Maternal Newborn Nursing NUR 200 2011
WNMU Maternal Newborn Nursing (NUR 200) Fall 2011
Faculty
Professor: Sharon D. Nolasco, MSN, RN
Office: School of Nursing Room 125
Phone: 575-538-6962 Fax: 575-538-6961
E-Mail: albas@wnmu.edu
Cell: 575-534-2337
Office Hours: Thursdays 0900-1200; Monday or Tuesday 1300-1600 or by appointment
Professor: Kyle Rice, BSN, RN
Office: School of Nursing Room 129
Phone: 575-538-6971 Fax: 575-538-6961
E-Mail: ricek@wnmu.edu
Cell: 575-956-7109
Office Hours: Thursdays 0900-1200; Monday or Tuesday 1300-1600 or by appointment
Pediatric Clinical Co-Faculty
Professor: Aimee Jaurequi, MSN, RN
Phone: 575-538-6966 Fax: 575-538-6961
Beeper: 575-590-1965
Office: School of Nursing Room 128
E-Mail: jaurequia@wnmu.edu
Professor: James Vigil, BSN, RN
Office: Mimbres Valley Learning Center Room
115 and School of Nursing Room 130
Phone: 575-546-6556 Ext. 104 Fax: 575-546-6552 E-Mail: vigilj@wnmu.edu
Silver City Phone: 575-538-6963 Fax: 575-538-6961
Beeper or Cell: 575-313-3841
Clinical Day: Tuesday in Deming
Course Description: Care of mothers, the newborn, women and the child-bearing
family will be taught in the course (NUR 200) with an emphasis being placed on the
psychosocial and cultural aspects of patient and family care. The student will add to their
previous knowledge base acquired through other nursing courses. Emphasis will be
placed on critical thinking, collection and interpretation of data, prioritization, and
implementation of actions and evaluation of nursing interventions. The course will
incorporate six hours of clinical experience and three hours of theory per week. The
course will coincide with the pediatric nursing course, which will include an additional
six hours of clinical experience and three hours of theory. Testing will be on an
alternating weekly schedule with Pediatric Nursing (NUR 210).
Additional learning material will include additional media sources, use of Kaplan
the EVOLVE website, guest lecturers and recent periodicals.
Students who are having difficulty with the subject matter should make an appointment
with one of the professors as soon as possible to defer further problems.
** Students with special learning needs should visit the special needs office and inform
their professor of their needs early in the semester.
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Maternal Newborn Nursing NUR 200 2011
Disability Services at WNMU:
Services for students with disabilities are provided through the Academic Support
Center’s Disability Services Office in the Juan Chacon Building, Room
220. Some examples of the assistance provided are: audio materials for the blind
or dyslexic, note takers, readers, campus guides, audio recorders, a quiet testing
area, and undergraduate academic tutors. In order to qualify for these services,
documentation must be provided by qualified professionals on an annual
basis. Disability Services forms are available in the Academic Support
Center. The Disability Services Office, in conjunction with the Academic
Support Center, serves as Western New Mexico University's liaison for students
with disabilities. The Academic Support Center’s Disability Services Office can
be contacted by phone at 575.538.6400 or e-mail at matterr@wnmu.edu. (2010
Revision from Catalogue).
During testing please remember that other students are testing and all students
should be quiet during the exam. When you have finished your test, please leave the
room, leave quietly and don’t congregate in the hallway outside of the testing room if you
are waiting for others to complete their exam. No books, cell phones, backpacks, bags,
purses or electronic devices are allowed with the student during the exam. Please leave
these items outside or with the exam proctor (turned off). Students may have blank
paper and a pen/pencil during the exams. Calculators are available on the computer. Ask
the proctor if you need help accessing it.
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Maternal Newborn Nursing NUR 200 2011
Required Text(s):
McKinney, E. S., James, S. R., Murray, S. S., & Ashwill, J. W. (2009). Maternal child
nursing (3rd ed.). St. Louis, MO: Elsevier.
ISBN: 978-1-04160-5896-0.
McKinney, E. S., James, S. R., Murray, S. S., & Ashwill, J. W. (2009). Study guide for
Maternal child nursing (3rd ed.). St. Louis, MO: Elsevier.
ISBN: 978-1-04160-6998-0.
Silvestri, L. A. (2008). Saunders Comprehensive Review for the NCLEX-RN
Examination, 4th Ed. St. Louis: Elsevier Publishing.
ISBN: 9781416037088.
Swearingen, P. L. (2008). All-in-one Care Planning Resource, 2nd Ed. St. Louis: Mosby.
ISBN: 13:978-0-323-01953-8.
References:
Arikian, V. Ed. (2009) The Basics. Kaplan Nursing. (This book is not for sale and will be
distributed to the students at the beginning of the semester as part of the Kaplan
testing program).
Recent (2006 or 2007) Drug Book of your choice.
Recent Laboratory Text.
All other books required in the first year of the program may also be utilized.
Additional learning material will include videos, computer aided instruction, guest
lecturers and recent periodicals. Periodicals will be available at the front desk of the
nursing office. The Kaplan testing and Evolve activities will also supplement the learning
options.
Communication Policy Statement regarding official email : WNMU’s policy requires
that all official communication be sent via Mustang Express. As a result, all emails
related to your enrollment at WNMU and class communication – including changes in
assignments and grades – will be sent to your wnmu.edu email address. It is very
important that you access your Mustang Express e-mail periodically to check for
correspondence from the University. If you receive most of your email at a different
address you can forward your messages from Mustang Express to your other address.
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Maternal Newborn Nursing NUR 200 2011
The announcements on Mustang Express will be the common site for course
communication. Students are expected to check the web site daily for any new
announcements.
Academic Integrity Policy and Procedures: Each student shall observe standards of
honesty and integrity in academic work completed at WNMU. Students may be
penalized for violations of the Academic Integrity policy including violations of the
academic integrity, cheating, and plagiarism. Please refer to the 2010-2011 Catalog and
the Student Guidelines for the ADN Program.
Class Procedures for Inclement Weather: Refer to the current catalogue for the
WNMU policy for notification procedures. In the event that classes are canceled during
scheduled exams or clinical days, alternative arrangements will be made.
*The instructors reserve the right to make changes, as necessary, to this syllabus. If
changes become necessary during the term of this course, the instructors will
immediately notify students via course announcement, of such changes.
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Maternal Newborn Nursing NUR 200 2011
Table of Contents
Content
Page
1.
Instructor Contact Information
1
2.
Course Description and Disabilities
1-2
3.
Required Texts
3
4.
Communication Policy
3-4
5.
Table of Contents
5
6.
Course Description and Objectives
6-8
7.
Texts and Readings
9
8.
Grading and Kaplan Points
10-11
9.
Due Dates and Paper Policies
12-13
10.
Scope of Practice and General Info
13-14
11.
Medication Calc. Exam and Grading Scale 14-15
12.
Film List
15
13.
Activities Above Student Scope
16-17
14.
Medications Used in MNB Nursing
18
15.
Unit Objectives and Content
19
16.
Unit I
20-22
17.
Unit II
23-25
18.
Unit III
26-28
19.
Unit IV
29-31
20.
Unit V
32-36
21.
Unit VI
37-40
22.
Unit VII
41-42
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Maternal Newborn Nursing NUR 200 2011
MATERNAL-NEWBORN NURSING
This course emphasizes the application of the nursing
process, knowledge of socio-cultural influences and critical
clinical decision making in the care of mothers, the newborn, and
their families in a variety of settings.
The knowledge base
needed to care for the family unit will be the collection of
data, the interpretation of collected data, and the application
of critical thinking in order to prioritize, implement actions
and evaluate outcomes of care.
Students will be expected to
apply knowledge acquired from previous courses such as anatomy
and
physiology,
psychology,
pharmacology,
fundamental
and
medical-surgical nursing to the care of childbearing families in
a culturally sensitive manner.
Students will have six hours of experience in a clinical
setting and three hours of theory per week. The clinical portion
of the course will be taught concurrently with the pediatric
course clinical for a total of twelve hours per week. Students in
Maternal-Newborn and Pediatric Nursing will be assigned to
laboring,
newborn,
postpartum,
reproductive
or
pediatric
patients. Students may also have experiences in surgery/pre-op,
emergency department, radiology, the special care unit or
chemotherapy department (as time and patients allow) in the
community acute care hospital. In addition the student will be
assigned to a variety of community settings to allow them to
experience maternal/family nursing within the community.
Upon successful completion of the course, the student will be
able to:
1.
Apply basic knowledge of
maternal newborn nursing.
roles
2.
Identify pertinent legal and ethical issues
standards of care for the child-bearing family.
3.
Apply and incorporate statistical data and nursing research
findings in the implementation of nursing care of the
family.
4.
Identify care needs and formulate appropriate
diagnoses for the individual and the family.
5.
Describe major variations in family structure and function
with application of these principles in the care of
alternative families.
6.
Analyze major socio-cultural issues that impact the childbearing family and adjust care accordingly.
6
and
skills
specific
to
including
nursing
Maternal Newborn Nursing NUR 200 2011
7.
Exhibit
non-judgmental
behavior
and
demonstrate
understanding of the nurse’s role as client advocate and
counselor with clients experiencing rape, abuse, drug use,
and other challenging life issues.
8.
Recognize types and consequences of family violence, while
being cognizant of specific needs of the individuals with
the family.
9.
Differentiate the major changes in the female and male
reproductive systems that occur during puberty, pregnancy,
menopause and throughout the life cycle.
10.
Recognize common health problems
related to the reproductive system.
11.
Analyze data to formulate and submit a plan of care for the
mother and family during pregnancy, childbirth or the
postpartum period utilizing nursing process and cultural
assessment.
12.
Apply knowledge of fetal development and its implications
on the care of a pregnant woman.
13.
Compare and contrast the effects of cultural beliefs and
values as they impact on pregnancy.
14.
Apply knowledge of medications and procedures used during
labor, delivery, and postpartum periods.
15.
Comprehend scientific concepts and principles of
effects of pre-existing health conditions on pregnancy.
16.
Develop and implement a teaching plan with the family as an
active participant in learning, utilizing appropriate
teaching techniques.
17.
Utilize knowledge of the four stages of labor to provide
care
for
the
laboring
woman
and
her
fetus
while
implementing appropriate interventions.
18.
Identify changes in family dynamics that occur following
childbirth while taking culture into account.
19.
Assess the needs of and apply knowledge of newborn and
maternal
nutrition
and
feeding
patterns
to
utilize
interventions to promote successful infant feeding.
20.
Recognizes the newborn attachment process to
promote maternal and family infant interaction.
7
of
females
and
males
assess
the
and
Maternal Newborn Nursing NUR 200 2011
21.
Assess the newborn for signs
development,
physical
status,
recognizing abnormalities.
of normal growth
and
gestational
and
age
22.
Formulate a plan of care using appropriate nursing
diagnoses related to the normal/abnormal newborn and their
family.
23.
Recognize the need for and apply the use of technology
within the maternal newborn care environment.
24.
Recognize and respond to critical needs of a patient
experiencing complications of pregnancy, the birth process
and the postpartum period.
25.
Recognize and respond to critical needs of a fetus/neonate
experiencing complications.
Readings and Texts:
McKinney, E. S., James, S. R., Murray, S. S., & Ashwill, J. W.
(2009). Maternal child nursing (3rd ed.). St. Louis, MO:
Elsevier.
ISBN: 978-1-04160-5896-0.
McKinney, E. S., James, S. R., Murray, S. S., & Ashwill, J. W.
(2009). Study guide for Maternal child nursing (3rd ed.). St.
Louis, MO: Elsevier.
ISBN: 978-1-04160-6998-0.
Silverstri, L. A. (2008). Comprehensive Review for the NCLEX-RN
Examination, 4th Ed. St. Louis: Saunders/Elsevier. ISBN:
978-1-4160-3708-8.
Unit V Pg 269-399.
Ch. 22 Female Reproductive System
Ch. 23 Obstetrical Assessment
Ch. 24 Prenatal Period
Ch. 25 Risk Conditions Related to Pregnancy
Ch. 26 Labor and Delivery
Ch. 27 Problems With Labor and Delivery
Ch. 28 Postpartum Period
Ch. 29 Postpartum Complications
Ch. 30 Care of the Newborn
Ch. 31 Maternity and Newborn Medications
Swearingen, P. L., (2004). All-in-one Care Planning Resource. St.
Louis: Mosby. ISBN-13:978-0-323-01953-8.
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Maternal Newborn Nursing NUR 200 2011
Additional References:
Carpenito-Moyet, L., (2005) Nursing Diagnosis: Application to
Clinical Practice, 11th ed.). Philadelphia: Lippincott.
ISBN: 0-7817-6131-X.
Arikian, V. Ed. (2009) The Basics. Kaplan Nursing. (This book is
not for sale and will be distributed to the students at the
beginning of the semester as part of the Kaplan testing
program).
All other books required in the first year of the program
may also be utilized.
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Maternal Newborn Nursing NUR 200 2011
MATERNAL-NEWBORN COURSE REQUIREMENTS
The final grade for Maternal-Newborn will be determined by the
following percentages:
THEORY:
Exams (7)____________________________________
Kaplan Testing Points(Maximum of 5 points)____
52.5%(@7.5%)
5%
Comprehensive Final____________________________12.5%
(All test questions will be taken from the text, study
guide, lectures, required reading, Evolve website, case
studies and student presentations.)
TOTAL________________70%
The final theory grade, after totaling up the 7 exams, the Kaplan
testing points and the comprehensive final must be equal to a
76.0% or higher to pass the course. The final average of the
written work for the course must also be equal or greater than
76.0% to pass the course.
If a student is going to have to miss an exam they must contact
the instructor prior to the exam. Missed exams must be taken
within one week and the makeup time scheduled within 24 hours.
Students will be allowed to make up only one exam per course with
full credit. Any further exams missed will be recorded as 50% of
the grade the student receives on the exam.
EXAM REVIEW POLICY:
During the immediate 5 days (including weekends) following an
exam, the student may challenge any question by emailing or
writing the instructor/instructors submitting the question you
are challenging, the answer you believe is correct, the reference
including page number proving your reasoning and your rationale.
Faculty will review the information and respond with their reply
within the next 5 days.
Kaplan Integrated Testing Program
The School of Nursing has been administering nationally
standardized exams in all ADN courses since 2000. Faculty utilize
the data as end of course and end of program evaluation tools for
both student learning and curriculum. Beginning Fall of 2009,
the school adopted standardized exams through the Kaplan and
Lippincott Williams & Wilkins Integrated Testing Program. The
program is comprised of a series of online tests and remediation
resources “designed to evaluate and repair the nursing knowledge
students in an undergraduate program leading to RN licensure.”
During orientation, students will take the Nursing Admission Test
to evaluate basic skills in reading, writing, math and science.
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Maternal Newborn Nursing NUR 200 2011
During the semester, there will be student success activities and
focused review tests available to the student. At the end of
each course, a standardized test will be given as well as a
faculty generated final exam. Each student will have an
opportunity to review the standardized test topics and
rationales. Students will be awarded points (not extra credit)
on the exam portion of the course scale according to the
following scale for a maximum of 5 points. Any student who does
not complete the requirement will fail the course and not
progress in the nursing program.
Test Scores: 0 to 5 points
75th percentile and higher score: 5 points
70th to 74th percentile score:
4 points
60th to 69th: 3 points
50th to 59th percentile score: 2 points
Below 50th percentile score: 1 points
For NUR 150 and 160 percentage correct will be used
according to the above scale.
Use of remediation explanations for standardized tests: 0
to 2 points
Access all explanations for a minimum of 40 seconds
each: 2 points
Access explanations for questions missed for minimum of
1 minute each: 1 point
Remediation is available 24 hours a day, seven days a week, in
multiple formats so students can correct knowledge deficits and
must be completed within one week of the Kaplan standardized
exam. Remediation is required of all students scoring less than
60th percentile. Each student will have their own log-on to the
user friendly Kaplan web site with access to Student Success,
Integrated testing, Test Results, Focused Review Tests, and
NCLEX-RN Prep windows. Each student also receives a copy of
Kaplan’s Basics Book.
The Kaplan Integrated Testing program is paired with a live 4-day
Kaplan NCLEX-RN Review at the conclusion of the program. A
portion of the cost of this entire program is included in the
course fees.
WRITTEN AND ACTIVITY WORK:
Care Plan (1)(prenatal, intra- or
postpartal)_______ 12%
Teaching Plan (1)____________________________________ 5%
Neonatal Assessment _________________________________ 5%
Case Presentation/Concept Map________________________ 2%
Service Learning/NSNA Activity_________________
____ 2%
Additional work ______________________________________2%
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Maternal Newborn Nursing NUR 200 2011
(Evolve, Kaplan, Case Studies, Quizzes, ect.)
Simulation Scenario___________________________________2%
Total___________30%
Written work for the Maternal-Newborn and Pediatric courses is
combined as far as due dates. The work that the student turns in
at the different due dates will depend on the type of patients
and clinical experiences the student has had. Each clinical day
is an opportunity to do at least one of these assignments. The
student should not wait for another experience to do the paper,
as it may not occur. Take every opportunity to complete a written
assignment.
1 Care Plan (Maternal or Pediatric)is due by
1600 on Oct.7, 2011. The remaining care plan by
1600 on Nov 18, 2011.
1 Small paper for each course (3) are due by
1600 on Sept.23, Oct. 21 and Nov. 4, 2011.
Exceptions to these due dates are only by permission from the
individual clinical instructor. This permission MUST be obtained
prior to the due date and there must be a written contract for
the new due date.
LATE PAPERS:
General Parameters From Guidelines
Late Papers: Five points will be deducted for each day an
assignment is late. A student who anticipates a paper will be
late may ask the instructor in writing for a written extension
prior to the due date of the paper, which may or may not be
granted at the discretion of the faculty. Late papers may not be
redone. Each course syllabus will identify specific parameters
regarding submission of late papers.
Course Specific Parameters
Five points will be taken off for each day (24 hour period after
time due) late. Most paperwork is due at 1600 on the due date.
Papers received after 1600 will be dated the following day.
Please be aware that late papers will decrease your written work
average so much that they can easily jeopardize an otherwise
passing grade.
Paper Receipts:
All papers from students in Silver City should be turned in at
the School of Nursing and a receipt should be obtained. Students
should get a receipt for any paper that they turn in. Papers may
also be electronically submitted as an attachment to an email.
The time of submission will be evident in the email that these
papers are attached to and will serve as the receipt for these
papers. The receipts should be kept by the student to prove the
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Maternal Newborn Nursing NUR 200 2011
paper was turned in and when. On each paper please indicate which
clinical instructor you were with on the day you took care of the
patient that the paper refers to. Students in Deming should turn
their papers into the Deming instructor. Students should always
save their work on two different mediums or places. Students
would also be wise to make copies of any work turned in.
Clinical Paperwork:
Clinical paperwork will be due each Friday at 1600 for that
week’s experience. Each hospital clinical day the student should
complete a care sheet on the main patient that they cared for
that day. If the student is in one of the community settings they
should turn in a Community Clinical Experience Form. Include the
positive and negative aspects of the experience. Give feedback
about your opinion of the sites educational value. Clinical
paperwork will not be accepted late. Lack of more than two weeks’
worth of clinical paperwork will be grounds for a failing
clinical grade.
Students in this clinical rotation are expected to work closely
with the personnel in each clinical setting. Although the
instructors are always readily available to the student, by
phone, the students are placed in many clinical settings and the
personnel in each setting are the student’s supervisor.
Precepting persons will be asked to complete an evaluation of the
student’s performance. These evaluations will be picked up by
nursing faculty and will be considered in the student’s clinical
grade.
In this clinical rotation you may do any nursing procedure within
the Student Scope of Practice (found in this syllabus & the
student guidelines), provided the following:
1. You are comfortable performing the procedure
without direct supervision;
2. You have been directly supervised doing it
before; and
3. You can verbalize the rationale for the
procedure and explain it to the patient and/
or family.
4. If you are not comfortable with your ability
to
perform
the
procedure,
contact
the
instructor for supervision or have the RN who
is working with you supervise you.
DO NOT attempt any procedure you have not done before. Students
are NOT allowed to start I.V.’s on children under 12. Students
are NOT allowed to give medications without direct (RN/ LPN/
physician) supervision. Some outpatient clinics employ medical
assistants (MAs) who perform various nursing tasks under the
direction of the physician. MAs cannot supervise nursing students
administering medication.
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Maternal Newborn Nursing NUR 200 2011
Additional Material Maternal/Newborn articles will be available
at the nursing desk, and possibly on mustang express and/or ereserve. These additional materials are to enhance subject areas
covered minimally in the text. Students will be informed of the
addition of any new material.
Exam questions may be selected
from these along with questions from the case studies, workbook,
NCLEX review book or the EVOLVE or KAPLAN websites.
Mustang express &/or Blackboard will be utilized to post lecture
notes, study guides and class announcements. Students are
expected to check the course site and watch for email messages
sent to the mailbox that is listed for the student by the
university on the course list.
Policies regarding Attendance, Appearance, Professional Behavior
and Clinical Evaluations will also be adhered to at all times.
Refer to 2011 Nursing Student Guidelines.
Medication Calculation Exam
Accurate calculation of medications is necessary for safe
practice in the clinical setting. This is especially true in the
care of infants and children. Prior to starting in the clinical
setting students will be tested on medication math problems in a
separate exam which will include calculating pediatric and
maternal dosages and I.V. drip rates.
The medication exam must be passed with a score of
90% or better. Students will have two(2) chances to
pass this exam. Students who do not pass this exam
by the second time will not be able to continue on
in the course and will be withdrawn.
GRADING SCALE
Theory and Written Assignments:
WNMU Nursing
scores
Department
A
B
C
D
F
guidelines
do
92-100
84-91.9
76-83.9
70-75.9
69 & BELOW
not allow rounding
of
CLINICAL:
PASS/FAIL The clinical grade for the course will be
determined by the student’s performance in that setting using the
clinical evaluation tool and skills checklist as guides. Students
who are in jeopardy of not passing the clinical portion of the
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Maternal Newborn Nursing NUR 200 2011
course may need to change their clinical day for further
evaluation by another instructor. Students who are considered
unsafe in the clinical setting will not be allowed to continue on
in clinical. This determination will be at the discretion of the
faculty.
It is the student’s responsibility to inform the instructors of
the clinical experiences that they need as the semester
progresses.
Available Films
Born in the USA
Ante partum Care; Postpartum Care; Intrapartum Care
Electronic Fetal Monitoring, Volumes #1,2,3
Preterm Labor and Third Trimester Bleeding
Diabetes in Pregnancy; Pregnancy Induced Hypertension
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Maternal Newborn Nursing NUR 200 2011
ACTIVITIES ABOVE THE STUDENT SCOPE OF PRACTICE
DURING ANY CLINICAL EXPERIENCE in the ADN CURRICULUM
Definition: Scope of Practice is determined by the clinical
objectives for the clinical experience. Performance of patient
care or activities outside of the student assignment without
instructor permission or beyond the scope of the objectives for
the clinical experience will be considered to be functioning
outside the scope of practice as a student. In addition, the
following are activities in which ADN nursing students may not
engage during clinical. Conduct of this nature may result in
dismissal from the program.
There may additional activities above the student scope of
practice specified in the individual course syllabus.
1. Preparation or initiation of IV administration of critical
care drugs including but not limited to the following:
Lidocaine
Dopamine
Dobutamine
Bretylium
Levophed
Adenocard
Amiodarone
Nitroglycerine
Nipride
Cardizem
Thrombolytics
Anesthetic
Chemotherapy agents
These medications may be monitored.
2. Oxytocin, Magnesium Sulfate, and Terbutaline may be given
under the direct supervision of faculty or preceptor. These
medications may be monitored. Additional specific
medications may be listed in course syllabi.
3. Signing of any of the following documents:
Consent forms
Advanced directives
Wills
Power of attorney
Court related documents
All other documentation signed by the student must be
cosigned by the instructor or supervising nurse.
4.
Signing out, initiating administration, or crosschecking
blood products. Students may monitor administration of blood
products under direct supervision of a registered nurse.
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Maternal Newborn Nursing NUR 200 2011
5.
Unsupervised narcotic sign-out (any licensed faculty or
staff is considered as supervisor). Students may not carry
narcotic keys. All narcotic sign-outs must be co-signed by
the instructor or supervising nurse.
6.
Operation of hemodynamic monitoring equipment (observation
only).
7.
Removal of central lines and/or arterial lines may be done
under direct supervision of WNMU instructor with prior
experience in the procedure.
8.
Removal of wound drains, staples, or subcutaneous sutures
may be done only under direct supervision of instructor or
supervising RN.
9.
Operation and/or removal of temporary pacemakers.
10. Assuming responsibility for patient’s valuables.
11. Examinations related to progression of labor (vaginal and/or
rectal, as well as internal monitoring) or assisting with
obstetrical anesthesia procedures.
12. Performing as primary circulating or scrub nurse.
13. No medication administration without direct supervision for
newborns or pediatric patients under the age of 12.
14. No IV starts on newborns or pediatric patients under the
age of 12.
15. Unsupervised charge of a unit.
16. All medication administration in agencies other than the
hospital or nursing homes will be done under the direct
supervision of faculty or supervising RN/LPN or physician.
17. Take verbal or telephone orders from a health care provider
except under direct supervision of faculty or preceptor.
18. Independent application of restraints.
19. Arterial blood sampling. Venous blood draws are allowed
under direct RN/LPN/Physician supervision.
(From 2011 Nursing Student Guidelines)
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Maternal Newborn Nursing NUR 200 2011
MEDICATIONS USED IN MATERNAL/NEWBORN NURSING
Common medications used in the care of mothers and newborns are
listed. Knowledge of and medication cards of these drugs are very
helpful in the clinical settings.
In your research of these medications, you should know the range
of dosages, the routes, major side effects, fetal risk factors,
pregnancy category and what the drug is primarily used for in
Maternal/Newborn care. Medication test questions will be in each
unit test where appropriate to theory content.
MEDICATIONS
Analgesics: Fentanyl, Nubain, Acetaminophen,
Codeine, Stadol, Ibuprofen, Morphine
Aspirin,
Demerol,
Antacids: Calcium Carbonate, Aluminum Hydroxide
Antibiotics: Penicillin, Erythromycin,
Metronidazole, Doxycyline, Gentamycin,
Azythomycin, Rocephin
Bactrim, Tetracycline,
Ampicillin, Augmentin,
Antifungals: Nystatin, Diflucan, Monistat
Antiprostaglandins, NSAIDS- Ibuprofen, Indomethecin
Antiviral: Acyclovir
Cardiac Drugs: Digoxin, Aldomet, Dopamine, Furosemide
Miscellaneous
Medications:
Albuterol,
Aquamephytin,
Benzoyl
Peroxide, Methotrexate, Narcan, Terbutaline, Calcium Gluconate,
Magnesium
Sulfate,
Oxytocin,
RhoGam,
,
Heparin,
Prenatal
Vitamins, Folate, Promethazine, Compazine, Zofran, Insulin,
Methergine, Hemabate, Ambien
Reproductive Medication: Progesterone, Estrogen, Premarin, Depo
Provera, Mini Pills, Oral Contraceptives, Norplant, Prostaglandin
Gel (Cervadil), Misoprostol (Cytotec), Clomid
Stool Softener: Docusate, Psyllium, Bisacodyl
18
Maternal Newborn Nursing NUR 200 2011
UNIT
OBJECTIVES
19
Maternal Newborn Nursing NUR 200 2011
MATERNAL AND CHILD HEALTH NURSING PRACTICE
Unit I
Reading: Chapter 1, 2, 3
UNIT OBJECTIVES
Role of provider of Care – With minimal guidance, the student
will:
I.
Utilize the nursing process to assess, plan, implement,
evaluate and revise care for assigned patients and their
families in a maternity setting.
II.
Describe the application of the nursing process in the
maternity setting as it relates to the future of maternal
and child health nursing practice.
I.
Utilize common standards and statistics in maternal/newborn
care and identify their implications in the planning of
care for the maternal/newborn family.
II.
Integrate
knowledge
of
issues
and
trends
in
maternal/newborn care with the nursing process to achieve
quality maternal/newborn care.
III.
Assess a family for structure, function, family roles and
cultural effects on it’s framework.
IV.
Formulate nursing diagnosis and develop outcomes using
critical thinking to assist a family to achieve the uptimal
in family health.
V.
Implemant teaching strategies using interpersonal and
therapeutic communication skills to help a family modify
behaviors to accommodate an effective healthy lifestyle.
VI.
Assess a family for sociocultural and sociopolitical
influences and formulate nursing diagnosis related to
culturally appropriate aspects of care.
IX.
Apply sensitive nursing care after knowledge and assessment
of the patient with different types of sexual responses and
sexual orientations.
Role of manager
student will:
I.
of
patient
care:
With
minimal
guidance,
the
Identify resources to meet the learning needs of patients
and maternal families
20
Maternal Newborn Nursing NUR 200 2011
II.
Apply theraputic communication techniques in the assessment
of patients needs.
Role of member of profession – With minimal guidance the student
will
I.
Discuss the roles
health care.
II.
Utilize knowledge of legal responsibilities in planning
patient care and debate ethical issues in perinatal
nursing.
III. Utilize nursing
learning.
IV.
of
the
process
ADN
to
nurse
develop
in
a
maternal/newborn
plan
for
ongoing
Respect the confidentiality of patient information.
CONTENT:
I.
Overview of course
A.
Course requirements and syllabus review
B.
Facilities for clinical experience
1.
2.
3.
4.
II.
Description of learning experience
Objectives and instructions
Terms and topics to review prior to experience
Skills checklist
C.
Written work outlines and grading criteria
D.
Units of study, objectives and outline
Maternal-Newborn Nursing
A.
Roles and issues for the contemporary maternity nurse
B.
Tools for maternity nursing
1.
2.
Knowledge base
Nursing process
a.
assessment
b.
planning
c.
implementation
d.
evaluation and revision
21
Maternal Newborn Nursing NUR 200 2011
III.
Statistical data and implications for nursing
A.
Descriptive
B.
Sources of statistical data
C.
Statistical intrepretation
D.
Implications for nursing
IV. Nursing
practice
standards,
nursing
research
and
evidence
V.
Trends in the maternal/newborn setting
VI.
Family structure, function, stages and roles
based
A.
Family organization, structure, dynamics and types
B.
Theoretical approach to families
C.
Effects of families on the society
VII. Assessment of family structure and function
VII.
A.
Genogram
B.
Scoring of family APGAR
Sociocultural Aspects of Families
A. Impact of culture on childbearing practices
B. Developing
and
integrating
cultural
competence
nursing practice
VIII.
Community and Home Care of Childbearing Families
A.
Community health status indicators
B.
Data collection and assessment of community health
C.
Community health promotion and preventive care
D.
Perinatal home care and management
REQUIRED READING:
McKinney, et. al. Chapters 1,2 & 3
22
into
Maternal Newborn Nursing NUR 200 2011
Reproductive Health Issues
Unit II
Chapters 9, 10, 11 & 12
Unit Objectives
Role of Provider of Care – With Minimal Guidance, the student
will:
I.
Discuss methods of contraception and family planning taking
into consideration the family’s cultural and religious
influences and the risk factors associated with each
method.
II.
Integrate reproductive life planning with the nursing
process and teaching of patients to achieve quality nursing
care.
III. Describe common causes of infertility in men and women.
IV.
Utilize critical thinking skills to analyze nursing
strategies to support patients undergoing reproductive life
planning and fertility assessment and tests.
V.
Assess a family for the probability of inheriting a genetic
disorder.
VI.
Use critical nursing skills to analyze and teach ways to
promote fetal growth and development.
Role as Manager – With minimal guidance, the student will:
I.
Manage one or two pregnant women who are in the
prenatal period.
II.
Teach pregnant women and their family’s methods on how to
promote fetal growth and development.
III. Explore the role the nurse plays in helping women/couples
decide on contraceptive method use.
Role as a Member of the Profession – With minimal guidance, the
student will:
I.
Identify social and cultural issues for families in the
prenatal period.
II. Utilize community resources for a prenatal family in need
of family planning and genetic counseling.
23
Maternal Newborn Nursing NUR 200 2011
Unit II
Content
I.
Female anatomy and physiology
1.
External genitalia
2.
Internal structures
3.
Hormones
II.
Physical assessment of the male
1.
Spermatogenesis
2.
Vasectomy
III. 1.
2.
3.
Menstruation
Pre-menstrual syndrome
Abnormal menstruation
a.
endometriosis
b.
menorrhagia
c.
metorrhagia
d.
dyspareunia
IV.
Contraception
A.
Methods
B.
Contraindications/Side Effects
C.
Surgical methods
D.
Considerations
V.
Infertile Couple
A.
Male Infertility
B.
Female Infertility
C.
Fertility testing
E.
Assisted fertility techniques
F.
Assisting the infertile couple
VI.
Alternatives to Childbirth
A.
Adoption
B.
Abortion
VII. Hereditary Influences
A.
Autosomal Dominant
B.
Autosomal Recessive
C.
X-linked inheritance
D.
Chromosomal Abnormalities
E.
Multifactorial Disorders
G.
Diagnostic testing
VIII.Environmental Influences
A.
Teratogens
B.
Alcohol
C.
Infections
D.
Drugs
E.
Genetic counseling
24
Maternal Newborn Nursing NUR 200 2011
IX. Conception and Fetal Development
A.
Fertilization and Conception
B.
Embryonic structures
C.
Fetal structures
D.
Endocrine functions
E.
Fetal organ formation
1.
Cardiovascular
2.
Respiratory
3.
Nervous
4.
Digestive
5.
Musculoskeletal
6.
Reproduction
7.
Multifetal pregnancies
REQUIRED READING:
McKinney, et. al. Chapters 9,10,11,12
25
Maternal Newborn Nursing NUR 200 2011
Pregnancy and Promoting Maternal and Fetal Health
Unit III
Chapters 13, 14, 15 & 16
Unit Objectives
Role of Provider of Care – with minimal guidance, the student
will:
I.
Assess a woman for the psychological and physical changes
that occur with pregnancy through health history and
physical examination.
II.
Utilize the nursing process to establish a comprehensive
database and plan of care for the expectant woman.
III. Use critical thinking skills to analyze
culturally sensitive family-centered care.
ways
to
ensure
IV.
Assist in the preparation of women for pelvic
laboratory testing and diagnostic procedures.
exams,
V.
Integrate knowledge of fetal and maternal health-promotion
strategies to achieve quality nursing care.
Role of Manager of Care – with minimal guidance, the student
will:
I.
Manage the care of one or two expectant women and their
families.
II.
Utilize interpersonal and therapeutic communication skills
to teach pregnant women about the expected changes of
pregnancy.
III. Utilize critical thinking skills to develop a teaching plan
to help pregnant women cope with the discomforts of
pregnancy.
Role as a Member of the Profession – With minimal guidance, the
student will:
I.
Respect the confidentiality of patient information.
II.
Identify resources to assist the pregnant woman and her
family in preparation for childbirth.
26
Maternal Newborn Nursing NUR 200 2011
CONTENT
I.
Diagnosis
A.
Presumptive
B.
Probable
C.
Positive
II.
Physiological changes of pregnancy
A.
Reproductive
B.
Integumentary
C.
Respiratory
D.
Cardiovascular
E.
Gastrointestinal
H.
Urinary
I.
Musculoskeletal
J.
Endocrine
K.
Sensory
L.
Immunity
III. Health Assessment during the first prenatal visit
A.
Health history
1.
Demographics
2.
Chief concern
3.
Family profile
4.
Gynecological history
5.
Preconception care
B.
Physical exam
1.
System findings
2.
Lab tests
3.
Risk assessment
4.
Subsequent assessments
5.
Multifetal pregnancy
IV.
Health promotion during pregnancy
A.
Self-care needs
B.
Sexual activity
C.
Exercise, sleep, work
D.
Teaching health behaviors
V.
Discomforts of pregnancy
A.
Normal discomforts
B.
Danger signs of pregnancy
VI.
Assessment of fetal growth and development
A.
Antepartum fetal surveillance
B.
Nonstress and vibroacoustic stimulation test
C.
Contraction stress test
D.
Ultrasonography
E.
Doppler ultrasound blood flow assessment
27
Maternal Newborn Nursing NUR 200 2011
E.
F.
G.
H.
I.
J.
K.
Placental grading
Alpha-fetoprotein screening
Multiple marker screening
Chorionic villus and percutaneous umbilical
sampling
Amniocentesis
Biophysical profile
Maternal assessment of fetal movement
blood
VII. Psychological Adaptations to Pregnancy
A.
Maternal responses to three trimesters
B.
Maternal role transitions
C.
Paternal adaptation
D.
Adaptation
of
other
family
members,
siblings,
grandparents
E.
Factors that influence psychosocial adaptations
F.
Cultural influences on childbearing
G.
Preparation for childbearing
VIII. Nutrition and pregnancy
A.
Weight gain during pregnancy
B.
Nutritional requirements
C.
Factors that influence nutrition
D.
Nutritional risk factors
E.
Nutrition after birth
F.
Teaching nutrition to prospective parents
REQUIRED READING
McKinney, et. al. Chapters 13, 14, 15 & 16
28
Maternal Newborn Nursing NUR 200 2011
The Intrapartal Period
Unit IV
Chapters 17, 18, 19, 20 & 27
Unit Objectives
Role of the Provider of Care – With minimal guidance, the student
will:
I.
Assess a woman and her family in labor to identify the
psychological changes that occur during labor.
II.
Utilize the nursing process to develop a comprehensive data
base as the basis for providing culturally sensitive
individualized care for the laboring woman and her family.
III. Use interpersonal and therapeutic communication skills to
explain all diagnostic tests and procedures to the woman
and family during labor.
IV.
Apply knowledge of normal labor to assist
recognition of complications of labor and birth.
in
the
V.
Utilize critical thinking skills to analyze ways to ensure
a safe and happy experience for the woman in labor and her
family.
Role of Provider - with minimal guidance, the student will:
I.
Provide complete care from admission to discharge from the
labor unit to a laboring woman and her family.
II.
Utilize interpersonal and therapeutic communication skills
to assist the laboring woman in relaxation and comfort
measures during labor.
III. Communicate and record all assessments and interventions to
staff accurately and concisely.
Role of member of the profession - with minimal guidance, the
student will:
I.
Maintain confidentiality of all information and knowledge
learned on the unit.
I.
Identify resources to assist the laboring woman and her
family including those in the community and provide written
materials when appropriate.
29
Maternal Newborn Nursing NUR 200 2011
Unit IV
CONTENT:
I.
Care of the woman and her partner or coach upon admission
to the birthing unit:
A.
B.
C.
D.
II.
Initial Assessment
Interview and Data Collection
Diagnosis and Intervention
Physiologic effects of the birth process
Critical Factors in Labor:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
The Passage
The Passenger
The Powers
The Psyche
Contractions
Uterine body
Cervical changes
Systemic changes
Pelvic dimensions and measurements
Fetal presentation and lie
III. The Physiology of Labor
A.
Signs of Labor
1.
Rupture of the membranes
2.
Lightening
3.
Braxton-Hicks contractions
4.
Cervical changes
5.
Sudden burst of energy
6.
Bloody show
7.
Differences in true and false labor
B.
Labor & Physiologic affects of the birth process
1. First Stage
a. Phases of Labor
1. Latent phase
2. Active phase
3. Transition phase
2. Second Stage
a. Cardinal movements of labor
1.
Descent, station
2.
Engagement
3.
Flexion
4.
Internal rotation
5.
Extension
6.
External rotation
7.
Expulsion
30
Maternal Newborn Nursing NUR 200 2011
3. Third Stage
4. Fourth Stage
C.
Maternal systemic response
1.
2.
3.
4.
5.
6.
7.
8.
9.
D.
Fetal Response to Labor/Labor Monitoring
1.
2.
3.
4.
5.
6.
IV.
Heart Rate Changes
Acid-Base Status in Labor
Fetal Movements
Behavioral States
Hemodynamic Changes
Positional Changes
Management of Discomfort in Childbirth
A.
Techniques for Coping with Labor.
B.
Nursing Care
Techniques:
1.
2.
3.
4.
V.
Cardiovascular System
Blood Pressure
Fluid and Electrolyte Balance
Gastrointestinal System
Respiratory System
Hematopoietic System
Renal System
Response to Pain
Mind/Body Connection
for
Couples
Using
Prepared
Childbirth
Supporting the support person
Providing comfort and reassurance
Maintaining concentration and relaxation
Giving information
C.
The Unprepared Woman During Labor
D.
Origins, perceptions, expressions of and
influencing pain in labor
1. Nonpharmacologic management of discomfort
2. Pharmacologic management of discomfort
Intrapartal Nursing Assessment
A.
Maternal Assessment
1.
2.
3.
4.
History
Intrapartal High-Risk Screening
Intrapartal Physical Assessment
Intrapartal Psychologic Assessment
31
factors
Maternal Newborn Nursing NUR 200 2011
5.
B.
Methods of Evaluating Labor Progress
Fetal assessment
1.
2.
3.
Determination of Fetal Position and Presentation
Evaluation of Fetal Status during Labor
Value of Electronic Fetal Monitoring
VI. Care of the Woman and Her Partner During the First Stage of
Labor
A.
B.
M.
Integration of Cultural Beliefs Influencing Childbirth
Experience
Promotion of Maternal and Fetal Physical Well-Being
Promotion of Comfort
VII. Care of the Family During the Second Stage of Labor
A.
Nursing Goals
1.
Assisting the Woman in Her Pushing Efforts
2.
Preparation For Delivery
3.
Assisting During Delivery
B.
Medical Interventions
1.
2.
3.
4.
5.
6.
7.
Augmentation and induction of labor
Version
Amniotomy
Episiotomy
Forceps
Vacuum Assist
Cesarean Birth
VIII. Immediate Care of the Newborn
A.
B.
C.
D.
IX.
Care of the Family During The Third Stage
A.
B.
X.
APGAR Scoring System
Care of the Umbilical Cord
Identification Procedures
Evaluation of the Newborn
Initiation of Attachment
Medical Interventions
Care of the Family During the Fourth Stage
A.
B.
C.
Preparation for Recovery
Promotion of Maternal Physical Well-Being
Enhancing Attachment
32
Maternal Newborn Nursing NUR 200 2011
XI.
Maternal Analgesia and Anesthesia
A.
B.
C.
D.
Methods of Pain Relief
General Anesthesia
Neonatal Neurological and Behavioral Affects
of
Anesthesia and Analgesia
Analgesic and Anesthetic Considerations for The HighRisk Mother and Fetus
XII. The Intrapartal Family at Risk
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
Excessive Anxiety and Fear
Dysfunctional Labor
Premature Rupture of The Membranes
Preterm Labor
Postdate Pregnancy
Ruptured Uterus
Fetal Malposition
Malpresentation
Developmental Anomalies
Fetal Distress
Problems Associated with The Umbilical Cord
Cephalopelvic Disproportion
Intrapartum Hemorrhage
Complications of The Third and Fourth Stage
1.
Lacerations
2.
Placental abberations
3.
The Effect of Complicated Childbirth
Family
Required Reading:
McKinney, et. al., Chapters 17, 18, 19, 20 & 27
Suggested Videos:
*Intrapartum Care #2 REF.#RG551.C76
*Essentials of Fetal Monitoring (3 tapes) Ref.#RG628.E87
33
on
the
Maternal Newborn Nursing NUR 200 2011
The Postpartal Woman, Family and the Newborn
Unit V
Chapters 21, 22, 23, 24, 28, 29 & 30
Unit Objectives
Role of the Provider of Care – With minimal guidance, the student
will:
I.
Assess a woman for the psychological and physical changes
that occur in the postpartal period.
II.
Utilize the nursing process to establish a comprehensive
database as the basis for providing culturally sensitive
individualized care for a woman and her family in the
postpartal period.
III. Use critical thinking skills to analyze the interaction
between a postpartal woman, her family and the newborn.
IV.
Perform a detailed assessment on
summarize the findings in a report.
a
normal
newborn
and
V.
Plan care for a normal and preterm newborn based on
priority of needs and utilizing family input and cultural
influences.
VI.
Assess a high-risk newborn and plan interventions to
facilitate a safe transition to extra-uterine life.
VII. Integrate knowledge of the needs of the high-risk infant
with nursing process to achieve quality maternal and child
health nursing care.
VIII. Assess and formulate nursing diagnosis for the child and
family experiencing a long-term or terminal illness.
Role of Manager of Care – With minimal guidance, the student
will:
I.
Provide complete individualized care
women, their families and newborns.
II.
Utilize interpersonal and therapeutic communication skills
to provide accurate information to the postpartal woman and
34
for
one
to
three
Maternal Newborn Nursing NUR 200 2011
her
family
whenever
the
opportunity
arises
using
discussion, pamphlets and videos to enhance their learning.
III. Communicate and record assessments, nursing
interventions to staff, accurately and concisely.
care
or
Role as a Member of the Profession – With minimal guidance, the
student will:
I.
Maintain confidentiality of all knowledge
families learned on the postpartal unit.
of
patient’s
II.
Provide a list with phone numbers of resources in the
community and hospital for the assistance of the postpartal
family.
III. Use critical thinking to analyze ways that nursing of the
child and family with a long-term or terminal illness can
be more family-centered.
CONTENT:
I.
Nursing Care of Postpartal Woman And Family
A.
Phases of Puerperium
1.
Taking in
2.
Taking hold
3.
Letting go
4.
Development of love & parenting
a. En-face
b. Rooming in
c. Sibling rivalry
d. Concerns
B.
Reproductive system changes
1.
Reproductive organs
a.
Uterine
b.
Lochia
2.
Abdominal
3.
Lactation
4.
Gastrointestinal
5.
Urinary tract
6.
Vital signs
7.
Normal blood values
8.
Postpartal diaphoresis
9.
Postpartal chill
10. Weight loss
11. After pains
35
Maternal Newborn Nursing NUR 200 2011
C.
II.
The first 24 hours
1.
Physical assessment
2.
Promotion of comfort
3.
Preparation for discharge
Profile of the Newborn
A.
Assessment of the newborn
1.
Vital statistics
2.
Physiological function (per system)
3.
Appearance of the newborn
4.
Apgar scoring
5.
Laboratory studies
6.
Assessment of gestational age
B.
Care
1.
2.
3.
4.
5.
6.
C.
Discharge of the Newborn
of the newborn at birth
Identification
Positioning
Cord care
Eye care
Personal care
Vitamin K
III. Nutritional Needs of the Newborn
A.
Breast Feeding
B.
Bottle Feeding
IV.
Postpartal Family at Risk
A.
Postpartal Hemorrhage
B.
Infection
C.
Thromboembolic disease
D.
Urinary Tract Infection
E.
Mastitis
F.
Postpartum Psychiatric Disorders
V.
Newborn at Risk
A.
Care of the Pre-term Newborn
1.
Physiological Characteristics
2.
Risks
3.
Common Complications
4.
Medical Management
B.
Care of Post-term newborns
1.
Common complications
36
Maternal Newborn Nursing NUR 200 2011
2.
Medical Management
C.
Care
1.
2.
3.
4.
of the Small-for Gestational age Newborn
Causes of Growth Retardation
Patterns of Intrauterine Growth Retardation
Common Complications
Medical Therapy
D.
Care of the Large for Gestational Age Newborn
E.
Care of
Conditions
F.
Care
1.
2.
3.
4.
5.
6.
7.
8.
the
Newborn
of
the
Mother
with
Abnormal
of the Newborn With Complications
Jaundice
Meconium Aspiration
Cold Stress
Congenital Heart Defects
Necrotizing Enterocolitis
Infections
Congenital Anomalies
Metabolic Disorders
G.
Care of the child and family with long-term or terminal
illness.
H.
Care of the family experiencing the loss of a newborn
REQUIRED READING:
McKinney, et. al. Chapters 21, 22, 23, 24, 28, 29 & 30
RECOMMENDED MEDIA:
Videos:
*Newborn Assessment #78 Ref.#RG551.C76
*Feeding Your Baby (new mothers) Ref.#LF280-2-93
*Your Healthy Baby (2 tapes) Ref.#RJ253Y68 and RJ253Y86.C
*Baby Care Basics: Breast Feeding Mother Ref.#NS-92
*Home follow-up of Early Post Partum Discharge #7 Ref.#RG551.C76
37
Maternal Newborn Nursing NUR 200 2011
High Risk Pregnancies: Preexisting or
Gestational Conditions
Chapters 25 & 26
Unit VI
Unit Objectives
Role as Provider of Care – With minimal guidance, the student
will:
I.
Define high risk pregnancies
contribute to their development.
including
factors
that
II. Assess a pregnant woman and her family with a preexisting
or gestational illness including in the data base their
development,
education,
illness/wellness
and
sociocultural
information.
III. Use critical thinking skills to give culturally sensitive
nursing care to a pregnant woman and her family with a preexisting or gestational illness.
IV. Describe the complications of pregnancy that put a woman
and her fetus at high risk.
V.
Utilize the nursing process to give care to a woman who has
a complication of pregnancy.
VI. Use critical thinking skills to analyze ways to help a
pregnant woman and her family on how to prevent a complication of
pregnancy.
VII. Identify the risks and
woman who has special needs.
characteristics
of
the
pregnant
Role of Manager of Care – With minimal guidance, the student
will:
I.
Manage the care of one to three pregnant women and their
families who have a complication or are considered a high risk
during pregnancy.
II. Utilize interpersonal and therapeutic communications to
teach the pregnant woman and family who have a high risk
pregnancy or have developed a complication of pregnancy ways to
promote her health and that of her fetus.
Role of Member of the Profession – With minimal guidance, the
student will:
I.
Respect the confidentiality of patient information.
II. Identify resources to assist the pregnant woman and her
family with a complication of pregnancy.
38
Maternal Newborn Nursing NUR 200 2011
CONTENT:
I.
Identify High-Risk Pregnancies
A.
Similarities and differences in needs of expectant
parents in various age groups.
B.
Sexually transmitted infections and pregnancy.
C.
The pregnant adolescent – special concerns and counseling
issues.
D.
The nurse’s role.
II.
Pregnancy at Risk
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
A.
Care of the woman with preexisting health deviations
Heart disease
Diabetes Mellitus
Chronic hypertensive disease
Hyper- or Hypothyroidism
Anemia and Coagulation disorders
Pulmonary disease
Gastrointestinal disease
Neurologic disorders
Autoimmune disorders
Human Immunodeficiency Virus infection
Substance use and abuse
History of Domestic Violence
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Care of the woman with complications of pregnancy
Anemia
Hyperemesis gravidarum
Bleeding disorders
Incompetent cervix
Miscarriage/Spontaneous Abortion
Ectopic pregnancy and hydatidiform mole
Placenta previa and abruptio placenta
Rh incompatibility
Surgery during pregnancy, abdominal surgery
Substance abuse
Infection, STDS, TORCH infections
Premature onset of labor
Pregnancy Induced Hypertension and chronic HTN
HELLP Syndrome
Disseminated Intravascular Coagulation (DIC)
Gestational Diabetes
Trauma victim
Multiple Pregnancies
III.
a.
b.
c.
Intimate partner abuse
Violence against women
Family dynamics
Collaborative and nursing care
39
Maternal Newborn Nursing NUR 200 2011
d.
Violence against men
Required Reading:
McKinney, et. al. Chapter 25 & 26
40
Maternal Newborn Nursing NUR 200 2011
Common Reproductive Issues and Disorders
Unit VII
Chapters McKinney 11 & 3
Ignatavicius 72-76
UNIT OBJECTIVES
Role of Provider of Care – With minimal guidance the student
will:
I.
Describe
female
and
male
and
reproductive
function
and
approaches to effective sexual assessment.
II.
Identify disturbances of menstruation including PMS and
menopause and the nursing implications.
III. Identify diagnostic examinations and tests used when there
is an alteration in reproductive function and the nursing
role.
IV.
Utilize the nursing process as a framework for culturally
sensitive nursing reproductive problems.
V.
Use
the
nursing
process
as
a
framework
for
care
of
a
patient with breast disorders.
Role as Manager – With minimal guidance, the student will:
I.
Manage the care of one or two patients who have female or
male reproductive problems.
II.
Develop a teaching plan for patients with male or female
reproductive
problems
using
therapeutic
communication
skills.
III. Assess
family
interactions
for
patients
undergoing
interventions for disorders of the reproductive tract.
Role as Member of the Profession – With minimal guidance, the
student will:
I.
Identify social and cultural issues affecting the family of
patients with reproductive disorders.
II.
Identify victims
agencies.
of
abuse
and
41
refer
to
the
appropriate
Maternal Newborn Nursing NUR 200 2011
Unit VII
CONTENT:
I.
Normal reproductive system and assessment
1. Female
2. Male
II.
Female reproductive disorders
1.
Infectious disorders
2.
Structural disorders
3.
Benign tumors
4.
Cancers of the reproductive system
III.
Patients with breast disorders
1.
Assessment
a.
BSE
b.
Abnormal breast findings
2.
Mammography
3.
Breast Cancer
1.
2.
3.
III. Male reproductive assessment
Diagnostic tests
Specific conditions
Collaborative and nursing care
REQUIRED READING:
McKinney, et. al. Chapters 11,31,
Iggy, et. al. Chapters 72-76
42