COLLEGE OF SAN MATEO NURSING DEPARTMENT NURSING 222 STUDY GUIDE Lectures: Mon. & Thurs. 6:30 pm – 8:55 pm -Building 5-390 LECTURE January 21, Thursday I. Introduction to Maternity Nursing • Legal Aspects • Ethical Aspects • Roles in Perinatal • Nursing • Conception and Early Fetal Development Review Math Sample Test Review the N222 Syllabus READINGS London, M., Ladewig, P., Davidson, M., Ball, J., Binder, R., and Kay J Cowen (2014). Maternal & Child Nursing Care. (4th edition). Upper Saddle River: Pearson Education. Chapters 1 and 4 (pp. 61-69, 75-81) Zerwekh, J. and Jo Carol Claborn (2015). Nursing Today-Transition and Trends. (8th Edition). Philadelphia: Saunders/Elsevier. Ch. 19 and 20 Ralston, B., Collier, T., and Julie Fairman. (2015) The NP: Celebrating 50 Years. AJN 2015. 115 (10), 54-57. Williams, Bridgette C. (2015). Learning the Basics of APA Style. Nursing 2015. 45 (10), 19-20. Instructors Office Phone Amanda Anderson Susan Graven Irene Luciano Patty Wieser 5-369 5-369 5-369 5-369 574-6218 574-6218 574-6218 574-6218 CLINICAL AND SKILLS LABORATORY Clinical Focus Orientation to Clinical Facilities Skills Lab Postpartum Assessment Postpartum Skills: Interventions for episiotomies, lacerations and hemorrhoids Breast feeding Review of IVs: Primary and secondary lines, regulation and maintenance. Review urinary catheter insertion Video: Postpartum Physical Assessment Video: Newborn Physical Assessment Video: Perinatal Assessment of Maturity Nursing 225/Lab #1: Newborn medications Newborn IM injection Nursing 222 Study Guide, Spring 2016 LECTURE January 25, Monday II. Uncomplicated Pregnancy READINGS Medication Calculation Test I London & Ladewig: Chapters 8-13 ATI-Maternal Newborn Ed. 9.0-Chapters 3-5 January 28, Thursday II. Uncomplicated Pregnancy Con’t III. Fetal Assessment February 1, Monday London & Ladewig: Chapters 14 ATI-Chapter 6 Medication Calculation Test: II London & Ladewig: Chapters 17-19, 23 Chapter 3-pp. 39-52 Chapter 4-pp. 70-73 III. Fetal Assessment Con’t IV. Labor and Delivery Stinson, Cynthia, et al. (2015) An EvidenceBased Protocol for Protecting Newborns from Pertussis. Nursing for Women’s Health. 19 (5), 402-409. ATI-Chapters 11, 13-15 Zerwekh and Claborn: Ch. 21 Leslie, Mayri S. (2015) Perspectives on Implementing Delayed Cord Clamping. Nursing for Women’s Health. 19 (2), 165-176. CLINICAL AND SKILLS LABORATORY Nursing 225/Lab #2: Normal neonatal care immediately after delivery Neonatal Resuscitation Clinical Objectives LABOR & DELIVERY 1. Assist in admitting a patient to the labor room or triage area. 2. Assess contractions: frequency, length, duration. 3. Find and accurately count the fetal heart rate. 4. Observe the nursing role during electronic fetal monitoring. 5. Discuss appropriate nursing interventions during labor and delivery. 6. Review laboratory work-ups on your pts. 7. Examine typical LDR room set up or LDRP room set up. 8. Explore alternate birth methods. 9. Identify the nurse's responsibility for patients receiving analgesia during labor. 10. Identify effects of anesthesia/analgesia on mother/ fetus/newborn and related nursing interventions. 11. Describe equipment on spinal/epidural anesthesia tray cart. 12. Examine oxygen equipment in LDR room. 13. Identify signs and symptoms of dystocia & discuss appropriate nursing interventions. 14. Research medications given during labor and delivery. -2- Nursing 222 Study Guide, Spring 2016 LECTURE READINGS February 4, Thursday Medication Calculation Test 3 IV. Labor and Delivery London & Ladewig: Chapter 20 V. Analgesia and Anesthesia ATI-Chapter 12 London & Ladewig: Chapters 29-30 CLINICAL AND SKILLS LABORATORY Nursing 225/Lab #3: Adult Blood Draws Video: Venipuncture Phillips – Ch. 8 February 8, Monday TEST I Chapter 5-pp. 88-97 VI. Nursing the Low Risk Postpartum Patient ATI-Chapters 1, 17-19 Henry, L. and Rebecca Hayman. (2014). Ankyloglossia and Its Impact on Breastfeeding. Nursing for Women’s Health. 18 (2), 123-129. Clinical Focus for Postpartum POSTPARTUM 1. Discuss anatomic and physiologic changes that occur during involution. 2. Identify these changes in your assigned pt(s). 3. Discuss and implement appropriate nursing interventions that promote a normal recovery from the birth process. 4. Identify learning needs of the parent(s) during postpartum period. 5. Identify the nurse's role in preparing mothers for discharge. 6. Review hospital procedure for discharge 7. Review criteria for early discharge 8. Identify physiological abnormal changes that occur during the puerperium. 9. Identify postpartal effects on the family members. 10. Review medications routinely administered in the postpartum setting. -3- Nursing 222 Study Guide, Spring 2016 LECTURE READINGS February 11, Thursday VII. Normal Newborn Holiday February 15th February 18, Thursday VIII. High Risk Neonate London & Ladewig: Chapters 24-26 Chapter 4-pp. 73-74 ATI-Chapter 23-26 Bellini, Sandra. (2015) What Parents Need to Know About Vitamin K Administration at Birth. Nursing for Women’s Health 19 (3), 261-265. Andrea, Joan. (2015) Implications of Using Pulse Oximetry to Screen for Critical Congenital Heart Disease in Newborns. Nursing for Women’s Health. 19 (4) 315-323. London & Ladewig: Chapters 27, 28 ATI-Chapters 27 ____________________________ Artigas, Valarie. (2014) Management of Neonatal Abstinence in the Newborn Nursery. Nursing for Women’s Health. 18 (6), 509-514. Phillips, Cathi. (2015) Relationship-Based Care for Newborns with Down Syndrome and Endocardial Cushion Defect. Nursing for Women’s Health. 19 (5), 411-421. __________________________________ February 22, Monday IX. Complications of Pregnancy * London & Ladewig: Chapters 15-16, Chapter 5-pp. 102-106 * ATI-Chapter 7-10 CLINICAL AND SKILLS LABORATORY Nursing 225/Lab #4: • Video: IV insertion • Practice IV insertion • Phillips: Chapter 7 Nursing 225/Labs #5: • Continuing of Lab #4 NURSERY 1. Observe and facilitate the developing relationship between mother and infant. 2. Discuss the physiology and characteristics of the newborn. 3. Observe pediatrician or nurse practitioner do initial exam of newborn. 4. Describe the equipment on a circumcision tray. 5. Do an infant bath demonstration. 6. Obtain vital signs on a newborn. 7. Elicit five normal reflexes on the newborn 8. Explain rationale for "standing routine orders for the newborn infant." 9. State characteristics of the full term infant. CLINICAL FOCUS 1. Observe care of high risk newborns. 2. Discuss role of grandparents working with infants of drug addicted newborns. 3. Discuss the nurse's role in assisting families in crisis. 4. Compare and contrast the term newborn & the preterm, post-term and SGA infants. 5. Assess gestational age of a newborn. 6. Work with cardiorespiratory monitor, pulse oximeter, phototherapy unit. 7. Observe a glucose test using a test strip, determine related interventions, and document. 8. Check newborn's chart for lab values: bilirubin, hematocrit, hemoglobin, blood gases, glucose, blood type, direct coombs. 9. Discuss routine medications admin in the Nsy setting: action, side-effects, & nursing interventions. -4- Nursing 222 Study Guide, Spring 2016 LECTURE READINGS February 25, Thursday IX. Complications of Pregnancy Con’t Munro, Michelle, et al. (2015). History, Policy, and Nursing Practice Implications of the Plan B® Emergency Contraceptive. Nursing for Women’s Health. 19 (2) 142-153. Feulner, Loren. (2015). Preeclampsia: The Pressure’s On. Nursing 2015. 45 (3) 55-59. Phillips, Cathi and Margaret Boyd. (2015). Intrahepatic Cholestasis of Pregnancy. Nursing for Women’s Health. 19 (1) 47-57. CLINICAL AND SKILLS LABORATORY CLINICAL FOCUS 1. Discuss resources in the community available for pregnant women at risk. 2. Identify risk factors in your patients this week. 3. Role play patient teaching for fetal assessment tests. 4. List medications used for hypertensive disorders as well as major side effects. 5. Observe fetal assessment testing in the clinical setting. Nursing 225/Lab #6: Normal postpartum care immediately after delivery ALSO-Advanced Life Support in Obstetrics McKeever, Amy E., et al. (2014). The Role of Nurses in Comprehensive Care Management of Pregnant Women with Drug Addiction . Nursing for Women’s Health. 18 (4) 284-293. Roth, Cheryl., et al. (2015). Marijuana Use in Pregnancy. Nursing for Women’s Health. 19 (5) 431-437. -5- Nursing 222 Study Guide, Spring 2016 LECTURE READINGS February 29, Monday London & Ladewig: Chapter 21-23 ATI-Chapters 15 & 16 TEST II X. Complications of Labor and Delivery Maher, Mary D. and Elizabeth Heavey. (2015). When the Cord Comes first: Umbilical Cord Prolapse. Nursing 2015. 45 (7) 53-56. CLINICAL AND SKILLS LABORATORY CLINICAL FOCUS 1. Care for patients experiencing complications in the intrapartal period. 2. Discuss medications used to treat and prevent preterm labor. 3. Review the procedure(s) for induction of labor. 4. Discuss medications used for induction of labor. March 3, Thursday Flex Day…..No Classes -6- Nursing 222 Study Guide, Spring 2016 LECTURE READINGS London & Ladewig: Chapter 31 Chapter 22-pp. 481-488 March 7, Monday XI. Postpartal Complications XII. Reproductive Disorders Male/Female ATI Proctored Exam 3-4 pm Room: TBD Pharmacology Exam 430pm Room: 5-390 (Lecture Hall) ATI-Chapter 20-22 Olson, Tonia and Angela Bowen. (2014) Dispelling Myths to Support Breastfeeding in Women with Postpartum Depression. Nursing for Women’s Health. 18 (4) 305-313. Sousou, Jeanann and Claire Smart. (2015). Care of the Childbearing Family with Intrauterine Fetal Demise. Nursing for Women’s Health. 19 (3) 237-246. Ignatavicius (8th Ed): Chapters 69-72. ATI-Chapter 2 CLINICAL FOCUS 1. Care for patients experiencing complications in the postpartal period. 2. Discuss potential complications and risk factors your patients are experiencing. 3. Review current treatment for premature rupture of membranes and amnionitis. . Nursing 225/Lab #7: Practice assessment of induction patient and set up Pitocin drip. Preterm labor medications Set up drip for magnesium sulfate infusion Blood Transfusions London & Ladewig: Chapter 5 (pp. 97-102), Chapter 6, Chapter 7 CLINICAL AND SKILLS LABORATORY Mark, Hayley, et al. (2015). Sexually Transmitted Infections in the United States: Overview and Update. AJN 2015. 115 (9), 34-44. CLINICAL FOCUS 1. Care for patients experiencing various reproductive disorders 2. Review community services and support groups available for cancer patients. 3. Role play an interaction between the nurse and newly diagnosed breast cancer patient. 4. Role play patient teaching regarding information on sexually transmitted diseases. Barbieri, Robert. (2015). Advances in Protection Against Oncogenic Human Papillomaviruses: The 9valent vaccine. OBG Management. 27 (3), 6-8. -7- Nursing 222 Study Guide, Spring 2016 LECTURE March 10, Thursday READINGS XII. Reproductive Disorders: Male/Female (cont.) March 14, Monday XIII. Infertility/Genetics March 17, Thursday COMPREHENSIVE FINAL Fontenot, Holly and Heidi C. Fantasia. (2015) HPV9 Vaccine for the Prevention of Human Papillomavirus-Related Cancers. Nursing for Women’s Health. 19 (4), 365-370. Simmons, Susan. (2015) Understanding Pelvic Inflammatory Disease. Nursing 2015. 45 (2), 65-66. CLINICAL AND SKILLS LABORATORY Nursing 225/Lab #8: Critical Thinking Scenarios for Women’s Health Care Critical thinking scenarios for high risk labor patient. Parks, Diane M. and Jeffrey Levine. (2015) Helping Women Understand Treatment Options for Vulvar and Vaginal Atrophy. Nursing for Women’s Health. 19 (4), 299-312. Mc Cool, William, et al. (2014) Overview of Latest Evidence on Uterine Fibroids. Nursing for Women’s Health. 18 (4), 315-330. Katz, Anne. (2015) Early Localized Prostate Cancer. AJN 2015. 115 (3), 3443 Klein, Elisabeth. (2014) The Increasing Role of Genetics and Genomics in Women’s Health. Nursing for Women’s Health. 18 (2), 149-153. CLINICAL FOCUS 1. Discuss medications used in infertility management. 2. Review various treatment options for infertility patients. 3. Identify community resources available for infertile patients. Quigley, Patricia. (2015) Mapping the Human Genome: Implications for Practice. Nursing 2015. 45 (9), 27-34. -8- Nursing 222 Study Guide, Spring 2016 LECTURE READINGS CLINICAL AND SKILLS LABORATORY -9-