January 2020

14 April 2020

Consultation time: Tue & Wed (1:00 – 4:00 pm)

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