West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

NCA 202: PROCESS GUIDE

Group / Section: Sec. C - RLE Group 2 Concept/Topic: Pre/Post Term Infant

Date of Presentation: November 18, 2017, 1PM Date of Submission: January 3, 2018

CASE SCENARIO:
Keriwit, a 20 year-old primipara, 30 weeks pregnant, whom you see in a prenatal clinic. She had
symptoms of urinary tract infection for the past few days but didn’t call the clinic because she
knew she had an appointment today and thought getting some help for it could wait until she
came in. Yesterday she noticed some mild abdominal pain and thought it was irritation from the
bladder infection. During the night, she woke up twice because of a nagging backache. This
morning, she has intermittent sharp uterine contractions asking, “Why did this happen? I didn’t
do anything wrong.”
Family Assessment
Keriwit, 20, lives in a 2-bedroom, third floor condominium. Works as a secretary for a university
president; the husband is the driver of the same university president.

Client Assessment
G2P0, 30 weeks pregnant. Heart rate at 88bpm, RR=22, BP=130/80 mmHg. Fetal heart rate at
142 beats per minute. Reports positive fetal movement. Uterine contractions every 7 minutes
lasting 40 seconds. Intravenous tocolytic therapy with terbutaline ordered.

PRESENTATION OF 3M’S

I. MEDICAL PROBLEM
1. Anatomy and Physiology
2. Textbook Definition
3. Risk Factors
4. Schematic Diagram

II. MANIFESTATION
1. Signs and Symptoms
a. Integumentary g. Reproductive
b. Neurologic h. Endocrine
c. Respiratory i. Musculoskeletal
d. Cardiovascular j. Lymphatic
e. Gastrointestinal k. Hematologic
f. Genito-urinary l. Psychosocial

NCA 2 Sumagaysay, I.V. 2017

 2. Client Assessment Data Base
a. Activity/Rest e. Pain/Discomfort
b. Circulation f. Respiration
c. Elimination g. Safety
d. Food/Fluid h. Teaching/Learning

3. Diagnostic Studies

III. MANAGEMENT
1. Medical Interventions 5. Collaborative Interventions
2. Pharmacologic Interventions 6. Nursing Priorities
3. Surgical Interventions 7. Discharge Goals
4. Nursing Interventions 8. Innovations
a. Dependent 9. Evidence Based / Research
b. Independent 10. Nursing Care Plan

IV. AREAS TO BE INTEGRATED

Anatomy, Physiology, Pathophysiology, Assessment, Developmental Changes in the Lifespan, Safety,

Comfort, Reduction of Risk Potential, Infection Control, Diagnostic Exams, Nutrition, Pharmacology,
Bioethics, Jurisprudence, Delegation, Coordination, Collaboration, Communication, Patient Advocacy,
Transcultural Nursing, 11 Key Areas of Nursing Responsibilities

V. REFERENCES

FORMAT

 LONG SIZED BONDPAPER

 1.5 SPACING
 FONT SIZE 12
 TIMES NEW ROMAN
 BOUND

NCA 2 Sumagaysay, I.V. 2017

NCA 2 Sumagaysay, I.V. 2017