GREAT BASIN COLLEGE
ASSOCIATE OF APPLIED SICENCE NURSING PROGRAM
NURS 157 SPRING 2011
NURSING PROCESS THROUGHOUT THE LIFESPAN I
COURSE SYLLABUS
4 CREDITS (3 theory (45 hours) credits and 1 Clinical (45 hours) credit)
I.
GENERAL INFORMATION
A.
Catalog Description: Uses the nursing process to develop knowledge and
nursing skills needed to promote basic biopsychosocial adaptation of the
patient and family during the childbearing experience.
Three credits theory, one credit clinical. Offered Spring Semester only.
Prerequisites: Admission to the Nursing Program.
B.
Instructors Theory and Clinical:
Tami Gailey, MSN, RN
753-2004 (Office)
934-7432 (Cell)
tamarag@gwmail.gbcnv.edu
Instructors Clinical:
Tami Gailey, MSN, RN
934-7432 (C)
C.
Office Hours:
Tuesday: 1330-1430
Thursday: 0900 - 1130 & 1330 – 1530
Also by appointment
D.
Schedule:
Theory
Classroom:
Tuesday 0930 – 1215
Cooperative Testing: Tuesdays 1300 -1430
II.
Dates:
January 24, 2011 – May 20, 2011
Clinical:
Monday, Wednesday, & Friday 0645 – 1500, as assigned
and other times as indicated on Clinical Schedule
REQUIRED TEXTS:
 Perry, S., Hockenberry, M.J., Lowdermilk, & D.L. Wilson, D.
(2010). Maternal child nursing care (4th ed.). St. Louis, MO: Mosby
Publishing.
 Perry, S., Hockenberry, M.J., Lowdermilk, & D.L. Wilson, D.
(2010). Virtual Clinical Excursions: Pacific View Regional Hospital
(4th ed.). St. Louis, MO: Mosby Publishing.
 Perry, S., Hockenberry, M.J., Lowdermilk, & D.L. Wilson, D. (2010).
Maternal child nursing care study guide (4th ed.). St. Louis,
MO: Mosby Publishing.
**Please plan on using the Drug book, and Lab & Diagnostic book, and Nursing
Diagnosis Book of your choice. You also may find it helpful to use your
Fundamentals and Pharmacology books as references.
III.
REQUIRED VIDEOS:
 Examination of the Pregnant Abdomen - only need to view Leopold’s
Maneuver
 The Rh Negative Mother
 Reducing Risk Factors
 Nursing Assessment of Postpartum Patient
 Cesarean Delivery
 Assessment of the Neonate: Gestational Age
 Miscarriage: a Reproductive Accident
 The Miracle of Birth: 5 Stories
 The Stages of Labor
 Gestational Diabetes
 www.breastfeeding.com
o Go to drop-down menu under “Breastfeeding” and click on “Video Clips”
o Click on “Informational Clips”
o Click on “General Breastfeeding Clips
o Watch the following clips:
 “Breastfeeding Tips from Parent TV”
 “Breastfeeding Basics”
o Scroll down to “Positioning and Latching On”
o Watch the following clips:
 “All About Breastfeeding”
o Click on “Pumping Breast Milk”
 Watch: “Pumping and Storing”
o Click on “Engorgement, Sore Nipples, Plugged Ducts”
 Watch: “Engorgement and Plugged Ducts”
o You may watch more videos, but these are the videos of this website that
are required.
IV.
ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours.
(See Student Handbook page 35)
V.
METHOD OF INSTRUCTION:
Lecture, discussion, demonstration, small group work, videos, selected reference
readings, written assignments, computer assisted learning programs, nursing lab
activities and clinical instruction will be utilized.
VI.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course
outcomes this will be evaluated with unit examinations and a WebQuest
assignment. Twelve (12) examinations (11 scheduled exams and 1 final) will be
given. Questions will be based on utilization of critical thinking skills and
application of knowledge acquired in this, as well as previous courses. Questions
may be multiple- choice, fill in the blank, choose all correct answers, or other
alternate formats as applicable.
See the Outcome and Assessment area at the end of the syllabus for further
specific information.
VII.
CLINICAL EVALUATION:
All required skill demonstrations must be completed satisfactorily in the nursing
lab prior to clinical performance. Clinical evaluation is done mutually by student
and instructor throughout the semester. The Daily Clinical Evaluation forms will
be used. Actual clinical performance and written assignments will be used to
determine clinical competency and the ability to generalize and transfer theory
outcomes to the clinical settings. An average score of 2 or better on the Daily
Clinical Evaluations is required to pass the course. This average will be figured
from the Daily Evaluations of 3 clinical days. Safe clinical practice and
demonstration of personal and associate degree nursing practice attributes at
the second semester level are mandatory for progression in the program.
Clinical Objectives:
1.
2.
3.
4.
5.
6.
Observe the role of the nurse in the hospital maternal/child/family health
setting.
Asses, analyze, plan and implement nursing care for the “pregnant family”
during childbirth.
Demonstrate nursing skills in a safe and effective manner.
Demonstrate an understanding and appreciation of the family’s unique
reaction to pregnancy, labor, delivery, and parenting.
Complete a postpartum assessment and teach client self care needs.
Participate as a team member in planning and initiating action to meet the
needs of mothers, neonates, and families.
7.
8.
9.
10.
Formulate a clinical care packet that will evidence quality client care and
promote understanding of the total client.
Complete a newborn assessment.
Understand the effects during pregnancy of chronic medical conditions
experienced in the childbearing population. Anticipate how these chronic
conditions may affect the childbirth experience and the newborn.
Identify the roles of the various health care providers during the
continuum of pregnancy, childbirth and the postpartum period.
*See the Outcome and Assessment area at the end of the syllabus for further
specific information.
VIII. GRADING POLICY AND CRITERIA FOR NURS 157:
Course grade will be based on a percentage of total possible points according to
the following scale:
100 - 94.00
93.99-90.00
89.99-87.00
86.99-84.00
83.99-80.00
79.99-77.00
=
=
=
=
=
=
A
AB+
B
BC+
76.00 =C (needed to pass)
75.99-70.00 = C69.99-67.00 = D+
66.99-64.00 = D
63.99-60.00 = DBelow 60.00 = F
The classroom course work must be completed on time and with a 76% or better
to pass the course. All clinical rotation paperwork must be completed on time and
with an average of 76% or better to pass the course. Late theory and clinical
assignments will be worth 50% of the actual grade. If an assignment is more
than one week late, a zero will be given for the assignment but submission of
the assignment is still required.
11 Unit Tests = Points will vary depending on the amount of content covered in each exam
(100 points max. per test)
1 Final exam = 100 points
1 WebQuest Assignment = 50 points
1 OB/GYN Outpatient clinic assignment = 40 points
1 Postpartum clinical packet = 90 points
1 Nursery clinical packet = 60 points
1 Labor & Delivery clinical packet = 30 points
3 Medication Information sets = 30 points (10 points for each clinical area)
4 Virtual Clinicals = 60 points (15 X 4 VCEs)
IX.
PROCALC EXAM:

See NURS158 Syllabus
X.
ACADEMIC HONESTY:
Great Basin College considers academic honesty one of its highest values. A student
who obtains academic credit for work that is not the product of his or her own effort is
being dishonest and undermining the academic integrity of the college. Students are
expected to be the sole authors of their work. Use of another’s ideas must be
accompanied by specific citation and reference. In addition, a learner may not submit the
same work for credit in more than one course. The disciplinary consequences of
plagiarism and other forms of academic dishonest include non-acceptance of work
submitted, a failing grade in the course, and/or or other disciplinary action as outlined in
Great Basin College’s Student Conduct Policy.
XI.
ACCOMMODATIONS FOR DISABILITIES:
GBC supports providing equal access for students with disabilities. An advisor is
available to discuss appropriate accommodations with students. Please contact
the ADA Officer (Julie Byrnes) in Elko at 775.753.2271 at your earliest
convenience to request timely and appropriate accommodations
XII.
ATTENDANCE POLICY
See page 35 of the GBC Associate Degree Nursing Handbook
GREAT BASIN COLLEGE
ASSOCIATE OF APPLIED SCIENCE IN NURSING PROGRAM
The following essential skills and critical behaviors are key constructs that are
derived from GBC’s conceptual framework. They provide the theoretical underpinnings
for all nursing action and roles in the associate degree nursing program.
ESSENTIAL SKILLS
ES 1-COMMUNICATION ABILITIES
The ability to effectively employ therapeutic communication techniques and
appropriate interpersonal relationship skills during interactions with faculty,
individuals, family members, health care team members, peers and supervisors.
The use of information and technology to communicate, manage knowledge,
mitigate error and support decision making.
ES 2-CRITICAL THINKING
A reasoned, interactive and reflective process focused on deciding what to believe or do.

The ability to identify and challenge assumptions.

The ability to explore and imagine alternatives.
The ability to make judgments based on evidence (fact), rather than conjecture
(guesswork).
ES 3-EVIDENCE-BASED PRATICE
An informed approach to one’s practice that uses problem-solving methods
that integrate best research evidence, reflection, client preference and values,
and clinical expertise.
ES-4 CULTURAL COMPETENCE
The provision of nursing care that meets the individual’s valued life patterns
and set of meanings.
CRITICAL BEHAVIORS
CB 1-ACCOUNTABILITY
Being answerable to self, individual, organization and/or profession for something one
has done

Exercises judgment when undertaking assigned tasks

Applies knowledge when undertaking assigned tasks

Accepts responsibility for actions

Is able to answer the following questions in relation to nursing care provided:
 Why was this done?
 How did I come to the decision to do this?
 What makes this the most effective course of action?
CB 2-COLLABORATION
Intentional act of professionals working together toward a common goal.

Treats others with mutual respect

Identifies potential areas where conflict might arise and works toward
reducing/eliminating its occurrence.

Works cooperatively and interdependently with all members/levels
of health care team.
CB 3-SELF-LEADERSHIP
The ability to regulate, manage, direct and/or control one’s own behavior.

Continually identifies strengths and weaknesses in relation to one’s
knowledge, performance, behavior and attitude.


Sets realistic goals for self.
Recognizes internal/external factors which contribute to and/or reduce stress
levels.
CB 4-SAFETY
A priority in the provision of nursing care for individuals and includes protecting
individuals from physical and emotional injury through ongoing assessment and
elimination of safety hazards.
CB 5- CARING INTERVENTIONS
Nursing behaviors and actions that assist individuals in meeting their health care
needs. Caring behaviors are nurturing, protective, compassionate, and personcentered.
PROGRAM AND LEVEL OUTCOMES
NURS 157
NURSING PROCESS THROUGHOUT THE LIFESPAN I
ADN PROGRAM
OUTCOMES
As a Provider of Care:
The student will
demonstrate caring and
critical thinking skills by
assisting the individual,
family or group to identify
and meet basic health needs
in a wide variety of settings
across the continuum of
care. The student will assist
in the coordination of costeffective quality care using
a culturally competent,
collaborative and
interdisciplinary approach.
NURS 157
EXPECTED LEVEL OUTCOMES
As a Provider of Care:
1. Differentiate between the needs of the individual,
the newborn and the family based upon the
influence of cultural and religious beliefs, values
and practices during the process of labor and birth
(assessment).
2. Utilizing the steps of the nursing process ensures
the safe and effective application of evidence based
nursing interventions to address the needs of the
individual, the newborn and the family (planning
and intervention).
3. Evaluates the effectiveness of nursing intervention
to meet these basic human needs and expectations
of care; and are congruent with cultural and
religious beliefs and practices (evaluation).
4. Demonstrate effective use of therapeutic
communication skills when interacting with
individual and their families based upon their level
of comprehension (assessment, planning and
intervention).
As a Teacher, the student
will provide individual,
family, or group-based
education in a variety of
settings to promote,
maintain, and restore health
from birth through death.
The student will promote a
caring environment in
which culturally appropriate
learning activities and
effective use of resources
and current technology
exist.
.
As a Teacher:
5. Adapts and modifies the environment to create an
effective teaching/learning milieu to utilize all
teaching opportunities for the benefit of the
individual and the family (assessment, planning
and intervention).
6. Assesses the learning needs of the individual and
the family and develops a comprehensive,
individualized teaching plan (assessment and
planning).
As a Manager of Care, the As a Manager of Care:
student will work
collaboratively with all
7. Examines the role of the nurse in the delivery of
members of the health care
quality and cost effective care in the maternalteam to achieve a costinfant health care setting (assessment).
effective, quality care that is
8. Formulates a collaborative plan of care that is
customer focused and in
individual, newborn, and family focused as well as
keeping with the
reflecting the principles of safe and effective
organizational goals and
evidence based nursing practice (planning).
mission of the settings in
which that care is provided.
As a Future Member of
the Profession, the student
will be accountable for the
ethical, legal, and
professional responsibilities
related to nursing practice.
As a Future Member of the Profession:
As an Advocate for
Others, the student will
promote a climate in which
individuals, families, or
groups may act in their own
interest, including accessing
available resources, and
intervenes when they are
unable to act in their own
interest.
As an Advocate:
9. Analyzes the ethical, legal and professional role,
accountability and responsibility of the Associate
Degree Nurse within the maternal-infant health
care setting (assessment).
10. Demonstrates accountability for self in the role of
the student nurse and future member of the
profession (evaluation).
11. Serves as an advocate for individuals, newborns,
and families to promote an active and informed
participation in their healthcare; intervenes as
appropriate when they are unable to act in their
own best interest (assessment and intervention).
COURSE SCHEDULE
DATE
ASSIGNMENT
TEST DATE
Unit I: Introduction to
Maternity Nursing and
Reproductive Years
Lecture and Discussion:
Introduction to Maternity &
Health Promotion and
Prevention
JANUARY 25, 2011
FEBRUARY 8, 2011
Required Reading
Perry et al:
Chapter 1 – Contemporary
Maternity Nursing
Chapter 4 – Health
Promotion and Prevention
Unit I (cont.):
Lecture and Discussion:
February 1, 2011
Health Assessment &
Common Health Problems
Required Reading
Perry et al:
Chapter 5 –Health
Assessment
Chapter 6 – Common Health
Problems
Virtual Clinical #4 due
FEBRUARY 8, 2011
EXAM 1: Unit 1; Chapters
1, 4, 5, 6
Cooperative Testing
0930-1100
Testing Center
FEBRUARY 8, 2011
1115-1215
Unit II: Pregnancy
Lecture and Discussion:
Required Reading
Perry et al:
Chapter 8 –Conception and
Fetal Development, pp 172183
Unit II: (cont)
Lecture and Discussion
Required Reading
Perry et al:
FEBRUARY 15, 2011
WebQuest presentation:
Group Beta Strep
FEBRUARY 22, 2011
Chapter 9 – Assessment for
Risk Factors
Chapter 10 – Anatomy and
Physiology of Pregnancy
Unit II (cont):
Lecture and Discussion
Required Reading
Perry et al:
FEBRUARY 22, 2011
Chapter 11 – Nursing Care
During Pregnancy
EXAM 2: Unit 2;
Chapters 8, 9, 10
Cooperative Testing
1300-1430
Testing Center
Chapter 12 – Maternal and
Fetal Nutrition
Unit II (cont):
MARCH 1, 2011
Lecture and Discussion
Required Reading
Perry et al:
Chapter 13 – Pregnancy at
EXAM 3: Unit 2;
Chapters 11 & 12
Cooperative Testing
1300-1430
Testing Center
Risk: Preexisting Conditions
WebQuest presentation:
Gestational Diabetes
WebQuest presentation:
Preeclampsia & Eclampsia
Chapter 14 – Pregnancy at
Risk: Gestational Conditions
WebQuest presentation:
Abruptio Placentae
WebQuest presentation:
Placenta Previa
Virtual Clinicals #’s 6 & 8
Due
Unit III: Childbirth:
Lecture and Discussion
Required Reading
MARCH 8, 2011
Perry, et al:
Chapter 15 – Labor and
Birth Processes
Chapter 16 – Management
of Discomfort
EXAM 4: Unit 2;
Chapters 13 & 14
Cooperative Testing
1300-1430
Testing Center
Chapter 17 – Fetal
Assessment during Labor
Unit III: Childbirth:
MARCH 15, 2011
Lecture and Discussion
Required Reading
Perry, et al:
EXAM 5: Unit 3;
Chapters 15, 16, 17
Cooperative Testing
1300-1430
Testing Center
Chapter 18 – Nursing Care
during Labor and Birth
Chapter 19 – Labor and
Birth at Risk
WebQuest presentation:
Preterm Labor
Virtual Clinical #11 Due
Unit IV: Postpartum:
Lecture and Discussion
Required Reading
Perry, et al:
MARCH 29, 2011
Chapter 20 – Maternal
Physiologic Changes
Chapter 21 – Nursing Care
During the Fourth Trimester
EXAM 6: Unit 3;
Chapters 18 &19
Cooperative Testing
1300-1430
Testing Center
Chapter 22 – Transition to
Parenthood
Chapter 23– Postpartum
Complications
Unit V: Newborn:
Lecture and Discussion
Required Reading
Perry, et al:
APRIL 5, 2011
Chapter 24 – Physiologic
and Behavioral Adaptations
of the Newborn
Chapter 25 – Nursing Care
of the Newborn
EXAM 7: Unit 4;
Chapters 20-23
Cooperative Testing
1300-1430
Testing Center
Unit V (Cont):
Lecture and Discussion
Required Reading
Perry, et al:
APRIL 12, 2011
Chapter 26 – Newborn
Nutrition and Feeding
EXAM 8: Unit 5;
Chapters 24& 25
Cooperative Testing
1300-1430
Testing Center
Chapter 27 –Infants with
Gestational Age-Related
Problems
Unit V (cont):
Lecture and Discussion
Required Reading
Perry, et al:
APRIL 19, 2011
Chapter 28 – The Newborn
at Risk: Acquired and
Congenital Problems
EXAM 9: Unit 5;
Chapters 26 & 27
Cooperative Testing
1300-1430
Testing Center
Unit VI: Reproductive
Years:
Chapter 8 – Genetics, pp
160-172
Unit VI: Reproductive
Years:
Lecture and Discussion
Required Reading
Perry, et al:
APRIL 26, 2011
Chapter 2 – The Family and
Culture
Chapter 3 – Community and
Home Care
Chapter 7 – Infertility,
Contraception, and Abortion
EXAM 10: Unit 5;
Chapter 28
Cooperative Testing
1300-1430
Testing Center
MAY 3, 2011
MAY 10, 2011
MAY 16-20, 2010
EXAM 11: Unit 6;
Chapters 2, 3, 7
Cooperative Testing
0930-1100
Testing Center
Final Exam Review
Finals Week / HESI
LEARNER OUTCOMES AND MEASUREMENT
UNIT I:
INTRODUCTION TO MATERNITY CARE
Theory Readings & Study Guide Assignments:




Perry, et al: Chapter 1: “Contemporary Maternity Nursing”
Perry, et al: Chapter 4: “Health Promotion and Illness Prevention”
Perry, et al: Chapter 5: “Health Assessment”
Perry, et al: Chapter 6: “Common Health Problems”
Assessment, Measurement, & Evaluation of Learner Outcomes:






Exam 1: Unit I – Cooperative Testing
Comprehensive Final Exam
HESI Exam
Successful completion of Virtual Clinical #4: Sexually Transmitted and Other
Infections
Class quizzes and/or activities
Successful demonstration/understanding of Skills List for NURS 157
o
o
o
o
o
Fetal Lie – Leopold’s Maneuver
Fetal Presentation
Cervical Exam and Assessment
Surgical Scrub and Donning Sterile Gown
Apgar Scoring
o
o
o
o
o
Newborn Suctioning
Fundal Checks
Initial Newborn Assessment
FHM Strip Review
Care of Postpartum Patient
Learning Outcomes:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Describe the scope of maternity nursing.
Evaluate contemporary issues and trends in maternity nursing.
Describe sociopolitical issues affecting the care of women and infants.
Compare selected biostatistical data among races and countries.
Examine social concerns in maternity nursing.
Explain risk management and standards of practice in the delivery of nursing care.
Debate ethical issues in perinatal nursing.
Examine the Healthy People 2010 goals related to maternal and infant care.
Analyze financial, cultural, and communication barriers that may affect a
woman’s decision to seek and follow through with health care.
10. Discuss the incidence of battering in pregnant women.
11. Outline health-screening schedules for women in the childbearing years.
12. Identify reasons why women enter the health care delivery system.
13. Explain conditions and characteristics that increase health risks for women during
their childbearing years.
14. Evaluate programs of anticipatory guidance that promote health and prevention.
15. Identify the structures and functions of the female reproductive system.
16. Differentiate the menstrual cycle in relation to hormonal, ovarian, and
endometrial responses.
17. Identify the four phases of the sexual response cycle.
18. Investigate how the history and physical examination can be adapted for women
with special needs.
19. Identify indications of abuse, appropriate screening, and referral to community
agencies.
20. Describe components of taking a woman’s history and performing a physical
examination.
21. Identify the correct procedure for assisting with and collecting PAP smear
specimens.
22. Review patient teaching of breast self-examination.
23. Develop a nursing care plan for the woman with primary dysmenorrheal.
24. Outline patient teaching about premenstrual syndrome.
25. Relate the pathophysiology of endometriosis to associated symptoms.
26. Evaluate the use of alternative therapies for menstrual disorders.
27. Describe prevention and treatment of sexually transmitted infections in women.
28. Differentiate signs, symptoms, and management of selected vaginal infections.
29. Review principles of infection control for human immunodeficiency virus and
blood-borne pathogens.
30. Discuss the pathophysiology and emotional effects of selected benign breast
conditions and malignant neoplasms of the breasts found in women.
UNIT II:
PREGNANCY
Theory Readings & Study Guide Assignments:







Perry, et al: Chapter 8: “ Conception and Fetal Development”
Perry, et al: Chapter 9: “Assessment of Risk Factors”
Perry, et al: Chapter 10: “ Anatomy and Physiology of Pregnancy”
Perry, et al: Chapter 11: “ Nursing Care During Pregnancy”
Perry, et al: Chapter 12: “Maternal and Fetal Nutrition”
Perry, et al: Chapter 13: “Pregnancy at Risk: Preexisting Conditions”
Perry, et al: Chapter 14: “Pregnancy at Risk: Gestational Conditions”
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Exam 2: Unit II – Cooperative Testing
 Exam 3: Unit II – Cooperative Testing
 Exam 4: Unit II – Cooperative Testing
 Comprehensive Final Exam
 HESI Exam
 Class quizzes and/or activities
 Successful completion of Virtual Clinical #6: Pregnancy at Risk: Preexisting
Conditions (Gestational Diabetes Mellitus)
 Successful completion of Virtual Clinical #8: Pregnancy at Risk: Gestational
Conditions (Severe Preeclampsia)
 WebQuest presentations: Group Beta Strep, Preeclampsia/Eclampsia, Abruptio
Placentae, and Placenta Previa
 Successful completion of Postpartum, Labor and Delivery, and/or Nursery clinical
assignment(s) and Med. Cards
 Appropriate and safe care of Postpartum, Labor and Delivery, and/or Nursery
patients
Learning Outcomes:
1. Summarize the process of fertilization.
2. Describe the development, structure, and functions of the placenta.
3. Describe the composition and functions of the amniotic fluid.
4. Identify three organs or tissues arising from each of the three primary germ layers.
5. Summarize the significant changes in growth and development of the embryo and
fetus.
6. Identify the potential effects of teratogens during vulnerable periods of embryonic
and fetal development.
7. Explore the scope of high risk pregnancy.
8. Discuss regionalization of health care services.
9. Examine risk factors identified through history, physical examination, and
diagnostic techniques.
10. Describe diagnostic techniques and the implications of findings.
11. Describe the nursing role in antepartal risk assessment.
12. Determine gravidity and parity using the five and four–digit systems.
13. Explain the expected maternal anatomic and physiologic adaptations to
pregnancy.
14. Differentiate among presumptive, probable, and positive signs of pregnancy.
15. Identify the maternal hormones produced during pregnancy, their target organs,
and their major effects on pregnancy.
16. Compare the characteristics of the abdomen, vulva, and cervix of the nullipara
and multipara.
17. Describe the various types of pregnancy tests, including timing of tests and
interpretation of results.
18. Describe the process of confirming pregnancy and estimating the date of birth.
19. Summarize the physical, psychosocial, and behavioral changes that usually occur
as the mother and other family members adapt to pregnancy.
20. Discuss the benefits of prenatal care and problems of accessibility for some
women.
21. Outline the patterns of health care provided to assess maternal and fetal health
status at the initial and follow-up visits during pregnancy.
22. Identify nursing assessments, diagnoses, interventions, and methods of evaluation
in providing care for the pregnant woman.
23. Discuss education needed by pregnant women to understand physical discomforts
related to pregnancy and to recognize signs and symptoms of potential
complications.
24. Examine the impact of culture, age, parity, and number of fetuses on the response
of the family to the pregnancy and on the prenatal care provided.
25. Identify the purposes of childbirth education.
26. Compare advantages and disadvantages of choosing different care providers.
27. Explain recommended maternal weight gain during pregnancy.
28. Compare the recommended level of intake of energy sources, protein, and key
vitamins and minerals during pregnancy and lactation.
29. Give examples of the food sources that provide the nutrients required for optimal
maternal nutrition during pregnancy and lactation.
30. Examine the role of nutrition supplements during pregnancy.
31. List five nutritional risk factors during pregnancy.
32. Compare the dietary needs of adolescent and mature pregnant women.
33. Give examples of cultural food patterns and possible dietary problems for two
ethnic groups or for two alternative eating patterns.
34. Assess nutritional status during pregnancy.
35. Differentiate the types of diabetes mellitus and their respective risk factors in
pregnancy.
36. Compare insulin requirements during pregnancy, the postpartum period, and
lactation.
37. Identify maternal and fetal risks or complications associated with diabetes in
pregnancy.
38. Develop a plan of care for the pregnant woman with pregestational or gestational
diabetes.
39. Compare the management of a pregnant woman with hyperthyroidism with one
who has hypothyroidism.
40. Differentiate the management of various cardiovascular disorders in pregnant
women.
41. Discuss the different types of anemia and their effects during pregnancy.
42. Explain the care of a pregnant woman with pulmonary disorders.
43. Describe the effect of gastrointestinal disorders on pregnancy.
44. Review the effects of neurologic disorders on pregnancy.
45. Describe the care of women whose pregnancies are complicated by autoimmune
disorders.
46. Explain the effects on and the management of pregnant women with human
immunodeficiency virus (HIV).
47. Discuss the care of pregnant women who use, abuse, or are dependent on alcohol
or illicit or prescription drugs.
48. Describe the pathophysiology of preeclampsia and eclampsia.
49. Differentiate the management of the woman with mild preeclampsia and the
woman with severe preeclampsia.
50. Describe the etiologic theories and pathophysiology of preeclampsia.
51. Describe HELLP syndrome, including appropriate nursing actions.
52. Explain the effects of hyperemesis gravidarum on maternal and fetal well-being.
53. Discuss the diagnosis and management of disseminated intravascular coagulation
(DIC).
54. Differentiate among causes, signs and symptoms, possible complications, and
management of miscarriage, ectopic pregnancy, incompetent cervix, and
hydatidiform mole.
55. Compare and contrast placenta previa and abruption placentae in relation to signs
and symptoms, complications, and management.
56. Explain the basic principles of care for a pregnant woman undergoing abdominal
surgery.
57. Discuss implications of trauma on mother and fetus during pregnancy.
58. Differentiate signs and symptoms, effects on pregnancy and the fetus, and
management during pregnancy of common sexually transmitted infections and
other infections.
59. Describe signs, symptoms, and management of pregnant women with TORCH
infections.
UNIT III:
CHILDBIRTH
Theory Readings & Study Guide Assignments:
 Perry, et al: Chapter 15: “Labor and Birth Processes”
 Perry, et al: Chapter 16: “Management of Discomfort”
 Perry, et al: Chapter 17: “Fetal Assessment During Labor”
 Perry, et al: Chapter 18: “Nursing Care During Labor and Birth”
 Perry, et al: Chapter 19: “Labor and Birth at Risk”
Assessment, Measurement, & Evaluation of Learner Outcomes:









Exam 5: Unit III – Cooperative Testing
Exam 6: Unit III – Cooperative Testing
Comprehensive Final Exam
HESI Exam
Class quizzes and/or activities
Successful completion of Virtual Clinical #11: Labor and Birth Complications
WebQuest presentation: Preterm Labor
Successful completion of Postpartum, Labor and Delivery, and/or Nursery clinical
assignment(s) and Med. Cards
Appropriate and safe care of Postpartum, Labor and Delivery, and/or Nursery
patients
Learning Outcomes:
1. Explain the five 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. Describe the cardinal movements of the mechanism of labor for a vertex
presentation.
6. Assess the maternal anatomic and physiologic adaptations to labor.
7. Describe fetal adaptations to labor.
8. Compare various childbirth preparation methods.
9. Describe breathing and relaxation techniques used for each stage of labor.
10. Identify nonpharmacologic strategies to enhance relaxation and decrease
discomfort during labor.
11. Discuss the types of analgesia and anesthesia used during labor.
12. Compare pharmacologic methods of relief of discomfort in different stages of
labor and for different methods of birth.
13. Describe the nursing responsibilities appropriate for a woman receiving analgesia
or anesthesia during labor.
14. Explain the baseline fetal heart rate (FHR) and evaluate periodic changes.
15. Compare FHR monitoring done by intermittent auscultation with external and
internal electronic methods.
16. Describe nursing measures that can be used to maintain FHR patterns within
normal limits.
17. Identify typical signs of nonreassuring FHR patterns.
18. Differentiate among the nursing interventions used for managing specific FHR
patterns, including tachycardia and bradycardia; increased and decreased
variability; and late and variable decelerations.
19. Review the necessary documentation of the monitoring process during labor.
20. Review the factors included in the initial assessment of the woman in labor.
21. Describe the ongoing assessment of maternal progress during each stage of labor.
22. Recognize the physical and psychosocial findings indicative of maternal progress
during labor.
23. Describe fetal assessment during labor.
24. Identify signs of developing complications during labor.
25. Discuss the nurse’s role in managing care for the woman and her significant
others during each stage of labor.
26. Analyze the influence of cultural and religious beliefs and practices on the process
of labor and birth.
27. Discuss research findings on the importance of support from family, partner,
doula, and nurse in facilitating maternal progress during labor and birth.
28. Describe the role and responsibilities of the nurse in an emergency childbirth
situation.
29. Identify the impact of perineal trauma on the women’s reproductive and sexual
health.
30. Analyze the nurse’s role as advocate in reducing the incidence of routine
episiotomy.
31. Differentiate between preterm birth and low birth weight.
32. Identify the risk factors for preterm labor.
33. Discuss current interventions to prevent preterm birth.
34. Discuss the use of tocolytics and antenatal glucocorticoids in preterm labor and
birth.
35. Examine the effects of prescribed bed rest on pregnant women and their families.
36. Define preterm premature rupture of membranes (PPROM).
37. Describe nursing management of a trial of labor, induction and augmentation of
labor forceps- and vacuum-assisted birth, cesarean birth, and vaginal birth after
cesarean.
38. Discuss the criteria for evaluating the nursing care of women experiencing labor
and birth complications.
39. Describe the care of a woman experiencing postterm pregnancy.
40. Discuss obstetric emergencies and their appropriate management.
UNIT IV:
POSTPARTUM
Theory Readings & Study Guide Assignments:




Perry, et al: Chapter 20:
Perry, et al: Chapter 21:
Perry, et al: Chapter 22:
Perry, et al: Chapter 23:
“Maternal Physiological Changes”
“Nursing Care During the Fourth Trimester”
“Transition to Parenthood”
“Postpartum Complications”
Assessment, Measurement, & Evaluation of Learner Outcomes:






Exam 7: Unit IV – Cooperative Testing
Comprehensive Final Exam
HESI Exam
Class quizzes and/or activities
Successful completion of Postpartum, Labor and Delivery, and/or Nursery clinical
assignment(s) and Med. Cards
Appropriate and safe care of Postpartum, Labor and Delivery, and/or Nursery
patients
Learning Outcomes:
1. Describe the anatomic and physiologic changes that occur during the postpartum
period.
2. Identify 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.
4. Identify the priorities of maternal care given during the fourth stage of labor.
5. Identify common selection criteria for safe early postpartum discharge.
6. Summarize nursing interventions to prevent infection and excessive bleeding, to
promote normal bladder and bowel patterns, and to care for the breasts of women
who are breastfeeding or bottle-feeding.
7. Explain the influence of cultural expectations on postpartum adjustment.
8. Identify psychosocial needs of the woman in the early postpartum period: home
visits, telephone follow-up, warm lines and help lines, support groups, and
referrals to community resources.
9. Discuss discharge teaching and postpartum home care.
10. Discuss ways to facilitate parent-infant adjustment.
11. Describe sensual responses that strengthen attachment.
12. Identify infant behaviors that facilitate and inhibit parental attachment.
13. Differentiate three periods in parental role change after childbirth.
14. Identify behaviors of the three phases of maternal adjustment.
15. Discuss paternal adjustment.
16. Discuss the effects of the following on parental response: parental age
(adolescence and over 35 years), social support, culture, socioeconomic
conditions, personal aspirations, and sensory impairment.
17. Describe sibling adjustment.
18. Describe grandparent adaptation.
19. Identify causes, signs and symptoms, possible complications, and medical and
nursing management of postpartum hemorrhage.
20. Differentiate among the causes of postpartum hemorrhage.
21. Describe thromboembolic disorders including incidence, etiology, signs and
symptoms, and management.
22. Discuss emotional complications of pregnancy, including management of mood
disorders.
23. Identify specific nursing interventions to meet the special needs of parents and
their families related to perinatal loss and grief.
24. Differentiate between helpful and unhelpful responses in caring for parents
experiencing loss and grief.
UNIT V:
NEWBORN
Theory Readings & Study Guide Assignments:






Perry, et al: Chapter 24: “Physiologic and Behavioral Adaptations of the
Newborn”
Perry, et al: Chapter 25: “Nursing Care of the Newborn”
Perry, et al: Chapter 26: “Newborn Nutrition and Feeding”
Perry, et al: Chapter 27: “Infants with Gestational Age-Related Problems”
Perry, et al: Chapter 28: “The Newborn at Risk: Acquired and Congenital
Problems”
Perry, et al: Chapter 8, pp 181-191: “Genetics”
Assessment, Measurement, & Evaluation of Learner Outcomes:








Exam 8: Unit V – Cooperative Testing
Exam 9: Unit V – Cooperative Testing
Exam 10: Unit V –Cooperative Testing
Comprehensive Final Exam
HESI Exam
Class quizzes and/or activities
Successful completion of Postpartum, Labor and Delivery, and/or Nursery clinical
assignment(s) and Med. Cards
Appropriate and safe care of Postpartum, Labor and Delivery, and/or Nursery
patients
Learning Outcomes:
1. Describe the changes in the biologic system of the neonate during the transition to
extrauterine life.
2. Recognize deviations from normal physiologic findings during examination of the
newborn.
3. Compare and contrast the four types of heat loss in a neonate and describe how to
prevent heat loss.
4. Describe the behavioral adaptations of the newborn, including periods of
reactivity and sleep-wake states.
5. Describe the sensory and perceptual functioning of the neonate.
6. Identify the purpose and components of the Apgar score.
7. Estimate the gestational age of newborns.
8. Compare and contrast the characteristics of preterm, term, postterm, and
postmature neonates.
9. Explain what is meant by a safe environment.
10. Discuss phototherapy and the guidelines for teaching parents about this
treatment.
11. Explain purposes and methods of circumcision, the postoperative care of the
circumcised infant, and parent teaching information regarding circumcision.
12. Review procedures for a heel stick, collecting urine specimens, assisting with
venipuncture, and restraining the newborn.
13. Evaluate pain in the newborn based on physiologic changes and behavioral
observations.
14. Review anticipatory guidance nurses provide parents before discharge.
15. Describe current recommendations for feeding infants.
16. Describe nutritional needs of infants.
17. List newborn feeding-readiness cues.
18. Discuss benefits of breastfeeding for infants, mothers, families, and society.
19. Describe the anatomy and physiology of breastfeeding.
20. Identify nursing interventions to facilitate and promote successful breastfeeding.
21. Recognize signs of adequate intake in the breastfed infant.
22. Identify common problems associated with breastfeeding and nursing
interventions to help resolve them.
23. Develop a patient teaching plan for the formula-feeding family.
24. Compare and contrast the characteristics if preterm, term, postterm, and
postmature neonates.
25. Discuss respiratory distress syndrome and the approach to treatment.
26. Compare methods of oxygen therapy.
27. Describe nursing interventions for nutritional care of the preterm infant.
28. Discuss the pathophysiology of retinopathy of prematurity and
bronchopulmonary dysplasia, and identify risk factors that predispose preterm
infants to these problems.
29. Describe treatment of infant with meconium aspiration.
30. Describe assessment of infants for birth trauma and for sequelae of a diabetic
pregnancy.
31. Plan developmentally appropriate care for high risk infants.
32. Develop a plan to meet the needs of parents of high risk infants.
33. Summarize assessment and care of the newborn with soft tissue, skeletal, and
nervous system injuries caused by birth trauma.
34. Identify maternal conditions that place the newborn at risk for infection.
35. Describe the assessment of a newborn for infection.
36. Assess the effects of maternal use of alcohol, heroin, methadone, marijuana,
cocaine, and smoking on the fetus and newborn.
37. Describe the assessment and care of a newborn experiencing drug withdrawal.
38. Compare neonatal Rh and ABO incompatibility.
39. Review prenatal diagnosis of neonatal disorders.
40. Explain the basic principles of genetics.
41. Discuss the Human Genome Project.
42. Describe the nurse’s role in genetics.
43. Examine ethical dimensions of genetic screening.
UNIT VI:
REPRODUCTIVE YEARS
Theory Readings & Study Guide Assignments:



Perry, et al: Chapter 2: “The Family and Culture”
Perry, et al: Chapter 3: “Community and Home Care”
Perry, et al: Chapter 7: “Infertility, Contraception, and Abortion”
Assessment, Measurement, & Evaluation of Learner Outcomes:





Exam 11: Unit VI – Cooperative Testing
Comprehensive Final Exam
HESI Exam
Class quizzes and/or activities
Successful completion of Postpartum, Labor and Delivery, and/or Nursery clinical
assignment(s) and Med. Cards

Appropriate and safe care of Postpartum, Labor and Delivery, and/or Nursery
patients
Learning Outcomes:
1. Identify key factors in determining the quality of family health.
2. Differentiate various family forms.
3. Explain family functions that contribute to the well-being of its members and
society.
4. Explain family dynamics and how the components of family dynamics contribute
to accomplishing family functions.
5. Discuss family systems theory and its application to care of childbearing families.
6. Examine the effect of culture on childbearing families.
7. List indicators of community health status and their relevance to perinatal health.
8. Identify key components of the community assessment process.
9. Identify predisposing factors and characteristics of vulnerable populations (i.e.
homeless, migrant laborers, and refugees.
10. Describe how home care fits into the maternity continuum.
11. Describe the nurse’s role in perinatal homecare.
12. State the advantages and disadvantages of methods of contraception.
13. Explain the common nursing interventions that facilitate contraceptive use.
14. Recognize the various ethical, legal, cultural, and religious considerations of
contraception, infertility, and abortion.
15. Describe the techniques used for medical and surgical interruption of pregnancy.
16. List common causes of infertility.
17. Discuss the psychologic impact of infertility.
18. Identify common diagnoses, treatments, alternatives for infertility.