COURSE SYLLABUS
VNSG 1330 (3:3:0)
MATERNAL NEONATAL
NURSING
**********
VOCATIONAL NURSING
NURSING DEPARTMENT
HEALTH OCCUPATION DIVISION
LEVELLAND CAMPUS
SOUTH PLAINS COLLEGE
FALL 2010
Levelland
Campus
COURSE SYLLABUS
COURSE TITLE:
Maternal Neonatal Nursing, VNSG 1330
INSTRUCTOR:
Janet Hargrove, R.N.
OFFICE LOCATION AND PHONE/E-MAIL:
Room TA 204 B, 716-2386, jhargrove@southplainscollege.edu
OFFICE HOURS:
By Appointment
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE
I.
GENERAL COURSE INFORMATION
A. COURSE DESCRIPTION (WECM):
This course utilizes the nursing process in the assessment and management of the
childbearing family. This course places emphasis on the bio-psycho-socio-cultural
needs of the family during the following phases:
a) pregnancy
b) childbirth
c) neonatal
d) abnormal occurrences
This course is concerned with normal obstetrics through labor and delivery to
postpartum, inclusive of complications specific to obstetrics and disease conditions
affecting the course of obstetrics. It also deals with supportive care including
physical, emotional and spiritual needs. Effective drugs and diet of mother and child
during pregnancy and after birth are also studied.
Immediate nursing care, characteristics and complications of the newborn are also
studied. This study would include problems of the newborn related to pregnancy,
labor, and delivery. Congenital abnormalities, birth injuries and the special nursing
care required are also studied.
1
B. LEARNING OUTCOMES (WECM):
The student will discuss the bio-psycho-social-cultural needs of the childbearing
family and utilize the nursing process to assist in planing the care of the childbearing
family. In addition, at the end of this course the student should have acquired the
basic knowledge and developed the skills and understanding to care for an obstetrical
client. The student should also be able to plan, implement and evaluate the total
nursing care given throughout the reproductive cycle.
C. COURSE COMPETENCES:
Grading Scale:
A
(100-93)
B
( 92-83)
C
( 82-77)
Below 77 is failing
D. ACADEMIC INTEGRITY:
Please refer to SPC Catalog and Vocational Nursing Student Handbook.
E. SCANS AND FOUNDATION SKILLS:
C1, 2, 3, 4, 5, 6, 9, 10, 11, 12, 13, 14, 16, 17, 18, 19, 20
F1, 2, 5, 7, 8, 9, 10, 12, 13, 14, 15, 16, 17
F. VERIFICATION OF WORKPLACE COMPETENCIES:
No external learning experiences provided. Successful completion of the NEAC
Competency 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 take the state board exam
(NCLEX) for vocational nurse licensure.
2
II.
SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS
Textbook:
Klossner, N.J. Introductory Maternity Nursing, Lippincott, Williams & Wilkins
(2006).
B. ATTENDANCE POLICY
Contact hours: 48. See SPC catalogue and Vocational Nursing Student Handbook.
Students are expected to attend all classes, arrive on time, and to remain for the entire
class period. Attendance will be taken at the beginning of class. If a student misses
more than 6 hours of this 48 hour course they will be withdrawn from the course.
C. ASSIGNMENT POLICY:
Students are expected to read the assigned chapters prior to lecture time.
All class work and exams are to be completed in the fall semester. Failure to
complete assignments will result in a grade of INCOMPLETE.
A grade of incomplete will not permit a student to register for the next semester.
There will be an exam after the completion of each assigned chapter unit, and a
comprehensive final exam at the end of the course.
If a unit test is missed, there will be no make-up test. The student will receive a “0”
for that test. Before the unit tests are averaged the lowest mark received by the
student on a unit test will be dropped.
Assignments must be turn in at 8:00am on the day the assignment is due. After
8:00am ten (10) points will be deducted for late assignment. An additional ten (10)
points will be deducted for every day the assignment is late.
D. GRADING POLICY/METHODS OF EVALUATION:
Unit Exams
OB Take Home Paper
Final
70%
5%
25%
3
III.
COURSE OUTLINE
Required reading: It is required that each chapter be read prior to the lecture hour for the
chapter. The student is responsible for an understanding of the objectives and the key
terms found at the beginning of each chapter. Additional objectives for course are stated
in the textbook prior to each chapter.
CHAPTERS AND TESTS IN ORDER OF STUDY
Chapter 1
Chapter 3
The Nurse’s Role in a Changing Maternal-Newborn Health Care
Environment
Structure and Function of the Reproductive System
TEST # 1
Chapter 2
Chapter 4
Family-Centered and Community-Based Maternal and Newborn Nursing
Special Issues of Reproduction and Women’s Health Care
TEST # 2
Chapter 5
Chapter 6
Fetal Development
Maternal Adaptation During Pregnancy
TEST # 3
Chapter 7
Chapter 8
Prenatal Care
Labor Process
TEST # 4
Chapter 9
Chapter 10
Pain Management During Labor and Birth
Nursing Care During Labor and Birth
TEST # 5
Chapter 11
Chapter 12
Assisted Delivery and Cesarean Birth
The Postpartum Woman
4
TEST # 6
Chapter 13
Chapter 14
Chapter 15
Nursing Assessment of Newborn Transition
Newborn Nutrition
The Normal Newborn
TEST # 7
Chapter 16
Chapter 17
Pregnancy at Risk: Conditions that Complicate Pregnancy
Pregnancy at Risk: Pregnancy-Related Complications
TEST # 8
Chapter 18
Chapter 19
Labor at Risk
Postpartum Woman at Risk
TEST # 9
*2 HOUR COMPREHENSIVE FINAL*
IV.
Diversity Statement:
In this class, the teacher will establish and support an environment that values and
nurtures individual and group differences and encourages engagement and interaction.
Understanding and respecting multiple experiences and perspectives will serve to
challenge and stimulate all off us to learn about others, about the larger world and about
ourselves. By promoting diversity and intellectual exchange, we will not only mirror
society as it is, but model society as it should and can be.
Accommodations--Special Requirements
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.
Reese Center and the Byron Martin Advanced Technology Center (ATC)
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 early in the semester so that the appropriate arrangements may be made.
In accordance with federal law, a student requesting accommodations must provide
acceptable documentation of his/her disability to the Coordinator of Special Services. For
more information, call or visit the Special Services Office in rooms 809 and 811, Reese
Center Building 8, 885-3048 ext. 4654
5
Name____________________
Date Due____________________
Date Turned In____________
OB ASSIGNMENT
Student must find a woman who is willing to discuss her first OB experience. This
must be the delivery of her FIRST child. The student may not use their own
experience.
The grading criteria is attached along with questions for the student to ask the
subject. The assignment must be typed and written in paragraph form. The
student must only use the subjects initials to protect their privacy. This paper along
with the grading criteria MUST be turned in with the paper or points will be
deducted for presentation.
The objectives of this assignment are for the student to practice patient interview
skills involving data collection, for the student to have more awareness of the
patient’s perspective of healthcare, and to present details and descriptions in written
format rather than simple listing.
OB ASSIGNMENT GRADING CRITERIA
Subject’s Initials
Year Delivered
Type of Facility
(Small Hospital)
(Large Hospital)
(At Home)
(Birthing Unit)
CRITERIA
AVAILABLE
POINTS
Describe in detail the type of prenatal care your subject received
10
The circumstances that brought them to the hospital:
complications, premature labor, ROM, induction, etc….
10
Describe in detail labor and delivery
15
Describe in detail Stage Four of delivery
10
Describe in detail post-partum care and teaching received
15
If your subject were to meet with the nurse today what would she
say about her care and why?
10
Would your subject have any suggestions for improvement of
care? Describe?
5
What did she appreciate most about the care she received?
5
Was her family included in the experience, if so, how? If her
family was excluded, why?
10
Presentation, Neatness, Spelling, Grammar
10
POINTS
EARNED
Name____________________
Date Due____________________
Date Turned In____________
OB CASE STUDY
CRITERIA
Demographic data
Patient initials
Date of admission
Support person
Gravida, para, abortions
Estimated date of confinement
Patient age
Blood type
Weeks gestation
Allergies
Drug or alcohol use
Medical Risk Factors During This Pregnancy
Recent Patient Exposures
Prenatal Care
Childbirth classes
Date prenatal care started
What prenatal care consisted of
Reason for admission
Delivery
Date and time of delivery and total number of hours in
labor
Anesthesia used
Amniotic fluid
Episiotomy
Assistive devices used
Umbilical vessels
APGAR
Sex of baby
Newborn ht and wt
Method of feeding
Stages of Labor
Stage 1 textbook definition
Stage 1 textbook nursing duties
Stage 1 nursing duties performed during actual delivery
Stage 1 VS, FHR, contraction pattern, progress of mother.
Stage 2 textbook definition
AVAILABLE
POINTS
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
5
5
1
2
POINTS
EARNED
Stage 2 textbook nursing duties
Stage 2 nursing duties performed during actual delivery
Stage 2 VS, FHR, contraction pattern, progress of mother.
Stage 3 textbook definition
Stage 3 textbook nursing duties
Stage 3 nursing duties performed during actual delivery
Stage 3 VS
Stage 4 textbook definition
Stage 4 textbook nursing duties
Stage 4 nursing duties performed during actual delivery
Stage 4 VS
Mental/Emotional/Psychosocial
Describe and discuss your observations of bonding, family
interaction and interaction with staff.
Physical Assessment of Patient Post Delivery
Vital Signs
Skin/Musculoskeletal
Cardiovascular
Gastrointestinal/Urinary
Reproductive
Medications
Dosage
Method of administration
Classification of drug
Desired effect
Side effects
Nursing interventions
Medication list MUST include: 2 points for each
Pitocin
Vitamin K
Hepatitis B vaccine
Narcan
Any Epidural medication used
Any Local anesthetic used
References
3 references used, reference page in alphabetical order,
copies of front page of reference attached to paper.
Grammar, Spelling, Neatness
Total Points
5
5
1
2
5
5
1
2
5
5
1
2
1
1
1
1
1
2
2
1
1
1
1
2
5
100