Objective: to compare two teaching strategies among the II year nursing students of Shifa College of nursing, and to determine if there is a difference in students' performance when taught Peads nursing care in a case-based learning format as compared to traditional lecture format. Methods: A randomize control trial has been done in Year II BSN students. Group A (n=14) was control group and was taught two topics through traditional lecturing. Group B (n=14) was intervention group and was taught the same topics using case study method. Multiple choice questions were used to assess student's academic performance. A Pre and a Post test was given to both the groups and their results were calculated for comparative analysis. Also evaluation of teaching strategies was taken from the students. Results: Independent sample T test is used to observe the difference among the group. Two tailed P value is 0.15 showing that there is no statistical significance difference was found between groups (case based method and lecture groups). Conclusion: No significant difference was observed but the student's perception indicates that, whole pediatric curriculum must be taught through lectures.