LEHMAN COLLEGE
DEPARTMENT OF NURSING
UNDERGRADUATE PROGRAM
COURSE OUTLINE
SPRING 2023
Accelerated Students
COURSE NUMBER:
COURSE TITLE:
Childrearing Families
NUR 405
Therapeutic Interventions IV Childbearing and
PLACEMENT IN CURRICULUM:
Senior Year
PRE-REQUISITES:
NUR 303, NUR 330
CO-REQUISITES:
NUR 302, 406
CREDITS:
6 Credits: 3 hours lecture, 12 hours clinical
TIME:
Classroom
Mondays 9:00am-11:40 am
T-3 109
FACULTY:
Dr. Carol Bues
E-mail: carol.bues@lehman.cuny.edu
Clinical: Patricia Lang, Maria Ramirez, Shelia Audain
NUR 405: Therapeutic Intervention IV: Childbearing and Childrearing Families.
6 credits: 3 hours lecture, 12 hours clinical laboratory.
Course Description: Relation of nursing care to positive health experiences and outcomes in
childbearing and childrearing families. PREREQ: NUR 303, NUR 304, NUR 330. COREQ:
NUR 302, NUR 406.
Objectives: At the completion of this course the student will be able to:
1. Assess newborns, children and adolescents in various states of health and illness using
principles of growth and development.
2. Assess women during antepartum, intrapartum and post-partum periods.
3. Analyze the effects of family, community, culture and environment on maternal-child and
pediatric populations.
4. Develop a family focused, human science based nursing care plan for children and
adolescents using the nursing process.
5. Develop a family focused, human science based nursing care plan for child-bearing women
in various states of health.
6. Implement nursing care plans for children and child-bearing families.
7. Integrate knowledge of cultural influences into nursing practice.
1
8. Apply legal and ethical principles in maternal-child and pediatric nursing practice.
9. Integrate evidence based findings into nursing practice.
10. Integrate developmentally appropriate concepts of grief and loss into the nursing care of
children and child-bearing families.
11. Examine selected women’s health issues.
REQUIRED TEXTBOOKS:
Ricci, S. & Kyle, T. (2021). Maternity and Pediatric Nursing 4th Edition. Philadelphia: Wolters
Kluwer.
*** Please read in full: Ordering from another source may result in receiving an incorrect
product, delayed access, or higher costs incurred! Required Program: CoursePoint+ Enhanced
access for Maternity and Pediatric Nursing 4th by Ricci/Kyle
Contains: E-text for Maternity and Pediatric Nursing 4th by Ricci/Kyle, access to multimedia
resources, access to PrepU Adaptive Learning program (which is a required component of the
course). PrepU results will provide feedback directly to e-text pages, access to vSim for Nursing:
Maternity/Pediatrics version (which is a required component of the course). Access to Lippincott
Advisor for Education (Evidenced Based Content) Please Note: this option does not include hard
copy printed textbook. (see below for option to purchase, if desired) Can be purchased:
Option 1: Purchased on-line via Lehman specific url for “instant access” – student receives
access immediately via e-mail upon completing purchase so there is no shipping delay. Lehman
reduced cost is $225.00
https://lippincottdirect.lww.com/NursingEducation-CUNYLehmanCollege-Spring2023
Option 2: Purchased at campus bookstore. List price is $300.00
Student can submit rebate request to be reimbursed difference between list price and Lehman
specific url (maximum rebate = $75.00) Rebate only valid for purchases of CoursePoint+
Enhanced for Ricci/Kyle 4th at Lehman Bookstore!
Please note – e-text is included within the program. If desired, students can purchase a printed
textbook at the Lehman 30% reduced cost of $109.89 (list price is $156.99) using the above url.
Print text does not provide access to CoursePoint+. There is no shipping charge!
*** Once you have access to CoursePoint+ Enhanced…please enroll into the class by entering
the specific CoursePoint+. Class code is CB40FA4D
*** Lastly - Here is a helpful link that contains segmented videos covering the most prominent
features/functions of CoursePoint+ Enhanced, so users can use the Table of Contents to jump
directly to the component they wish to review. This link should be saved, to refer as needed as
the semester progresses: https://elearning.easygenerator.com/020dae0c-83ec-42c6-8d4bb8a2d5fc685d/
2
Recommended Texts:
American Psychological Association. (2020). Publication manual of the American Psychological
Association. 7th Edition. Washington, DC: American Psychological Association. $31.99
A list of selected journal articles and additional readings will be provided during the semester
on Blackboard. Most articles are available online via Lehman College Library E-journals.
Videos -Pediatric Nursing Assessment (school age child) https://www.youtube.com/watch?
v=7qQPFbQvfTI
An Infant Well-Child Visit at Harvard Vanguard Medical Associateshttps://www.youtube.com/watch?v=yedMu9C70m4
Pediatric Assessment - https://www.youtube.com/watch?v=FGL05MwFCt8
TEACHING/LEARNING STRATEGIES:
The course will incorporate a variety of teaching strategies to stimulate critical thinking and
nursing clinical awareness. These will include lecture, discussion, clinical simulation, clinical
seminars, clinical experience in a variety of settings, CAI and Internet assignments.
EVALUATION METHODS:
In order to pass the course, students must:
1.
Have a cumulative passing average of 73% and,
2.
Receive a Satisfactory Clinical Evaluation.
The grade for the course will be computed as follows:
Exam 1:
23%
Exam 2
22%
Pre-Class Activities/
15% Adaptive quizzes – achieve assigned mastery level (6)
Class Participation:
P/F - clinical case studies
Clinical Activities:
v-Sims – 80% achievement level
Newborn Assessment:
P/F - Maternity
Appraisal of Mother-Infant Interaction P/F – To be done during the Maternity Rotation
Postpartum Assessment
P/F - Maternity
L&D Assessment
P/F - Maternity
Pediatric Care Plan:
P/F pediatric rotation graded by the pediatrics instructors
Medication Experience
P/F– all clinical rotations
Seminar:
P/F - completed in the community settings
Final Exam:
30% (cumulative and combined maternity and pediatrics content)
Standardized Exam:
10% (HESI)
Total
100%
In addition, all of the following assignments must be completed with a passing grade of at
least 73% for the paper and the care plan, and equivalent to 73%, if the assignment is P/F.
Unsatisfactory papers will be returned to be redone until they meet the minimum standard.
Students must complete all papers with a satisfactory grade by the end of the semester.
3
COURSE EXPECTATIONS/REQUIREMENTS:
Grades:
A minimum grade of C (73) is required for a student to progress from one nursing course
to the next. A student who does not achieve a grade of at least C in a NUR or HIN course
may repeat the course only once. Students repeating NUR 405 must earn a grade of
B. Assignments graded P/F must meet the standard for a C grade in order to earn a Pass.
The student must achieve an average grade of C (73) in the above course
requirements to success-fully complete and pass the course. If a student achieves a
grade below 73, the grade recorded will be an F.
Nursing majors who fail to achieve a grade of C or better in an undergraduate nursing or
HIN course must meet with the director of the undergraduate nursing program to develop
a contractual plan of study prior to registration for the following semester. A student may
not register for a nursing course if the prerequisite course has been failed or is
incomplete. A grade of B is required when an HIN or NUR course is repeated (see
Department Grading Policy p. 30). A withdrawal from a course is considered an attempt,
therefore, any student that withdraws from a course must achieve a grade of B or better
on the second attempt. If a student does not attain a B or above when the course is
repeated, the grade earned will be submitted as the final grade. Failing or withdrawing
from 2 or more courses makes the student ineligible to remain in the program.
A nursing student may only attempt a given NUR or HIN course twice, regardless of the
reason for noncompletion. No further attempt will be permitted. A withdrawal from a
course is considered an attempt. Failing or withdrawing from 2 or more courses makes
the student ineligible to remain in the program. Students who wish to withdraw from a
NUR or HIN course for personal or health reasons should first discuss the decision with
the course instructor to determine possible alternatives. Once the decision to withdraw is
made, the student should inform the course instructor and director of the undergraduate
program in writing.
A minimum grade of C (73) or better is required in each HIN and NUR course to
progress to the next nursing course. Nursing students may repeat only one HIN or NUR
course. If a student earns a grade below a C grade, the course must be repeated. Nursing
students may repeat only one HIN or NUR course. No grade of C- will be given in any
HIN or NUR course regardless of the student’s major. A student who does not achieve a
grade of C or better in an NUR or HIN course may repeat the course only once. If a
student repeats an HIN or NUR course, a grade of B must be earned when the course is
repeated to progress to the next nursing course. Any student that withdraws from a course
must achieve a grade of B or better on the second attempt. If a B or above is not earned
when a course is repeated, the grade earned will be posted as the final grade. Failing or
withdrawing from 2 or more courses makes the student ineligible to remain in the
program.
4
1-Adaptive Quizzes:
Adaptive quizzes on Prep-U are posted on the Topical Outline below with due dates. The
quizzes must be completed by 8:00 am on the posted due date. NO EXCEPTIONS. You
must achieve at a mastery level of 6 or higher to earn points.
2-Clinical Practicum:
This course has 3 clinical rotation sites Maternity, Pediatrics and Community. Students
must attend all clinical sites on assigned days. NO CLINICAL ABSENCES ARE
ALLOWED. Students will care for patients as assigned by clinical faculty and must
receive a satisfactory evaluation in each element of the grading criteria for each of the 3
clinical rotations in order to pass the course. See clinical evaluation form for specific
evaluation criteria.
Pre-requisite health clearance, malpractice/liability insurance, and BCLS must be
current and on file in the Nursing Department. Students who do not have current
documents on file will not be allowed in the clinical area and will be dropped from
the clinical group.
3. Standardized Tests:
All students in NUR 405 must complete the Standardized (HESI) Test as scheduled. The
test score is 10% of the course grade. Students who fail to achieve an acceptable score
850 must complete prescribed remediation prior to repeating or taking any further
standardized tests.
4. Cellular Phone:
Cellular phones are not allowed to be turned on or used in the classroom or in-patient
clinical areas. Students found using cell phones will be asked to leave class/clinical. See
Student Handbook.
5. Written Assignments
Written assignments are to be submitted on the due date. Assignments handed in late will
be subject to a lower grade.
6 Pre-requisite Courses
Students are responsible for all information included in any pre-requisite courses and this
information will be included in course tests.
7- Missed Exams – There are no make-up tests for missed exams. Students missing an
exam will have the grade percentage added to the final exam, e.g., if you miss exam 2
(22%) will be added to the final exam = 52%
8- Contacting Dr. Bues via email- I will do my best to responded in 24 hours but may
take up to 48 hours, especially on weekends. As per CUNY protocol you MUST use your
CUNY email, no personal emails will be answered. If this is not set up for you, please
contact the IT Department for help. PLEASE, PLEASE, PLEASE put in subject line the
course number and issue, e.g. NUR 405 vSims Question or NUR405 Issue with Course
Point Plus. Thank you!
5
Accommodating Disabilities: Lehman College is committed to providing access to all
programs and curricula to all students. Students with disabilities who may need
classroom accommodations are encouraged to register with the Office of Student
Disability Services. For more information, please contact the Office of Student Disability
Services, Shuster Hall, Room 238, phone number, 718-960-8441.
The Academic Center for Excellence (ACE) and the Science Learning Center (SLC)
The Academic Center for Excellence (ACE) and the Science Learning Center (SLC) are
two of the tutoring centers on campus. The ACE provides appointment-based and dropin tutoring in the humanities, social sciences, and writing, as well as general writing and
academic skills workshops. The SLC provides drop-in tutoring for natural science
courses. To obtain more information about the ACE and the SLC, please visit their
website at http://www.lehman.edu/issp, or please call the ACE at 718-960-8175, and the
SLC at 718-960-7707.
CUNY Policy on Academic Integrity – Please read this policy and adhere to the rules
set forth by the City University of NY and Lehman College
http://lehman.smartcatalogiq.com/en/2017-2019/Undergraduate-Bulletin/Search?
q=academic+integrity
WEEKLY
Wed
01/25 and
Thursday
01/26
TOPICAL ASSIGNMENTS
Orientation to Clinical
Meet Clinical Faculty at the Nursing
Lab at Lehman College at 9 am
Introduction to the course.
Overview of clinical objectives,
assignments, requirements.
Review/demonstration of selected
maternity and pediatric nursing
assessment skills. Wear scrubs and
bring your stethoscope
Maternity Assessment YouTube:
Pregnancy Assessment – Part 1 (25
minutes)
https://www.youtube.com/watch?
v=AwwH20GrV_I
Pregnancy Assessment – Part 2 (16
minutes)
https://www.youtube.com/watch?
v=dAha5SSHbc4
Birthing Positions (7 minutes)
6
ASSIGNED READINGS
Maternity Readings
Ch 1-3 Perspectives on MCH Care (1),
Caring for Women & Children (2), A&P
(3)
Pediatric Readings
Ch. 25-29 (Health Promotion & Family
Care, G&D Review)
Nursing Care of Family (various ages of
children and adolescents-review).
Ch. 32 Child Health Assessment
Ch 33- Caring for Children in Diverse
Settings
Ch 35- Pediatric Nursing Interventions
https://www.youtube.com/watch?
v=k3UzCMqG4WM
Newborn examination/check after
birth (5 minutes
https://www.youtube.com/watch?
v=aqqXay7vSNY
Video #44 Newborn appraisal
Pediatric Videos
1- Videos -Pediatric Nursing
Assessment (school age
child 2:11 minutes)
https://www.youtube.com/w
atch?v=7qQPFbQvfTI
2- An Infant Well-Child Visit at
Harvard Vanguard Medical
Associates- (5 minutes)
https://www.youtube.com/w
atch?v=yedMu9C70m4
3-Pediatric Assessment
https://www.youtube.com/w
atch?v=FGL05MwFCt8
Avatar (11:02 minutes)
Monday
01/30/23
9:00am11:40 am
T3 109
02/06
7
Childbearing and Childrearing
Family and Community
Health Care Across the Lifespan
Healthy People 2030
Family Assessment in the
Community
Care of Hospitalized Children
Nurses Role in MCH &
Communication with Childbearing
Families
Brief A&P review
Genetic Assessment and Counseling
Class zoom with rep from Elsevier
for NGN (Next Generation NCLEX)
for use of products and testing
Antepartal Assessment & Care
Nursing Care During Normal
Pregnancy, Care of the Developing
Fetus
The Nursing Role in Promoting
Nutritional Health During
Ch 1-2
Ch 3 (A&P-Review on own)
Ch. 10 (Genetics- Review on your own)
Ch. 30- Care of Children & Families
Ch. 31-Well Childcare
Ch. 32- Health Assessment & Supervision
Ch. 33- Care of Hospitalized Children
Due 8 am Adaptive Quizzes Chapters 1,
2, 3, 32, 33, 35 (6)
Due 8 am vSim Eva Madison (1)
Ch 11, 12
Ch 13,14, 15, 16
Ch 17, 18
Due 8 am Adaptive Quizzes Chapters
11, 12, 13, 14, 15, 16, 17, 18 (8)
Due 8 am vSim Carla Hernandez (1)
02/13- No
Lecture
02/20- No
Lecture
Tues 2/21
Follows
Monday
schedule
02/27
03/06
03/13
03/20
Monday
Exam
8
Pregnancy,
Preparing for Childbirth and
Parenting
Nursing Care of a Family During
Labor & Birth, Comfort During
Labor & Birth, Post-partum Care
Newborn Assessment & Nursing
Care
LINCOLN’S BIRTHDAY NO
CLASSES
PRESIDENT’S DAY
NO CLASSES
Pediatric Dosage Calculations &
Medication safety, Pain assessment
Ch. 36
Ch 40
Immunization Schedule – Children &
Respiratory Dysfunctions in
Adolescents
Children
http://www.cdc.gov/vaccines/recs/sched
acidosis/alkalosis; croup,
ules/child-schedule.htm
bronchiolitis, asthma, cystic fibrosis. Due 8 am Adaptive Quizzes Chapters
36, 40 (2)
Due 8 am vSim-Brittany Long &
Sabrina Vasquez (2)
Congenital Heart Defects &
Ch 41 Cardiac
Rheumatic Fever
Due 8 am Adaptive Quizzes Chapter 41
(1)
Due 8 am vSims Fatima Songo (1)
Nursing Care of Infants & Children
with
Disturbances in Fluid & Electrolyte
Function
Metabolic acidosis/alkalosis
Alterations in GI Function
Cleft lip & palate, Gastroenteritis,
Pyloric stenosis, Aganglionic
megcolon, Intussusception
Nursing Care of Infants & Children
with
Disturbances in Fluid & Electrolyte
Function
Alterations in GU Function
EXAM I
Blackboard – T3 Computer Lab
Ch 42
Due 8 am Adaptive Quiz Chapter 42 (1)
Due 8 am vSim Charlie Snow (1)
Ch. 43 Metabolic acidosis/alkalosis;
Nephritis, Nephrotic Syndrome, Wilm’s
tumor (Ch. 46, pp. 1734-1736)
Due 8 am Adaptive Quiz Chapter – 43
(1)
No Make-up Exams
9:0010:15
Teen Pregnancy
Maternal Infections in Pregnancy
including HIV, TORCH, Substance
Abuse
Child Abuse Recognition &
Reporting
Intimate Partner Violence in
Pregnancy (IPV)
Perinatal Loss, Death and Grief
Pediatric End of life care
Ch. 20, pp. 745-749 Pregnant Teen
Due 8 am vSim Brenda Patton (1)
04/03
High Risk Newborn
Hyperemesis Gravidarum,
Hemorrhagic Disorders, PIH,
Gestational Diabetes
Preterm labor, PROM
PP Affective Disorder
Ch 23, 24
Ch. 19 (Gestational DM)
Ch 19, 21 (PIH, placenta previa, preterm
labor, PROM, Rh incompatibility,
abortion)
Ch 22 (PP hemorrhage)
Ch 22 (Post-partum risks)
Due 8 am Adaptive Quizzes Chapters
19, 21, 22, 23, 24 (5)
Due 8 am vSims Amelia Sung (1)
04/10
SPRING BREAK
NO CLASS
Hemophilia, Sickle Cell Disease,
Iron Deficiency Anemia
Nursing Care of the Child with
Musculoskeletal Disorders
ENJOY!
Lecture
10:3011:40AM
3/27
MUST
Attend:
Mandatory
Required
for
graduation
04/17
04/24
NO
LECTURE
05/01
Exam
9:009
Ch.50 pp. 1859-1861
Ch 9 (IPV), pp.293-305
Ch 24 (perinatal death & grief, pp. 863865)
Ch 34 Pediatric End-of-life care
Due 8 am Adaptive Quizzes Chapters 9,
34, 50 (3)
Ch. 46 - Hematologic disorders
Ch. 44 – Scoliosis
pp. 719-23 Club foot, Congenital Hip
Dysplasia
Due 8 am Adaptive Quizzes Chapters
44, 46 (2)
Due 8 am vSims Olivia Jones (1)
Class time used for Case Studies
Due 8 am vSims Jack Webber (1)
and Elsevier NGN Adaptive Quizzes
TBA
Exam #2 T3 Computer Lab
Nursing Care of Children with
No Make-up Exams
Ch. 38 - Hydrocephalus, Neural tube
10:15 am
Lecture
Follows
10:3011:40 am
05/08
Neurologic & Cognitive Alterations
Common GYN Issues
Infertility, Family Planning, and
Contraception
STIs
05/15
Standardized Test
EXAM
HESI (1 Hour)
Time
T3 Computer Lab
TBA
05/22
FINAL EXAM
Exam
Comprehensive
Time
T3 Computer Lab
TBA
CB 01/13/23
10
defects, Cerebral Palsy
Ch. 50 - Autism; Down Syndrome,
Intellectual & Developmental Disorders
Due 8 am Adaptive Quizzes Chapters
38, 50 (2)
Ch. 4 - Dysmenorrhea, Menopause,
Endometriosis, Uterine Fibroids
Ch. 4 – Infertility, Contraception
Chap 5- STIs
Due 8 am Adaptive Quiz Chapter 4, 5
(2)
Due 8 am vSim – Ariel Barkly (1)
NO MAKE-UP TESTING
NO MAKE-UP TESTING