MATERNAL NEWBORN
CONCEPTS
CONCEPTION AND FETAL
DEVELOPMENT
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Summarize the process of fertilization and implantation.
Identify the development, structure, and functions of the placenta.
Explain the composition and functions of amniotic fluid.
Discuss the significant changes in growth and development of the
embryo and fetus.
 Discuss the significant changes in growth and development of the
embryo and fetus.
 Analyze the potential effects of teratogens during vulnerable periods
of embryonic and fetal development
PREGNANCY
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Describe the expected maternal anatomic and physiologic adaptations to pregnancy.
Analyze the signs and symptoms of pregnancy in relation to the maternal anatomic
and physiologic changes.
Categorize the signs and symptoms of pregnancy as presumptive, probable, or
positive.
Describe strategies for confirming pregnancy and estimating the date of birth.
Evaluate the benefits of prenatal care.
Outline the patterns of health care used to assess maternal and fetal health status at
initial and follow-up visits during pregnancy.
Select the typical nursing assessments, interventions, and methods of evaluation in
providing care for the pregnant woman.
• Compare the available options for expectant parents in selecting obstetric health care
providers and birth settings.
NORMAL LABOR AND BIRTH
C-SECTION & VBAC
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Explain the five major factors that affect the labor process.
Describe the anatomic structure of the bony pelvis.
Explain the significance of the size and position of the fetal head during labor and birth.
Summarize the cardinal movements of the mechanism of labor for a vertex presentation.
Examine the maternal anatomic and physiologic adaptations to labor.
Describe factors thought to contribute to the onset of labor.
Describe fetal adaptations to labor.
Review the data included in the initial assessment of the woman in labor.
 Summarize the nursing care for a cesarean birth, and vaginal birth after a cesarean
NORMAL POSTPARTUM
•Describe the anatomic and physiologic changes that
occur in the reproductive system during the postpartum
period.
•Discuss the anatomic and physiologic changes that
occur in other body systems during the postpartum
period.
•Identify expected values for postpartum vital signs and
possible causes for deviations from normal findings.
INDUCTION OF LABOR
•Summarize the nursing care for a woman experiencing induction and
augmentation of labor.
•Summarize and describe procedures that are done prior to and during
induction of labor.
PRETERM LABOR AND PREMATURE RUPTURE OF
MEMBRANES (PROM)/PRETERM PREMATURE RUPTURE
OF MEMBRANES (PPROM)
•Discuss major risk factors associated with preterm labor.
•Analyze current interventions to prevent spontaneous
preterm birth.
•Discuss the use of tocolytics and antenatal glucocorticoids
for management of preterm labor.
•Design a nursing care plan for women with premature
rupture of membranes (PROM) and preterm premature
rupture of membranes (PPROM).
MATERNAL/PATERNAL/FAMILY ADAPTATION TO
PREGNANCY
•Summarize the psychosocial and behavioral changes that
usually occur as the expectant mother and other family
members adapt to pregnancy.
•Evaluate the effect of age, parity, and number of fetuses on
the response of the family to the pregnancy and on the
prenatal care provided.
•Analyze the effects of cultural beliefs and practices on care
of women during pregnancy.
PAIN MANAGEMENT, ANESTHESIA AND
DISCOMFORTS OF PREGNANCY
•Describe nonpharmacologic strategies used to enhance relaxation and promote comfort
during labor and birth.
•Compare pharmacologic methods used to relieve discomfort in various stages of labor and
for vaginal or cesarean birth.
•Discuss the effects of medication management for the mother and its effect on the newborn
both during and after birth.
•Construct an evidence-based plan to manage the discomfort that a woman experiences
during childbirth.
•Explain the nurse’s role and responsibilities while providing care for a woman receiving
analgesia or anesthesia during labor.
•Describe the nurse’s role in promoting comfort and safety throughout the labor and birth
process.
•Plan and provide education needed by pregnant women to understand and manage physical
discomforts related to pregnancy.
NORMAL NEWBORN
•Analyze the physiologic adaptations that the neonate must make during the
transition from the intrauterine to the extrauterine environment.
•Describe the behavioral adaptations that are characteristic of the newborn during the
transition period.
•Explain the mechanisms of thermoregulation in the neonate and the potential
consequences of hypothermia and hyperthermia.
•Describe newborn reflexes and differentiate characteristic responses from abnormal
responses.
•Discuss the sensory and perceptual functioning of the neonate.
•Identify signs that the neonate is at risk related to problems with each body system
EXTRAUTERINE TRANSITION/FETAL LUNG
MATURITY
 Analyze the physiologic adaptations that the neonate must
make during the transition from intrauterine to extrauterine
life.
 Describe the behavioral adaptations that are characteristic
of the newborn during the transition period.
 Compare and contrast common methods of testing fetal
lung maturity.
TRANSIENT TACHYPNEA OF THE NEWBORN &
NEONATAL RESPIRATORY DISTRESS SYNDROME
•Discuss transient tachypnea of the newborn,
respiratory distress syndrome, and the approach to
care management.
•Compare methods of oxygen therapy
ABORTION/MISCARRIAGE, ANEMIA,
INCOMPETENT CERVIX
•Differentiate among causes of early pregnancy bleeding,
including miscarriage
•Discuss signs and symptoms, possible complications, and
management of miscarriage
•Discuss signs and symptoms, possible complications, and
management of anemia
•Discuss signs and symptoms, possible complications, and
management of incompetent cervix
PREECLAMPSIA
•Differentiate among gestational hypertension, preeclampsia,
and chronic hypertension.
•Describe etiologic theories and pathophysiology of
preeclampsia.
•Compare care management of women with mild or severe
gestational hypertension and preeclampsia with or without
severe features.
POSTPARTUM HEMORRHAGE
Identify the causes, signs and symptoms, and
medical and nursing management of
postpartum hemorrhage.
FETAL CIRCULATION
Summarize fetal
circulation
NEONATAL JAUNDICE, RH FACTOR, ABO
INCOMPATIBILITY, HEMOLYTIC DISEASE OF THE
NEWBORN
•Differentiate between physiologic and pathologic jaundice in
the newborn.
•Explain the nursing care for preventing, identifying, and
managing neonatal hyperbilirubinemia.
•Discuss phototherapy and the guidelines for teaching
parents about this treatment.
•Compare Rh and ABO incompatibility and the implications
for neonatal outcomes.
•Explain nursing management to prevent consequences of
hyperbilirubinemia
PRENATAL SCREENING AND WARNING SIGNS OF
PREGNANCY
 Differentiate among screening and diagnostic
techniques, including when they are used in
pregnancy and for what purposes.
 Plan and provide education needed by pregnant
women to understand and recognize signs and
symptoms of potential complications.
POSTPARTUM INFECTIONS AND MASTITIS
•Differentiate the causes of postpartum
infection.
•Summarize the assessment and care of
women with postpartum infection.
•Discuss signs and symptoms of mastitis and
care management
NUTRITIONAL NEEDS BEFORE
CONCEPTION
Discuss recommendations for nutritional needs
prior to pregnancy
NUTRITIONAL NEEDS DURING
PREGNANCY/OBESITY/EATING DISORDERS
•Discuss recommendations for maternal weight gain during pregnancy.
•Compare the recommended level of intake of energy sources, protein,
and key vitamins and minerals during pregnancy and lactation.
•Give examples of the food sources that provide the nutrients required
for optimal maternal nutrition during pregnancy and lactation.
•Examine the role of nutritional supplements during pregnancy.
•List nutritional risk factors during pregnancy.
•Assess nutritional status during pregnancy.
•Describe food safety precautions for pregnant women.
•Discuss nutritional concerns for obese women and patients with eating
disorders.
NEWBORN NUTRITION
•Describe current recommendations for infant feeding.
•Explain the nurse’s role in helping families select an infant feeding method.
•Discuss benefits of breastfeeding for infants, mothers, families, and society.
•Describe nutritional needs of infants.
•Describe anatomic and physiologic aspects of human lactation.
•Recognize newborn feeding cues.
•Explain maternal and infant indicators of effective breastfeeding.
•Examine nursing interventions to facilitate and promote successful
breastfeeding.
•Analyze common problems associated with breastfeeding and interventions to
resolve them.
•Develop a teaching plan for the formula feeding family.
POSTPARTUM NUTRITION
•Prepare a plan for postpartum teaching for
self-management.
•Discuss weight changes in the postpartum
woman.
•Discuss changes in dietary requirements
postpartum.