VELEZ COLLEGE-COLLEGE OF NURSING

F. RAMOS ST., CEBU CITY

FAMILY HEALTH NURSING
Level 3 Batch 3-2016 (Sec A)

Name: Concha, Reine Chiara B.

PRENATAL CHECK-UP
Date: September 229, 2016; October 6, 2016

General Objectives:

Within 4 hours of exposure at Day-as Barangay Health Center, student nurse will be
able to apply the theoretical concepts learned in Health Assessment, Community
Health Nursing and Maternal, especially in assessing the mother, building rapport
with the mother, performing Leopolds maneuver and auscultating fetal heart rate.

Specific Objectives:

Within 4 hours of Health Center Exposure, the student nurse will be able to:

Establish rapport among clients and the rest of the healthcare staff by
introducing oneself.
Take the in-depth history such as activities and practices of the client for the
past month that may affect the development of her pregnancy
Assess for high-risk pregnancy conditions such as clients with Pregnancy
Induced Hypertension or Gestational Diabetes and give health teachings to
avoid further complication of the condition.
Perform efficiently the skills of Leopolds Maneuver, auscultating the fetal
heart tone and assessing the fundal height through the use of McDonalds
Rule
Utilize properly the materials and facilities that the barangay health center
has to offer for a better assessment and check-up of every client
Individualize the care to each pregnant client and cater to all the clients
needs that are within the student nurses competency level
Deliver the benefits of having a healthy diet, regular exercise and correct
intake of vitamins or supplements during pregnancy.
Explain the importance of certain vaccines such as the Tetanus Toxoid Vaccine
both for the health of the mother and her baby.
Gain knowledge and confidence from her experience so that she can be a
more competent student nurse who can exercise critical thinking in a short
span of time.
Managing activities:

DAY 1: September 29, 2016

TIME ACTIVITY THEORETICAL BASIS

8:00-8:15 AM Arrival at Barangay Day-as Greeting the staff is
Health Center for Prenatal important because it is a
Check-up, greeting the staff sign of showing respect.
and division of groupings Respect is important
for the duty. especially in a workplace to
promote a productive and
friendlier environment.
Division of groupings is
intended for a wider
experience among the
student nurses.

8:15-8:30 AM Orientation to the Barangay Orientation is important

health center, the
equipment and the different
forms used, and
explanation of the type of
care given ranging from the
TB DOTS program, to the
RH program and the pre-
natal care among others.
8:30-8:40 AM Setting up the room for
prenatal check-up through
sweeping and dusting.
because it lays as a
foundation on what are the
things to be done and what
are the expected outcomes.
Orientation is also needed
for the student nurses to be
aware on the tasks they can
perform and on their
limitations to avoid errors
and misconducts for the
entire duration of the
exposure.
A conducive environment is
needed to promote an
effective assessment and
achieve an organized and
time-conscious interview
among the pregnant clients.

8:40-10:30 AM Start of the assessment Baseline information such as

from the specifics (last
menstrual period, number
of children, current diet and
lifestyle adopted, vaccines
received, any present
computation of the LMP,
how many months the client
is along, diet and lifestyle,
medications taken and
 illnesses). vaccines received are
essential in the
determination of how
healthy a pregnancy is.

10:30-10:45 AM SNACK BREAK Food and rest are essential

to every student nurse for a
better performance and to
sustain an effective
assessment among the
clients left.
10:45-11:45 AM Continuation of interview Assessments are performed
among the pregnant clients beforehand to promote an
waiting for their turn inside in-depth and specific
the clinic of the barangay information on each client
health center. that may aid in the actual
prenatal check-up. This is a
step done before the
prenatal check-up for a
quicker check-up so that the
barangay will be able to
cater all the pregnant clients
that flocked in on one day.
11:45-12:OO NN Thanking the mother, then Expressing gratitude is the
doing after care. Expressing best way to end a
gratitude to the mid wife, productive day and be able
the other health care to continue a harmonious
workers and fellow student relationship in the next few
nurses. weeks.

Evaluation:

After 4 hours of being exposed in Barangay Day-as Health Center, I was oriented to
the barangay health center and its healthcare staff which is composed primarily of a
midwife and her assistant. I was also oriented on how to go about the prenatal form
which comprises their basic information, the vaccines they received, their diet and
lifestyle for the past months, their urinary and bowel elimination, the medication
they have taken in and unusual conditions that they might have encountered during
the past few days and how they managed it.

Recommendations:

My recommendations would include a proper orientation to the student nurses

about the activities offered by the barangay health center and how to go about each
services. Also, the waiting area should be cleaned daily to prevent the accumulation
of dust inside the room. Extra chairs and electric fans would also be helpful for a
better room ventilation to promote comfort among the clients.

Managing Activities:

DAY 2: October 6, 2016

TIME ACTIVITY THEORETICAL BASIS

8:00-8:15 AM Arrival at Barangay Day-as Greeting the staff is
Health Center for Prenatal important because it is a
Check-up, greeting the staff sign of showing respect.
and division of groupings Respect is important
for the duty. especially in a workplace to
promote a productive and
friendlier environment.
Division of groupings is
intended for a wider
experience among the
student nurses.

8:15-8:30 AM Orientation to the Barangay Orientation is important

health center, the
equipment and the different
forms used, and
explanation of the type of
care given ranging from the
TB DOTS program, to the
RH program and the pre-
natal care among others.
8:30-8:40 AM Setting up the room for
prenatal check-up through
sweeping and dusting.
because it lays as a
foundation on what are the
things to be done and what
are the expected outcomes.
Orientation is also needed
for the student nurses to be
aware on the tasks they can
perform and on their
limitations to avoid errors
and misconducts for the
entire duration of the
exposure.
A conducive environment is
needed to promote an
effective assessment and
achieve an organized and
 time-conscious interview
among the pregnant clients.

8:40-10:45 AM Extended assistance to the Helping others is the

midwife and her assistant
on doing activities like
updating their monthly
calendar of activities and
rolling cotton balls while
waiting for pregnant clients
to come in for prenatal
check-up.
essence of a human being.
Helping out in the activities
inside the barangay health
center is one way of
maximizing our stay and
experience in the
community by immersing
ourselves with their daily
activities.

10:45-11:45 AM Initiation of the actual These are essential

prenatal check-upfrom information in determining if
auscultation of the FHT, to the pregnancy is healthy or
the performance of the not. In gathering these
Leopolds Maneuver to information, the correct and
determine the Fundal precise ways and steps
Height. should be observed.
11:45-12:OO NN Thanking the mother, then Expressing gratitude is the
doing after care. Expressing best way to end a
gratitude to the mid wife, productive day and be able
the other health care to continue a harmonious
workers and fellow student relationship in the next few
nurses. weeks.

Evaluation:

After 4 hours of being exposed in Barangay Day-as Health Center, I was able to gain
more confidence in performing the Leopolds maneuver and also overcame my fear
of pushing the pregnant uterus of the clients too hard. I also managed to locate and
auscultate the fetal heart tone with the use of an ordinary stethoscope in contrary
to what we usually see at the hospital which uses a Doppler fetal monitor.

Recommendations:

My recommendations include a broader explanation to each client about what is

expected and what should be done on each stage of the pregnancy. Also, to
promote long term learning, the health center may provide them with handouts or
pamphlets that they can read from time to time at their respective homes. Also, the
staff can rearrange the office so that the examination room can be bigger. They can
remove unnecessary things inside like lessen the number of tables and also the
cooking stove inside. Lastly, I suggest that the midwife should be able to build
rapport among clients since I have observed that some clients are closed off and
cannot express properly their thoughts whenever they are asked certain questions
by the midwife.