COLLEGE OF SAN MATEO NURSING DEPARTMENT NURSING 222 STUDY GUIDE

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COLLEGE OF SAN MATEO
NURSING DEPARTMENT
NURSING 222 STUDY GUIDE
Lectures: Mon. & Thurs.
6:30 pm – 8:45 pm - Building 5-390
LECTURE
March 20, Monday
I. Introduction to
Maternity Nursing
•
Legal Aspects
•
Ethical Aspects
•
Roles in Perinatal
•
Nursing
•
Conception and Early
Fetal Development
Review Math Sample Test
Review N222 Syllabus
READINGS
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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
Amanda Anderson
Susan Graven
Irene Luciano
Patty Wieser
Office
Phone
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.
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
March 24, Thursday
II. Uncomplicated Pregnancy
READINGS
Medication Calculation Test I

London & Ladewig: Chapters 8-13
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ATI-Maternal Newborn Ed. 9.0-Chapters 3-5

Spring Recess
April 4, Monday
II. Uncomplicated Pregnancy
Con’t
III. Fetal Assessment
Stinson, Cynthia, et al. (2015) An EvidenceBased Protocol for Protecting Newborns
from Pertussis. Nursing for Women’s
Health. 19 (5), 402-409.
March 27-April 2
_____________________________________

London & Ladewig: Chapter 14
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ATI-Chapter 6
Medication Calculation Test II
April 7, Thursday

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
CLINICAL AND SKILLS LABORATORY

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.
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.
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Nursing 222 Study Guide, Spring 2016
LECTURE
April 11, Monday
READINGS
Medication Calculation Test 3
IV. Labor and Delivery

London & Ladewig: Chapter 20
V. Analgesia and Anesthesia

ATI-Chapter 12

Chapter 5-pp. 88-97
April 14, Thursday

TEST I
VI. Nursing the Low Risk
Postpartum Patient
London & Ladewig: Chapters 29-30

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 AND SKILLS LABORATORY
Nursing 225/Lab #3:
 Adult Blood Draws
 Video: Venipuncture
 Phillips – Ch. 8
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.
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Nursing 222 Study Guide, Spring 2016
LECTURE
READINGS
April 18, Monday

VII. Normal Newborn
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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.
April 21, Thursday

London & Ladewig: Chapters 27, 28

ATI-Chapters 27
VIII. High Risk Neonate


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.
CLINICAL AND SKILLS LABORATORY
Nursing 225/Lab #4:
• Video: IV insertion
• Practice IV insertion
• Phillips: Chapter 7
NURSERY
1.
2.
3.
4.
5.
6.
7.
8.
9.
Observe and facilitate the developing relationship
between mother and infant.
Discuss the physiology and characteristics of the
newborn.
Observe pediatrician or nurse practitioner do initial
exam of newborn.
Describe the equipment on a circumcision tray.
Do an infant bath demonstration.
Obtain vital signs on a newborn.
Elicit five normal reflexes on the newborn
Explain rationale for "standing routine orders for the
newborn infant."
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 meds admin in the Nsy setting: action,
side-effects, & nursing interventions.
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Nursing 222 Study Guide, Spring 2016
LECTURE
April 25, Monday
IX. Complications of Pregnancy
READINGS
* London & Ladewig: Chapters 15-16,
Chapter 5-pp. 102-106
*

April 28, Thursday
IX. Complications of Pregnancy
Con’t



ATI-Chapter 7-10
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.
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 #5:
• Continuing Lab #4
Phillips, Cathi and Margaret Boyd.
(2015). Intrahepatic Cholestasis of
Pregnancy. Nursing for Women’s
Health. 19 (1) 47-57.
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
London & Ladewig: Chapters 15-16,
Chapter 5-pp. 102-106
-5-
Nursing 222 Study Guide, Spring 2016
LECTURE
READINGS
May 2, Monday

London & Ladewig: Chapter 21-23

ATI-Chapters 15 & 16

TEST II
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.
Nursing 225/Lab #6:
 Normal postpartum care immediately after delivery
 ALSO-Advanced Life Support in Obstetrics
X. Complications of Labor and
Delivery
CLINICAL FOCUS
May 5, Thursday
XI. Postpartal
Complications
London & Ladewig: Chapter 31
Chapter 22-pp. 481-488



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.
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.
Sousou, Jeanann and Claire Smart.
(2015). Care of the Childbearing
Family with Intrauterine Fetal
Demise. Nursing for Women’s
Health. 19 (3) 237-246.
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Nursing 222 Study Guide, Spring 2016
LECTURE
May 9, Monday
XI. Reproductive Disorders Male/Female
ATI Proctored Exam
3-4 pm
Room: TBD
Pharmacology Exam
430pm
Room: 5-390 (Lecture Hall)
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May 12, Thursday
XI. Reproductive Disorders:
Male/Female (cont.)
READINGS
CLINICAL AND SKILLS LABORATORY
London & Ladewig: Chapter 5
(pp. 97-102), Chapter 6, Chapter 7
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.
Ignatavicius (8th Ed): Chapters 69-72.
Mark, Hayley, et al. (2015). Sexually
Transmitted Infections in the United
States: Overview and Update. AJN
2015. 115 (9), 34-44.
Barbieri, Robert. (2015). Advances in
Protection Against Oncogenic
Human Papillomaviruses: The 9valent vaccine. OBG Management. 27
(3), 6-8.
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.
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
Simmons, Susan. (2015)
Understanding Pelvic Inflammatory
Disease. Nursing 2015. 45 (2), 65-66.
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.
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Nursing 222 Study Guide, Spring 2016
LECTURE
READINGS


May 16, Monday
XII. Infertility/Genetics
Katz, Anne. (2015) Early Localized
Prostate Cancer. AJN 2015. 115 (3), 3443

London & Ladewig: Chapter 7.

ATI-Chapter 2

May 19, Thursday
COMPREHENSIVE
FINAL
Mc Cool, William, et al. (2014)
Overview of Latest Evidence on
Uterine Fibroids. Nursing for
Women’s Health. 18 (4), 315-330.

CLINICAL AND SKILLS LABORATORY
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.
Nursing 225/Lab #8:
 Critical Thinking Scenarios for Women’s Health Care
 Critical thinking scenarios for high risk labor patients
Klein, Elisabeth. (2014) The
Increasing Role of Genetics and
Genomics in Women’s Health.
Nursing for Women’s Health. 18 (2),
149-153.
Quigley, Patricia. (2015) Mapping the
Human Genome: Implications for
Practice. Nursing 2015. 45 (9), 27-34.
N222 StudyGuidePartIISp16.doc
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Nursing 222 Study Guide, Spring 2016
LECTURE
READINGS
CLINICAL AND SKILLS LABORATORY
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