INSTRUCTOR INFORMATION COURSE SCHEDULE
Instructor: Dr. Matthews
Phone: 561-394-5822
E-mail: dr.matthews55@gmail.com
Start Date: Maternity- 07/30/2014 to 09/15/2014
Start Date: Pediatrics- 09/15/2014 to 10/27/2014
Class:online
Campus President: Dr. Emilie Razafikely
th
This syllabus is used as a guide and may be altered to include additional tests, quizzes, research papers, or any combination . The instructor ( with the permission of the Campus President ) may also require less testing, quizzes, or research papers.
Course Description
Application of the nursing process to the care of adult patients experiencing Obstetrical- Gynecologic conditions and
Pediatric conditions in the health care continuum. A variety of health care settings are utilized. This course covers physiology and basic pathophysiology, causes of illness, communicable disease and disease transmission and prevention. The role of the registered nurse in preventative health measures, health promotion, and referral to community health resources, patient/family education, therapeutic and rehabilitative aspects will be presented.
Discussion/projects for ethical issues and critical thinking are incorporated in the course.
Course Objective
1. Utilize the nursing process when providing for the comprehensive, physiological, psychological, socio-cultural and spiritual needs of the client.
2. Incorporate
Watson’s curative factors in meeting the needs of the client.
3. Create therapeutic relationships with clients at various developmental levels to reach optimal wellness.
4. Collaborate with the healthcare team to improve quality of life for women, children, families, and communities.
5. Apply ethical-legal principles in managing the care of maternal and pediatric population.
6. Exemplify professionalism in the management and delivery of safe client care.
7. Demonstrate self-direction, motivation and responsibility for professional growth.
8. Function as a beginning professional nurse in a variety of healthcare delivery settings.
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Pre-Requisites
CHM 1033, CHM 1033L, BSC 1085, BSC 1085L, BSC 1086, BSC 1086L, NUR 1889, NUR 1822, NUR 1045, NUR
1025, NUR 1025L, NUR 1026C, NUR 1141, NUR 1060L, NUR 1211, NUR 1214L, NUR 1211C, NUR 2680C,
Co-Requisites
NUR 2212, NUR 2212L, NUR 2520, NUR 2520C, NUR 2420C, NUR 2310, NUR 2310L, NUR 2811C
Attendance
Attendance is essential to achieve program requirements and will be regulated in accordance with the Institute’s attendance policy as outlined in the school catalog. Students are encouraged to attend all classes.
Methods of Instruction
The instructor will develop practical integrated student-centered lessons, organized under the basic principles of adult learning and motivation. During this course, the student will be motivated to learn about Maternal and Pediatric conditions with the use of various methods, and activities. The interactive activities developed in class will be supported with lecture, discussion, videos, and computer software, along with sample questions. The lessons will emphasize individual and creative learning, as well as independent and group work. Activities will be planned in a logical sequence to develop well-organized lessons and to facilitate the learning of growth and development.
.
Websites and resource materials for this course:
Textbook for the Course:
Maternal Child Nursing Care, 5 th Edition
Perry, Hockenberry, Lowdermilk, Wilson http://evolve.elsevier.com
Resources:
Winningham’s Critical Thinking Cases in Nursing, 5 th edition
Harding, M., Snyder, J.,Preusser, B., Author
American Nurses Association http://www.nursingworld.org/
ANA Code of Ethics http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthics.aspx
Ethics and Nursing Practice Standards http://www.nursingethics.ca/codes.html
American Academy of Pediatrics: www.aap.org
National Center for Health Statistics: www.cdc.gov/nchs
World Health Organizations: www.who.int
You Tube Videos on Nursing Ethics http://www.youtube.com/user/Nevcoeducation
The International Centre for Nursing Ethics http://www.nursing-ethics.org/
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COMPETENCY 1: Chapter 1: 21 st Century Maternity Nursing
Skills/Objectives : After completing this chapter, you should be able to:
1.
2.
3.
4.
5.
6.
Describe the scope of maternity nursing.
Evaluate contemporary issues and trends in maternity nursing.
Examine social concerns in maternity nursing.
Explain risk management and standards of practice in the delivery of nursing care.
Discuss legal and ethical issues in perinatal nursing.
Examine Healthy People 2020 goals related to maternal and infant care
COMPETENCY 2: Chapter 2 : Community Care: The Family and Culture
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
After completing this chapter, you should be able to:
1. Describe the main characteristics of contemporary family forms.
2. Identify key factors influencing family health.
3. Compare theoretic approaches for working with childbearing families.
4. Relate the impact of culture on childbearing families.
5. Discuss cultural competence in relation to one's own nursing practice.
6. Identify key components of the community assessment process.
7. List indicators of community health status and their relevance to perinatal health.
8. Describe data sources and methods for obtaining information about community health status.
9. Identify predisposing factors and characteristics of vulnerable populations.
10. List the potential advantages and disadvantages of home visits.
11. Explore telephonic nursing care options in perinatal nursing.
12. Describe how home fits into the maternity continuum of care.
13. Discuss safety and infection control principles as they apply to the care of patients in their homes.
14. Describe the nurse's role in perinatal home care
COMPETENCY 3: Chapter 3: Assessment and Health Promotion
Skills/;Objectives : At the end of this portion of the course the student has acquired the ability to
1. After completing this chapter, you should be able to: Identify the structures and functions of the female reproductive system.
2. Describe the menstrual cycle in relation to hormonal, ovarian, and endometrial responses.
3. Identify the phases of the sexual response cycle.
4. Identify facilitators and barriers for women to access care in the health care system.
5. Analyze financial, cultural, gender, and communication barriers that may affect a woman's decision to seek and follow through with health-promoting activities.
6. Describe the need for health promotion across the woman's life span.
7. Analyze conditions and factors that increase health risks for women across the life span, including life stage, substance abuse, eating disorders, medical/health conditions, pregnancy, and intimate partner violence.
8. Describe components of taking a woman's history and performing a physical examination.
9. Review patient teaching of breast self-examination.
10. Describe how the history and physical examination can be adapted for women with special needs.
11. Outline the health-screening schedules for women across the life span.
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12. Identify the correct procedure for assisting with and collecting Papanicolaou test specimens.
COMPETENCY 4: Reproductive System Concerns
Skills/ Objectives:
1. Differentiate among the signs and symptoms of common menstrual disorders.
2. Develop a nursing care plan for the woman with primary dysmenorrhea.
3. Outline patient teaching about premenstrual syndrome.
4. Relate the pathophysiology of endometriosis to associated symptoms.
5. Evaluate the use of alternative therapies for menstrual disorders.
6. Describe prevention and treatment of sexually transmitted infections in women.
7. Summarize the care of women with selected viral infections (i.e., human immunodeficiency virus and hepatitis B virus).
8. Differentiate signs, symptoms, and management of selected vaginal infections.
9. Review principles of infection control for human immunodeficiency virus and bloodborne pathogens.
10. Discuss the pathophysiology and emotional effects of selected benign breast conditions and malignant neoplasms of the breasts found in women
ACTIVITIES/ASSESSMENTS
1. Divide Class in 3-4 teams
Type of Activity: Team Discussion: Instructions: Online Activity: Review the Healthy People 2020 website and the United Nations Millennium Development Goals provided online.
Learning Objective : Assess Objectives for Competencies 1, 2, 3, 4
Documentation Demonstrating Completion: Team discussion/ presentation in class
Points toward Grade: 25 points
Time Required for Completion: 5 hours
COMPETENCY 5: Infertility, Contraception, and Abortion
1. List common causes of infertility.
2. Discuss the psychologic impact of infertility.
3. Describe common diagnoses and treatments for infertility.
4. Compare reproductive alternatives for couples experiencing infertility.
5. Identify the advantages and disadvantages of the following methods of contraception: fertility awareness methods, barrier methods, hormonal methods, intrauterine devices, and sterilization.
6. Explain common nursing interventions that facilitate contraceptive use.
7. Describe the techniques used for medical and surgical interruption of pregnancy.
8. Recognize ethical, legal, cultural, and religious considerations of infertility, contraception, and elective abortion
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COMPETENCY 6: Genetics, Contraception, and Fetal Development
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
1. Explain the key concepts of basic human genetics.
2. Explore how recent advances in genetics have changed the field of health care.
3. Discuss key findings and the ethical, legal, and social implications of the Human Genome Project.
4. Describe expanded roles for nurses in genetics and genetic counseling.
5. Identify genetic disorders commonly tested for in maternity and newborn nursing.
6. Discuss the current status of gene therapy.
7. Summarize the process of fertilization.
8. Describe the development, structure, and functions of the placenta.
9. Describe the composition and functions of the amniotic fluid.
10. Identify three organs or tissues arising from each of the three primary germ layers.
11. Summarize the significant changes in growth and development of the embryo and fetus.
12. Identify the potential effects of teratogens during vulnerable periods of embryonic and fetal development.
COMPETENCY 7: Anatomy and Physiology of Pregnancy.
Skills/Objectives:
1. Determine gravidity and parity using the two- and five-digit systems.
2. Describe the various types of pregnancy tests, including the timing of tests and interpretation of results.
3. Explain the expected maternal anatomic and physiologic adaptations to pregnancy.
4. Differentiate among presumptive, probable, and positive signs of pregnancy.
5. Identify maternal hormones produced during pregnancy, their target organs, and their major effects on pregnancy.
6. Compare the characteristics of the abdomen, vulva, and cervix of the nullipara and multipara.
COMPETENCY 8: Nursing Care of the Family During Pregnancy.
Skills/ Objectives:
1. Describe the processes of confirming pregnancy and estimating the date of birth.
2. Summarize the physical, psychosocial, and behavioral changes that usually occur as the mother and other family members adapt to pregnancy.
3. Evaluate the benefits of prenatal care and problems of accessibility for some women.
4. Outline the patterns of health care used to assess maternal and fetal health status at the initial visit and follow-up visits during pregnancy.
5. Conceptualize common nursing assessments, diagnoses, interventions, and methods of evaluation in providing care for the pregnant woman.
6. Plan education needed by pregnant women to understand physical discomforts related to pregnancy and to recognize the signs and symptoms of potential complications.
7. Examine the effect of culture, age, parity, and number of fetuses on the response of the family to the pregnancy and on the prenatal care provided.
8. Determine the scope of childbirth and perinatal education in the community.
9. Compare philosophies underlying maternal choices for childbirth.
10. Describe the available options for health care providers and birth setting choices.
ACTIVITIES/ASSESSMENTS : Quiz 1
Type of Activity: Quiz from Chap 1 to 4
Instructions: Quiz multiple choice and case study scenarios
Learning Objective : Assess Objectives for Competencies Chap 5,6,7,8
Documentation Demonstrating Completion: Quiz and class discussion
Points toward Grade: 50 points
Time Required for Completion: 5 hours
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COMPETENCY 9: Maternal and Fetal Nutrition
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
After completing this chapter, you should be able to:
1. Explain recommended maternal weight gain during pregnancy.
2. Compare the recommended level of intake of energy sources, protein, and key vitamins and minerals during pregnancy and lactation.
3. Give examples of the food sources that provide the nutrients required for optimal maternal nutrition during pregnancy and lactation.
4. Examine the role of nutrition supplements during pregnancy.
5. List five nutritional risk factors during pregnancy.
6. Compare the dietary needs of adolescent and mature pregnant women.
7. Analyze examples of eating patterns of women from two different ethnic or cultural backgrounds and identify potential dietary problems.
8. Assess nutritional status during pregnancy.
COMPETENCY 10: Assessment of High Risk Pregnancy
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
After completing this chapter, the student should be able to:
1. Explore biophysical, psychosocial, sociodemographic, and environmental influences on high risk pregnancy.
2. Examine risk factors identified through history, physical examination, and diagnostic techniques.
3. Discuss psychologic considerations associated with a high risk pregnancy diagnosis.
4. Differentiate among screening and diagnostic techniques, including when they are used in pregnancy and for what purpose.
5. Develop a teaching plan to explain screening and diagnostic techniques and implications of findings to women and their families.
COMPETENCY 11: High Risk Perinatal Care: Preexisting Conditions
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
1. After completing this chapter, you should be able to: Differentiate the types of diabetes mellitus and their respective risk factors in pregnancy.
2. Compare insulin requirements during pregnancy, during the postpartum period, and with lactation.
3. Identify maternal and fetal risks or complications associated with diabetes in pregnancy.
4. Develop a plan of care for the pregnant woman with pregestational or gestational diabetes.
5. Compare the management of a pregnant woman with hyperthyroidism with one who has hypothyroidism.
6. Differentiate the management of various cardiovascular disorders in pregnant women.
7. Discuss the different types of anemia and their effects during pregnancy.
8. Explain the care of pregnant women with pulmonary disorders.
9. Discuss the effects of neurologic disorders on pregnancy.
10. Describe the care of women whose pregnancies are complicated by autoimmune disorders.
11. Discuss the care of pregnant women who use, abuse, or are dependent on alcohol or illicit or prescription drugs
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COMPETENCY 12: High Risk Perinatal care: Gestational Conditions.
Skills/Objectives: Skills/Objectives . At the end of this portion of the course the student has acquired the ability to.
1. Differentiate among gestational hypertension, preeclampsia, and chronic hypertension.
2. Describe etiologic theories and pathophysiology of preeclampsia.
3. Compare care management of women with mild gestational hypertension or preeclampsia versus severe gestational hypertension or preeclampsia.
4. Discuss the preconception, antepartum, intrapartum, and postpartum management of the woman with chronic hypertension.
5. Explain the effects of hyperemesis gravidarum on maternal and fetal well-being.
6. Differentiate among causes, signs and symptoms, possible complications, and management of miscarriage, ectopic pregnancy, cervical insufficiency, and hydatidiform mole.
7. Compare and contrast placenta previa and placental abruption in relation to signs and symptoms, complications, and management.
8. Discuss the diagnosis and management of disseminated intravascular coagulation.
9. Discuss signs and symptoms, effects on pregnancy, and management of urinary tract infections.
10. Explain the basic principles of care for a pregnant woman undergoing abdominal surgery.
11. Discuss implications of trauma on mother and fetus during pregnancy.
12. Identify priorities in assessment and stabilization measures for the pregnant trauma victim.
ACTIVITIES/ASSESSMENTS
1. Homework
Instructions: Team Work: Prepare a health teaching program for a group of women with pregestational diabetes who are experiencing their first pregnancy. The program should include content relevant to diabetes in pregnancy, stress-reduction techniques, and group support measures. Include the teaching methods and visual aids you would use as part of the program you developed.
Learning Objective : Assess Objectives for Competencies 9,10,11,12
Documentation Demonstrating Completion: Group Class Activity: Discussion Topic: What can nurses do to help women of childbearing age with diabetes mellitus experience a healthy pregnancy?
Points toward Grade: 25 points
Time Required for Completion: 5 hour
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
After completing this chapter, you should be able to:
COMPETENCY 13: Labor and Birth Process.
Skills/Objectives:
1. Explain the five major factors that affect the labor process.
2. Describe the anatomic structure of the bony pelvis.
3. Recognize the normal measurements of the diameters of the pelvic inlet, cavity, and outlet.
4. Explain the significance of the size and position of the fetal head during labor and birth.
5. Summarize the cardinal movements of the mechanism of labor for a vertex presentation.
6. Examine the maternal anatomic and physiologic adaptations to labor.
7. Describe factors thought to contribute to the onset of labor.
8. Describe fetal adaptations to labor.
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COMPETENCY 14: Pain Management
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
After completing this chapter, you should be able to.
1. Describe breathing and relaxation techniques used for each stage of labor.
2. Identify nonpharmacologic strategies to enhance relaxation and decrease pain during labor.
3. Compare pharmacologic methods used to relieve pain in different stages of labor and for vaginal or cesarean birth.
4. Describe nursing responsibilities appropriate in providing care for a woman receiving analgesia and anesthesia during labor
COMPETENCY 15: Fetal assessment during labor
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
After completing this chapter, you should be able to :
1. Identify typical signs of no
2. rmal and abnormal fetal heart rate patterns.
3. Compare fetal heart rate monitoring performed by intermittent auscultation with external and internal electronic methods.
4. Explain the baseline fetal heart rate and evaluate periodic changes.
5. Describe nursing measures that can be used to maintain fetal heart rate patterns within normal limits.
6. Differentiate among the nursing interventions used for managing specific fetal heart rate patterns, including tachycardia and bradycardia, absent or minimal variability, and late and variable decelerations.
7. Review the documentation of the monitoring process necessary during labor.
COMPETENCY 16: Nursing Care of the Family during Labor and Birth.
Skills/Objectives:
1. Review the factors included in the initial assessment of the woman in labor.
2. Describe the ongoing assessment of maternal progress during the first, second, third, and fourth stages of labor.
3. Recognize the physical and psychosocial findings indicative of maternal progress during labor.
4. Describe fetal assessment during labor.
5. Identify signs of developing complications during labor and birth.
6. Incorporate evidence-based nursing interventions into a comprehensive plan of care relevant to each stage of labor.
7. Recognize the importance of support (family, partner, doula, nurse) in fostering maternal confidence and facilitating the progress of labor and birth.
8. Analyze the influence of cultural and religious beliefs and practices on the process of labor and birth.
9. Evaluate research findings on the importance of support from family, partner, doula, and nurse in facilitating maternal progress during labor and birth.
10. Describe the role and responsibilities of the nurse during emergency childbirth.
11. Evaluate the impact of perineal trauma on the woman's reproductive and sexual health.
COMPETENCY 17: Labor and birth complications.
Skills/Objectives:
1. Differentiate between preterm birth and low birth weight.
2. Discuss major risk factors associated with preterm labor.
3. Analyze current interventions to prevent spontaneous preterm birth.
4. Discuss the use of tocolytics and antenatal glucocorticoids in preterm labor.
5. Evaluate the effects of prescribed bedrest on pregnant women and their families.
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6. Design a nursing care plan for women with preterm premature rupture of the membranes
(preterm PROM).
7. Describe the care of a woman with postterm pregnancy.
8. Explain the challenge of caring for obese women during labor and birth.
9. Summarize the nursing care for a woman experiencing a trial of labor, induction or augmentation of labor, a forceps- or vacuum-assisted birth, a cesarean birth, or a vaginal birth after a cesarean birth (VBAC).
10. Discuss obstetric emergencies and their appropriate management.
ACTIVITIES/ASSESSMENTS-
1. Quiz # 2
Type of Activity: Multiple Choice Questions Quiz covering Chap 5 to 12
Learning Objective : Assess Objectives for Competencies 13,14,15,16,17
Documentation Demonstrating Completion: Class activity: Discussion Topic: Discuss whether the decreased incidence of operative vaginal births can be contributed to the increase in cesarean births.
Points toward Grade: 50 points .
Time Required for Completion: 5 hour
Skills/Objectives:
Skills/Objectives . At the end of this portion of the course the student has acquired the ability to.
COMPETENCY 18: Maternal Physiologic Changes
.
1. Describe the anatomic and physiologic changes that occur during the postpartum period.
2. Discuss characteristics of uterine involution and lochial flow and describe ways to measure them.
3. List expected values for vital signs and blood pressure, deviations from normal findings, and probable causes of the deviations.
COMPETENCY 19: Nursing Care of the Family during the post-partum period
Skills/Objectives . At the end of this portion of the course the student has acquired the ability to.
Skills/Objectives:
5.
6.
7.
1.
2.
3.
4.
Describe components of a systematic postpartum assessment.
Recognize signs of potential complications in the postpartum woman.
Identify common selection criteria for safe early postpartum discharge.
Formulate a nursing care plan for a woman in the postpartum period.
Explain the influence of cultural beliefs and practices on postpartum care.
Identify psychosocial needs of the woman in the early postpartum period.
Prepare a plan for postpartum teaching for self-management.
COMPETENCY 20: Transition to Parenthood
Skills/Objectives.
1.
Identify parental and infant behaviors that facilitate and those that inhibit parental attachment.
2.
Describe sensual responses that strengthen attachment.3.
3.
Compare maternal adjustment and paternal adjustment to parenthood.
4.
Describe ways in which the nurse can facilitate parent-infant adjustment.
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6.
7.
5.
Examine the effects of the following on parenting responses and behavior: parental age (i.e., adolescence and older than 35 years), same-sex parenting, social support, culture, socioeconomic conditions, personal aspirations, and sensory impairment.
Describe sibling adjustment.
Describe grandparent adaptation.
COMPETENCY 21: Postpartum Complications.
Skills/Objectives:
1. Identify causes, signs and symptoms, possible complications, and medical and nursing management of postpartum hemorrhage.
2. Describe hemorrhagic shock as a complication of postpartum hemorrhage, including medical management and nursing interventions. Identify causes, signs and symptoms, possible complications, and medical and nursing management of postpartum infection.
3. Describe thromboembolic disorders, including incidence, etiology, signs and symptoms, and management
4. Summarize the role of the nurse in the home setting in assessing potential problems and managing care of women with postpartum complications.
5. Describe structural disorders of the uterus and vagina that can result from childbearing.
6. Differentiate among postpartum psychological complications, including incidence, risk factors, signs and symptoms, severity, and management.
7. Describe the nurse’s role in assisting families who are grieving after maternal death.
ACTIVITIES/ASSESSMENTS:
1. Homework. Type of Activity: Writing Activity: Prepare a discharge teaching plan for postpartum women that focus on prevention and early detection of the childbirth complications of hemorrhage, infection, and thromboembolic disease. Include visual aids to be used when implementing the plan and written materials to be given to the women and their families.
2. Learning Objective : Assess Objectives for Competencies 18 to 21
3. Documentation Demonstrating Completion: Class activity: Discussion Topic: Online Activity: Have students investigate the website postpartum.net for information on support for the new mother and family.
Points toward Grade: 25 points.
Skills/Objectives . At the end of this portion of the course the student has acquired the ability to
COMPETENCY 22: Physiologic and Behavioral Adaptations of the Newborn.
1.
2.
3.
4.
Discuss the physiologic adaptations that the neonate must make during the period of transition from the intrauterine to the extra uterine 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.
Recognize newborn reflexes and differentiate characteristic responses from abnormal responses.
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5.
6.
Discuss the sensory and perceptual functioning of the neonate.
Identify signs that the neonate is at risk related to problems with each body system.
COMPETENCY 23: Nursing Care of the Newborn and Family.
Skills/Objectives
5.
6.
7.
8.
1.
Explain the purpose and components of the Apgar score.
2.
Describe how to perform a physical assessment of a newborn.
3.
4.
Describe how to perform a gestational age assessment of a newborn.
Compare the characteristics of the preterm, late preterm, term, and postterm neonate.
9.
Provide nursing care to assist the newborn to transition to extra uterine life.
Explain the elements of a safe environment.
Discuss phototherapy and the guidelines for teaching parents about this treatment.
Explain the purposes and methods for circumcision, the postoperative care of the circumcised infant, and parent teaching regarding circumcision.
Review the procedures for administering an intramuscular injection, performing a heel stick, collecting urine specimens, and venipuncture.
10.
Evaluate pain in the newborn based on physiologic changes and behavioral observations.
11.
Review anticipatory guidance nurses provide to parents before discharge.
COMPETENCY 24:
Newborn, Nutrition, and Feeding
Skills/Objectives:
1.
Describe current recommendations for infant feeding.
2.
Explain the nurse’s role in helping families choose an infant feeding method.
3.
Discuss benefits of breastfeeding for infants, mothers, families, and society
4.
Describe nutritional needs of infants.
5.
Describe anatomic and physiologic aspects of breastfeeding.
6.
6. Recognize newborn feeding-readiness cues.
7.
Explain maternal and infant indicators of effective breastfeeding.8.
8.
Examine nursing interventions to facilitate and promote successful breastfeeding.9.
9.
Analyze common problems associated with breastfeeding and interventions to help resolve them.10.
10.
Compare powdered, concentrated, and ready-to-use forms of commercial infant formula.11.
11.
Develop a teaching plan for the formula-feeding family.
COMPETENCY 25:
The High Risk Newborn.
Skills/Objectives: Skills/Objectives .At the end of this portion of the course the student has acquired the ability to.
1.
Summarize assessment and care of the newborn with soft tissue, skeletal, and neurologic injuries caused by birth trauma.
2.
Identify maternal conditions that place the newborn at risk for infection.
3.
Describe methods used to identify infection in the newborn.
4.
Identify the effects of maternal use of alcohol, heroin, methadone, marijuana, methamphetamine, cocaine, and tobacco on the fetus and newborn.
5.
Describe the assessment of a newborn exposed to harmful drugs in utero.6.
6.
Identify clinical manifestations of infection in the newborn.
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7.
Describe the nurse’s role in the diagnosis of neonatal sepsis
8.
Compare characteristics of neonatal Rh and ABO incompatibility.
9.
Compare and contrast the physical characteristics of preterm, late preterm, term, and postterm neonates.
10.
Discuss respiratory distress syndrome and the approach to treatment.
11.
Compare methods of oxygen therapy for the high risk infant.
12.
Describe nursing interventions for nutritional care of the preterm infant.
13.
Discuss the pathophysiology of retinopathy of prematurity and Broncho pulmonary dysplasia and identify the predisposing risk factors.
14.
Describe risk factors associated with the birth and transition of an infant of a diabetic mother.
15.
Plan developmentally appropriate care for the high risk infant.
16.
Develop a plan to address the unique needs of parents of high risk infants.
17.
Describe nursing care of the family in the event of a stillbirth or death of a high risk infant.
ACTIVITIES/ASSESSMENTS-
Assessment: Mid Term exam.
Type of Activity: Midterm exams: Covers chapters 1 to 21
Learning Objective : Assess Objectives for Competencies: 22 to 25
Documentation Demonstrating Completion: Class activity: Discussion Topic: Physiologic Jaundice,
Chap22
Points toward Grade: 50 points .
COMPETENCY 26: 21 st Century Pediatric Nursing.
Skills/Objectives: Skills/Objectives . At the end of this portion of the course the student has acquired the ability to.
1. Define the terms mortality and morbidity.2.
2. Identify two ways that knowledge of mortality and morbidity can improve child health.3.
3. List three major causes of death during infancy, early childhood, later childhood, and adolescence.4.
4. List two major causes of illness during childhood.
5. Describe five broad functions of the pediatric nurse in promoting the health of children.
6. Define the term critical thinking.
7. Identify the five steps of the nursing process.
8. Define the term nursing diagnosis.
9. Define evidence-based practice.
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COMPETENCY 27: F amily, Social, Cultural, and Religious
Skills/Objectives: Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
4.
5.
6.
1.
2.
3.
7.
Discuss definitions of family.
Discuss the role transition experienced by new parents.
Explain various parenting behaviors such as parenting styles, disciplinary patterns, and communication skills.
Demonstrate an understanding of special parenting situations such as adoption, divorce, single parenting, parenting in reconstituted families, and dual-earner families
Define culture, cultural competence, ethnocentrism, and cultural relativism.
Describe the subcultural influences on child development in the areas of socioeconomic class, poverty, religion, and schools.
Identify areas of potential conflict of values and customs for a nurse interacting with a family from a different cultural or ethnic group.
COMPETENCY 28: Developmental and Genetic Influences on Child Health Promotion
1.
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Describe major trends in growth and development.2.
Explain the alterations in the major body systems that take place during the process of growth and development.3.
Discuss the development and relationships of personality, cognition, language, morality, spirituality, and self-concept.4.
Describe the role of play in the growth and development of children.5.
Demonstrate an understanding of the role of innate and environmental factors in the physical and emotional development of children.
COMPETENCY 29: Communication, History, and Physical Assessment.
Skills/Objectives:
1.
Identify communication strategies for interviewing parents.
2.
Formulate guidelines for using an interpreter.
3.
Identify communication strategies for communicating with children of different age-groups.
4.
Describe four communication techniques that are useful with children.
5.
State the components of a complete health history.
6.
List three areas that are evaluated as part of nutritional assessment.
7.
Prepare a child for a physical examination based on his or her developmental needs.
8.
Perform a comprehensive physical examination in a sequence appropriate to the child’s age.
9.
Recognize expected normal findings for children at various ages.
10.
Record the physical examination according to the head-to-toe format.
COMPETENCY 30: Pain Assessment and Management.
Skills/Objectives:
1.
Identify measures to assess pain in children.
2.
List various types of pain assessment tools for use with children.
3.
Outline essential pain management strategies to reduce pain in children.
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4.
Review common types of pain experienced by children.
5.
Discuss evidence to support specific pain management strategies.
ACTIVITIES/ASSESSMENTS-
Homework:
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Type of Activity: Homework: Online Activity: Search the Internet for pain rating scales that provide instant scores. Present any useful information to the class.
1. Learning Objective : Assess Objectives for Competencies 13,14,15,16,17
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Documentation Demonstrating Completion: Class activity: Discussion Topic: Discussion Topic: Have students review the pain rating scales and discuss their uses and their comprehensiveness and systematic ness.
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Discussion Topic: Discuss “growing pains”: when children have them, your experience with them, and causes.
Discuss that growing pains are not imagined and should be treated seriously.
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Points toward Grade: 25 points .
Chapter 31, the Infant and Family: 32, the Toddler and Family
Skills/Objectives .At the end of this portion of the course the student has acquired the ability to.
After completing this chapter, you should be able to:
COMPETENCY 33: The Preschooler and Family:
Skills/Objectives . At the end of this portion of the course the student has acquired the ability to.
1. Identify the major biologic, psychosocial, cognitive, moral, spiritual, and social developments that occur during the preschool years.
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List the benefits of imaginary playmates.
Prepare preschoolers for preschool or day care experience.
Provide parents with guidelines for sex education.
Provide parents with guidelines for dealing with a child’s fears, stresses, aggression, and sleep problems.
Recognize the causes of stuttering during the preschool years.
9. Offer parents suggestions for preventing speech problems.
10. Recognize feeding patterns of preschoolers.
11. Provide anticipatory guidance to parents regarding injury prevention based on the preschooler’s developmental achievements.
COMPETENCY: Chapter 34, The School-age Child and Family: 35, the adolescent and Family.
Skills/Objectives. At the end of this portion of the course the student has acquired the ability to.
After completing this chapter, you should be able to:
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1.
Describe the physical, cognitive, and moral changes that take place during the middle childhood years.
2.
Describe ways to help a child develop a sense of accomplishment.
3.
Demonstrate an understanding of the changing interpersonal relationships of school-age children.
4.
Discuss the role of the peer group in the socialization of the school-age child.
5.
Discuss the role of schools in the development and socialization of the school-age child.
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Outline an appropriate health teaching plan for the school-age child.
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Plan a sex education session for a group of school-age children.
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Identify the causes and discuss the preventive aspects of injury in middle childhood.
COMPETENCY: Chapter 35:
1.
Describe the physical changes that occur at puberty.
2.
Discuss the reactions of the adolescent to physical changes that take place at puberty.
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Demonstrate an understanding of the processes by which the adolescent develops a sense of identity.
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Discuss the significance of the changing interpersonal relationships and the role of the peer group during adolescence.
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Outline a health teaching plan for adolescents.
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Identify the causes and discuss the preventive aspects of injuries during adolescence.
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Demonstrate an understanding of common disorders of the male and female reproductive systems.
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Demonstrate an understanding of health problems related to adolescent sexuality.
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Outline a care plan for the child or adolescent with an eating disorder.
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Discuss the manifestations and nursing management of selected emotional and/or behavioral problems.
ACTIVITIES/ASSESSMENTS
1. Quiz 3: Multiple Choice questions: chap 24-30
Learning Objective : Assess Objectives for Competencies 31 to 35
Documentation Demonstrating Completion: Classroom Activity: Discussion Topic: Discuss the factors that play a part in early onset puberty in females. Examine specifically obesity. (
Additional topics varies if time allows.
Points toward Grade: 50 points
Time Required for Completion: 5 hour
Skills/Objectives . At the end of this portion of the course the student has acquired the ability to.
After completing this chapter, you should be able to:
COMPETENCY 36: Chronic Disability and End-of Life Care
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
1.
After completing this chapter, you should be able to: Identify the scope of and changing trends in care of children with special needs.
2.
Identify the major reactions of and effects on the family of a child with a special need.
3.
Define the stages of adjustment to the diagnosis of a chronic condition.
4.
Recognize the impact of the illness or condition on the developmental stages of childhood.
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5.
Outline nursing interventions that promote the family’s optimal adjustment to the child’s chronic disorder.
6.
Outline nursing interventions that support the family at the time of death.
7.
Define the usual symptoms of normal grief.
COMPETENCY: Chapter 37, Cognitive and Sensory Impairment
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
After completing this chapter, you should be able to:
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Define the classifications of intellectual disability.
Define developmental delay.
Outline nursing interventions for the child with cognitive impairment that promotes optimal development, including during hospitalization.
Identify the major biologic and cognitive characteristics of children with Down syndrome.
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Outline nursing interventions for children with Down syndrome.
Identify the major characteristics associated with fragile X syndrome.
List the general classifications of hearing impairment and the effect on speech.
Outline nursing interventions for children with hearing impairment, including during hospitalization.
List the common types of visual impairments in children. 9.
10.
Outline nursing interventions for children with visual impairment, including during hospitalization.
11.
Outline nursing interventions for children with retinoblastoma.12.
12.
Outline nursing interventions for children with an autism spectrum disorder
COMPETENCY: Chapter 38: Family Centered Care of the Child during Illness and Hospitalization
Skills/Objectives . At the end of this portion of the course the student has acquired the ability to.
After completing this chapter, you should be able to:
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6.
7.
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2.
3.
4.
Identify the stressors of illness and hospitalization for children during each developmental stage.
List essential priorities of nursing care upon a child’s admission to the hospital.
Review nursing interventions that prevent or minimize the stress of separation during hospitalization.
Discuss nursing interventions that minimize the stress of loss of control during hospitalization.
Describe nursing interventions that minimize the fear of bodily injury during hospitalization.
Outline nursing interventions that support parents, siblings, and family during a child’s illness and hospitalization.
Describe nursing interventions needed when children are admitted to special units such as the emergency department.
COMPETENCY: Chapter 39: Pediatric Variation of Nursing Intervention
Skills/Objectives:
1.
Identify instances in which informed consent is required and in which minors may be considered emancipated.
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2.
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Formulate general guidelines for preparing children for procedures, including surgery.
Implement play in therapeutic procedures.
List general strategies for enhancing compliance in children and families.
Outline general hygiene and care procedures for hospitalized children.
Implement feeding techniques that encourage food and fluid intake.
Describe methods of reducing the temperature in a child with fever or hyperthermia.
Describe systems that can be used for infection control.
9.
Describe safe methods of administering oral, parenteral, rectal, optic, otic, and nasal medications to children.
10.
Identify nursing responsibilities in maintaining fluid balance.
11.
Demonstrate correct procedures for postural drainage and tracheostomy care.
12.
Describe the procedures involved in providing nutrition via gavage, gastrostomy, and parenteral routes.
13.
Describe the procedures involved in administering an enema and ostomy care to children.
ACTIVITIES/ASSESSMENTS
1. Homework:
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Type of Activity: Small Group Activity: Divide students into groups. Assign each group to prepare a 2-day menu for a pregnant woman with a specific nutritional variable: o An adolescent who lives on fast food o A career woman whose mealtimes are erratic, with many meals either skipped or eaten in restaurants or at her desk while working o A Native-American woman o A Hispanic/Mexican-American woman o A strict vegetarian
Learning Objective : Assess Objectives for Competencies 36,37,38,39
Documentation Demonstrating Completion: Critical Thinking Case Study
Points toward Grade: 25 points
Time Required for Completion: 5 hour
.
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
After completing this chapter, you should be able to:
COMPETENCY 40: Chapter 40- Respiratory Dysfunction.
Skills/Objectives: At the end of this portion of the course the student has acquired the ability to.
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Identify the factors leading to respiratory tract infection in the infant or young child.
Contrast the effects of various respiratory infections observed in infants and children.
Describe the postoperative nursing care of the child with an adenotonsillectomy.
Outline a nursing care plan for a child with croup.
Outline a nursing care plan for a child with acute otitis media.
Demonstrate an understanding of the ways in which inhalation of noninfectious irritants produce pulmonary dysfunction.
Describe the ways in which the various therapeutic measures relieve the symptoms of asthma.
Outline a plan for teaching home care for the child with asthma.
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9.
Describe the physiologic effects of cystic fibrosis on the gastrointestinal, endocrine, and pulmonary systems.
10.
Outline a plan of care for the child with cystic fibrosis.
11.
List the major signs of respiratory distress in infants and children.
12.
Describe the nursing care for a child with respiratory failure.
COMPETENCY 41: Gastrointestinal Dysfunction.
Skills/Objectives:
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Identify children at increased risk of developing nutritional disorders.
Outline a nutritional counseling plan for vitamin or mineral deficiency or excess.
Describe the characteristics of infants that affect their ability to adapt to fluid loss or gain.
Formulate a plan of care for the infant with acute diarrhea.
Compare and contrast the inflammatory bowel diseases.
Identify the routes of transmission for hepatitis A, B, and C.
Describe the nursing care of the child with hepatitis.
Formulate a plan for teaching parents preoperative and postoperative care of the child with
9.
a cleft lip or palate.
Formulate a plan of care for the child with an obstructive gastrointestinal disorder.
10.
Identify nutritional therapies for the child with a malabsorption syndrome.
11.
Outline a teaching plan designed to prevent transmission of intestinal parasites.
12.
Identify the principles in the emergency treatment of accidental poisoning.
13.
Name four sources of lead in the environment.
14.
Describe the nursing care of the child with lead poisoning.
15.
Describe the nursing care of the child with appendicitis.
COMPETENCY 42: Cardiovascular Dysfunction
Skills/Objectives:
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4.
Design a plan for assisting children during cardiac diagnostic procedures.2.
Demonstrate an understanding of the hemodynamics, distinctive manifestations, and therapeutic management of congenital heart disease.3.
Outline a care plan for an infant or child with heart failure.4.
Describe the care for a child who has hypoxia.5.
Describe the care for an infant or a child with a congenital heart defect and its surgical repair.6.
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Discuss the nurse’s role in helping the child and family cope with congenital heart disease.7.
Differentiate between rheumatic fever and rheumatic heart disease.
List the criteria for selected cholesterol screening of children.
Discuss the assessment and management of hypertension in children and adolescents.
10.
Outline a care plan for a child with Kawasaki disease.
11.
Describe the emergency treatment for shock, including anaphylaxis.
COMPETENCY 43: Hematologic and Immunological Dysfunction.
Skills/Objectives.
1. Distinguish between the various categories of anemia.
2. Describe the prevention of and care of the child with iron-deficiency anemia.
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3. Compare sickle cell anemia and β-thalassemia major in relation to pathophysiology and nursing care.
4. Describe the mechanisms of inheritance and nursing care of the child with hemophilia.
5. Relate the pathophysiology and clinical manifestations of leukemia.
6. Demonstrate an understanding of the rationale of therapies for neoplastic disease.
7. Outline a care plan for the child with neoplastic disease and the family.
8. Contrast the pathophysiology and management of the immunodeficiency disorders.
9. List nursing precautions and responsibilities during blood transfusion.
10. Describe the types of hematopoietic stem cell transplants.
COMPETENCY 44: Genitourinary Dysfunction
1.Describe the various aspects of enuresis.
2.
Describe the various factors that contribute to urinary tract infections in infants and children.
3.
Discuss the preoperative preparation of the child and parents when the child has a structural defect of the genitourinary tract.
4.
Demonstrate an understanding of the causes and mechanisms of edema formation in nephrotic syndrome.
5.
Outline a nursing care plan for a child with nephrotic syndrome.
6.
Compare the child with minimal-change nephrotic syndrome and the child with acute glomerulonephritis in terms of clinical manifestations and nursing care.
7.
Contrast the causes, complications, and management of acute and chronic renal failure.
8.
List the types of renal dialysis.
9.
Recognize signs of kidney transplant rejection.
ACTIVITIES/ASSESSMENTS
Quiz 4: Quiz: Multiple choice questions, covers chap 31 to 39
Instructions: Learning Objective : Assess Objectives for Competencies 40, 41, 42,43, 44
Documentation Demonstrating Completion: Class activity, Discussion questions
Points toward Grade: 50 points
Time Required for Completion: 5 hour
Skills/Objectives (at the end of this portion of the course the student has acquired the ability to)
After completing this chapter, you should be able to:
COMPETENCY 45: Cerebral Dysfunction:
Skills/Objectives: At the end of this portion of the course the student has acquired the ability to)
After completing this chapter, you should be able to:
1.
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6.
Describe the various modalities for assessment of cerebral function.
Differentiate among the stages of consciousness.
Formulate a care plan for the unconscious child.
Distinguish among the types of head injuries and the serious complications.
Describe the nursing care of a child with a tumor of the central nervous system.
Outline a care plan for the child with bacterial meningitis.
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7.
8.
9.
Differentiate between the various types of seizure disorders.
Demonstrate an understanding of the manifestations of a seizure disorder and the management of a child with such a disorder.
Describe the preoperative and postoperative care of a child with hydrocephalus.
Competency 46: Endocrine Dysfunction.
Skills/Objectives:
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7.
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Differentiate between the disorders caused by hypo pituitary and hyper pituitary dysfunction.
Describe the manifestations of thyroid hypo function and hyper function and the management of children with the disorders.
Distinguish between the manifestations of adrenal hypo function and hyper function.
Differentiate among the various categories of diabetes mellitus.
Discuss the management and nursing care of the child with diabetes mellitus in the acute care setting.
Distinguish between a hypoglycemic and a hyperglycemic reaction.
Formulate a teaching plan for instructing the parents of a child with diabetes mellitus.
7.
8.
9.
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6.
1.
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Competency 47: Integumentary System.
Describe the distribution and configuration of various skin lesions.
Skills/Objectives:
List the benefits of a moist environment for wound healing.
Discuss the nursing care related to therapies for skin disorders.
Contrast the manifestations of and therapies for bacterial, viral, and fungal infections of the skin.
Compare the skin manifestations related to age in children.
Outline a care plan to prevent and treat diaper dermatitis.
Outline a care plan for a child with atopic dermatitis.
Formulate a teaching plan for an adolescent with acne.
Describe the methods for assessing a burn wound.
Discuss the physical and emotional care of a child with a severe burn wound.
Competency 48: Musculoskeletal System
Skills/Objectives:
Outline a care plan for a child immobilized with an injury or a debilitating condition.
Formulate a teaching plan for the parents of a child in a cast.
Explain the functions of the various types of traction.
Differentiate among the various congenital skeletal defects.
Design a teaching plan for the parents of a child with a congenital skeletal deformity.
Describe the therapies and nursing care of a child with scoliosis.
Outline a plan of care for a child with osteomyelitis.
Differentiate between osteosarcoma and Ewing sarcoma.
Describe the nursing care of a child with juvenile arthritis.
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COMPETENCY 49: Neuromuscular/ Muscular Dysfunction.
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6.
7.
Skills/Objectives:
Discuss the nursing role in helping parents care for the child with cerebral palsy.
Formulate a nursing care plan for the preoperative and postoperative care of a child with myelomeningocele (spina bifida).
Outline a plan of care for a child with Duchenne or Becker muscular dystrophy.
Discuss the prevention and treatment of tetanus.
Identify the causes of botulism in infants and children.
List three causes of spinal cord injury in children.
Discuss the emergent nursing care of the child or adolescent with a spinal cord injury.
COMPETENCY: Special Topics in Maternity Nursing
Competency: Maternity. At the end of this portion of the course the student has acquired the ability to.
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Family-Centered Maternity Care
The Baby-Friendly Hospital Initiative
Kangaroo care in the NICU Setting
Competency: Pediatric
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Cultural Competence
Migrant/Homeless/Ethnic Minorities
Abusive Head Trauma (Shaken Baby Syndrome)
Assessment: Final Examination
Type of Activity: Multiple Choice Questions covering Chap, 40 to 49
Instructions: Final exam: 50 points
Time Required for Completion: 1 hour
Extra Credits: Team Homework
Type of Activity: Team role play presentation
Type of Activity: Team role play presentation
Instructions: Limit 15 min per group (Each group will be given topics on week 10)
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Documentation Demonstrating Completion: Topics will be given by Professor 1-2 weeks early.
Points toward Grade: 25
Time Required for Completion: 5 hour
95-100= A; 90-95% = A-; 85-90%= B; 80-85%= B-
75-80%= C; Below 75%= F
Please print this form and bring it completed and signed, and provide to the instructor before leaving the first class meeting.
Name: ……………………………………………………………………………………………………………
E-mail Address: ……………………………………………………………………………………………….
Phone numbers where you can be reached:
Home: …………………………………………………………………………………………………
Work: ………………………………………………………………………………………………….
Cell: ……………………………………………………………………………………………………
Emergency contact name and number: ………………………………………………………..
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I have read the syllabus for OB/ Maternity/Newborn and understand the requirements, expectations, and objectives of the course.
Student’s Name Student’s Signature Date
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