COURSE SYLLABUS
RNSG 1412 (4:4:0)
NURSING CARE OF THE CHILDBEARING AND
CHILDREARING FAMILY
**********
ASSOCIATE DEGREE NURSING PROGRAM
DEPARTMENT OF NURSING
HEALTH OCCUPATION DIVISION
LEVELLAND CAMPUS
SOUTH PLAINS COLLEGE
SPRING 2011
SCANS COMPETENCIES
RESOURCES: Identifies, organizes, plans and allocates resources.
C-1
TIME--Selects goal--relevant activities, ranks them, allocates time, and prepares and follows schedules.
C-2
MONEY--Uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives
C-3
MATERIALS & FACILITIES-Acquires, stores, allocates, and uses materials or space efficiently.
C-4
HUMAN RESOURCES--Assesses skills and distributes work accordingly, evaluates performances and
provides feedback.
INFORMATION--Acquires and Uses Information
C-5
Acquires and evaluates information.
C-6
Organizes and maintains information.
C-7
Interprets and communicates information.
C-8
Uses computers to Process information.
INTERPERSONAL--Works With Others
C-9
Participates as members of a team and contributes to group effort.
C-10
Teaches others new skills.
C-11
Serves clients/customers--works to satisfy customer's expectations.
C-12
Exercises leadership--communicates ideas to justify position, persuades and convinces others, responsibly
challenges existing procedures and policies.
C-13
Negotiates-Works toward agreements involving exchanges of resources resolves divergent interests.
C-14
Works with Diversity-Works well with men and women from diverse backgrounds.
SYSTEMS--Understands Complex Interrelationships
C-15
Understands Systems--Knows how social, organizational, and technological systems work and operates
effectively with them
C-16
Monitors and Correct Performance-Distinguishes trends, predicts impacts on system operations, diagnoses
systems' performance and corrects malfunctions.
C-17
Improves or Designs Systems-Suggests modifications to existing systems and develops new or alternative
systems to improve performance.
TECHNOLOGY--Works with a variety of technologies
C-18
Selects Technology--Chooses procedures, tools, or equipment including computers and related technologies.
C-19
Applies Technology to Task-Understands overall intent and proper procedures for setup and operation of
equipment.
C-20
Maintains and Troubleshoots Equipment-Prevents, identifies, or solves problems with equipment, including
computers and other technologies.
FOUNDATION SKILLS
BASIC SKILLS--Reads, writes, performs arithmetic and mathematical operations, listens and speaks
F-1
Reading--locates, understands, and interprets written information in prose and in documents such as manuals,
graphs, and schedules.
F-2
Writing-Communicates thoughts, ideas, information and messages in writing, and creates documents such as
letters, directions, manuals, reports, graphs, and flow charts.
F-3
Arithmetic--Performs basic computations; uses basic numerical concepts such as whole numbers, etc.
F-4
Mathematics--Approaches practical problems by choosing appropriately from a variety of mathematical
techniques.
F-5
Listening--Receives, attends to, interprets, and responds to verbal messages and other cues.
F-6
Speaking--Organizes ideas and communicates orally.
THINKING SKILLS--Thinks creatively, makes decisions, solves problems, visualizes, and knows how to learn
and reason
F-7
Creative Thinking--Generates new ideas.
F-8
Decision-Making--Specifies goals and constraints, generates alternatives, considers risks, and evaluates and
chooses best alternative.
F-9
Problem Solving--Recognizes problems and devises and implements plan of action.
F-10
Seeing Things in the Mind's Eye--Organizes and processes symbols, pictures, graphs, objects, and other
information.
F-11
Knowing How to Learn--Uses efficient learning techniques to acquire and apply new knowledge and skills.
F-12
Reasoning--Discovers a rule or principle underlying the relationship between two or more objects and applies it
when solving a problem.
PERSONAL QUALITIES--Displays responsibility, self-esteem, sociability, self-management, integrity and
honesty
F-13
Responsibility--Exerts a high level of effort and preservers towards goal attainment.
F-14
Self-Esteem--Believes in own self-worth and maintains a positive view of self.
F-15
Sociability--Demonstrates understanding, friendliness, adaptability, empathy, and politeness in group settings.
F-16
Self-Management--Assesses self accurately, sets personal goals, monitors progress, and exhibits self-control.
F-17
Integrity/Honesty--Chooses ethical courses of action.
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
NURSING CARE OF THE CHILDBEARING
AND CHILDREARING FAMILY
TABLE OF CONTENTS
COURSE SYLLABUS ...................................................................................................................1
Course Description...............................................................................................................1
Course Learning Outcomes ..................................................................................................2
Course Competencies...........................................................................................................4
Academic Integrity ...............................................................................................................4
Scans and Foundation Skills ................................................................................................4
Verification of Workforce Competencies ............................................................................4
SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS........................................................5
Required Text.......................................................................................................................5
Recommended Text .............................................................................................................5
Attendance Policy ................................................................................................................5
Assignment Policy ...............................................................................................................6
Grading Policy .....................................................................................................................7
COURSE OUTLINE .....................................................................................................................7
ACCOMMODATION .................................................................................................................. 9
COURSE CONTENT ..................................................................................................................10
Introduction – Foundations of Nursing Care for the
Childbearing & Childrearing Families ........................................................11
A. Introduction to Maternal/Child Nursing............................................................11
B. Maternal & Child Health Nursing Today .........................................................12
C. Special Considerations in Caring for Children ................................................13
Unit 0.I - The Family Before Birth ....................................................................................14
A. Conception and Prenatal Development ............................................................14
B. Perinatal Education ..........................................................................................15
C. Physiologic and Psychosocial Adaptions to Pregnancy ...................................16
D. Nutrition for Childbearing ...............................................................................16
E. Fetal Diagnostic Tests ......................................................................................17
Unit 0.II - The Family During Birth ...................................................................................18
A. Nursing Care During Labor and Birth..............................................................18
B. Pain Management During Childbirth ...............................................................18
C. Intrapartum Fetal Monitoring ............................................................................19
D. Nursing Care During Obstetric Procedures ......................................................19
Unit 0.III - The Family Following Birth ............................................................................20
A. Nursing Care of the Postpartal Women ...........................................................20
B. Nursing Care of the Women and Family Experiencing a
Postpartal Complication ...................................................................................20
C. Care of the Newborn and Family .....................................................................21
D. Care of the High Risk Newborn .......................................................................21
Unit 0.IV – Families at Risk During the Childbearing Period ............................................22
A. Intrapartal Complications .................................................................................22
B. The Childbearing Family with Special Needs ..................................................22
C. Complications of Pregnancy ............................................................................23
D. Concurrent Disorders During Pregnancy .........................................................23
Unit 0.V – Other Reproductive Issues ...............................................................................24
A. Family Planning ...............................................................................................24
B. Infertility ...........................................................................................................24
C. Women’s Health Care ......................................................................................24
D. Grief & Loss .....................................................................................................25
E. Hereditary and Environmental Influences in Childbearing ..............................25
Unit P.I - Nursing Role in Health Promotion for the Child Rearing Family .....................26
A. Health Promotion for the Developing Child ....................................................26
B. Health Promotion for the Infant .......................................................................26
C. Health Promotion for Early Childhood ............................................................27
D. Health Promotion for the School Age Child ....................................................28
E. Health Promotion for the Adolescent ...............................................................28
F. Ill child in the Hospital and other settings ........................................................29
Unit P.II - Problems Related to Transfer of Oxygen & Nutrients ......................................30
A. The Child with Respiratory Dysfunction .........................................................30
B. Immunologic Alterations ..................................................................................30
C. Infectious Disorders .........................................................................................31
Unit P.III - Problems Related to Production & Circulation of Blood ................................32
A. Assessment of Cardiovascular Alterations.......................................................32
B. Hematologic Alterations...................................................................................33
C. Cancer...............................................................................................................33
Unit P.IV - The Child with Disturbances of Gastrointestinal,
Renal or Endocrine Disorders ....................................................................34
A. Gastrointestinal Alterations..............................................................................34
B. Genitourinary Disorders ...................................................................................35
C. Endocrine System Disorders ............................................................................36
Unit P.V - The Child with Neurologic, Musculoskeletal Sensory and Integumentary
Alteration, Cognitive Impairment ...........................................................37
A. Neurologic ........................................................................................................37
B. Musculoskeletal ................................................................................................38
C. The Child with a Sensory Alteration ................................................................39
D. Integumentary Alterations ................................................................................40
E. Cognitive Impairment .......................................................................................40
APPENDICES ..............................................................................................................................41
A - STUDENT CONTRACT.............................................................................................42
B - COURSE GRADE WORKSHEET .............................................................................46
RNSG 1412
Campuses:
Levelland
COURSE SYLLABUS
COURSE TITLE:
RNSG 1412 Nursing Care of the Childbearing and Childrearing of Family
INSTRUCTORS:
Jill Pitts, RNC, MSN
Lourie Winegar. RN, MSN
Ray Hughes, RN
Jennifer Payne RN. BSN
OFFICE LOCATION AND PHONE/E-MAIL:
Jill Pitts
Lourie Winegar
TA 133, 894-9611 Ext. 2385, jpitts@southplainscollege.edu
894-5288 (Home), 787-0997 (Cell)
TA128, 894-9611, Ext. 2383,
Ray Hughes
544-3736 (Cell)
TA 150, 894-9611, Ext 2390, rhughes@southplainscollege.edu
lwinegar@southplainscollege.edu
544-7479 (Cell)
Jennifer Payne
OFFICE HOURS:
TA 110, 894-9611, Ext 2391,
jpayne@southplainscollege.ed 281-4796(cell)
Posted on each instructor’s door.
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE
I.
GENERAL COURSE INFORMATION
A. COURSE DESCRIPTION
RNSG 1412, an introduction to Maternal-Child nursing, is designed to provide the
learner with basic knowledge and skills to function within the three roles of nursing
(provider of care, coordinator/manager of care, and member of the profession) while
working with clients, families, and/or groups in the childbearing/childrearing stages
of life in a variety of settings. This course focuses on the care of the bio-psychosocio-spiritual childbearing/childrearing stages of life in a variety of settings. This
course focuses on the care of the bio-psycho-socio-spiritual childbearing/childrearing
family through the use of critical thinking/problem solving, delegation, and nursing
process within an interpersonal and collaborative framework. This course must be
taken and passed concurrently with RNSG 2462.
1
RNSG 1412
Supportive foundation knowledge needed to care for the childbearing/childbearing
individual, family, and community includes physical and emotional aspects of nursing
care, integrating developmental, nutritional, and pharmacological concepts. Also
essential in success are concepts of communication, safety, legal ethical issues,
current technology, economics, humanities and biological, social and behavioral
sciences.
1. Meet all requirements for admission into the Associate Degree Nursing Program.
2. Prerequisites: RNSG 1513, 1205, 1160, 1115, 1443, 2460, 2213, BIOL 2402,
2420, PSYC 2314.
3. Placement: Spring 2011
4. Time Allotment: Sixteen (16) weeks. The course allows four- (4) semester hour
credits. This includes four (4) hours of classroom and instruction each week.
5. Teaching Strategies: Demonstrations, independent assignment, nursing laboratory,
simulated lab, audiovisual media, student presentations, and group discussion,
selected presentations, and group discussion, selected case presentation material,
review of journal articles, study guides, and lecture seminars.
6. Teaching Personnel: Associate Degree Nursing faculty; guest speakers.
7. In addition to the program educational objectives, all SCANS and ELC's (Entry
Level Competencies) are found throughout the syllabus. The ELC's are
designated by their number in parentheses after each objective in each unit. The
SCANS competencies are identified by number at the beginning of each unit.
B. COURSE LEARNING OUTCOMES
Upon successful completion of RNSG 1412 the student will meet all Level III
Educational Outcomes as specifically applied to the childbearing and/or childrearing
family. Additional specific information and objectives are found in the course
description and each unit’s objectives.
In addition to the program educational outcomes, all SCANS and ELC's are found
throughout the syllabus. The SCANS competencies are identified by number at the
beginning of each unit. The Level III educational outcomes/ELC's are identified by
number in parenthesis under each role heading in each unit.
2
RNSG 1412
PROVIDER OF CARE:
1. Integrate theoretical concepts of the bio-psycho-socio-spiritual sciences with nursing
knowledge and skills to meet the basic needs of clients, families, and/or groups throughout
the life span in a variety of settings.
2. Integrate the five steps of the nursing process into nursing practice.
3. Communicate and collaborate effectively with clients, families, and/or groups in a variety of
settings.
4. Provide safe cost-effective nursing care in collaboration with members of the health care
team using critical thinking, problem solving, and the nursing process in a variety of settings
through direct care, assignment or delegation of care.
5. Integrate principles of teaching learning in providing information to clients, families, and/or
groups regarding promotion, maintenance, and restoration of health or the process of death
and dying.
6. Evaluate responses and outcomes to therapeutic interventions, clinical data and current
literature to make appropriate nursing practice decisions.
MANAGER/COORDINATOR OF CARE:
1. Determine the function within the organizational framework of various health care settings.
2. Evaluate the effectiveness of community resources in the delivery of health care to clients,
families, and/or groups.
3. Coordinate the health care team in delivering care to clients, families, and/or groups.
4. Coordinate appropriate referral sources to meet the needs of clients, families, and/or groups.
5. Utilize critical thinking and problem solving skills in prioritizing the management and
coordination of all aspects of care.
MEMBER OF THE PROFESSION:
1. Assume responsibility for professional and personal growth and development.
2. Assume ethical and legal responsibility and accountability for one’s nursing practice.
3. Act as a health care advocate to provide quality health care for clients, families and/or group.
4. Demonstrate caring behavior when interacting with clients, family and members of health
care profession.
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RNSG 1412
C. COURSE COMPETENCIES
Successful completion of this course requires a grade of “C” or better; satisfactory
total grade point average on examinations and assignments, satisfactory achievement
of unit, objectives; completion of pediatric math competency exam with a grade of
90% of better, completion of standardized tests as applicable to the curriculum, and
regular classroom attendance. Upon successful completion of this course, each
student will have demonstrated accomplishment of the level objectives for the course,
through a variety of modes (exams, role-play, case studies, individual presentation,
and group presentation).
D.
ACADEMIC INTEGRITY
Refer to the SPC College Catalog. Refers to the SPC ADNP Nursing student
handbook “Honesty Policy”.
E. SCANS AND FOUNDATION SKILLS
Scans and foundation skills found within this course are listed below the unit title and
above the content column of each unit.
F.
VERIFICATION OF WORKPLACE COMPETENCIES
Successful completion of the ELC statements at the level specified by the course
(Level Objectives) will allow the student to continue to advance within the program.
Upon successful completion of the program students will be eligible to apply to take
the state board exam (NCLEX) for registered nurse licensure.
4
RNSG 1412
II.
SPECIFIC COURSE/INSTRUCTOR REQUIREMENT
A.
TEXTBOOK AND OTHER MATERIAL
Required Texts
James, S., & Ashwill, J. (2007) Nursing Care of Children: Principles and
Practice. (3rd Edition) Philadelphia, PA. W. B. Saunders.
James, S., Ashwill, J. Study Guide
Murray, S, & McKinney, (2010). Foundations of Maternal-Newborn Nursing and
Woman’s health Nursing. (5th Ed.). Philadelphia, PA. W. B. Saunders.
Murray, S., & McKinney, E. Study Guide
Taketome, Hodding, & Kraus (2009 or 2010). Lexicomp’s Pediatric Dosage
Handbook. (16th or 17th Edition)
* * Drug Book of Choice
* * Medical Dictionary of Choice
Recommended Texts
Mosby’s Nursing Video Skills: Maternal, Newborn & Women’s Health
Mosby’s Nursing Video Skills: Care of Infants and Children
Ihlenfeld, J. T. (2003). Virtual clinical Excursions for James, Ashwill, &
Droske. Philadelphia: Saunders.
Caphion & Crion (2006). Virtual Clinical Excrusion for Foundations of
Maternal-Newborn Nursing. Philadelphia: Saunders.
B.
ATTENDANCE POLICY
The SPC ADNP policy must be followed. Refer to the SPC ADNP Student Nurse
handbook to review this policy. In addition, refer to the attendance policy found in
the South Plains College Catalog.
Lecture attendance is mandatory. The instructor will initiate a student's withdrawal if
a student misses 8 hours or more of class. The student may be referred to the AAS
Committee at the discretion of the instructor. Student is encouraged to review and
follow the attendance policy in the SPC Student Handbook.
5
RNSG 1412
C.
ASSIGNMENT POLICY
1.
Completion of Student Contract for RNSG 1412 and 2462
2. .All required work must be in on time in order that the student may benefit from
the corrections and study for future examinations. Assigned outside work is due
on the dates specified by the instructor. Assignments turned in later than the due
date will not be accepted unless the instructors clear the circumstances with the
student. Regardless of the circumstance, late work will be assessed penalty points
by the instructor. The assignment will be docked five (5) points per day for each
late day. The assignment will be docked 2.5 points if turned in after 9:00 am
on the date it is due. An assignment will not be accepted after one week past the
due date; therefore, the grade will be a zero if more than 1 week late.
3. There will be four exams, one final exam, ATI average, and a pediatric
medication test.
a. All exams will be administered in the computer lab. In case of computer
scheduling problems, a paper & pencil test will be given. Students will not be
allowed to have paper to write on during tests. No cell phones, USB drives,
laptop computers are ever allowed in the computer lab; students in violation of
this rule may be dismissed from the program.
b. The student will not retain exams.
c. A student must communicate with the course instructors if unable to take a
test on the scheduled day. If there is no communication by one week from the
date of the exam, or the student doesn't have a legitimate excuse to miss the
exam, a "0" will be given. If a student is deemed by the instructors to have a
legitimate excuse to miss an exam, the next exam will count twice, once for
the missed exam and also for the regularly scheduled exam. (This will be
allowed once in the semester).
d. The final exam must be taken when scheduled or the student may be given an
alternate make-up exam.
e. The Maternity and Pediatric ATI Tests will be taken during the semester. The
two scores will be averaged together & counted as an exam grade. (< level 1
= 65, level 1=75, level 2 = 86, level 3 = 95).
f. Satisfactory completion of pediatric medication administration exam with a
grade of 90% or above. Student will not be allowed to do pediatric clinical
until the exam has been passed. The exam may be retaken twice if not passed
the first time. See student handbook for consequences of not passing.
6
RNSG 1412
4. Two databases, one for a pediatric patient and one for an Postpartum patient will
be completed during the semester
a. No photocopies of any part of the patient’s chart or actual parts of the chart
may be taken from the hospital or clinic. Students may be dismissed from the
class and/or program for violating this guideline.
D.
GRADING POLICY
1. The course grade will be compiled from exams for a, total of 80%, and 20% for
the final exam.
2. The final exam will be administered at the end of the semester and is
comprehensive.
3. A student course grade worksheet can be found in Appendix B.
4. All exams and final exam must average 77% or better to pass the course.
5. A student must have received a minimum course grade of "C" or above to
progress to the next nursing course or graduate.
Grading Scale:
A = 90% - 100%
B = 80% - 89.99%
C = 77% - 79.99%
D = 60% - 76.99%
F = below 60.00%
6. Failure of either theory or clinical will necessitate repeating all concurrent
courses. When repeating any course, the student is required to retake all aspects
of the course including the required written work.
III.
COURSE OUTLINE
Introduction – Foundations of Nursing Care for the Childbearing & Childrearing Families
A. Introduction to Maternal/Child Nursing
B. Maternal & Child Health Nursing Today
C. Special Considerations in Caring for Children
Unit 0.I - The Family before Birth
A. Conception and Prenatal Development
B. Perinatal Education
C. Physiologic and Psychosocial Adaptions to Pregnancy
D. Nutrition for Childbearing
E. Fetal Diagnostic Tests
Unit 0.II - The Family During Birth
A. Nursing Care During Labor and Birth
B. Pain Management during Childbirth
C. Intrapartum Fetal Monitoring
7
RNSG 1412
D. Nursing Care During Obstetric Procedures
Unit 0.III - The Family Following Birth
A. Nursing Care of the Postpartal Women
C. Nursing Care of the Women and Family Experiencing a
Postpartal Complication
C. Care of the Newborn and Family
D. Care of the High Risk Newborn
Unit 0.IV – Families at Risk During the Childbearing Period
A. Intrapartal Complications
B. The Childbearing Family with Special Needs
C. Complications of Pregnancy
D. Concurrent Disorders During Pregnancy
Unit 0.V – Other Reproductive Issues
A. Family Planning
B. Infertility
C. Women’s Health Care
D. Grief & Loss
E. Heredity and Environmental Influences in Childbearing
Unit P.I - Nursing Role in Health Promotion for the Child Rearing Family
A. Health Promotion for the Developing Child
B. Health Promotion for the Infant
C. Health Promotion for Early Childhood
D. Health Promotion for the School Aged Child
E. Health Promotion for the Adolescent
F. The Ill Child in the Hospital and other Setting
Unit P.II - Problems Related to Transfer of Oxygen & Nutrients
A. The Child with Respiratory Dysfunction
B. Immunologic Alterations
C. Infectious Disorders
Unit P.III - Problems Related to Production & Circulation of Blood
A. Assessment of Cardiovascular Alterations
B. Hematologic Alterations
C. Cancer
Unit P.IV - The Child with Disturbances of Gastrointestinal,
Renal or Endocrine Disorders
8
RNSG 1412
A. Gastrointestinal Alterations
B. Genitourinary Disorders
C. Endocrine System Disorders
Unit P.V - The Child with Neurologic, Musculoskeletal, Sensory and Integumentary
Alterations and Cognitive Impairment
A. Neurologic
B. Musculoskeletal
C. The Child with a Sensory Alteration
D. Integumentary Alterations
E. Cognitive Impairment
.
III.
ACCOMMODATIONS
Students with disabilities, including but not limited to physical, psychiatric, or learning
disabilities, who wish to request accommodations in this class should notify the Special
Services Office. In accordance with federal law, a student requesting accommodations must
provide acceptable documentation of his/her disability to the Special Services Coordinator.
For more information, call or visit the Special Services Office in the Student Services
Building, 894-9611 ext. 2529, 2530.
9
LEVEL III
Explanation of Course Syllabus Numbering System
Upon satisfactory completion of RNSG 1412, the student will meet all Level III course educational outcomes or ELC's (designated
by numbers within the column headings) as specifically applied to Maternal/Child Health Nursing. In addition, competencies and
foundation skills of SCANS are designated by letters and numbers under the unit title.
10
INTRODUCTION – FOUNDATIONS OF NURSING CARE
FOR THE CHILDBEARING & CHILDREARING FAMILIES
SCANS-C5, C6, C7, F1, F5, F16, F3, F4
Content
Educational Objectives
A. Introduction to
Maternal/Child Health
Nursing-RNSG 1412
1. Conceptual
framework and
philosophy
2. Course Objectives
3. Course Syllabus
4. Student
responsibilities
5. Evaluation methods
Coordinator/Manager
of Care
Member of Profession
(1)
Correlate philosophy and
conceptual framework with
course objectives.
Relate the course
objectives and
requirements to the plan of
study.
Accept responsibility for
completion of course
requirements.
Provider of Care
RNSG 1412
Learning Activities
Required:
1. Course Syllabus
2. Class Schedules
3. Murray, Foundations of
Maternal-Newborn
and Women’s Health
Nursing and James,
Nursing Care of
Children: Principles
and Practice
4. Student Contract
Appendix A
11
INTRODUCTION - CONTINUED
RNSG 1412
Content
Educational Objectives
B. Maternal & Child
Health Nursing Today
Coordinator/Manager
of Care (1) (2)
1. Discuss patterns and
modes of effective
communication &
collaboration.
2. Understand concepts of
client advocacy and
consumer rights.
Member of Profession
(1) (2)
1. Discuss nurses role in
usage of standards of
nursing practice.
2. Analyze the OB and Pediatric nurses legal
parameters of practice.
3. Describe licensing
agencies involved in
regulating health
professionals and
institutions.
4. Explore the changes in
maternal child nursing
and other health care
disciplines.
Provider of Care
(4) (5)
Learning Activities
1. Recognize societal
trends in relation to
health problems/
health promotion for
the OB and pediatric
client.
Required:
2. Become familiar with
the delegation rules
from the Nurse
Practice Act.
Suggested:
3. Evaluates knowledge
of cultural diversity in
the care of clients and
their families.
Murray: Chap. 1, 2, &
3
James: Chap. 1 & 2
Miller, M. (1997)
Culture, spirituality,
and women’s health.
Journal of OB, GYN,
and Neo. Nursing.
24(3), pp. 257-263.
12
INTRODUCTION - CONTINUED
RNSG 1412
Content
Educational Objectives
C. Special Considerations
in Caring For Children
Coordinator/Manager
of Care (1) (5)
1. Explore appropriate ways
to communicate with
children at a variety of
developmental ages.
2. Explain assessment of
pain in children
according to developmental levels.
Member of Profession
(4)
1. Identify the principal
techniques for doing a
physical assessment on
a variety of pediatric
clients.
Provider of Care
(3) (4)
1. Recognize unique
characteristics of
therapies and treatments for clients of
various ages and their
families.
2. Describe different
methods of
administering
medications to
children.
Learning Activities
Required:
James: Chap. 3, 9,
13, 14, 15
Suggested:
Brennan, A. (1996).
Caring for children
during procedures: A
review of the
literature. Pediatric
Nursing, 20(5), 451458.
13
UNIT O.I - THE FAMILY BEFORE BIRTH
SCANS: C14, F8
Content
Educational Objectives
A. Conception and
Prenatal
Development
RNSG 1412
Coordinator/Manager
of Care (5)
Implement nursing care
related to reproductive health,
such as educating for
menstruation.
Member of Profession
(3)
Use critical thinking to
analyze ways that clients'
reproductive and sexual
health can be improved for
healthier childbearing and
adult health.
Provider of Care
(1) (5)
Synthesize knowledge of
reproductive health and
sexuality with nursing
process to achieve quality
maternal and child health
nursing care.
Describe formation of the
female & male gametes.
Define the following
terms:
a. menarche
b. menstruation
c. menopause
d. ovulation
e. fertility
f. dysmenorrheal
g. follicular phase
h. luteal phase
i. menstrual phase
j. proliferative phase
k. secretory phase
l. ischemic phase
m. ovarian cycle
n. endometrial cycle
Explain implantation and
nourishment of the embryo
before development of the
placenta.
Explain the structure and
function of the umbilical
cord, placenta and fetal
membranes.
Describe how common
deviations from usual
conception and prenatal
development occur.
Learning Activities
Required:
Murray: Chap. 4, 6
Suggested:
14
UNIT O.I - CONTINUED
RNSG 1412
Content
Educational Objectives
B. Perinatal Education
Coordinator/Manager
of Care (5) (1)
Analyze the goals if perinatal
education
Describe the support person's
role in helping women during
labor and birth.
Member of Profession
(2) (3)
Identify national standards
related to preparation for
parenthood.
Provider of Care
(5) (3)
Explain the components
frequently included in a
birth plan.
Learning Activities
Required:
Murray: Chap. 11
& Pp. 334-339.
15
UNIT O.I - CONTINUED
Content
Educational Objectives
C. Physiologic and
Psychosocial
Adaptations to
Pregnancy
Coordinator/Manager
Of Care (2, 4, 5)
Promote multidisciplinary
health care planning within
the health care structure.
Use critical thinking to
analyze ways that the family
can be included in prenatal
care to keep care family
centered.
D. Nutrition for
Childbearing
Facilitate within the health
care community appropriate
nutrition referrals for the
pregnant client and their
families.
Member of Profession
(3)
Identify the process of role
transition.
Provider of Care
(1, 2, 5)
Describe the psychological
and physiologic changes that
occur with pregnancy, the
underlying principles for
these changes, and the
relationship of the changes to
pregnancy diagnosis.
Identify the most common
problems and discomforts of
pregnancy.
Collaborate with members of
other health care areas to
achieve healthy nutrition for
pregnant clients.
Plan health teaching for
nutritional intake during
pregnancy, including ways a
woman can increase healthy
intake.
RNSG 1412
Learning Activities
Required:
Murray: Chap. 7, 8
Suggested:
Enkin, M. W., Keirse, M.
J. (1995). Effective Care
in Pregnancy and
Childbirth: A Synopsis.
Birth, 22(2). 101-111.
Required:
Murray: Chap. 9
Describe the requirements of
healthy pregnancy nutrition.
Suggested:
Romanczuk, A.N.
(1996). Folic Acid will
Reduce Risk of Neural
Tube Deficits. MCN:
American Journal of
Maternal Child Nursing.
19(6). 331-334.
16
UNIT O.I - CONTINUED
Content
Educational Objectives
E. Fetal Diagnostic Tests
Coordinator/Manager
Of Care (1, 5)
Provide information for
common questions parents
have about obstetric
procedures.
Member of Profession
(3)
Appropriate interpretation of
a variety of fetal diagnostic
tests and the nursing actions
indicated based on findings.
Provider of Care
(3, 4, 5, 6)
Identify indications for fetal
diagnostic procedures.
RNSG 1412
Learning Activities
Required:
Murray: Chap. 10
Discuss the purpose,
procedure, advantages, and
risks of specific diagnostic
procedures:
*US
*Doppler Studies
*AFP
*Chorionic Villus Sampling
*Amniocentesis
*Fetal Monitoring
*Fetal Movement Assessment
Suggest:
Covington, C. (1996).
Family care related to
alpha-fetoprotein
screening. Journal of
Obstetric, Gynecologic
and Neonatal Nursing,
25(2), 125-130.
Evaluation:
Computer Test
17
UNIT O.II - THE FAMILY DURING BIRTH
Scans C5, C6, C7, F1, F5, F16, F3, F4
Content
Educational Objectives
A. Nursing Care During
Labor and Birth
Coordinator/Manager
of Care (1, 3, 5)
Analyze issues that may face
the new nurse who cares for
women during the intrapartal
period.
Use critical thinking to
determine whether current
nursing care measures truly
meet the needs of the women
and their families in labor.
RNSG 1412
Member of Profession
(1, 2, 3)
Compare each stage of labor
and the phases within the
first stage.
Advocate on behalf of the
client to be sure the
AWHONN Standards of
Care are being followed for
the laboring patient.
Provider of Care
(1, 2, 3, 5)
Explain how each component
of the birth process affects the
course of labor and birth and
how the components are
interrelated.
Evaluate outcome criteria to
be certain that nursing goals
for the care of the laboring
client are achieved.
Relate therapeutic
communication skills to the
care of the intrapartal family.
B. Pain Management
During Childbirth
Describe the use of
nonpharmacologic pain
management techniques for
the patient in labor.
Compare childbirth pain
with other types of pain.
Describe how medications
may affect a pregnant
woman and the fetus or
neonate.
Examine how physical and
psychological forces interact
in the laboring woman’s pain
experience.
Plan nursing interventions to
relieve pain in labor.
Evaluate outcome criteria to
be certain that labor is a
satisfying experience for the
woman and her family.
Learning Activities
Required:
Murray: Chap. 12, 13
Suggested:
Bachman, J. (1996).
The length of active
labor in normal
pregnancies.
Obstetrics and
Gynecology. 87(3),
355-359.
Required:
Murray: Chap. 15
Suggested:
Baram, D. A. (1995).
Hypnosis in
reproductive health
care: A review and
case reports. Birth.
22(1), 37-42.
18
UNIT O.II - CONTINUED
Content
Educational Objectives
C. Intrapartum Fetal
Monitoring
Coordinator Manager
of Care (1, 3, 5)
Explore the AWHONN
standards of care regarding
fetal monitoring.
Member of Profession
(2, 3)
Analyze the legal
parameters in relation to the
care of a client requiring
fetal monitoring.
Explain the types of
equipment used for
electronic fetal monitoring
during labor, including the
advantages and limitations
of each.
D. Nursing Care During
Obstetric Procedures
Discuss the standard of
care after a patient receives
an amniotomy.
Communicate with other
health professions in order
to plan safe and appropriate
nursing care preoperatively,
intraoperatively and
postoperatively.
Provider of Profession
(1, 2, 3, 5, 6)
Identify the periodic changes
of the fetal strip and the
appropriate nursing measures
for each.
Describe fetal responses to
labor.
Outline the standard for
administering oxytocin to an
intrapartial patient.
State the reason forceps or
the vacuum extractor might
have to be used.
Describe the indications for
cesarean birth.
RNSG 1412
Learning Activities
Required:
Murray: Chap. 14
& pp. 209-213
Suggested:
Supplee, R. B., (1996).
Continuous electronic fetal
monitoring: Does it belong
in low-risk births? MCN:
American Journal of
Maternal-Child Nursing,
21(6). 301-306.
Required:
Murray: Chap. 16
Plan nursing care such as
preoperative teaching
measures for cesarean birth or
ways to maintain family
centered care.
Suggested:
Boyle, J. G., (1996). T and
J Vertical extensions in low
transverse cesarean births.
Obstetrics and Gynecology,
87(2), 238-243.
Evaluation:
Computer test
19
UNIT O.III - THE FAMILY FOLLOWING BIRTH
SCANS C-2, C-10, C-11, F-9
Content
Educational Objectives
A. Nursing Care of the
Postpartal Women
RNSG 1412
Coordinator/Manager
of Care (1, 2, 3, 4, 5)
Selects human resources
that are optimum and cost
effective to achieve the care
of the postpartal client.
Facilitates the family role
transitions as a result of this
new family addition.
Member of Profession
(1, 2, 3)
Utilizes knowledge of
the State Board Rules of
delegation when
directing others in the
care of the postpartal
client and their families.
Identify the purpose of
clinical pathways in
postpartum care.
B. Nursing Care of the
Women and Family
Experiencing a Postpartal Complication
Describe postpartum
hemorrhage in terms of
predisposing factors,
causes, clinical signs, and
therapeutic management.
Provider of Care
(1, 2, 3, 4, 6)
Assess a woman and her family
for physiologic and
psychological changes
following childbirth.
Implement nursing care such as
helping to aid the progression
of physiologic changes or
psychological family changes.
Initiate a discharge-teaching
plan to provide for self and
infant care after discharge.
Discuss the role of the
nurse in health
education, and identify
important areas of
teaching.
Describe common deviations
from the normal that can occur
during the puerperium.
Evaluate outcome criteria to be
certain that nursing goals
established for care are
achieved.
Learning Activities
Required:
Murray, Chap. 17,
18
Suggested:
Williams, L. R.,
(1996). A new
paradigm for
postpartum care.
Journal of Obstetric,
Gynecologic, and
Neonatal Nursing.
25(9), 745-749.
Murray, Chap. 28
20
UNIT O.III - CONTINUED
RNSG 1412
Content
Educational Objectives
C. Care of the
Newborn
and Family
Coordinator/Manager
of Care (1, 2, 3, 5)
Explain the physiologic
changes that occur in the
respiratory and
cardiovascular systems
during the transition from
fetal to neonatal life.
Describe methods of safe
practice with newborns by
proper identification during
hospitalization.
Member of Profession
(1, 2, 3, 4)
Implement national
standards in regards to
newborn admission
medications and
immunizations.
Explain the risks and
benefits of circumcision.
Provider of Care
(1, 2, 3, 4, 5)
Describe the periods of
reactivity and the six
behavioral states of the
newborn.
Learning Activities
Required:
Murray: Chap. 19, 20,
21, 22, 23
Describe initial assessments of
the newborn.
Provide for the new parents,
any institutional and
community aid for proper
infant nutrition.
D. Care of the High
Risk Newborn
Identify roles of families and
significant others in response
to the delivery of a high-risk
newborn.
Review the ethical
concerns related to a highrisk newborn requiring
long term care.
Describe nursing
assessments and
interventions of common
problems in breastfeeding.
Explain the importance of
newborn screening.
Answer common questions
that parents might have
about care of the young
infants.
Describe postdischarge
nursing care included in
home visits, clinic visits,
and telephone follow-up.
Define the terms SGA, term
infant, LGA, preterm infant,
and postterm infant and
describe common illnesses that
occur in those high-risk
newborns.
Develop teaching plans to
assist parents and other family
members in the care process of
the high-risk newborn.
Required:
Murray: Chap. 29, 30
Clinical
21
UNIT O.IV – FAMILIES AT RISK DURING THE CHILDBEARING PERIOD
SCANS C-10, F-12
Content
Educational Objectives
A. Intrapartal
Complications
RNSG 1412
Coordinator/Manager
of Care (1,2, 3, 4, 5)
Describe maternal and fetal
risks associated with
premature rupture of the
membranes.
Member of Profession
(1, 2, 3, 4)
Apply the delegation rules to
the care of the intrapartal
patient.
Explain maternal and fetal
problems that may occur
if pregnancy persists
beyond 42 weeks.
Explain therapeutic
management of each
intrapartum complication.
Describe common
intrapartal emergencies.
Analyze factors that
increase a woman’s risk for
preterm labor.
B. The Childbearing
Family with Special
Needs
Relate the major
implications of delayed
childbearing in terms of
maternal and fetal health.
Identify factors that
promote violence against
women, and describe the
role of the nurse in terms of
assessment, prevention, and
interventions.
Provider of Care
(1, 2, 4, 5, 6)
Explain abnormalities that
may result in
dysfunctional labor.
Discuss the incidence and
identify the factors that
contribute to teenage
pregnancy.
Describe parental responses
to pregnancy loss, and
identify nursing interventions
to assist parents through the
grieving process.
Describe the effects of
substance abuse for the
mother and the infant, and
identify nursing interventions to reduce or
minimize the effects in
the antepartum,
intrapartum and post
partum periods.
Learning Activities
Required:
Murray: Chap. 27
Suggested:
Hall, S. P. (1997). The
nurses role in the
identification of risks and
treatment of shoulder
dystocia. Journal of
Obstetrics, Gynecologic,
and Neonatal Nursing.
26(1), 41-43.
Required:
Murray: Chap. 24
Suggested:
Chez, R. A. (1995). The
Battered Woman.
American Journal of OB
and GYN. 173(3), 677699.
22
UNIT O.IV – CONTINUED
RNSG 1412
Content
Educational Objectives
C. Complications of
Pregnancy
Coordinator/Manager
of Care (1, 3, 4, 5)
Describe the development
and management of
hypertensive disorders of
pregnancy.
Member of Profession
(1, 2, 3)
Discuss the effects and
management of hyperemesis
gravidarum.
Compare Rh and ABO
incompatibility in terms of the
etiology, fetal and neonatal
complications, and
management.
D. Concurrent Disorders
During Pregnancy
Explain the maternal and
fetal effects of specific
anemias and the required
management during
pregnancy.
Identify the effects,
management, and nursing
considerations of specific
preexisting conditions, such
as lupus erythematosus,
rheumatoid arthritis, and
epilepsy.
Describe the major effects of
pregnancy on the woman who
has heart disease, and identify
the goals of therapy.
Provider of Care
(1, 2, 3, 5, 6)
Describe the
hemorrhagic conditions
of early pregnancy,
including spontaneous
abortion, ectopic
pregnancy, and
hydatidiform mode.
Learning Activities
Required:
Murray: Chap. 25
Explain disorders of the
placenta, such as
placenta previa and
abruption, that result in
hemorrhagic conditions
of late pregnancy.
Required:
Discuss the effects and
management of
preexisting diabetes
mellitus during
pregnancy.
Identify the major causes
of trauma during
pregnancy and describe
therapeutic management.
Murray: Chap. 26
Evaluation:
Computer test
23
UNIT O.V – OTHER REPRODUCTIVE ISSUES
SCANS – F4, C7, F5
Content
Educational Objectives
A. Family Planning
RNSG 1412
Coordinator/Manager
of Care (1, 2, 3, 5)
Identify areas related to
reproductive life planning
that could benefit from
additional nursing research.
Member of Profession
(1, 2, 3)
Identify National Health goals
related to reproductive life
planning.
Describe the role of the
nurse in helping couples
choose contraceptive
methods.
B. Infertility
C. Women’s Health Care
Analyze community
referrals that can be used to
support a couple through a
fertility assessment.
Identify areas of nursing care
related to fertility that could
benefit from additional nursing
research.
Explain examinations and
various screening
procedures that are
recommended to maintain
the health of women.
Describe care of the women
with an infectious disorder of
the reproductive tract,
including sexually transmissible diseases, pelvic
inflammatory disease, and
toxic shock syndrome. (2)
Provider of Care
(1, 2, 3, 4, 6)
Implement nursing care
related to reproductive
life planning such as
educating adolescents
about the use of condoms
to promote safe sex
practices as well as
prevent unwanted
pregnancy.
Learning Activities
Required:
Murray: Chap. 31
Required:
Describe common
assessments necessary to
detect infertility.
Murray: Chap. 32
Required:
Discuss the four common
menstrual cycle
disorders.
Describe the physical and
psychological changes
associated with
menopause and the risks
versus benefits of
hormone replacement
therapy.
Murray: Chap. 33& 34
24
UNIT O.V – CONTINUED
RNSG 1412
Content
Educational Objectives
D. Grief and Loss
Coordinator/Manager
of Care (1, 2, 3, 4, 5)
Describe the nurse's
response to death and dying
in the pediatric population.
Member of Profession
(1, 2, 3)
Discuss the concerns and
needs of the child and family
dealing with a chronic illness.
Describe parental responses
to pregnancy loss, and
identify nursing
interventions to assist
parents through the grieving
process.
E. Hereditary and
environmental
influences in
childbearing.
Explain the role of the nurse
in caring for individuals or
families with concerns
about birth defects.
Describe the process of
genetic counseling.
Identify environment factors
that can interfere with prenatal
development and how their
effects can be avoided or
reduced.
Provider of Care
(1, 2, 5, 6)
Use the nursing process
to describe nursing care
of the family that has lost
a neonate and the family
with a chronically ill
child.
Explain characteristics of
multifactorial birth
defects.
Relate chromosomal
abnormalities to
spontaneous abortin and
to birth defects in the
infant.
Describe the
transmission of single
gene traits from parent to
child.
Describe the structure
and function of normal
human genes and
chromosomes.
Learning Activities
Required:
James: Chap. 12
Murray: pp. 607-612.
Murray: Chap. 5
25
UNIT P.I - NURSING ROLE IN HEALTH PROMOTION FOR THE CHILD REARING FAMILY
SCANS C11, F6, F2, F7
Content
Educational Objectives
A. Health Promotion for
the Developing Child
Coordinator/Manager
of Care (2, 3, 4, 5)
Use a systematic and
developmentally
appropriate approach for
examining a child.
Member of Profession
(1, 3)
Describe the general sequence
of the physical examination of
an infant, a young child, the
school age child, and the
adolescent.
Provider of Care
(1,2, 4, 5, 6)
Describe principles of
growth and development
stages according to major
theorists.
RNSG 1412
Learning Activities
Required:
James: Chap. 4
Assess a child to
determine the stage of
development the child has
reached.
Discuss the components of
nutritional assessment.
Plan nursing care to assist
a child in achieving and
maintaining normal
growth and development.
B. Health Promotion for
the Infant
Identify community
agencies that provide
immunizations for their
children.
Provide parents with
anticipatory guidance for
common concerns during
infancy, such as sleep
problems introduction of
foods, accident prevention,
and dental care.
Discuss the importance of
nurses promoting childhood
safety.
Describe effective safety
educational approaches
for each stage of
childhood development.
Required:
James: Chap. 5
Review normal infant
growth and development
and associated parental
concerns.
Describe the physiologic
changes that occur during
infancy.
Suggested:
26
UNIT P.I - CONTINUED
RNSG 1412
Content
Educational Objectives
C. Health Promotion
During Early Childhood
Coordinator/Manager
of Care (1, 3, 4, 5)
Discuss anticipatory
guidance for preventative
dental care of the toddler.
Member of Profession
(2, 3)
Differentiate the roles and
functions of regulatory
agencies, nursing and other
health care organizations that
provide care for toddlers.
Discuss strategies for
disciplining a toddler.
Describe the physiologic
changes and motor,
cognitive, language, and
psychosocial development
of the toddler.
Discuss the cause of, and
identify interventions to
cope with, common
toddler behavior: temper
tantrums, negativism, and
ritualism.
Identify strategies for
dealing with a preschool
child’s fears and sleep
problems.
Offer parents suggestions
for promoting school
readiness in the preschool
child.
Provider of Care
Learning Activities
(1, 2, 3, 5)
Formulate nursing
Required:
diagnoses related to toddler
growth and development or James: Chap. 6
parental concerns
regarding development.
Describe signs of a
toddler’s readiness for
toilet training and offer
guideline to parents.
Analyze guidelines for
selecting daycare facilities.
Synthesize Knowledge of
preschool growth and
development with nursing
process to achieve quality
maternal and child health
nursing care.
Identify normal physical,
motor, psychosocial, moral
and cognitive development
for preschool children.
27
UNIT P.I - CONTINUED
RNSG 1412
Content
Educational Objectives
Coordinator/Manager
of Care (2, 3)
Member of Profession
(3)
Provider of Care
(1, 2, 3, 5, 6)
Learning Activities
Describe the nursing
assessment of the preschool
child’s development.
D. Health Promotion for the
School-Age Child
E. Health Promotion for the
Adolescent
Analyze the maturational
changes that take place
during the school-age
period and discuss
implica-tions for health
care.
Involve the adolescent
client in planning their
optimal health goals with
appropriate community
agencies.
Promote advanced nursing
practice and alternative
nursing roles in the health
promotion for the school age
child.
Describe common parental
concerns about growth and
development that are likely
to arise with a school age
child.
Required:
James: Chap. 7
Describe normal growth and
development of the schoolage child and assess the
child for normal
developmental milestone.
Describe appropriate health
promoting behaviors for
adolescents and young
adults.
Analyze the principles of
disease, prevention, and
health
promotion/restoration for
the adolescent and their
family.
Describe the developmental
tasks of adolescence.
Identify the sexual maturity
rating Tanner stages and
recognize deviations from
normal.
Required:
James: Chap. 8
28
UNIT P.I - CONTINUED
RNSG 1412
Content
Educational Objectives
F. The Ill child in the
Hospital and Other Care
Settings
Coordinator/Manager
of Care (2, 4)
Become aware of
institutions and other
health care agencies that
provide home care for
pediatric clients.
Member of Profession
(2, 3)
Provider of Care
(4, 5)
Function as a patient advocate
on behalf of the pediatric
client to provide safe home
health care within legal
parameters of home care.
Outline the advantages and
disadvantages of home care
for children of all ages.
Discuss the nurse’s role in
various setting where care is
given to ill children.
List the common stressors
affecting hospitalized
children.
Learning Activities
Required:
James: Chap. 11
Evaluation:
Computer Test
Clinical Experience
29
UNIT P.II - NURSING ROLE IN RESTORING AND MAINTAINING THE HEALTH OF CHILDREN AND
FAMILIES EXPERIENCING RESPIRATORY, IMMUNE AND INFECTIOUS DISORDERS
SCANS C14, F4
Content
Educational Objectives
A. Respiratory Disorders
RNSG 1412
Coordinator/Manager
of Care (3, 5)
Facilitate referral of the
child with respiratory
disorders to appropriate
community agencies in
which to receive care.
Member of Profession
(1)
Provider of Care
(1, 2, 3, 4, 6)
Develop guidelines for the
care of a child with an acute
respiratory alteration.
Describe common respiratory
illnesses in children.
B. Immune Disorders
Outline what to teach and
reinforce with families
about long-term
corticosteroid therapy for
systemic lupus
erythematous and
penicillin therapy for
rheumatic fever.
Maintain emergency
equipment necessary to
provide respiratory support in
time of respiratory distress.
Describe how to care for
and support HIV affected
children and their families
throughout the entire
spectrum of illness.
Required:
James: Chap. 21
Implement nursing care for
the child with a respiratory
illness.
Display an understanding
of the pathophysiology,
clinical manifestations,
and therapeutic
management of common
acute respiratory
alterations.
Learning Activities
Suggested:
Paradise, J. (1997).
Managing otitis media: A
time for change.
Pediatrics. 92(4). 712715.
Required:
Evaluate the immune process
as it relates to childhood
illnesses.
Use critical thinking to
analyze ways that nursing
care for the child with an
immune disorder can be more
family centered.
James: Chap. 17
30
UNIT P.II - NURSING ROLE IN RESTORING AND MAINTAINING THE HEALTH OF CHILDREN AND
FAMILIES EXPERIENCING RESPIRATORY, IMMUNE AND INFECTIOUS DISORDERS
RNSG 1412
Content
Educational Objectives
Coordinator/Manager
of Care (2, 4)
Member of Profession
(3)
Provider of Care
(1, 4, 6)
C. Child with an Infectious
Disorder
Utilize organizational
skills to apply community
resources in the treatment
and prevention of
infectious disorders.
Act as an advocate for the
use of basic immunization
series among children in
licensed childcare facilities
and kindergarten through
post-secondary education.
Describe the causes and
course of common infectious
disorders of childhood.
Carry out measures to
prevent exposure to and the
transmission of pathogens.
Learning Activities
Required:
James: Chap. 16 and Pp.
86-90
Evaluation:
Computer Test
Discuss the
recommendations for
scheduled vaccines.
31
UNIT P.III - NURSING CARE OF CHILDREN WITH CIRCULATORY DISORDERS
SCANS: F6, F7
Content
Educational Objectives
A. Child with Cardiovascular Disorders
RNSG 1412
Coordinator/Manager
of Care (4, 5)
Refer clients & their
families with cardiovascular disorders to
appropriate resources
within the community.
Member of Profession
(4)
Provider of Care
(1, 2, 4, 5)
Discuss the role of the nurse
in assisting the child and
family to cope with
congenital heart disease.
Formulate nursing diagnosis
for a child with a
cardiovascular disorder such
as congenital heart disease,
rheumatic fever and
hypertension.
Differentiate between
cyanotic and acyanotic heart
disease.
Discuss the nursing care of a
child with CHF
Implement a teaching plan
for the cardiovascular client
and their family anticipating
a cardiac catheterization.
Learning Activities
Required:
James: Chap. 22 and pp.
261-264
32
UNIT P.III - NURSING CARE OF CHILDREN WITH CIRCULATORY DISORDERS
RNSG 1412
Content
Educational Objectives
B. Nursing Care of a Child
with a Hematologic
Alteration
Coordinator/Manager
of Care (2, 3, 5)
Facilitate communication
between the family
member and school nurse
when caring with a child
with hemophilia.
Member of Profession
(1, 2)
Analyze current literature
and clinical data as a basis
for decision making in the
care of the child with blood
disorders.
Provider of Care
(1, 2, 3, 4, 5, 6)
Implement nursing care of a
child with a blood disorder
e.g. relieves pain in a child
with sickle cell anemia.
Learning Activities
Required:
James: Chap. 23
Discuss the pathophysiology,
clinical manifestations and
therapeutic management of
DIC.
Discuss pediatric differences
related to the blood.
C. The Nursing Care of
the Child with Cancer
Promote multi-disciplinary
health care planning within
the structured health care
setting for the child with
cancer.
Analyze the physical
alterations that occur in a
child with cancer.
Assume accountability in
maintaining current
continuing education in the
field of pediatric oncology
nursing.
Required:
Discuss the impact of the
diagnosis on the family and
child with cancer.
Demonstrate an
understanding of the
rationale of therapies for
neoplastic disease.
James: Chap. 24
Evaluation:
Computer Test
Clinical Experience
33
UNIT P.IV - THE NURSING ROLE IN RESTORING AND MAINTAINING THE HEALTH OF CHILDREN AND
FAMILIES EXPERIENCING GASTROINTESTINAL, RENAL OR ENDOCRINE DISORDERS
SCANS: C5, F1, F16
RNSG 1412
Content
Educational Objectives
A. Nursing Care of the
Child with a Gastrointestinal Disorder
Coordinator/Manager
of Care (1, 3, 5)
Observe how the charge
nurse evaluates care
administered by other
members of the nursing
team for clients and
families with
gastrointestinal disorders.
Develop guidelines for
home care for the child
with GI alterations.
Member of Profession
(1, 3, 4)
Evaluate the quality of care
and additional learning
needs regarding the care of
clients with gastrointestinal
disorders.
Provider of Care
(1, 2, 3,5, 6)
Analyze common
gastrointestinal disorders in
children, such as
appendicitis, vomiting and
diarrhea.
Plan nursing care with
specific goals for the child
with a gastrointestinal
disorder (e.g. or plan that
teaches parents about a
special diet).
Analyze ways that nursing
care of the child with a
gastrointestinal disorder can
be more family centered.
Discuss nursing
interventions when caring
for a child with a fluid and
electrolyte imbalance.
Learning Activities
Required:
James: Chap, 18 & 19
34
UNIT P.IV - THE NURSING ROLE IN RESTORING AND MAINTAINING THE HEALTH OF CHILDREN AND
FAMILIES EXPERIENCING GASTROINTESTINAL, RENAL OR ENDOCRINE DISORDERS, CONTINUED
RNSG 1412
Content
Educational Objectives
Coordinator/Manager
of Care (2, 4)
B. The Nursing Care of
the Child with a Renal
or Urinary Tract
Disorder
Facilitate Communication
between the client/family
member with a renal
disorder to the appropriate
community resources.
Member of Profession
(1, 3)
Act as an advocate to
promote the provision of
quality health care for
clients and their families
experiencing renal
disorders.
Develop an understanding
of common alterations in
the urinary tract system.
Provider of Care
(1, 2, 3, 4, 5)
Review anatomical
structures and physiological
functioning of the urinary
system.
Explain the complications of
obstruction to the flow of
urine.
Plan a daily menu and diet
high in protein and low in
sodium for a child with
Nephrosis.
Identify assessment,
planning and nursing
implications utilized in
caring for a child with a
renal or urinary tract
disorder.
Learning Activities
Required:
James: Chap. 20
35
UNIT P.IV - THE NURSING ROLE IN RESTORING AND MAINTAINING THE HEALTH OF CHILDREN AND
FAMILIES EXPERIENCING GASTROINTESTINAL, RENAL OR ENDOCRINE DISORDERS, CONTINUED
RNSG 1412
Content
Educational Objectives
C. Nursing Care of the
Child with an
Endocrine
or Metabolic Disorder
Coordinator/Manager
of Care (2, 4, 5)
Member of Profession
(1, 2)
Promote multidisciplinary
health care planning to get
the child/family member
with an endocrine disorder
consistent outpatient care.
Utilize the Nurse Practice
Act delegation rules to
acquire knowledge
regarding delegating patient
teaching to other health care
providers.
Provider of Care
(1, 2, 3, 4, 6)
Learning Activities
Analyze the different
endocrine glands and their
functions.
Required:
Plan nursing care for the
child with altered endocrine
function.
Evaluation:
Differentiate between the
disorders caused by
hypopituitary and
hyperpituitary dysfunction.
Devise a teaching plan for
the child with diabetes and
his/her family.
Examine the characteristics
that differentiate a
hyperglycemic and
hypoglycemic reaction.
James: Chap. 27
Computer Test
36
UNIT P.V - NURSING CARE OF THE CHILD EXPERIENCING A NEUROLOGIC, MUSCULOSKELETAL,
DISORDERS OF THE EYES OR EARS, INTEGUMENTARY AND COGNITIVE IMPAIRMENT
SCANS: F2, F4
Content
Educational Objective
A. Nursing Care of the
Child with a
Neurologic Disorder
Coordinator/Manager
of Care (4, 5)
Activate the referral
processes to assure
continuity of care for the
client and families
experiencing a Neurologic
Disorder.
Member of Profession
(2, 3)
Advocate the rights and
responsibilities of clients
and their families with a
neurologic disorder
regarding health care.
Provider of Care
(1, 2, 3, 5)
Evaluate 3 causes of spinal
cord injury in children.
RNSG 1412
Learning Activities
Required:
James: Chap. 28
Develop a plan of care for a
child with a neurologic
disorder.
Promote collegiality among
the health care team in order Discuss the nursing role in
to achieve high quality of
helping parents cope with a
care for the client with a
child with cerebral palsy.
neurologic disorder.
Analyze common neurologic
disorders in children.
Review a developmentally
appropriate neurologic
assessment for children from
the ages of NB thru
adolescent.
37
UNIT P.V - NURSING CARE OF THE CHILD EXPERIENCING A NEUROLOGIC, MUSCULOSKELETAL,
DISORDERS OF THE EYES OR EARS, INTEGUMENTARY AND COGNITIVE IMPAIRMENT
RNSG 1412
Content
Educational Objectives
B. Nursing Care of the
Child with a Musculoskeletal Disorder
Coordinator/Manager
of Care (1, 4, 5)
Member of Profession
(3)
Provider of Care
(1, 2, 3, 4, 6)
Understand the importance
of relationships between
nursing and multidisciplinary health care
providers within various
organizations so those
clients with musculoskeletal disorders can
receive high quality care.
Evaluate how a nurse can act
as an advocate to get clients
with musculoskeletal
disorders community
assistance.
Review the signs of
impaired motor functioning.
Learning Activities
Required:
James: Chap. 26
Discuss the physiological
and psychologic effects of
immobilization.
Identify types of fractures
and traction.
Evaluate the therapeutic
management and nursing
care of the child with
Scoliosis.
Plan age-appropriate
diversional activities for the
child with a
musculoskeletal disorder.
38
UNIT P.V - NURSING CARE OF THE CHILD EXPERIENCING A NEUROLOGIC, MUSCULOSKELETAL,
DISORDERS OF THE EYES OR EARS, INTEGUMENTARY COGNITIVE IMPAIRMENT -CONTINUED
RNSG 1412
Content
Educational Objectives
Coordinator/Manager
of Care (2, 4)
C. The Child with a Sensory
Alteration
Identify providers and
resources available to meet
the needs of clients and
their families experiencing
a vision or hearing loss.
Member of Profession
Provider of Care
(1, 2, 4, 6)
Evaluate the structure and
function of the eyes and
ears and disorders of these
organs that affect children.
Learning Activities
Required:
James: Chap. 31
Suggested:
Discuss how a nurse would
identify a vision or hearing
disorder in each
developmental level of
children.
Identify the specific
interventions required to
correct vision and learning
problems.
Charlton, A. (1994).
"Children and Passive
Smoking: A Review."
Journal of Family
Practice, 38, 267.
How Student will be
evaluated:
Computer Test
39
UNIT P.V - NURSING CARE OF THE CHILD EXPERIENCING A NEUROLOGIC, MUSCULOSKELETAL,
DISORDERS OF THE EYES OR EARS, INTEGUMENTARY COGNITIVE IMPAIRMENT -CONTINUED
RNSG 1412
Content
Educational Objectives
D. The Child with
Integumentary
Alterations
Coordinator/Manager
of Care (2, 3, 4, 5)
Apply the nursing process
in the care of infants and
children with skin
disorder.
Formulate a plan of care
for a child with burns.
Member of Profession
(1, 2, 3)
Examine ways burns could be
prevented in children.
Provider of Care
(1, 2, 3, 4, 6)
Describe the anatomy and
physiology of normal skin.
Discuss the classifications of
depth of a burn injury.
Describe the differences
among the skin of the
newborn, child and adult.
Learning Activities
Required:
James: Chap. 25
Examine the treatments for
common skin disorders.
Describe the implications of
a burn injury in a pediatric
patient.
Suggest:
Rieg, L.S. (1996).
Metabolic Alterations and
Nutritional Management.
AACN Clinical Issues in
Critical Care Nursing. 4,
388-398.
Identify causes of mental
retardation.
E. The Child with a
Cognitive Impairment
Develop nursing strategies
for supporting the family
and child with mental
retardation or
developmental delay.
Explore the legal and ethical
implications of caring for a
child with cognitive
impairment.
Identify behavioral
characteristics and nursing
interventions for a child
with Down Syndrome.
James, Chap. 30
Evaluation:
Computer Test
40
APPENDICES
41
Student Contract
RNSG 1412
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
STUDENT CONTRACT
To meet the course objectives, RNSG 1412 and
To assist students to meet the course objectives,
RNSG 2462 students will:
the instructor will:
Be in attendance and be punctual for lecture
and clinical experiences.
Be in the classroom lectures at 9:00 a.m. or
scheduled time.
Satisfactorily pass exams, quizzes, ATi tests,
and a final exam with an overall grade of 77%
or above.
Provide ATI review books and practice test
codes.
Satisfactorily complete all course and clinical
assignments as assigned by the instructor.
Be in the clinical at assigned time for student
teaching and assistance.
Take a makeup final exam if the regularly
scheduled exam is missed. The makeup exam
will be taken within one week of the regularly
scheduled exam OR at discretion of the
instructor. Pre-arrangement will be made with
the instructor. Makeup exams may be in essay
and/or short answer form.
Provide a makeup exam for students absent
from the scheduled final exam---after the
student has made the appropriate arrangements
with the instructor.
If an exam is missed by the student for a
legitimate excuse the next exam will count in
the missed exam grades place. (This will only
be allowed once during the semester). If the
student does not have an excused absence a
zero (0) will be given for that missed exam
grade.
Satisfactorily complete the pediatric math exam
with a grade of 90 or above prior to beginning
administration of medication on the pediatric
clinical unit.
Notify instructor of clinical absences. Each
absence will be made up on an individual basis.
Satisfactorily pass databases, nursing processes
and teaching project or article critique with a
77% average (see RNSG2462 course grade
worksheet)
Critique coursework as time allows. Grade
required papers and return to students in a
timely manner.
42
Student Contract
RNSG 1412
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
STUDENT CONTRACT
The student will:
Attend & participate in all post conferences.
Two hours will be allotted for postconference to allow for student participation.
Complete the written assignments as
described in the clinical course requirements
prior to each clinical rotation.
The instructor will:
A variety of opportunities will be selected to
enrich student experience.
Assist students to complete client
assignments when notified. Provide postconferences as needed to complete required
objectives.
A minimum of 77% of all clinical goals
must be met in order to pass clinical. (All
lettered and starred critical objectives must
be met with a score of 2 or above on the
final evaluation.)
Provide midterms and final clinical
evaluation.
Successfully complete the newborn
assessment before transition and mom-baby
rotations.
Check off students in simulation lab.
Complete & turn in a clinical site tool
weekly. (77% must receive a score of 2 or
higher)
Provide site tool feedback in a timely
manner.
Be responsible for completion of the clinical
evaluation tool prior to clinical evaluation
with the instructor for clinical conference.
Student will be aware of objectives to be
met as written in the evaluation tool for each
clinical day.
Post office hours for student conferences.
I have read and understand the above RNSG
1412 and RNSG 2462 policies.
___________________________________
PRINTED NAME
REFERRAL MAY BE MADE TO THE
ADN PROGRAM DIRECTOR.
DEVIATION FROM THE STUDENT
CONTRACT WILL BE EVALUATED ON
AN INDIVIDUAL BASIS WITH THE
INSTRUCTOR.
____________________________________
INSTRUCTOR'S SIGNATURE
DATE
___________________________________
STUDENT'S SIGNATURE
DATE
Student Contract
RNSG 1412
43
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
STUDENT CONTRACT
To meet the course objectives, RNSG 1412 and
To assist students to meet the course objectives,
RNSG 2462 students will:
the instructor will:
Be in attendance and be punctual for lecture
and clinical experiences.
Be in the classroom lectures at 9:00 a.m. or
scheduled time.
Satisfactorily pass exams, quizzes, ATI tests,
and a final exam with an overall grade of 77%
or above.
Provide ATI review books and practice test
codes
Satisfactorily complete all course and clinical
assignments as assigned by the instructor.
Be in the clinical at assigned time for student
teaching and assistance.
Take a makeup final exam if the regularly
scheduled exam is missed. The makeup exam
will be taken within one week of the regularly
scheduled exam OR at discretion of the
instructor. Pre-arrangement will be made with
the instructor. Makeup exams may be in essay
and/or short answer form.
Provide a makeup exam for students absent
from the scheduled final exam---after the
student has made the appropriate arrangements
with the instructor.
If an exam is missed by the student for a
legitimate excuse the next exam will count in
the missed exam grades place. (This will only
be allowed once during the semester). If the
student does not have an excused absence a
zero (0) will be given for that missed exam
grade.
Satisfactorily complete the pediatric math exam
with a grade of 90 or above prior to beginning
administration of medication on the pediatric
clinical unit.
Notify instructor of clinical absences. Each
absence will be made up on an individual basis.
Satisfactorily pass databases, nursing processes
and teaching project or article critique with a
77% average (see RNSG2462 course grade
worksheet)
Critique coursework as time allows. Grade
required papers and return to students in a
timely manner.
44
Student Contract
RNSG 1412
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
STUDENT CONTRACT
The student will:
Attend & participate in all post conferences.
Two hours will be allotted for postconference to allow for student participation.
The instructor will:
A variety of opportunities will be selected to
enrich student experience.
Complete the written assignments as
described in the clinical course requirements
prior to each clinical rotation.
Assist students to complete client
assignments when notified. Provide postconferences as needed to complete required
objectives.
A minimum of 77% of all clinical goals
must be met in order to pass clinical. (All
lettered and starred critical objectives must
be met with a score of 2 or above on the
final evaluation.)
Provide midterms and final clinical
evaluation.
Successfully complete the newborn
assessment before transition and mom-baby
rotations.
Provide site tool feedback in a timely
manner.
Complete & turn in a clinical site tool
weekly. (77% must receive a score of
highter)
Post office hours for student conferences.
Be responsible for completion of the clinical
evaluation tool prior to clinical evaluation
with the instructor for clinical conference.
Student will be aware of objectives to be
met as written in the evaluation tool for each
clinical day.
.
I have read and understand the above RNSG
1412 and RNSG 2462 policies.
___________________________________
PRINTED NAME
REFERRAL MAY BE MADE TO THE
ADN PROGRAM DIRECTOR.
DEVIATION FROM THE STUDENT
CONTRACT WILL BE EVALUATED ON
AN INDIVIDUAL BASIS WITH THE
INSTRUCTOR.
____________________________________
STUDENT'S SIGNATURE
DATE
____________________________________
INSTRUCTOR'S SIGNATURE
DATE
45
Course Grade Worksheet
RNSG 1412
NURSING CARE OF THE CHILDBEARING AND CHILDREARING FAMILY
NAME________________________________________________________________________
Grade
Exam #1 __________
Exam #2 __________
Exam #3 __________
Exam #4 __________
Exam #5 __________ (ATI test average)
Average of Exams
__________ X .8 =
__________
Final Exam
__________ X .2 =
__________
Final clinical grade
__________
Course grade
__________
46