NURSING 222 SYLLABUS MATERNITY NURSING Spring 2016 1 TABLE OF CONTENTS CONTENT PAGE Title IX Information……………………….. .....................................................................................1 Course Description and Objectives .....................................................................................2 Skills Lab Supplies ……………………………………………………………………………………. 14 Course Grading ………………………………………………………………………………….……..15 Dates to Remember ………………………………………………………………………………...…17 Study Guide (first 8 weeks) ………………………………………………………………….…..18 Study Guide (second 8 weeks) ………………………………………………………….….…...28 Clinical Schedule - First Week ………………………………………………………….…..……34 Skills Lab - Preclinical Content …………………………………………………………..……...35 Clinical Orientation ……………………………………………………………………………..…….36 Clinical Competencies …………………………………………………………………………..……37 Clinical Evaluation Tool ……………………………………………………………………………....39 Clinical Checklist: Labor and Delivery ……………………………………………….……….45 Clinical Checklist: Postpartum ………………………………………………………….………….46 Clinical Checklist: Nursery ……………………………………………………………….………….47 Sample Medication Administration Test ……………………………………………...………48 Answers to Test ……………………………………………………………………………….…………50 Clinical Makeup ……………………………………………………………………………………..…..51 Assignments ……………………………………………………………………………………..…………53 Medication Administration Cards …………………………………………………………….…..54 Medication List ……………………………………………………………………………….………….55 Guidelines for the Graded Teaching Presentation ……………………………………….56 Postpartum Teaching Presentation and Paper ……………………………………………57 Neonatal Assessment Paper …………………………………………………………………………59 Labor and Delivery Paper ……………………………………………………………………………62 Objectives for Ob/Gyn Clinic Experience …………………………………………………….64 Assignment for Prenatal Clinic …………………………………………………………………….64 Assignnment for Gynecologic Clinic ……………………………………………………………..65 Assignment for Neonatal Intensive Care ……………………………………………………..66 Assignment for Lactation Education …………………………………………………………….67 Urology Objectives ………………………………………………………………………………………..…68 Perinatal Cultural Variations Discussion ………………………………………………………69 1 Antepartum Testing and Gestational Diabetic Education ……………………………..70 Critical Thinking Journal ………………………………………………………………………………71 Evaluation Session for Competency ……………………………………………………………...72 Checklist for Competency Evaluation ……………………………………………………………73 Lectures, Objectives, Handouts ………….....................................................,.............................74 Appendices …………………………………………………………………………………………….………160 ATI Maternal Newborn Nursing Test ………………………………………………………….161 CSM Worksheets - Mom/Baby ……………………………………………………………………..163 2 SMCCCD’s Title IX The San Mateo County Community College District is committed to maintaining safe and caring college environments at Cañada College, College of San Mateo and Skyline College. The District has established policies and procedures regarding Sexual Misconduct, Harassment, and Assault. A District website has also been developed which provides you with important information about sexual misconduct and sexual assault. http://smccd.edu/titleix/ To learn more about these issues and how you can help prevent them, you are encouraged to view the Not Anymore videos, which can be found on WebSMART under the Student Services link. Click on Not Anymore Video . If you have any questions, please feel free to contact Eugene Whitlock, Vice Chancellor of Human Resources or your campus Vice President of Student Services. 1 College of San Mateo Official Course Outline 1. COURSE ID: NURS 222 TITLE: Maternity Nursing Semester Units/Hours: 4.5 units; a minimum of 40.0 lecture hours/semester; a minimum of 96.0 lab hours/semester Method of Grading: Letter Grade Only Prerequisite: NURS 212, Corequisite: concurrent enrollment in NURS 225 2. COURSE DESIGNATION: Degree Credit Transfer credit: CSU 3. COURSE DESCRIPTIONS: Catalog Description: Needs and problems of the family during the maternity cycle along with identifying needs and problems of male and female reproduction. Supervised learning experiences corresponding with classroom instruction in off-campus health care facilities. (Spring only.) 4. STUDENT LEARNING OUTCOME(S) (SLO'S): Upon successful completion of this course, a student will meet the following outcomes: A. Demonstrate competency in managing nursing care for one or several women and neonates throughout the various phases of the childbearing cycle. B. Assess educational needs of childbearing women and their families and communicate effectively when relaying information regarding health promotion for women and neonates. C. Utilize comprehensive theoretical knowledge as a basis for the nursing process when caring for childbearing women and neonates. 5. SPECIFIC INSTRUCTIONAL OBJECTIVES: Upon successful completion of this course, a student will be able to: THEORY OBJECTIVES: I. OPERATIONALIZES THE NURSING PROCESS TO PROMOTE HOMEOSTASIS A. Describes the process of ovulation and fertilization. B. Identifies major landmarks in fetal development. C. List the anatomical and physiological changes that occur during pregnancy. D. Describes placental function and list the major hormones produced by the placenta. 2 E. Assesses needs and states appropriate nursing interventions for the pregnant woman (i.e., nutrition, hygiene, exercise, relaxation, emotional support, and learning). F. Describes the routine prenatal visit. G. Describes psychosocial factors which affect pregnancy. H. Identifies essential parenting functions. I. Discusses effects of pregnancy on family members including grandparents. J. Discusses cultural/ethical/religious diversity as it affects the pregnant woman/family, including grandparents. K. Identifies nursing interventions for women with minor discomforts/problems during pregnancy. L. Identifies causes of bleeding in pregnancy and in the prenatal period; identifies nursing interventions. M. Identifies hypertensive disorders in pregnancy and in the prenatal period; identifies nursing interventions. N. Identifies existing cardiovascular problems which might adversely affect pregnancy. O. Describe how diabetes affects the pregnant woman and her fetus; identify nursing interventions. P. Discusses nursing interventions for women experiencing high risk pregnancies including those with multiple gestations, blood disorders, infections, and psychosocial problems such as abuse Q. Discusses fetal assessment studies. R. Identifies signs and possible causes of fetal intolerance of labor; list related nursing interventions S. Describes the normal pattern of labor, its various components and related nursing care. T. Recognizes factors that interfere with the normal progress of labor and state appropriate nursing interventions. U. Describes nursing interventions for the patient needing analgesic or anesthetic support. V. Lists and describes the normal anatomic, physiologic and emotional/psychological changes that occur during the postpartum period. W. Identifies nursing interventions that promote a normal recovery during the postpartum period including those pertinent to home care. X. Identifies complications of the postpartum period and states appropriate nursing interventions. Y. Discusses the use of medications used in perinatal and women's health care. Z. Lists problems which may occur in the newborn during adaptation to extrauterine life. 3 AA. Explains six normal newborn reflexes and responses. BB. Determines the fluid and nutrient requirements for the infant during the neonatal period. CC. Lists appropriate steps in prevention of infection when caring for the newborn. DD. Compares the full term and preterm infant as to: characteristics of development, temperature control, respiratory function, and nutritional requirements. EE. Lists nursing interventions to meet the needs of the grieving individual/family/extended family members. FF. Utilizes critical thinking skills when applying nursing process to actual and simulated perinatal patient situations. GG. Discusses alterations in homeostasis relative to women's health care and describes pertinent nursing care. HH. Lists signs and symptoms of common reproductive disorders for women and men of all age groups. II. ASSUMES ROLE AS A COMMUNICATOR II. Identifies appropriate communication methods to utilize with family and extended family members. JJ. Identifies verbal and non-verbal behaviors that should be observed and incorporated into the nursing care plan. III. ASSUMES ROLE AS A TEACHER KK. Identifies learning needs of the woman/family throughout the maternity cycle. LL. Lists examples of family planning; compare their actions, effectiveness, advantages and disadvantages. MM. Discusses advantages and disadvantages of different methods of infant feeding. NN. Teaches safety principles to the woman/extended family including grandparents for care of the newborn. OO. Demonstrates methods of breast self-examination techniques. PP. Identifies early warning signs of cancer in the male/female reproductive systems. QQ. Identifies and lists learning needs common to reproductive disorders for all 4 RR. patients of all age groups. IV. ASSUMES ROLE AS A LEADER/MANAGER SS. Cites one example of appropriate counseling resources in reference to reproductive dysfunction. TT. Cites examples of available support groups for woman/family/and expectant or new grandparents. UU. Describes various expanded roles for perinatal nurses. V. ASSUMES ROLE AS A MEMBER WITHIN THE PROFESSION OF NURSING VV. Identifies essential qualities of a nurse caring for women experiencing childbearing or reproductive disorders/cancers. WW. Lists community functions of the nurse caring for women experiencing childbearing or reproductive disorders. XX. Identifies trends in maternity nursing. YY. Identifies ethical and legal issues relating to perinatal nursing. ZZ. Describes role of patient advocate in perinatal setting. AAA. Identifies essential qualities of a nurse caring for men experiencing reproductive disorders/cancers. CLINICAL OBJECTIVES I. OPERATIONALIZES THE NURSING PROCESS TO PROMOTE HOMEOSTASIS Utilizes the nursing process, with guidance, to provide safe nursing care of the pregnant woman/family with common well-defined health needs. Collects and organizes data from a variety of sources including data on developmental levels to identify basic patient needs. BBB. Collects data from a variety of sources to identify the woman's, newborn's and family's needs including grandparents. CCC. Prepares for patient assignment in each perinatal area. DDD. Gathers pertinent data from the patient, family, medical record and report; utilizes critical thinking skills to differentiate normal data from abnormal. EEE. Correlates patient data with nursing theory to prepare for patient assignment. Assesses FFF. Assesses the woman's recovery from the birth process with a thorough postpartum assessment. GGG. Evaluates maternal/infant bonding behaviors. HHH. Assesses/describes the adaptation of the newborn to extra-uterine life and identifies real/potential threats to homeostasis. III. Determines the woman's ability to meet the biopsychosocial needs following birth and identifies potential problems. JJJ. Identifies individualized nursing diagnoses and states related outcome criteria. KKK. Applies theoretical data to nursing practice. 5 Plans and performs, with guidance, individualized nursing interventions designed to assist the woman/family to meet needs and to promote homeostatic adaptive mechanisms. LLL. Identifies nursing interventions that will assist in meeting stated goals/objectives. MMM. Involves the woman/family including grandparents of newborn in the plan of care. NNN. Presents plan to instructor/resource person prior to care. OOO. Applies critical thinking principles to a variety of clinical situations. Consistently performs, with guidance, appropriate nursing interventions safely and accurately. PPP. Applies previously learned knowledge as well as perinatal concepts to provide safe nursing care. QQQ. Demonstrates knowledge of medications. RRR. Adjusts nursing care to meet the needs of the maternity patient and extended family members. SSS. Correctly performs treatments and administers medications. TTT. Utilizes principles of asepsis and universal precautions. UUU. Expands comfort measures to include those pertinent to the maternity patient. VVV. Follows accepted protocols for safe newborn care. WWW. Identifies priorities when organizing care, utilizing principles of time management. Recognizes, with guidance, whether nursing interventions met identified needs. XXX. Explains rationale for nursing interventions keeping in mind the specific needs of the perinatal patient. YYY. Assists in revising nursing care by evaluating whether objectives were met on the daily care worksheet. ZZZ. Modifies the nursing care as needed, keeping in mind the needs of the perinatal patient. AAAA. Demonstrates competency performing a neonatal medication injection in Open lab prior to caring for a neonate. II. ASSUMES ROLE AS A COMMUNICATOR Utilizes a variety of basic communication skills, with guidance to support the woman/family, and to interact with other members of the health team. BBBB. Assesses maternal verbal and non-verbal behaviors. CCCC. Communicates data and questions, regarding the woman/family to appropriate health care professionals. DDDD. Communicates results of care during report and conference. 6 EEEE. Evaluates effectiveness of communication and identifies barriers to communication. FFFF. Identifies own limitations when giving information. Reports and records accurately, with guidance, significant occurrences and patient assessments, interventions and their effectiveness. GGGG. Charts accurately in legible, pertinent, organized manner using acceptable abbreviations, grammar and format with utilization of an electronic medical record when applicable. HHHH. Uses Nursing Care Plan as a guide for charting. IIII. Reports status of patient clearly and concisely. JJJJ. Contributes in conferences. III. ASSUMES ROLE AS A TEACHER Recognizes the woman's/family's obvious needs for health teaching and either conveys information or takes other appropriate action. KKKK. Gives instruction in health promotion that assists in meeting the needs of the perinatal patient, extended family members and the newborn. LLLL. Initiates teaching as well as supports the teaching plan of others. MMMM. Uses teaching materials provided by the clinical facility. NNNN. Considers obvious factor(s) that may interfere with ability to learn. OOOO. Documents patient/family teaching. PPPP.Completes graded teaching presentation. IV. ASSUMES ROLE AS A LEADER/MANAGER Recognizes the patient's/family's needs for the services of other health team members and/or agencies and discusses the need for appropriate referrals. QQQQ. Assumes responsibility for managing care for assigned patient(s). RRRR. Identifies sociocultural differences and seeks help when necessary (i.e. interpreter, dietitian, etc.) SSSS. Consults with health team members to meet needs that cannot be met by the student. Identifies priorities and provides care for designated patients within the assigned clinical time. TTTT. Implements care in stressful situations. UUUU. Describes the RN role in a variety of perinatal care settings. V. ASSUMES ROLE AS A MEMBER WITHIN THE PROFESSION OF NURSING Practices within the ethical standards and legal framework with guidance. VVVV. Researches agency policies and procedures as needed. WWWW. Identifies ethical issues in the clinical area and discusses such with instructor and at conference. XXXX.Describes the interventions used by a nurse functioning as a patient or family advocate. 7 Identifies own learning needs and demonstrates initiative in obtaining specific experiences. YYYY.Communicates learning goals to instructor in writing on last page of evaluation. ZZZZ. Uses additional learning resources available. Evaluates learning experiences and objectively assesses own progress regularly with the instructor. AAAAA. Completes self evaluation and learning goals at end of course or as otherwise indicated by instructor. BBBBB. Modifies performance based on previous evaluation of clinical performance and current feedback. CCCCC. Takes corrective actions when in error and reports such to instructor and follows through with appropriate written report. Is accountable for his/her own professional behavior. DDDDD. Is punctual for clinical. (Cannot be late more than two times). EEEEE. Is punctual for post conference (Cannot be late more than two times without prior agreement with instructor). FFFFF. Is punctual in submitting written assignments. GGGGG. Completes clinical make up assignments according to the policy. HHHHH. Is punctual with medications and treatments. IIIII. Follows correct procedure for notifying agency regarding absence from clinical areas. JJJJJ. Follows dress code as described in the Nursing Student Handbook. 6. COURSE CONTENT: Lecture Content: 1. Introduction to Maternity Nursing 2. Normal Pregnancy-Antepartum 3. Fetal Assessment 4. Labor and Delivery-Intrapartum 5. Analgesia and Anesthesia 6. Postpartum 7. Normal Newborn 8. High Risk Neonate 9. Complications of Pregnancy 10. Complications of Labor and Delivery 11. Complications during the Postpartum Period 12. Disorders of the Female and Male Reproductive Systems 13. Infertility and Genetics Lab Content: 8 14. Labor and Delivery observation: Paper due one week after experience regarding either observing a vaginal or surgical delivery. 15. Providing nursing care for a mother and her newborn on the Postpartum/Mother/Baby unit. 16. Neonatal Assessment: Paper due one week after completion of head to toe physical/gestational-age assessment. 17. Formal teaching presentation to a new mother with paper due one week after presentation. 18. Outpatient clinic observation (ob/gyn, urology, antepartum testing, and gestational diabetic education): Paper due one week after experience. 19. Intermediate (Level II) Nursery observation: Paper due one week after experience. 20. Post conference: Opportunity to review, discuss, and analyze events that were observed during the clinical day. 21. Cultural Variation presentation: Oral presentation at Post Conference 7. REPRESENTATIVE METHODS OF INSTRUCTION: Typical methods of instruction may include: A. Lecture B. Lab C. Activity D. Discussion E. Guest Speakers F. Individualized Instruction G. Observation and Demonstration H. Other (Specify): Instruction includes classroom presentations, related discussion of patient scenarios, focusing on critical thinking skills. Students view media or computer related instruction to enhance classroom presentations or focus on other content. The postconference setting in clinical provides an avenue for small group discussion of the events of the day and reinforce the concurrent theory content. 8. REPRESENTATIVE ASSIGNMENTS Representative assignments in this course may include, but are not limited to the following: Reading Assignments: Nursing Journal articles are assigned per lecture. Copies of articles can be found in the Library. All reading assignments are listed in the Study Guide of the syllabus. 9. REPRESENTATIVE METHODS OF EVALUATION Representative methods of evaluation may include: 9 A. B. C. D. E. Class Participation Exams/Tests Papers Simulation Multiple choice theory examinations with "alternate question" format included Clinical evaluation tool based on satisfactory completion of clinical objectives Written papers related to care of the laboring woman and assessment of the newborn reflect the use of the nursing process and related critical thinking skills. 10. REPRESENTATIVE TEXT(S): Possible textbooks include: A. Ackley, B. & Ladwig, G.. Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 10th ed. Maryland Heights, MO: Elsevier, 2014 B. Perry, Potter, and Ostendorf. Clinical Nursing Skills and Techniques, 8th ed. Philadelphia, PA: Elsevier, 2014 C. Ignatavicius. D. & Workman, M.. Medical-Surgical Nursing, 8th ed. Philadelphia, PA: Elsevier (ONE VOLUME), 2015 D. Ignatavicius, D. &Workman, M. Clinical Companion for Medical-Surgical Nursing, 8th ed. Philadelphia, PA: Elsevier, 2015 E. London, M.L., Ladewig, P., Davidson, M., Ball, J., Bindler, R., & Cowan, K. Maternal and Child Nursing Care, 4th ed. Upper Saddle River, NJ: Pearson/Prentice Hall, 2014 F. Zerwekh, J. & Garneau, A.. Nursing Today, 8th ed. St. Louis: Elsevier, 2015 Origination Date: August 2010 Curriculum Committee Approval Date: November 2013 Effective Term: Fall 2014 10 College of San Mateo Course Outline New Course Update/No change Course Revision (Minor) Course Revision (Major) Date: 3/27/08 Department: Nursing Number: 225 Course Title: Nursing Skills Lab II Units: Total Semester Hours Lecture: 0.5 Lab: 24 Homework: Length of Course 1. By Arrangement: Grading Semester-long Letter Short course (Number of weeks __) Pass/No Pass Open entry/Open exit Grade Option (letter or Pass/No Pass) Prerequisite (Attach Enrollment Limitation Validation Form.) Nursing 212 or equivalent 2. Corequisite (Attach Enrollment Limitation Validation Form.) Concurrent enrollment in N221/N222 or equivalent 3. Recommended Preparation (Attach Enrollment Validation Form.) 4. Catalog Description (Include prerequisites/corequisites/recommended preparation. For format, please see model course outline.) (.5) (Pass/No Pass grading.) One and one-half lab hours per week. Prerequisite: NURS 212 or equivalent with a grade of C or higher. Corequisite: concurrent enrollment in NURS 221 and 222. This course is an adjunct to the corequisite nursing courses listed above. It provides individual and group practice of nursing skills with competency evaluation of the skills identified for the concurrent nursing courses. (Spring only.) (AA) 5. Class Schedule Description (Include prerequisites/corequisites/recommended preparation. For format, please see model course outline.) This course provides for nursing skill development and competency testing for skills identified for concurrent nursing courses. Prerequisite: Completion of Nurs 212. Corequisite: Concurrent enrollment in Nurs 221 and Nurs 222. 6. Student Learning Outcomes (Identify 1-6 expected learner outcomes using active verbs.) Upon successful completion of the course, the student will be able to: 1. Demonstrate competency in skills related to maternity and pediatric nursing 2. Demonstrate competency in medication calculation for maternity and pediatric patients 3. Apply nursing methods to the care of maternity and pediatric patients. 3/24/08 Course Outline 11 Page 1 of 3 7. Course Objectives (Identify specific teaching objectives detailing course content and activities. For some courses, the course objectives will be the same as the student learning outcomes. In this case, “Same as Student Learning Outcomes” is appropriate here.) 1. Demonstrates a simulated physical assessment of a neonate, child, and childbearing woman. 2. Demonstrates a simulated teaching session for new parents of a child regarding preventive health care 3. Demonstrates correct calculation and administration of medications in pediatric and perinatal settings. 4. Demonstrates a simulated developmental assessment of a child 8. Course Content (Brief but complete topical outline of the course that includes major subject areas [1-2 pages]. Should reflect all course objectives listed above. In addition, a sample course syllabus with timeline may be attached.) A. Physical and gestational age assessment of the normal newborn. B. Physical assessment of the well and ill child. C. Developmental assssment of a child D.Teaching in maternity and pediatric settings E. Math calculation skills for maternity and pediatric patients F. Fetal monitoring assessment G. Medication administration in maternity and pediatric settings. 9. Representative Instructional Methods (Describe instructor-initiated teaching strategies that will assist students in meeting course objectives. Describe out-of-class assignments, required reading and writing assignments, and methods for teaching critical thinking skills. If hours by arrangement are required, please indicate the additional instructional activity which will be provided during these hours, where the activity will take place, and how the activity will be supervised.) Skill demonstration, discussion, multimedia instruction and skill competency practice. 10. Representative Methods of Evaluation (Describe measurement of student progress toward course objectives. Courses with required writing component and/or problem-solving emphasis must reflect critical thinking component. If skills class, then applied skills.) Competency evaluation of skills identified for concurrent nursing courses Lab attendance 11. Representative Text Materials (With few exceptions, texts need to be current. Include publication dates.) Perry, Potter, and Ostendorf. (2014) Clinical Nursing Skills and Techniques, 8th ed. Philadelphia, PA: Elsevier. Bindler, R., Ball, J., London, M., & Ladewig, P. (2014). Clinical Skills Manual for Maternal & Child Nursing Care. (4th ed.). Upper Saddle River, NJ: Pearson/Prentice Hall. th Phillips, L. (2010). Manual of I.V. Therapeutics (with CD). (5 edition). Philadelphia, PA: F.A. Davis. 12 Prepared by: (Signature) Email address: mcateer@smccd.edu Submission Date: 13 N225 Skills Lab Supplies Lab # 1- Bring lab bag for review of equipment 5-1ml syringes with 25 G 5/8 needle Vial of normal saline 5 18 G needles Alcohol preps Gloves 2 X 2’s Lab # 2- No supplies needed Lab # 3- alcohol preps Gloves IV start kits Extra 2 X 2’s Band aids Vacutainers 23 G needles Yellow vacutainer tubes Vacutainer needles 3 each lavender/jungle top lab tubes Lab # 4 & 5- alcohol preps Gloves IV start kit Additional 2 X 2’s Band aids Insyte catheters (24 and 22 G) Saline locks 10 ml vial normal saline Lab # 6- No supplies needed Lab # 7- regular IV tubing/secondary tubing Bags of normal saline (any size) Medication labels/marking pens Gloves Lab # 8- no supplies needed 14 NURSING 222 – COURSE GRADING I. Academic Grading Scale - A minimum grade of “C” is required to progress to the next nursing course. A = 90 - 100% B = 80 - 89% C = 75 - 79% II. Theory Grading: 2 Exams at 60 points each ……………………………………..120 points Final cumulative exam at 100 points ………………………100 points Pharmacology Test ……..………………………………………..….10 points ATI Maternal Newborn Nursing……………..……….……..……3 points Postpartum Teaching Presentation & Paper …………......CR/NC Labor and Delivery Paper ……………………………………........5 points Newborn Assessment Paper …………………………………........5 points Medication Administration Test* ……………………………… CR/NC Observational Experience Papers .............................................CR/NC TOTAL POINTS for exams only………..220 Required to attain 75% = 165 TOTAL POINTS including projects = 243 *Calculators may used on Medication Administration Test, not Theory exams III. Course Rules and Regulations A. In order to achieve a passing grade in N222 a student must have a minimum of 75% on the three tests. If the student has not achieved an average of 75% on the three tests the student will not progress to N231 and must repeat N222. After this criteria is met, the written papers will be averaged in to determine the overall grade for N222. A minimum grade of “C” is the overall passing grade. B. Failure to complete any of the above assignments for N222 will result in a grade of “Incomplete” for the course. All clinical papers are due to the clinical instructor one week after the clinical experience. For papers that are worth points, one point will be deducted for each working day that the paper is late. A pattern of turning in papers late will result in a grade of “NO PASS” on the clinical evaluation form in the section dealing with professional role. 1 point will be deducted for every 5 misspellings, grammar and punctuation errors. Every project is to have a face sheet, use APA and follow the Student Handbook Guidelines. C. Clinical Lab Grading: Clinical performance is graded on a Pass/No Pass basis. 96% of all starred criteria must be passed and 100% of those which are double starred. In addition, all students must pass the section entitled “Clinical Nursing Competencies Measured in All Aspects of Care” and the skills lab competency evaluation on medication administration to a newborn. A student who receives a NO PASS as a final clinical grade will not be permitted to progress to N231. A “No Pass [NP] clinical grade nullifies the final theory grade. All students will participate in the performance-based Competency Assessment Day as part of their clinical experience. 15 D. Testing: A 5% penalty will be assessed to any student taking a test in this course other than on the test date. The test makeup must be completed within one week of the test date. The student is responsible for notifying the faculty that they will be taking the test at another time and for rescheduling. Medication administration tests are given per the policy outlines in the student handbook. E. N225: Students are required to attend weekly skills lab. Students must call the instructor if they will be absent to arrange for makeup. F. N808 (Open Lab): Students are required to attend lab hours in order to receive course credit. Students must sign in in order to receive credit for the hours attended. N808 is a required course. In order to proceed to the next nursing course, students must receive credit (pass) in N808. G. Attendance N222: May miss no more than 2 theory classes/8 weeks N225: May miss no more than 2 skills lab sessions/16 weeks H. Disability Policy Statement I. If you have a documented disability and need accommodations for this class, please see me as soon as possible or contact the Disabled Students Programs and Services (DSPS) for assistance. The DSPS is located in Bldg. 10, Room 120. (650) 574-6438; TTY (650) 574-6230. Academic Integrity Refer to the Prohibited Actions section under the Student Conduct section of the Student Handbook of the College Catalog. Among the following actions which are prohibited and may lead to appropriate disciplinary action is “17. Dishonesty such as cheating, plagiarism or knowingly furnishing false information to the College and its officials.” Refer also to the Academic Integrity Policy in the Nursing Student Handbook. N222GradingSp16.doc 16 Nursing 222 Dates to Remember - 2016 First 8 weeks January 21, 2016 Lecture #1 January 25, 2016 Medication Calculation Test February 8, 2016 Test #1 February 29, 2016 Test #2 March 7, 2016 ATI* (3pm) and Pharmacology Tests *Must complete prior to Proctored test→ Maternal Newborn Online Practice A&B March 17, 2016 Final Exam Variable due dates for projects/papers Postpartum Teaching Project (CR/NC) Neonate Assessment Paper (5 points) Labor and Delivery Paper (5 points) March 8, 2016 Competency Assessment Second 8 weeks March 20, 2016 Lecture #1 March 24, 2016 Medication Calculation Test April 14, 2016 Test #1 May 2, 2016 Test #2 May 9, 2016 ATI* (3pm) and Pharmacology Tests *Must complete prior to Proctored test→ Maternal Newborn Online Practice A&B May 19, 2016 Final Exam Variable due dates for projects/papers Postpartum Teaching Project (CR/NC) Neonate Assessment Paper (5 points) Labor and Delivery Paper (5 points) Competency Assessment May 10, 2016 17 COLLEGE OF SAN MATEO NURSING DEPARTMENT NURSING 222 STUDY GUIDE Lectures: Mon. & Thurs. 6:30 pm – 8:55 pm -Building 5-390 LECTURE READINGS Instructors Amanda Anderson Susan Graven Irene Luciano Patty Wieser Office 5-369 5-369 5-369 5-369 Phone 574-6218 574-6218 574-6218 574-6218 CLINICAL AND SKILLS LABORATORY Nursing 222 Study Guide, Spring 2016 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 • • Clinical Focus London, M., Ladewig, P., Davidson, M., Ball, J., Orientation to Clinical Facilities Binder, R., and Kay J Cowen (2014). Maternal & Skills Lab Child Nursing Care. (4th edition). Upper Saddle Postpartum Assessment River: Pearson Education. Chapters Postpartum Skills: Interventions for episiotomies, 1 and 4 (pp. 61-69, 75-81) lacerations and hemorrhoids Breast feeding Zerwekh, J. and Jo Carol Claborn (2015). Nursing Review of IVs: Primary and secondary lines, Today-Transition and Trends. (8th Edition). regulation and maintenance. Philadelphia: Saunders/Elsevier. Ch. 19 and 20 Review urinary catheter insertion Video: Postpartum Physical Assessment Ralston, B., Collier, T., and Julie Fairman. (2015) Video: Newborn Physical Assessment The NP: Celebrating 50 Years. AJN 2015. 115 (10), Video: Perinatal Assessment of Maturity 54-57. Nursing 225/Lab #1: Williams, Bridgette C. (2015). Learning the Basics Newborn medications of APA Style. Nursing 2015. 45 (10), 19-20. Newborn IM injection --3-- January 25, Monday II. Uncomplicated Pregnancy 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 Evidence-Based 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. 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. 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 February 11, Thursday VII. Normal Newborn London & Ladewig: Chapters 24-26 ATI-Chapter 23-26 Chapter 4-pp. 73-74 Holiday February February 18, Thursday VIII. High Risk Neonate IX. Complications of Pregnancy 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 February 22, Monday Bellini, Sandra. (2015) What Parents Need to Know About Vitamin K Administration at Birth. Nursing for Women’s Health 19 (3), 261-265. ____________________________ READINGS 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. __________________________________ * 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 CLINICAL AND SKILLS LABORATORY --5-- Nursing 222 Study Guide, Spring 2016 LECTURE February 25, Thursday IX. Complications of Pregnancy Con’t READINGS 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. --6-- 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 --7-- Nursing 222 Study Guide, Spring 2016 LECTURE 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) READINGS 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 9-valent vaccine. OBG Management. 27 (3), 6-8. --8-- Nursing 222 Study Guide, Spring 2016 LECTURE March 10, Thursday XII. Reproductive Disorders: Male/Female (cont.) March 14, Monday XIII. Infertility/Genetics March 17, Thursday COMPREHENS IVE FINAL READINGS 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), 34-43 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. 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. --9-- Nursing 222 Study Guide, Spring 2016 LECTURE READINGS CLINICAL AND SKILLS LABORATORY 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 READINGS 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 • • Instructors Amanda Anderson Susan Graven Irene Luciano Patty Wieser Office 5-369 5-369 5-369 5-369 Phone 574-6218 574-6218 574-6218 574-6218 CLINICAL AND SKILLS LABORATORY Clinical Focus London, M., Ladewig, P., Davidson, M., Ball, J., Orientation to Clinical Facilities Binder, R., and Kay J Cowen (2014). Maternal & Skills Lab Child Nursing Care. (4th edition). Upper Saddle Postpartum Assessment River: Pearson Education. Chapters Postpartum Skills: Interventions for episiotomies, 1 and 4 (pp. 61-69, 75-81) lacerations and hemorrhoids Breast feeding Review of IVs: Primary and secondary lines, Zerwekh, J. and Jo Carol Claborn (2015). Nursing regulation and maintenance. th Today-Transition and Trends. (8 Edition). Video: Postpartum Physical Assessment Philadelphia: Saunders/Elsevier. Ch. 19 and 20 Video: Newborn Physical Assessment Video: Perinatal Assessment of Maturity Ralston, B., Collier, T., and Julie Fairman. (2015) The NP: Celebrating 50 Years. AJN 2015. 115 (10), Nursing 225/Lab #1: 54-57. Newborn medications Newborn IM injection Williams, Bridgette C. (2015). Learning the Basics of APA Style. Nursing 2015. 45 (10), 19-20. - - 10 - - Nursing 222 Study Guide, Spring 2016 LECTURE READINGS CLINICAL AND SKILLS LABORATORY - - 11 - - Nursing 222 Study Guide, Spring 2016 LECTURE March 24, Thursday II. Uncomplicated Pregnancy April 4, Monday II. Uncomplicated Pregnancy Con’t III. Fetal Assessment London & Ladewig: Chapters 8-13 ATI-Maternal Newborn Ed. 9.0-Chapters 3-5 Stinson, Cynthia, et al. (2015) An Evidence-Based Protocol for Protecting Newborns from Pertussis. Nursing for Women’s Health. 19 (5), 402-409. March 27-April 2 _____________________________________ London & Ladewig: Chapter 14 ATI-Chapter 6 Medication Calculation Test II April 7, Thursday III. Fetal Assessment Con’t IV. Labor and Delivery CLINICAL AND SKILLS LABORATORY Medication Calculation Test I Spring Recess READINGS London & Ladewig: Chapters 17-19, 23 Chapter 3-pp. 39-52 Chapter 4-pp. 70-73 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 15. Assist in admitting a patient to the labor room or triage area. 16. Assess contractions: frequency, length, duration. 17. Find and accurately count the fetal heart rate. 18. Observe the nursing role during electronic fetal monitoring. 19. Discuss appropriate nursing interventions during labor and delivery. 20. Review laboratory work-ups on your pts. 21. Examine typical LDR room set up or LDRP room set up. 22. Explore alternate birth methods. 23. Identify the nurse's responsibility for patients receiving analgesia during labor. 24. Identify effects of anesthesia/analgesia on mother/ fetus/newborn and related nursing interventions. 25. Describe equipment on spinal/epidural anesthesia tray cart. 26. Examine oxygen equipment in LDR room. 27. Identify signs and symptoms of dystocia & discuss appropriate nursing interventions. 28. Research medications given during labor and delivery. - 12 - 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. - 13 - Nursing 222 Study Guide, Spring 2016 LECTURE April 18, Monday VII. Normal Newborn READINGS London & Ladewig: Chapters 24-26 ATI-Chapter 23-26 Chapter 4-pp. 73-74 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 VIII. High Risk Neonate 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. CLINICAL AND SKILLS LABORATORY Nursing 225/Lab #4: ∗ Video: IV insertion ∗ Practice IV insertion ∗ Phillips: Chapter 7 NURSERY 10. Observe and facilitate the developing relationship between mother and infant. 11. Discuss the physiology and characteristics of the newborn. 12. Observe pediatrician or nurse practitioner do initial exam of newborn. 13. Describe the equipment on a circumcision tray. 14. Do an infant bath demonstration. 15. Obtain vital signs on a newborn. 16. Elicit five normal reflexes on the newborn 17. Explain rationale for "standing routine orders for the newborn infant." 18. State characteristics of the full term infant. CLINICAL FOCUS 10. Observe care of high risk newborns. 11. Discuss role of grandparents working with infants of drug addicted newborns. 12. Discuss the nurse's role in assisting families in crisis. 13. Compare and contrast the term newborn & the preterm, post-term and SGA infants. 14. Assess gestational age of a newborn. 15. Work with cardiorespiratory monitor, pulse oximeter, phototherapy unit. 16. Observe a glucose test using a test strip determine related interventions, and document. 17. Check newborn's chart for lab values: bilirubin, hematocrit, hemoglobin, blood gases, glucose, blood type, direct coombs. 18. Discuss routine meds admin in the Nsy setting: action, side-effects, & nursing interventions. - 14 - Nursing 222 Study Guide, Spring 2016 LECTURE April 25, Monday IX. Complications of Pregnancy * London & Ladewig: Chapters 15-16, Chapter 5-pp. 102-106 * April 28, Thursday IX. Complications of Pregnancy Con’t READINGS 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. London & Ladewig: Chapters 15-16, Chapter 5-pp. 102-106 - 15 - Nursing 222 Study Guide, Spring 2016 LECTURE May 2, Monday READINGS London & Ladewig: Chapter 21-23 ATI-Chapters 15 & 16 TEST II CLINICAL AND SKILLS LABORATORY CLINICAL FOCUS 5. Care for patients experiencing complications in the intrapartal period. 6. Discuss medications used to treat and prevent preterm labor. 7. Review the procedure(s) for induction of labor. 8. Discuss medications used for induction of labor. Maher, Mary D. and Elizabeth Heavey. (2015). When the Cord Comes first: Umbilical Cord Prolapse. Nursing 2015. 45 (7) 53-56. 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. - 16 - 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) Competency Assessment: May 10, 2015 (Tuesday) May 12, Thursday 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 9-valent 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. XI. Reproductive Disorders: Male/Female (cont.) - 17 - Nursing 222 Study Guide, Spring 2016 LECTURE READINGS CLINICAL FOCUS Mc Cool, William, et al. (2014) 1. Discuss medications used in infertility management. Overview of Latest Evidence on Uterine Fibroids. Nursing for Women’s 2. Review various treatment options for infertility patients. Health. 18 (4), 315-330. 3. Identify community resources available for infertile patients. Katz, Anne. (2015) Early Localized Prostate Cancer. AJN 2015. 115 (3), 34-43 May 16, Monday XII. Infertility/Genetics London & Ladewig: Chapter 7. ATI-Chapter 2 May 19, Thursday COMPREHENS IVE FINAL CLINICAL AND SKILLS LABORATORY 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. - 18 -