Chabot College
Fall, 2012
Course Outline for Nursing 59
NURSING CARE OF THE CHILDBEARING FAMILY
Catalogue Description
59 - Nursing Care of the Childbearing Family
8.5 units
Nursing care of the childbearing and child rearing families: The focus is on the physiological and
psychological needs of families as they are affected by pregnancy, labor and birth, postpartum, and
newborn stages. Common health issues and problems of infants, children, and adolescents are
addressed. Theory and clinical practice includes integration of assessment skills, growth and
development, family abuse issues, nutrition, pharmacological concepts, ethical issues, and teaching
strategies unique to childbearing and child rearing families. Prerequisites: Completion of Nursing 55,
56, 61, 69, with a "C" or higher. Requires satisfactory completion of or concurrent enrollment in
Nursing 57, 58, 64 and 75. Lecture: 4 hours; Clinical: 13.5 hours a week.
[Typical contact hours: lecture 70, clinical 236.25]
Prerequisite Skills:
Before entering the course, the student should be able to demonstrate competency in:
1.
handwashing;
2.
assessing vital signs;
3.
measuring height and weight;
4.
positioning clients;
5.
making occupied and unoccupied beds;
6.
standard precautions;
7.
transferring and ambulating clients;
8.
principles of sterile technique;
9.
mechanical lifts;
10. feeding clients;
11. hygienic care;
12. placement of a bed pan;
13. medication calculations;
14. enteral feedings;
15. medication administration;
16. finger stick blood sugar;
17. preparation of insulin;
18. giving subcutaneous and intramuscular injections;
19. development of a Nursing Care Plan;
20. principles of body mechanics;
21. principles of infection control;
22. proper charting and reporting skills;
23. maintenance of client confidentiality;
24. application of basic organizational skills;
25. application of principles of professionalism;
26. monitoring and calculating IV drip rate and IV site assessment for IV infusions.
a.
discuss the implication of nursing care as it incorporates physical
characteristics of human growth and development from infancy to middle
adulthood;
b.
discuss the importance of cognitive maturation during childhood (Piaget);
c.
discuss the application of nursing care to the several stages of emotional and
psychosocial development according to Erikson and Freud;
d.
discuss application of nursing care to the physiological and psychological
implications of menopause and mid-life crisis;
e.
evaluate the nutritional adequacy of normal and therapeutic diets;
f.
use diabetic food exchanges;
g.
describe nutritional assessment techniques; describe special nutritional needs
for pregnancy, infancy, childhood, adulthood, and the elderly person;
Chabot College
Course Outline for Nursing 59, Page 2
Fall, 2012
h.
describe the rationale and modifications for low-sodium, low calorie, low-fat,
peptic ulcer, diabetic, renal, hepatic, gallbladder, and post-surgical diets;
i.
describe techniques for identifying and writing care components—nursing
diagnosis, goals, nursing orders, and evaluation;
j.
write a diagnostic statement, outcome criteria and nursing orders for a selected
client;
k.
describe the key concepts of the theoretical framework selected by Chabot
College Nursing Program as the basis for nursing process;
l.
identify behaviors and responses according to physiological mode, role function
mode, self-concept mode, and interdependence mode;
m.
discuss biopsychosocial theories of aging;
n.
identify and discuss psychosocial concerns common to the elderly client;
o.
demonstrate awareness of legislation applicable to the elderly client;
p.
recognize the influence of ethnic origin on the client's adaptation to the aging
process;
q.
adapt physical assessment skills to the elderly client;
r.
discuss age related conditions of sensory losses:
1) cataracts
2) glaucoma
3) hearing loss
s. describe nursing interventions that assist the elderly client with adaptation to
sensory losses;
t.
apply principles and techniques for management of disruptive behavior by the
elderly client in acute and chronic health care settings:
1) reality orientation
2) use of restrictive devices
3) pharmacological management
u. discuss ethical considerations in the implementation of geriatric nursing;
v. describe the impact of chronic illness on the elderly client and the family support
system;
w. list five community resources for assisting the elderly client in adaptations of
healthy living;
x. adapt health teaching to special needs of the aging client.
Expected Outcomes for Students:
Upon completion of the course, the student will demonstrate the ability to:
Theoretical Outcomes
1.
2.
3.
4.
5.
6.
7.
8.
discuss an assessment on an antepartum, intrapartum, postpartum, and newborn client,
as well as children of various ages, identifying high-risk clients through the systematic
collection of data in hospital and community settings;
develop relevant, culturally-sensitive, and developmentally-appropriate nursing care plans
for childbearing/child rearing families based on assessment data;
identify nursing care needs of antepartum, intrapartum, postpartum and newborn client
experiencing high risk conditions:
discuss comfort measures for the obstetrical client
Identify principles of nutritional support for the antepartum, intrapartum, postpartum and
newborn client
identify cultural patterns influencing the family's adaptation to the childbearing and child
rearing experiences;
demonstrate understanding of the physiological and pathophysiological processes of
childbearing and child rearing through written assignments and planned interventions with
clients;
articulate some of the ethical issues involved in the health care of families, especially
women's obstetrical care and children's health care;
;
Chabot College
Course Outline for Nursing 59, Page 3
Fall, 2012
9.
facilitate the family's adaptation and role change during the childbearing and child rearing
process;
10.
discuss adaptations necessary for caring for families with chronic illness and/or
developmental disabilities;
11.
discuss nursing responsibilities in caring for families with unexplained death or injuries to
the newborn or child.
Clinical Outcomes
1. perform an assessment on an antepartum, intrapartum, postpartum, and newborn client, as
well as children of various ages, identifying high-risk clients through the systematic collection
of data in hospital and community settings;
2. develop relevant, culturally sensitive, and developmentally appropriate nursing care plans for
childbearing/child rearing families based on assessment data;
3. identify appropriate psychosocial and physical nursing interventions for childbearing and child
rearing families including health teaching related to childbirth preparation, prenatal nutrition,
postpartum adjustment, infant care, breast and bottle feeding, family planning, growth and
development, and child safety;
4. facilitate the parent-child relationships of bonding and attachment;
5. safely administer medications to a variety of pediatric and obstetric clients using the
developmentally appropriate approach;
6. appropriately articulate with community resources available for new parents;
7. identify and describe the steps of the nursing process in the maternity and pediatric settings;
8. incorporate appropriate legal principles in the care of obstetric and pediatric clients;
9. identify and institute appropriate interventions for family abuse;
10. identify the conditions associated with genetic patterns of inheritance and correlate intepartal
and pediatric care appropriately;
11. demonstrate the following nursing skills as adapted to childbearing or child rearing families:
a. application of bedside assessment, respiratory, and abdominal;
b. application of the adaptation model based on Roy's theory in the formulation of
nursing care plans for the child rearing and childbearing family;
c. family teaching of concepts related to:
1) physical and emotional care of the hospitalized child;
2) compliance with therapy or prescribed treatment;
3) safety factors appropriate for each age;
4) need for health supervision of the growing child and the childbearing family;
5) personal hygiene;
6) birth control;
7) newborn care;
8) newborn feeding;
9) maternal antepartal, intrapartal, and postpartal care, including physical and
emotional support;
d. the use and/or effectiveness of therapeutic play;
e. administration of parenteral therapies;
f. nasogastric feedings;
g. therapeutic procedures related to respiratory dysfunction (oxygen, mist tent, clapping,
vibration, postural drainage);
h. care for the child with chronic illness;
i. care of the child with problems related to production and circulation of blood;
j. care of the child with a life threatening illness;
k. care of the child with problems related to gas transport;
l. care of the immobilized child;
m. the care of the child with fluid and electrolyte disturbance and alteration in nutrition
including calculation of fluid and caloric needs;
n. care of the normal postpartum mother and the postpartum mother at risk;
o. care of the normal newborn;
p. care of the client in labor;
Chabot College
Course Outline for Nursing 59, Page 4
Fall, 2012
q. care of the intrapartum and postpartum client having a caesarian delivery.
Maternity Course Content
Lecture Content
1.
Assessment of antepartum, intrapartum, postpartum, and newborn client
2.
Comfort measures for the obstetrical and newborn client
3.
Teaching and psychological support measures for the obstetrical client
4.
Nutritional support
5.
Family support
Lab/Clinical Content
1. Assessment of antepartum, intrapartum, postpartum, and newborn client.
2. Care for the client with high risk conditions
3. Provision of medications and fluids to the obstetric client and newborn
4. Family support measures for the antepartum, intrapartum, postpartum and newborn client
5. Teaching and psychological support measures for the obstetrical client
6. Nutritional support
Pediatric Course Content
Lecture Content
1. Application of nursing process in the care of the child and family
2.
Physical and developmental assessment of the newborn and the child
3.
Impact of hospitalization on the child and family
4.
The child and family with special needs
5.
The child and family with chronic and/or life threatening illness disability
6.
Childrens' perception of death and care of the grieving family
7.
Communicable disease and immunization practices
8.
Issues in parent education
9.
Family violence
10.
Acquired Immunodeficiency Syndrome in pediatric population
11.
Effects of cultural diversity in meeting needs of the children
12.
Attention Deficit Disorder
Lab/Clinical Content
1.
2.
3.
4.
5.
6.
7.
Care of the client who has the following conditions
Disturbances of fluid and electrolytes
Problems in transfer of oxygen
Problems in transfer of nutrients
Problems related to production and circulation of blood
Problems that interfere with locomotion
Assessment and care of the hospitalized child
Methods of Presentation:
1.
2.
3.
4.
Lecture
Seminar Discussion
Clinical
Simulations
Assignments and Methods of Evaluating Student Progress:
1.
Typical Assignments
Chabot College
Course Outline for Nursing 59, Page 5
Fall, 2012
a. Interactive Computer Simulation
b. Acute Care Clinical Care Client Assignment
c. Home Visits
d. Outpatient Clinic Placements
2.
Methods of Evaluating Student Progress
a.
b.
c.
d.
Examinations, including a final examination
Nursing Care Plans
Clinical Performance Tools
Skills performance
Textbooks (Typical):
Foundations of Maternal-Newborn and Women’s Health Nursing, Murray & McKinney, 5th ed., Saunders
Elsevier, 2010
Essentials of Pediatric Nursing, Wong, Hockenberry & Wilson, 8th ed. Mosby Elsevier, 2009.
Fundamentals of Nursing Practice, 9th Edition, Potter/Perry, Elsevier/Mosby, 2012.
Mosby’s Drug Reference, Skidmore-Roth. Elsevier, 2011.
Lab and Diagnostic Tests, Pagana and Pagana, Elsevier, 2011.
Special Student Materials:
1.
2.
3.
4.
5.
Stethoscope
Student ID Card
Lab Coat
Student Uniform
Watch with Sweep Second Hand
CT/Nurs59_F12/word
Revised 10/26/11