Chabot College
Catalogue Description
Course Outline for Nursing 59
NURSING CARE OF THE CHILDBEARING FAMILY
59 - Nursing Care of the Childbearing Family
Replaced Fall 2012
Fall, 2004
8.5 units
Emphasis is placed on the use of the nursing process in promoting adaptive processes necessary for coping with family health issues; theory and clinical highlight the coping mechanisms for childbearing and child rearing families. The focus is on cultural diversity and growth and development as they affect the physiological and psychological adaptation of families experiencing pregnancy, labor and birth, postpartum, newborn, and common health issues and problems of infants, children, and adolescents.
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. Clinical focuses on care of clients in community and acute care settings. Prerequisites: Completion of Nursing 55, 56, 61, 69, and 74, with a "C" or better. Satisfactory completion of or concurrent enrollment in Nursing 57, 58, 64 and 75. Theory may be offered in
Distance Education delivery format. Lecture: 4 hours; Clinical: 13.5 hours a week.
[Typical contact hours: lecture 70, laboratory 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;

Chabot College
Course Outline for Nursing Care of the Childbearing Family, Nursing 59, Page 2
Fall, 2004 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; h. describe the rationale and modifications for low-sodium, low calorie, low-fat, i. peptic ulcer, diabetic, renal, hepatic, gallbladder, and post-surgical diets; describe techniques for identifying and writing care components —nursing j. diagnosis, goals, nursing orders, and evaluation; write a diagnostic statement, outcome criteria and nursing orders for a selected l. client; k. describe the key concepts of the theoretical framework selected by Chabot
College Nursing Program as the basis for nursing process; 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 gerontic 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. 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;
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 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. identify the characteristic behaviors of children at different developmental levels;
5. facilitate the parent-child relationships of bonding and attachment;

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Course Outline for Nursing Care of the Childbearing Family, Nursing 59, Page 3
Fall, 2004
6. identify cultural patterns influencing the family's adaptation to the childbearing and child rearing experiences;
7. demonstrate understanding of the physiological and pathophysiological processes of childbearing and child rearing through written assignments and planned interventions with clients;
8. articulate some of the ethical issues involved in the health care of families, especially women's obstetrical care and children's health care;
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 antepartal 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);

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Course Outline for Nursing Care of the Childbearing Family, Nursing 59, Page 4
Fall, 2004 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; q. care of the intrapartum and postpartum client having a ceasarian delivery.
Maternity Course Content
1.
2.
Assessment of antepartum, intrapartum, postpartum, and newborn client.
Care of antepartum, intrapartum, postpartum and newborn client experiencing high risk
3.
4.
5.
6.
7.
8. conditions such as, but not limited to: a. diabetes b. prematurity c. drug abuse d. PIH e. antigen-antibody issues f. hyperemesis gravidarum g. dysfunctional labor h. operative obstetrics i. obstetrical anesthesia and analgesia j. STD k. hemorrhagic issues l. lactation, newborn feeding, thermoregulation problems
Comfort measures for the antepartum, intrapartum, postpartum and newborn client including: a. positioning b. exercises c. breathing techniques d. medications e. thermal regulation
Teaching and psychological support measures for the antepartum, intrapartum, postpartum and newborn client including: a. nutrition b. birth control c. genetic issues d. new family roles
Nutritional support for the antepartum, intrapartum, postpartum and newborn client including fluid and caloric needs
Medication support for the antepartum, intrapartum, postpartum and newborn client including normal and high risk needs
Elimination support measures for the antepartum, intrapartum, postpartum and newborn client experiencing: a. constipation b. urinating frequency c. bladder distention d. water intoxication e. abnormal stools
Family support measures for the antepartum, intrapartum, postpartum and newborn client including: a. discharge planning b. family violence interventions

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Course Outline for Nursing Care of the Childbearing Family, Nursing 59, Page 5
Fall, 2004 c. extended family support d. privacy issues

Chabot College
Course Outline for Nursing Care of the Childbearing Family, Nursing 59, Page 6
Fall, 2004
Pediatric Course Content
1.
2.
3.
Application of nursing process in the care of the child and family
Physical and developmental assessment of the newborn and the child
Impact of hospitalization on the child and family
10.
11.
12.
13.
14.
15.
4.
5.
6.
7.
8.
9.
The child and family with special needs
The child and family with chronic and/or life threatening illness disability
Childrens' perception of death and care of the grieving family
Communicable disease and immunization practices
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
Issues in parent education
Family violence
Acquired Immunodeficiency Syndrome in pediatric population
16.
17.
Effects of cultural diversity in meeting needs of the children
Attention Deficit Disorder
Methods of Presentation:
1. Lecture
2. Seminar Discussion
Assignments and Methods of Evaluating Student Progress:
1. Typical Assignments 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. Class Projects b. In-class Examinations c. Nursing Care Plans d. Medication Cards e. Homework f. Class Participation g. Clinical Performance Tools h. Written Final Exam

Chabot College
Course Outline for Nursing Care of the Childbearing Family, Nursing 59, Page 7
Fall, 2004
Textbooks (Typical):
Foundations of Maternal-Newborn Nursing , Murray/McKinney/Garrie, Mosby, 2003.
Study Guide: Foundations of Maternal-Newborn Nursing , Murray/McKinney/Garrie, Mosby 2003.
Essentials of Pediatric Nursing, Wong/Hockenberry/Eaton, Mosby, 2003 .
Special Student Materials:
1. Stethoscope
2. Student ID Card
3. Lab Coat
4. Student Uniform
5. Watch with Sweep Second Hand
Nsgotl59.doc.word rev. 9/2003
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