Nursing 1207
The Childbearing Family
Associate Degree Nursing Program
College of DuPage
Glen Ellyn, Illinois
Spring, 2013
Revised by Maureen Waller, RN, MSN
December, 2012
College of DuPage
Associate Degree Nursing Program
Course Syllabus
Spring, 2013
Course Title and Number:
The Childbearing Family: Nursing 1207
Course Description:
Nursing care of the woman and family during the reproductive years. Focus on the childbearing process
and wellness of the family in the childbearing years. Women's health and wellness is emphasized.
Adverse outcomes of pregnancy are presented. Care of the well and hospitalized child and family are
discussed. Clinical experiences include acute and ambulatory care settings, as well as community based
experiences.
Semester Credit Hours:
5 Semester credit hours
Lecture 2.5
Lab 1.0
Clinical 6.0
Pre-enrollment Criteria:
Nursing 1104 and 1105, Psychology 2237 or concurrent enrollment
General Course Objectives:
Upon successful completion of the course the student should be able to:
1. Analyze the role of the nurse in assisting patients and families during the childbearing
process
2. Assume the role of team member or team leader in the maternal-child nursing care setting
3. Communicate with patients, significant support persons, and members of the healthcare team
to promote the safe and effective care of women and their families
4. Assess the teaching-learning needs of patients and families during the childbearing and early
childrearing years
5. Deliver ethical care based on nursing standards and evidenced-based practice
6. Analyze the components of optimal health care of families and young children
7. Describe physiological and psychological changes of clients and families during the
antenatal, intrapartal and postnatal periods
8. Identify common pharmacological agents utilized during the childbearing years
9. Explain the effects of hospitalization on the child and family
10. Demonstrate competency in the performance of nursing skills
11. Apply critical thinking when providing patient care to childbearing/childrearing families
12. Apply the nursing process in promoting an optimal level of wellness in women and their
families
13. Deliver safe, compassionate, and culturally sensitive care to diverse populations to maintain
or enhance the wellness of women and their families
14. Utilize the electronic medical records and additional technical resources to promote safe
processes of patient care
15. Identify actual and potential health care problems to promote an optimal level of wellness for
women and their families
Course Map
Unit Topical
Outline/Content*
Antepartal Care
Intrapartal Care
Postpartal Care
Learning Activities
(This includes class, lab and clinical
learning activities, as well as those
done outside of the course such as
reading assignments)
Lecture, lab, reading assignments,
prenatal class observations,
completion of perinatal guidelines,
evidence based practice assignment
Lecture, lab, prenatal/midwifery clinic
observations, reading assignments
labor and delivery observation
assignment, completion of perinatal
guidelines, evidence-based practice
assignment
Lecture, lab, reading assignments,
completion of perinatal guidelines,
evidence-based practice assignment
Newborn/High Risk
Lecture, lab, reading assignments,
low fidelity simulation activities,
evidence-based practice assignment
High Risk Perinatal Care
Lecture, lab, reading assignments; low
fidelity simulations, evidence-based
practice assignment
Well Child/Hospitalized
Child
Women’s Health
Lecture, well-child observation clinic,
evidence-based practice assignment
Lecture, evidence-based practice
assignment
Assessment Activities
By each unit. These are
intended to document
student attainment of the
outcomes.**
Teaching presentations in
clinical, concept
map;longitudinal testing
Concept map;SLS
learning
module;longitudinal
testing
Postpartum care plan,
concept map, patient data
sheets;SLS learning
module;longitudinal
testing
Concept map, neonatal
assessment, patient data
sheets;SLS learning
module;longitudinal
testing
Concept map;SLS
learning
module;longitudinal
testing
Neonatal care plan; wellchild case studies
Patient data sheets;case
study
(Evidence-based practice assignment can relate to all content areas)
* Unit objectives are derived from the general course objectives and contextualized to each topical
outline/content area.
**Student Learning Outcomes
1. Utilizes critical thinking skills in the application of the nursing process to provide safe, quality care.
2. Demonstrates effective communication utilizing technology, written documentation and verbal
expression
3. Incorporates empathetic, compassionate, caring interventions and behaviors.
4. Demonstrates professional nursing care that incorporates sensitivity to culturally diverse clients across
the lifespan.
5. Utilizes data to ensure quality improvement and support of evidence-based practice.
6. Demonstrates knowledge of basic delegation and leadership management skills.
7. Demonstrates and utilizes information systems in the healthcare system.
8. Demonstrates knowledge of professional development and incorporates evidence-based practice in the
nursing
Objectives for Community Based Activities:
1.Observe antepartal care in the outpatient setting
2. Describe the role of the certified nurse midwife in perinatal care
3. Identify the educational needs of expectant families
4. Describe the role of the professional nurse in perinatal education
5. Observe well-child care in the community setting
6. List immunizations to be given to children of various ages based on Center for Disease Control
recommendations.
7. Identify benefits of the WIC (Women, Infants and Children) Program for families
Textbooks / Materials:
Required:
Ackley, B. J. & Ladwig, G. B. (2010). Nursing diagnosis handbook: An evidence-based guide to
planning care (9th ed.). St. Louis, MO: Mosby Elsevier. ISBN: 978-0-323-04826-2
American Psychological Association. (2010). Publication manual of the American Psychological
Association (6th ed.). Washington DC : Author. (3rd printing) ISBN: 978-1-4338-0561-5
Craig G.P. (2009). Clinical calculations made easy: Solving problems using dimensional
analysis (4th ed.). Philadelphia: Lippincott Williams & Wilkins.ISBN: 978-0-7817-6385-1
Lewis, S.M., Heitkemper, M.M., Dirkenson, S.R., O’Brien, P. G., & Bucher, L. (2011).
Medical-surgical nursing: Assessment & management of clinical problems (8th ed.). St.
Louis, MO: Mosby Elsevier.ISBN: 987-0-323-03690-0
Perry, S., Hockenberry, M., Lowedermilk, D., & Wilson, D. (2010). Maternal Child Nursing
Care. Maryland Heights, MD: Mosby/Elsevier. ISBN: 978-0-3230-7415-5 (includes SLS
Access Code).
*Some materials may be web based. Additional materials may be on reserve in the library.
Program Policies and Procedures:
This course will be conducted according to the policies and procedures of the college, as described in the
College Catalog and Nursing Department policies, as described in the ADN Student Handbook. The ADN
Student Handbook is available via the ADN webpage. This handbook contains policies on testing, grade
computation/grading scale, absence/make-up, and uniform requirements. The handbook also includes
reference for college-wide policies on academic dishonesty, professional behavior, grade grievance, and
withdrawal/readmission. Students are required to abide by the policies as stated in the handbook. Additional
policies and procedures may be required by specific instructors and/or clinical facilities. Any additional
policies and procedures will be identified by such instructors.
Clinical absences are only allowed for emergencies, and all absences will be made up at the discretion of
the clinical instructor.
Withdrawal Policy:
The last day to withdraw from this class is 2/21/2013. After that date, students may file a Petition for
Late Withdrawal through the Registration Office. Petitions for Late Withdrawal will be granted for
extenuating circumstances only, including student illness, death in the immediate family, family
emergencies, call to active duty, or other appropriate extenuating circumstances. The students will be
required to provide appropriate documentation for all requests for Late Withdrawal. Prior to
withdrawing from this class, students are encouraged to speak with the instructor.
Course Calendar:
A course calendar with the location and lecture topics is located in the appendix of this syllabus. Please
refer to MyAccess for class/laboratory/lecture times and locations. Clinical calendars will be distributed
by clinical faculty as appropriate.
Dosage Calculation:
Students must pass a math 1dosage calculation test with a score of 100% by the deadline noted on the
course calendar.
SLS Learning Modules: SLS (Simulation Learning System) modules are a vital part of the laboratory component
of this course. Student are expected to complete the Pre-Simulation Readings, Exercises, and quiz prior to the
laboratory session. Students must also review the EMR (Electronic Medical Record) for the assigned
simulation scenarios prior to attending laboratory. Uniforms with nametags as described in the Student Handbook
must be worn to all laboratory sessions in the course. Please bring all equipment that you bring to clinical.
IMPORTANT NOTE: Each student must purchase an access code for SLS for the Perry/Lowerdermilk textbook.
No sharing of codes is allowed. You will be using this access code for NUR 2109/2201. The SLS product is also
a valuable study tool for NCLEX.
The completed Pre-simulation exercises and quizzes are your ticket to the simulation laboratory on your scheduled l
day. Students will not be allowed to participate without the completed paperwork (printed directly from the website
The paperwork will be submitted at the beginning of the lab session; students who do not complete the lab compone
of the course cannot meet the objectives of the course.
Longitudinal Testing: Elsevier longitudinal testing will be conducted in Week 7 of the course. The testing will
take place in the HSC Computer Lab at 5-9PM (please . Details on this testing process will be provided in lecture.
On the day of the event, please plan to arrive 30 minutes early, have a
photo ID, and bring your EVOLVE username/password. No late admissions will be allowed. Please adjust your
schedules to attend this testing session.
Grading Scale:
Percentage Grade
90.0% - 100%
84.0% - 89.9%
78.0% - 83.9%
70.0% - 77.9%
Below 70.0%
A
B
C
D
F
The numeric value of exams and final course grades will not be rounded.
Grade Worksheet:
Item Description*
Test 1
Test 2
Test 3
Test 4
Test 5
Unit 1 blog entry
Unit 5 blog activity
Labor and Delivery Summary
Postpartum Care Plan
Newborn Assessment
Discussion Board activities
Total
Points
Possible
10
10
10
10
10
10
10
10
10
10
50
160
Your Score
*Item Description: As needed specific information about and guidelines/rubrics for will be found in
appendices.
** Test questions are developed from lecture content, laboratory content, class discussion, assigned
readings, handouts, and assignments. Quiz questions will be taken from the readings assigned for that
week. Quizzes will be given at the beginning of the scheduled class session; no quizzes will be
distributed after 0905 on the day of the quiz; there will be no make up dates for missed quizzes.
The syllabus is subject to change. Students will be notified of any changes as soon as possible.
Written assignments will be evaluated and returned to students one week after submission.
Email is the official communication route for this course. Students can expect email responses within
twenty-four hours after email contact.
All communications in this course are expected to be respectful. Blogs and discussion boards will be
Monitored.
APPENDICES
General Information:
Faculty Contact:
Faculty Member
Maureen Waller
Office
HSC 2207C
Email
waller@cod.edu
Clinical Site
LaGrange Tues/Fri
Clinical
Lecture
Nursing Department Links
Nursing Department
http://www.cod.edu/programs/nursing/index/aspx
ADN Handbook
http://www.cod.edu/programs/nursing/index/aspx/pdt/adn/adn-handbook2012_/pdt
Lecture Reading Assignment
Nursing 1207
Week
1
Topic
Perry
Chapters 11
Antepartal Care
Chapter 18
2
3
Intrapartal Care
Exam 1
Postpartal Care
4
Newborn /
High Risk Newborn
Chapters 21
Chapters 25
Chapters 13, 14
5
High Risk Perinatal
Care
Guidelines for Writing Assignments
A.
Postpartum Care Plan/Newborn Assessment
The purpose of these assignments is to provide a learning experience which will enable the
student to:
1)
Integrate theoretical concepts and scientific principles when applying the nursing
process when administering nursing care and;
2)
Develop and implement a plan of nursing care for an assigned client based on
his/her holistic needs.
The student will select a client and follow the instructions on the care plan forms provided in the
syllabus. Due date will be one week after selecting your client. All written assignments must
be presented in a professional manner. Assignments must be legible, complete and submitted on
time. A one-point deduction from your total grade will be made each day that the assignment is
late. Your clinical instructor will give you instruction, guidance and feedback as needed. Your
implementation and evaluation of the developed nursing care plans will assist in the assessment
of your clinical performance.
B.
Labor and Delivery Observation
A form is provided in the syllabus for your observations during clinical of one client. Forms
should be complete, legible and due one week after selected observation.
C.
Patient Data Sheets
Patient data sheets should be submitted on each mother/baby couplet cared for. Data should be
submitted within one week of caring for your patient. All medications ordered for the client
must be included on the data sheet, including prn medications. In the lab section, you must
indicate if the lab values are normal, high or low, and give an explanation as to why the labs may
be abnormal.
D.
Perinatal Nursing Guide
Each student will complete a perinatal nursing guide; it is to be submitted to your clinical
instructor at the start of the first clinical day.
Electronic submission of all written assignments vis Blackboard is strongly encouraged.
All written assignments are due one week after caring for the patient. One point will be deducted per
day that an assignment is late.
Student Portfolio: Each student is required to maintain a portfolio of all written work in the course. It
will be kept in a pocket folder. Please bring the portfolio to the midterm and final evaluation sessions.
Guidelines for Clinical Presentations
A.
Evidenced Based Practice
Each student will select an article from a professional nursing journal that reflects evidencebased practice related to the clinical practicum. Each student will present and discuss the article
in clinical post-conference. The presentation should include:
 Overview of topic
 Why the topic was selected
 The impact on nursing practice
 Potential impact on nursing practice at the clinical agency
NOTE: Please be certain that your article is from a nursing (not medical) journal. Articles selected
should be no longer than five years old The article needs to reflect evidence based practice. A copy of
the article will be given to the instructor at the time of the presentation.
B.
Community Teaching Presentation Guidelines
Each student will develop a 10-15 minute presentation on a topic related to maternal-newborn
or family centered care. This presentation should be directed to clients and families. Students
will present during post-conference. The presentation should include appropriate teaching aids
such as handouts, posters and other material related to the topic. These teaching aids must be
developed by the student and be at a highly professional level. Suggested topics include:
 Bathing your baby (tub bath)
 Bathing your baby (sponge bath)
 Caring for the breasts while nursing
 Techniques for breastfeeding
 Post partum care
 Sudden Infant Death Syndrome (SIDS)
 Shaken Baby Syndrome














Bottle feeding your baby
Infant care for fathers
Child proofing the home
Post-partum depression
Comfort techniques for labor
Sex after pregnancy
Contraception
Programs in DuPage County for new families
Circumcision; pros and cons (include care of the circumcised and uncircumcised male infant)
Signs of illness in the neonate
Newborn/Infant Safety
Infant massage
Signing with your baby
Immunizations: Pros and Cons
*Other topics may be appropriate; please consult your clinical instructor.
Guidelines for Concept Map Presentation
Each clinical group will do a formal poster presentation utilizing a concept map. Students will work in
groups of three and will choose a patient from clinical. Utilizing HIPPA guidelines, the group will
highlight a high risk maternal or neonatal condition. Guidelines for the concept map will be presented
on the first lab day and students will present their research on the second lab day.
Guidelines for Community Activities
Each student shall complete 3 community activities. The student will complete.
1)
A nurse-midwife clinic session or a WIC clinic
2)
A well-child observation session through DuPage Medical Group
3)
A childbearing/childrearing education session
Objectives for Community Activities
1)
2)
3)
4)
5)
6)
7)
Observe the role of the registered nurse in the community health setting
Describe the role of the nurse in the well child pediatric setting
Discuss nursing implications for administration of vaccinations to infants and children
List the components of a well child clinic visit
Identify the role of the certified nurse midwife in the antenatal setting
Observe the professional nurse in community education settings
Discuss services offered through the WIC program
Registration for the nurse-midwife, WIC clinic and well-child observations will take place at the first
lecture session.
The student will contact the health care agency to register for the childbearing education class. The
student must receive permission from the class instructor prior to attending the class. The criteria for
class selection are as follows:
1)
The class must be taught by a registered nurse.
2)
The class must be at least two or three hours in length.
Suggested classes include: prenatal, breastfeeding, infant safety, C-section, VBAC, sibling, grandparenting, and infant care; contact your clinical instructor for approval for other classes.
*A signed verification of attendance form must be submitted for each community activity. This form
is submitted to your clinical instructor. Students must submit a blog entry in Blackboard (minimum of
six lines) for each community activity. The blog entry must be completed within one week of the
community activity.
Students will be in full uniform with name tag (as described in the student handbook) for each of these
activities.
All students will be required to make blog entries in Blackboard for their community activities (under
Community Activity Blog in Blackboard). These entries must be made for all three community
activities; they are to be completed within one week of the activity. The student should summarize the
experience as related to the stated objectives for the activity.
OPTIONAL BLOG POINT ACTIVITY
In addition, students have the opportunity to earn Blog Points through participating in the Blog Point
Activity. Blog points are extra credit points. They can be earned by participating in blog entries related
to the QSEN Competencies and/or National Patient Safety Goals. In order to earn Blog Points, students
must participate in the Blog Point Activity each week from weeks 2 through 7 in the course. Guidelines
for the Blog Point Activity are listed below. NOTE: Blog points cannot be used to raise a student’s
grade to 78 per cent. They will only be applied to a student’s point total if a grade of 78 per cent or
higher has been earned.
Guidelines for Blog Activity Point Project
 Students must participate in the project from weeks 2-7;entries must be posted for each week in order to
obtain points
 This is an optional extra credit activity
 The purpose of the activity is to explore the National Patient Safety Goals and QSEN competencies, and
how they relate to clinical nursing practice.
 All entries must be posted by 1159 PM on Saturday of each week
 Entries will be placed in the “Blog Activity” section of Blackboard (not in the community blog section)
 All entries must be a minimum of ten lines
 Each entry must reflect a topic from the National Patient Safety Goals or the QSEN Competencies as they
relate to the practice of nursing in the area of Maternal-Child nursing. Ideally, the postings will relate to
a situation or practice you are observing in clinical. It may just describe a safe practice you are observing,
or one that needs to be improved upon
 Blog points cannot be utilized to raise your grade above 77.9, as stated in the syllabus
 Your entries will be evaluated by your clinical instructor
 Please use the following chart as a guide to the National Safety Patient Goals and the QSEN
competencies
Goals/Competencies by Organization
NPSG*
QSEN**
NLN***
Patient Identification
Patient-Centered Care
Human Flourishing
Improve Communication
Teamwork and Collaboration
Nursing Judgment
Medication Safety
Evidence-Based Practice
Professional Identity
Health-Care Associated
Infections
Quality Improvement
Spirit of Inquiry
Reduce Falls
Safety
Pressure Ulcers
Informatics
Risk Assessment

 *National Patient Safety Goals. Goals for 2011-2012. The Joint Commission.
http://www.thejointcommission.org
 **Quality & Safety in Nursing Education. http://www.qsen.org/definition
 ***National League for Nursing. (2010). Outcomes and competencies for graduates of
practical/vocational, diploma, associate Degree, baccalaureate, master’s, practice doctorate, and
research doctorate programs in nursing. New York: National League for Nursing.
Grading Rubrics
and
Verification Form
Community Teaching Presentation Grading Rubric
Name of Student ______________________________
Possible Points
Date ____________
Your Points
Objectives clearly presented
(1)
_____
Content and delivery of presentation
(1)
_____
Presentation style
(1)
_____
Teaching Aids
(2)
_____
Total
_____
Comments:
Points earned ______
Instructor Signature ______________________________ Date _________________
Concept Map Grading Rubric
Group Participants: ______________________________________________________
Possible Point (s)
Your Point(s)
1. Provided objectives for the concept
(1)
_______
2. Presentation/design
(1)
_______
3. Oral communication
(1)
_______
4. Stated application/relevance to practice
(1)
_______
5. Group participation
(1)
_______
Comments:
Points earned ______
Instructor Signature ______________________________
Date _________________
Postpartum Care Plan Grading Rubric
Name of Student ______________________________
Area
Date____________
Possible Point(s)
Your point(s)
General Assessment
(1)
______
Nursing Diagnoses
(1)
______
Nursing Process
(3)
______
Comments:
Points earned ______
Instructor Signature ______________________________ Date _________________
Newborn Assessment Grading Rubric
Name of Student _____________________________
Area
Possible Point(s)
Date________________
Your point(s)
Student assessment findings
(2)
____
Analysis of assessment findings
(2)
____
Growth and Development
(1)
Comments:
____
Points earned ______
Instructor Signature ______________________________ Date _________________
BLOG ACTIVITY POINT GRADING RUBRIC
Name of Student _______________________________________________
Item
Total of six entries present
All entries submitted by deadline
All entries a minimum of ten lines
All entries reflect either a National
Patient Safety Goal or a QSEN
Competency
Content of each entry reflects thought
process relative to clinical practice
Points awarded Yes_____
Present
Absent
No_________
Signature of Faculty Member _________________________________Date____________________
ATTENDANCE VERIFICATION FORM
(To be used for each community experience)
NURSING 1207: THE CHILDBEARING FAMILY
COLLEGE OF DUPAGE ASSOCIATE DEGREE NURSING PROGRAM
Name of Student
Date and Time of Activity
Name of Activity
Location of Activity
Name of Contact Person
Signature of Contact Person
Phone number of Contact Person
Please submit completed verification forms to your clinical instructor.
Perinatal Nursing Guide
DIRECTIONS: Please complete the following norms for the areas of intrapartal, postpartum, and
neonatal nursing. This assignment is to be completed by the beginning of your second clinical day (or as
directed by your instructor). Please bring the completed assignment with you on the first of your clinical
experience in obstetrics.
Definitions: Define the following terms:
Gravida
Para
T
P
EGA
AGA
SGA
LGA
IUGR
EDD
EDC
LMP
I.
A
L
Intrapartal Nursing
A.
Describe the three phases of the first stage of labor.
1. Early (latent)
2. Active
3. Transition
B.
Define the cervical changes that occur during labor.
C.
Describe ways that the patient can cope with the discomforts of the first stage of labor.
D.
List aspects of the role of the labor support person (coach).
E.
Nurses assess the frequency, duration, and intensity of uterine contractions. Describe how
you would assess contractions in each of these areas.
1. Frequency
2. Duration
3. Intensity
F.
G.
Describe the nursing assessment/management of a client with an epidural anesthesia in
labor
Define the second stage of labor and list its characteristics.
H.
Describe the third stage of labor.
I.
Describe four signs of placental separation:
1.
2.
3.
4.
J.
Describe 4 nursing assessments in the fourth stage of labor.
1.
2.
3.
K.
4.
Fetal Monitoring
1. What is a fetal monitoring tracing?
2. What are the signs of a reassuring fetal heart rate pattern?
3. What are the causes of the following fetal heart rate decelerations?
a. early
b. variable
c. late
4. List the appropriate nursing interventions for the following fetal heart rate
decelerations.
a. early
b. variable
c. late
II.
Postpartum Nursing
A.
What are the normal pulse and blood pressure ranges for postpartum women?
B.
Where should the uterine fundus be palpable one hour after delivery?
Where should the uterine fundus be palpable one day after delivery?
When does it become a pelvic organ?
C.
Identify and describe the three types of lochia present in the postpartum period.
1.
2.
3.
E.
D.
What is the normal hemoglobin for a newly delivered postpartum woman?
List three ways a nurse can promote comfort for the postpartum woman?
1.
2.
3.
F.
Identify and describe three positions for breastfeeding.
1.
2.
3.
G.
III.
Why is it important to know the mother’s Rh status and status of immunity to rubella
prior to discharge?
Neonatal Nursing
A.
What is the normal range of heart rate for a neonate?
B.
What is the normal respiratory rate for a newborn?
C.
Are newborn respirations usually even and rhythmical?
D.
What is the normal range for a newborn’s temperature?
(Centigrade and Fahrenheit)
1. Rectal
2. Axillary
E.
Define meconium.
F.
Describe the normal stool pattern for a newborn infant.
G.
How often should a newborn be fed?
1. Breastfed infant
2. Formula fed infant
H.
What is acrocyanosis?
I.
What is an Apgar score?
J.
What is Ilotycin (erythromycin ophthalmic ointment)? What is it used?
K.
What is Aquamephyton? Why is it used?
L.
What is the first immunization given to the newborn? When is it typically given?
M.
What are three signs of respiratory distress in the newborn?
1.
2.
3.
Maternal – Infant Nursing
Student’s Name: _____________________
Room
Patient’s
Initials
Age
Patient Data Sheet
Allergies
Physician’s Orders
Date: _____________
Nursing Activities (orders/Interventions)
(please include your own)
Diet
Current Diagnosis
Gravida Para T
P A L
Concurrent Medical Conditions and their
Relationship to current diagnosis
Activity
IV
Additional Physician’s Orders
Type/ Date/Time of Delivery
T ___________ P ____________ R ___________B/P
LOC and orientation
Ability to follow commands
Pupils (PERLA)
Senses: Vision
Hearing
Touch
Speech
Pain
Skin: Color
Condition
Mucous membranes
Respiratory status: Quality
O2
Lung sounds
Use of accessory muscles
Cardiac status: Apical purse
Regularity
Appetite
Nausea
Vomiting
Bowel sounds
Bowel Movements
Abdomen
Surgical incision
Dressing
Voiding
Foley
LAB/Diagnostic tests(include results and
interpretation)
Blood Type _____ Rh _____ Hep B__
STS/VDRL/RPR _______Rubella_____
HIV______
Peripheral IV: ml/hr
Saline lock
Extremities:
Upper: Color
site
site
Warmth
Capillary refill
Lower: Color
Warmth
Capillary refill
Pedal pulses
Peripheral edema
Mobility status
Gait
Transfer
Ability to perform ADL
Muscle strength
Emotional status/concerns:
Verbal communication
Nonverbal communication
Spiritual concerns/needs
Ethnic/cultural concerns/needs
Maternal/Infant Bonding Assessment
Other comments:
Postpartum Assessment:
Nursing Diagnoses
Breasts:
Soft _____
Full _____
Fundus:
Firm? _____ Midline? _____ Location _____
Lochia:
Type _____
Postpartum (3)
Amount _____
Episiotomy/incision:
Type
Condition
Bladder Palpable _____ Non-Palpable_____
Voiding________________
Assessment for signs of DVT________________
Neonatal Assessment:
Sex _____ Birthweight _____ Kg. Gestational Age _____
Length_________in___ Head Circumference_________cm
Neonate (3)
Vital signs – T______ P________R_________
Respirations -__________________________________
Color -________________________________________
Feedings -_____________________________________
Teaching presented:
Urination -_____________________________________
Stooling -______________________________________
Circumcision -__________________________________
Vitamin K Given
Erythromycin Ointment Given_________
Summary of Newborn Physical Assessment
Current Medication (include PRN Medications)
____________________________________________
Discharge Planning
Hep B __________
RhoGam ________
Circ ___________
Rubella Vaccine _________
Picture _________
tDap_______________
Newborn Screening __________
Discharge Teaching___________
Pertussis Vaccine_____________
NAME OF DRUG/
DOSE/
CLASSIFICATION FREQUENCY
ACTION
SIDE EFFECTS
NURSING IMPLICATIONS
(use additional sheets if necessary; include maternal and newborn meds;ALL PRN MEDS NEED TO BE INCLUDED)
Nursing 1207
Guidelines for Medication Administration




All medications must be administered with the clinical instructor
Students cannot administer medications with staff nurses
Students cannot administer medications in labor and delivery
Students must be prepared for medication administration by knowing the following prior
To the administration of each drug:
-Name of drug
-Classification
-Action of the drug at the cellular level
-Side effects
-Adverse effects
-Nursing implications
-Patient education
-Is it safe to give?
-Correct documentation
 Students must know patient allergies at the beginning of each shift
 Please be sure that supplies needed for medication administration are available prior to administration time(fresh water, cup, straw, etc.,
unless contraindicated)
Postpartum Care Plan
COLLEGE OF DUPAGE
ADN PROGRAM
DATE
NURSING 1207
INSTRUCTOR
NAME __________________________
POSTPARTUM ASSESSMENT AND CARE PLAN
Mother's Initials____ Age____ Gravida____ T_____ P._____ A_____ L_____
EDD____ Delivery Date____ Time____ Postpartum day____
Type of delivery_________________ Wound__________________
Diet______________ Activity____________ Breast or formula feeding_________
Current Physician's Orders
(Include All Postpartum
orders)
Rationale
Relevance for this Client
I.
Collection of Data
A.
Significant Social, Psychological, Medical History
1.
Social
a.
education _____________ marital status __________________
career plans _________________________________________
b.
family (who is living at home, extended family in area)
__________________________________________________
2.
Cultural/Spiritual
Please identify any cultural/spiritual concerns that may affect nursing care
___________________________________________________________
___________________________________________________________
3.
History mental health/ emotional conditions _______________
___________________________________________________________
4.
Medical history (not related to reproductive system)
a.
previous illnesses _____________________________________
b.
previous hospitalizations ______________________________
c.
previous surgeries _____________________________________
d.
family history (genetic disorder, cancer, diabetes, etc.)
_______________________________________________________
e.
B.
other __________________________________________________
Significant Reproductive and Obstetrical History
a.
previous surgeries, hospitalizations ___________________
_______________________________________________________
b.
previous labor and delivery experiences ________________
_______________________________________________________
c.
age of onset of menses ______ duration of menses _______
L.M.P. _________ abnormalities _______________________
d.
date of first prenatal visit ____ number of visits ____
e.
wt. gain _____ medications taken during pregnancy ______
________________________________________________________
Name
C.
D.
E.
f.
preparation for childbirth _____________________________
g.
diagnostic tests done during pregnancy (include Blood type, Rh, RPR, or
STS, Rubella, and Hep B, ultrasound exams, Genetic Studies, and other
tests should also be included)
(see prenatal record)
Date
Results
Norms
Significance
Identified Medical, Obstetrical, or Genetic Risk Factor
Events Precipitating this Hospital Admission
(why did she come to the hospital when she did: contractions, ruptured membranes,
etc.)
Labor and Delivery
1.
2.
length
client
normal range evaluation
length first stage
_______
____________
__________
length second stage _______
____________
__________
length third stage
____________
__________
_______
Medications (identify drug classification, name route, dosage, time etc.)
analgesic
anesthetic
oxytocic
first stage
___________ __________ __________
second stage
___________ __________ __________
third stage
___________ __________ __________
other medications used:
3.
Fetus/Neonate
FHR range during labor ________ Monitor leads used ________
Signs of distress _________________________________________
___________________________________________________________
Sex of baby _____ 1 minute Apgar _____ 5 minute Apgar _____
Anomalies? _________________ Resuscitation needed (other
than bulb syringe) ________________________________________
Condition now _____________________________________________
4.
Mother
Complications during labor and/or delivery? _______________
___________________________________________________________
Her description of the experience _________________________
___________________________________________________________
Her contact with neonate in delivery room
(see, touch, hold, etc.)
___________________________________________________________
support system ____________________________________________
other relevant information ________________________________
F.
First 2-3 hours postpartum
complications _________________________________________________
comments or significant data __________________________________
II.
Current General Assessment
A.
Circulatory Status
B.
Respiratory Status
C.
Mental Status
D.
Emotional Status
E.
State of Rest and Comfort
III.
F.
Sensory Perception
G.
Mobility Status
H..
Nutritional Status
I.
Elimination Status
J.
State of Skin and Mucous Membrane
K.
Family Involvement
Assessment Specific to the Postpartum Client
A.
B.
C.
Vital signs (Today's)
Your client's
Normal
Significance
Temperature
_____________
___________ ____________
Pulse
_____________
___________ ____________
Respiration
_____________
___________ ____________
Blood Pressure
_____________
___________ ____________
Pain Score
_____________
___________ ____________
Fundus
1.
Present location in relation to umbilicus____ firmness _____midline?
2.
Expected location and firmness for this postpartum day _____
Lochia
1.
Flow today (rubra, serosa, alba) _______________
2.
Expected flow for this postpartum day ______________
3.
Amount (none, scant, mod., heavy) ________ Expected ________
D.
Perineum
1.
Wound (type)___________________ Appearance _________________
Expected appearance ________________________________________
Deviations from normal: ____________________________________
2.
Describe present care of wound ________________________
Is she complaining of discomfort due to her wound?________
If yes, what is being done to decrease this discomfort?_______
3.
Does she have hemorrhoids? ______ Are hemorrhoids expected at
this time?_______ Why? _____________________________________
What is/can be done to reduce discomfort due to hemorrhoids?
____________________________________________________________
4.
E.
other ______________________________________________________
Breasts
1.
Describe appearance and consistency (soft, firm, engorged,
painful, redness, lumps, etc.) ____________________________
___________________________________________________________
2.
Expected appearance and consistency for this postpartum day
____________________________________________________________
3.
Condition of nipples (red painful, inverted, cracks, etc.)
____________________________________________________________
4.
Expected condition for this postpartum day _________________
____________________________________________________________
5.
Deviations from normal:_____________________________________
____________________________________________________________
6.
If she is breastfeeding, describe degree of success: _______
____________________________________________________________
7.
If breastfeeding, describe present breast care being given:
____________________________________________________________
8.
Does this patient need a referral to a lactation consultant? _____________________
Why?_______________________________________________________________
F.
Elimination
1.
Time of first voiding after delivery _______ Amount ________
2.
Expected length of time between delivery and first voiding:
____________________________________________________________
3.
G.
Deviations from normal: ____________________________________
If delivered by C/S
1.
Condition of incision/dressing _____________________________
____________________________________________________________
2.
Deviations from normal: ____________________________________
3.
Type of incision (classical, low cervical transverse)_______
4.
Abdomen (soft, distended) ________ Bowel sounds ____________
Flatus ___________________
5.
Urinary Catheter _________________
6.
I.V. ___________________
7.
Lungs __________________
8.
Legs (tenderness, Homan's sign) _______________
9.
Activity: __________________________________________________
____________________________________________________________
10.
H.
Level of comfort: __________________________________________
Bonding
1.
Is mother at "taking in" or "taking hold" phase? ___________
(Support answer with examples) ________________________
____________________________________________________________
Expected phase for this postpartum day _____________________
Comments ___________________________________________________
2.
Identify factors which might be significant in interfering with bonding between this
mother and baby (consider prenatal, labor & delivery, support system, gender of child,
comfort of mom, etc.)
3.
Identify signs that indicate a healthy mother-baby relationship (remember, baby
should be included).
4.
Identify signs that indicate that mother and baby are having some difficulty
establishing a positive relationship.
Please identify any referrals that need to be made for this patient and family (WIC, social service,
pastoral care, home health nursing, etc).
I.
Current Medication (include PRN Medications)
NAME OF DRUG/
DOSE/
ACTION
SIDE EFFECTS
CLASSIFICATION FREQUENCY
(use additional sheets if necessary; include maternal and newborn meds)
NURSING IMPLICATIONS
Nursing Diagnoses (list actual and potential and include "related to" and "manifestation" factors can be
wellness-related) List in order of priority. A minimum of 5 diagnoses are required; Additional diagnoses
constitute a stronger care plan. Please include the entire family in the development of the nursing
diagnoses.
Develop one diagnosis:
Nursing Diagnosis
Goal
Nursing Diagnosis:
Related to:
As manifested by:
Nursing Intervention
Scientific Rationale
Evaluation
Objective
Outcome Criteria
Subjective
Conclusion
Develop one diagnosis:
Nursing Diagnosis
Goal
Nursing Diagnosis:
Related to:
As manifested by:
Nursing Intervention
Scientific Rationale
Evaluation
Objective
Outcome Criteria
Subjective
Conclusion
Develop one diagnosis:
Nursing Diagnosis
Goal
Nursing Diagnosis:
Related to:
As manifested by:
Nursing Intervention
Scientific Rationale
Evaluation
Objective
Outcome Criteria
Subjective
Conclusion
Develop one diagnosis:
Nursing Diagnosis
Goal
Nursing Diagnosis:
Related to:
As manifested by:
Nursing Intervention
Scientific Rationale
Evaluation
Objective
Outcome Criteria
Subjective
Conclusion
Newborn Assessment
College of DuPage
ADN Program
NURSING 1207
NAME _______________________
NEONATAL ASSESSMENT
DATE _______________________
INSTRUCTOR _______________________
Age of Neonate at time of assessment ____Mother's Initials _________ Date of Birth __________ Time of birth __________ Sex _____
Instructions: Using the assessment guide provided, do a complete assessment on your client. In the first column, write the data for your neonate.
In the second column, the expected or normal findings have been provided. This information was referenced from your textbook. In the third
column, write your evaluation of the comparison between the expected data and your infant. Remember to be descriptive, specific and objective to
evaluate the newborn in relation to: gestational age, anomalies, central nervous system function, peripheral nerve function,etc. Do not put WNL!
Your neonate
Expected or normal range
Significance
A.
Nutritional Status
2500 – 4000 grams
1.
Birth weight and length
18” - 22” (48-52 cm.)
2.
Weight now (% lost)
10% or less
3.
Intake per 24 hours
Breast feeding – q 2-3 hours
Bottle feeding – q 3-4 hours
4.
Type of feedings (Calories)
5.
General Appearance
(sub q fat, etc.)
tone
Pink skin is elastic and returns to
normal shape after pinching;
acrocyanosis may be normal.
6.
Regurgitation, emesis
Occasional spitting of mucus
or feeding normal; emesis should not
exceed 10-15 ml.
Calculate based on type of
formula or breast milk.
Your neonate
B.
Physical Characteristics
1.
Head Circumference
2.
3.
Expected or normal range
32-37 cm
a.
anterior fontanel size
(approximate)
3-4 cm long by
2-3 cm wide;
diamond-shaped
b.
posterior fontanel size
(approximate)
1-2 cm at birth;
triangle-shaped. May not
be palpable due to molding.
c.
other (caput, cephalhematoma,
etc.)
Chest
a.
circumference
May be present in
first 48 hours
32.5 cm on average
b.
cm. difference between head and
chest
1-2 cm less than head
c.
shape
Normal shape without
depression
Genitalia
a.
appearance
Male: Testicles descended
Female: Labia majora covers
labia minora
b.
discharge
c.
any abnormalities
White discharge and bloodtinged
discharge may be present in
females
N/A
Significance
Your neonate
C.
Temperature Status
(State whether baby asleep, awake, etc.)
D.
Respiratory Status
1.
Rate, rhythm, depth
E.
2.
Muscles used
3.
Symmetry of movement
4.
Breath sounds
5.
Patency of nose
6.
Presence and characteristics of
mucous
Circulatory Status
(State whether awake or asleep)
1.
Apical pulse rate, rhythm, strength
2.
Presence of abnormal sounds, rubs,
murmurs
Expected or normal range
Axillary – 36.5-37.2
Rectal – 36.6-37.2
Significance
30-60 per minute.
Irregular breathing normal;
pauses do not exceed 15-20
seconds
No accessory muscles can be
used.
Abdomen and chest movements
are synchronous.
Clear and equal bilaterally.
When mouth is occluded by
nipple, infant breathes easily
through nose.
Small amounts, clear and thin.
May see more in C-section
babies soon after birth.
NA
120-160 BPM
Asleep – greater than 100 BPM
Crying – up to 180 BPM
No abnormal sounds present.
NA
Your neonate
F.
Elimination Status
(State whether breast or bottle)
1.
2.
Bowel
a.
color, consistency, amount
b.
flatus
c.
deviations from normal
Bladder
a.
frequency
b.
color, consistency, amount, odor
c.
deviations from normal
Expected or normal range
NA
First 24 hours – Black, tarry
meconium. Transitional stool –
greenish, soft.
Occasionally present
N/A
6-8 wet diapers/day
Should void within 24 hours of
birth
Yellow, non-offensive, mild odor.
Child may void scant to
moderate amounts per void.
N/A
Significance
NA
Your neonate
G.
State of Skin and Mucous Membrane
1.
Skin
a.
texture
2.
b.
color (pallor, cyanosis jaundice,
acrocyanosis)
c.
intactness/lesions
d.
turgor/dryness
e.
rashes, birthmarks, Mongolian
spots, etc.
f.
vernix/lanugo
Mucous Membranes
a.
color
b.
teeth, gums
c.
intactness
Expected or normal range
Smooth; occasional dryness
after initial bath; peeling on
hands and feet in post-term
infants.
Pink; acrocyanosis may be
normal. Jaundice pathologic in
first 24 hours.
No lacerations; no lesions.
Elastic over abdomen; returns to
normal after pinching.
All may be present as normal.
May be present on infants born
prior to term; assess in axillary &
groin areas for vernix and over
scapulae for lanugo.
Pink – Assess oral membrane.
Moist
Precocious teeth may be
present; assess gums for
lesions;
Epstein’s pearls.
No lesions or lacerations
present.
Significance
Your neonate
3.
4.
5.
Umbilicus
a.
appearance
b.
no. vessels
c.
discharge
Hair (include eyebrows and eyelashes)
a.
texture
b.
length
c.
distribution
Nails
a.
texture
b.
length
Expected or normal range
Cord clamped for first 24 hours;
drying; changing in color from
white to a dark color.
3 (2 arteries; 1 vein)
None
Smooth; fine variations may be
present due to ethnic
background.
Varies
Even over scalp
Soft, smooth
May be long and peeling in postterm infants
Significance
Your neonate
H.
Anomalies (describe)
I.
Lab and Diagnostic Studies
1.
Blood type and Rh
2.
J.
Emotional Status
1.
Reactions to discomfort (wet diapers,
pain, etc.)
2.
K.
Other
Reactions to comfort (being held, etc.)
State of Rest and Comfort
1.
Sleep pattern – 24 hrs
a.
time duration
b.
2.
reactions to noise
Awake, alert state
a.
activity – describe
Expected or normal range
NA
Any human blood type, Rh
Coombs test should be negative
Responds to uncomfortable
stimuli by crying.
Quiets with comfort measures
16-20 hours
Startle response
Turns head toward sound if
awake.
Sleeps 16-20 hours per day.
Refer to text for sleep states
Significance
Your neonate
3.
Pain, discomfort, restlessness
a.
time occurs, location
b.
L.
duration, frequency,
how relief obtained
Neurological and Reactivity State
1.
Level of consciousness
a.
alertness-quick to
respond
b.
drowsy-slow to respond
c.
2.
difficult to arouse
Expected or normal range
N/A
N/A
N/A
N/A
N/A
CNS Status
Reflexes (describe expected response
and how elicited)
a.
Babinski
Fanning and extension of all toes
when one side of foot is stroked
from the heel upward across ball
of foot.
b.
Moro
c.
Stepping
Systemic extension and
abduction of arms with fingers
extended; return to normal
relaxed flexion. A response to
sudden movement on loud noise.
When held upright and one foot
touching flat surface, will step
alternately.
Significance
Your neonate
Expected or normal range
d.
Palmar grasp
Fingers grasp adult finger
when palm is stimulated and
held momentarily.
e.
Feeding
a. rooting
While awake and hungry, stroke
side of cheek. Infant will turn in
that direction and open mouth.
b.
sucking
Infant will suck when gloved
finger is inserted into mouth.
c.
swallow
Infant will swallow in response to
sucking or fluid in mouth.
d.
gag
Infant will gag in response to
hypopharyngeal stimulation.
f.
Protective
a. vision
Tracks objects to midline. Fixed
focus on objects at t distance of
10-20 inches.
b.
hearing
Attends to sounds; sudden or
loud noise elicits Moro reflex.
c.
sneezing, coughing
Sneeze or cough in response to
stimuli.
Significance
Your neonate
3.
M.
Muscle tone
a.
symmetry of movement of
extremities
Gestational Age
1.
Scarf Sign
Expected or normal range
Symmetrical spontaneous
movements.
Place supine; draw arm across
chest toward opposite shoulder.
Compare to midline of chest.
2.
Areolar Tissue
Areolar and nipple development
increases as infant nears term.
3.
Popliteal Angle
4.
Heel-to-ear maneuver
Degree of knee flexion: Place on
back, thigh is flexed, the
abdomen flat. Assess angle of
flexion on back of knee.
Thing is flexed on the abdomen
and chest. Place finger behind
ankle to extend the lower leg
until resistance is met.
5.
Posture
6.
Foot creases
One crease at top of toe at 36
weeks; increase in number of
creases as approaches term.
7.
Genital development
Labia majora covers minora as
term approaches. Scrotum
develops rugae and testicles.
Descend near term.
Muscle tone increases as infant
approaches term.
Significance
Your neonate
N.
Medications
1.
Given in DR
2.
II.
Given in Nursery
Expected or normal range
Significance
Erythromycin ophthalmic
ointment to both eyes; vitamin K
1 mg IM; both given within 1 hour
of birth.
Above medications if not given in
DR; Hepatitis B vaccine may be
ordered.
Developmental stage as described by Erikson: ________________________________________________________
Cognitive stage as described by Piaget: _____________________________________________________________
Describe the rationale for each of the following stimuli for the neonate: black and white mobile, reading to neonate, listening to classical
music. Explain how each stimulus will assist the neonate to accomplish developmental tasks.
Labor and Delivery
Observation
LABOR AND DELIVERY OBSERVATION
Name _____________________________
Instructor _________________________
Date ______________________________
I.
Identify nursing interventions which you observed in the 4 stages of labor and the rationale for
each.
Intervention
Rationale
Stage 1
1.
1.
2.
2.
3.
3.
Stage 2
1.
1.
2.
2.
3.
3.
Stage 3
1.
1.
2.
2.
3.
3.
Stage 4
1.
1.
2.
2.
3.
3.
II.
Develop 2 Nursing Diagnoses specific to each stage of labor (physical and psychological).
Stage 1
1.
2.
Stage 2
1.
2.
Stage 3
1.
2.
Stage 4
1.
2.
III.
List all the medications used on your unit for each stage of labor and the primary action of each.
Include the medications used in the epidural, IV push meds, augmentation meds, etc.
Medication
Action
Stage 1
Stage 2
Stage 3
Stage 4
IV.
Identify any of the fetal monitoring patterns that you observed. Describe the nursing
implications related to the observed patterns. (Variability, Bradycardia, Tachycardia, Early
Decelerations, Late Decelerations, and Variable Decelerations).
TEST ITEMS
Query Form
Student may appeal a test question following the format below.
Query forms must be submitted within one week after test results are
distributed
All queries will be evaluated on an individual basis. If an appeal is granted,
there will not be any group distribution of points.
Student Name: __________________________________________________________________
Exam # _________ Date of Exam _____________ Appeal Submitted (Date) ______________
Submitted to: (Instructor) _________________________________________________________
1.
Write the # of the test question below.
#
Question
2.
What concern do you have about this question?
What was the rationale for your choice?
3.
1.
Cite Three References using the required materials for this course to support your rationale.
2.
3.
Add any additional comments in this section that support your appeal on a separate sheet of paper
Faculty Response:
________ Accepted
________ Denied
Rationale:
Faculty Signature: ___________________________
Date: ________________________
Students who have a query-denied should make an appointment with the faculty member to discuss any
concerns about the appeal. Submission of a test item query does not guarantee a change in grade.
SUN
WK
6
1
13
JAN
MON
TUE
8
9
10
14
15
16
17
Lab 001
Intrapartal
Care
23
24
Lab 003
(7AM)
Lab 004
(3PM)
Exam I
Postnatal
Care
30
31
In-Service
Professional
Days-No Classes
In-Service
Professional
Days-No Classes
21
22
Legal Holiday
M.L.KING
NO
CLASSES
3
27
28
29
CLASSES
BEGIN
Antenatal
Care
In-Service
Professional
Days-No Classes
Newborn
Care
4
3
4
5
6
7
FRI
11
SAT
12
18
Lab 002
19
25
26
1 FEB
2
Math
Deadline
8
9
15
Lab 002
16
22
23
2
High Risk
Perinatal
Care
5
10
11
12
6
17
18
19
7
24
25
26
8
3
9
THUR
7
2
20
WED
4
5
13
14
Lab 001
Exam II
Well/Hosp
Child Care
20
21
Lab 003
(7AM)
Lab 004
(3PM)
Last Day to
Withdraw 1st
8-wk
Women’s
Health
27 HESI
28
1
Exam 3-7PM
HSC 2301
Exam III
MARCH
6
7
8
End of 1st
8-Wk
Classes
In-Service
Day/Professio
nal Day (No
Classes)
9
CLASSES
BEGIN
2nd 8-wk
10
11
12
10
17
18
19
11
24
12
SPRING
BREAK
31
13
25
SPRING
BREAK
7
1
26
SPRING
BREAK
2
13
14
Lab 005
(7AM)
Lab 006
(3PM)
Antenatal
Care
20
21
Lab 007
Intrapartal
Care
27
28
29
30
SPRING
BREAK
SPRING
BREAK
SPRING
BREAK
SPRING
BREAK
3
4
5
6
APRIL
8
15
7
22
6
9
10
11
16
17
18
12
21
22
23
16
28
29
30
24
Math
Deadline
19
5
6
7
26
Lab
005(7AM)
006(3PM)
Exam II
Well-Hosp
Child
Last Day to
withdraw for
2nd 8 wk
1
2
3
MAY
Women’s
Health
8
3
20
2
25
Lab 007
HESI Exam
5-9PM HSC
2301
17
27
1
4
0
9
10 Final
Exam III
Eval.Culminating
Activities --
Commencement
18
13
High Risk
Perinatal
Care
15
5
4
Neonatal
Care
15
23
Exam I
Postpartal
Care
14
14
16
11
Pinning
Ceremony
Clinical Evaluation Tool
College of DuPage
Associate Degree Nursing Program
Clinical Evaluation Tool
Course Number and Name:
NUR 1207 The Childbearing Family
Key:
Rating:
GCO: General Course Objective
SLO: Student Learning Outcome
KSA: Knowledge, Skills, Attitude
S: Satisfactory
U: Unsatisfactory
NO: not observed (can only be used
at mid-term)
Learner/Graduate Outcome A: CRITICAL THINKING - Utilizes critical thinking skills in
the application of the nursing process to provide safe, quality care.
SLO and related KSAs
GCO
SLO # SLO and examples behaviors
Mid
Final
Applies critical thinking.
7,11,12 A.1
Satisfactory: Describes the nursing process and applies critical
12
A.2
thinking when planning care to women and their families.
Needs Improvement: Has difficulty describing the nursing
process and application of critical thinking to women and their
families.
Unsatisfactory: Fails to describe the nursing process and apply
critical thinking when planning care to women and their families.
Utilizes systematic, sequential thinking process.
Satisfactory: Develops an individualized plan of care that
11,14
A.3
prioritizes nursing diagnoses for the childbearing /childrearing family.
Organizes safe patient care effectively.
Needs Improvement: Demonstrates difficulty developing an
individual plan of care that prioritizes nursing diagnoses for the
childbearing/childrearing family.
Needs occasional guidance in the organization of patient care.
Unsatisfactory: Unable to develop an individualized plan of care
that prioritizes nursing diagnoses for the childbearing/childrearing
family.
Consistently requires guidance in the organization of patient care.
Examines subjective/objective data.
Satisfactory: Values objectivity in the collection and analysis of
data.
Needs Improvement: Needs guidance in valuing objectivity in the
collection and analysis of data.
Unsatisfactory: Unable to value objectivity and collection of data.
Learner/Graduate Outcome B: COMMUNICATION - Demonstrates effective
communication utilizing technology, written documentation, and verbal expression.
SLO and related KSAs
GCO SLO # SLO and examples behaviors
Mid
Describes different communication styles.
3,9, 4 B.1
Satisfactory: Describes different communication styles when working
3,9,4
B.2
Final
with patients, families, and members of the health care team.
Needs Improvement: Has difficulty describing different
communication styles when working with patients, families, and
members of the heath care team
Unsatisfactory: Is unable to describe different communication styles
when working with patients, families, and members of the health care
team
Applies strategies to augment therapeutic communication.
Satisfactory: Demonstrates confidence and accuracy in therapeutic
6,12
B.3
communication
Assess the teaching-learning needs of patients and families during the
childbearing and early childrearing years
Needs Improvement: Needs instructor assistance in therapeutic
communication
Needs assistance in the assessment of the teaching-learning needs of
patients and families during the childbearing and early childrearing
years.
Unsatisfactory: Does not engage in therapeutic communication
Unable to assess the teaching-learning needs of patients and families
during the childbearing and early childrearing years
Values the observation of health care situations from a patient’s
perspective
Satisfactory: Reflects on the patient’s perspective and the impact of
their current condition.
Needs Improvement: Has difficulty reflecting on the patient’s
perspective and the impact of the current condition.
Unsatisfactory: Unable to reflect on the patient perspective and
current condition.
Learner/Graduate Outcome C: CARING – Incorporates empathetic, compassionate,
caring interventions and behaviors.
SLO and related KSAs
GCO SLO # SLO and examples behaviors
Mid
Final
Integrates understanding of the care concept in nursing
5,13 C.1
Satisfactory: Describes planned interventions specific to identified
5
C.2
problems for the childbearing family. Lists priorities when
administering caring interventions.
Needs Improvement: Needs assistance in describing planned
interventions specific to identified problems for the childbearing family.
Has difficulty listing priorities of caring interventions
Unsatisfactory: Unable to describe planned intervention specific to
identified problems for the childbearing family.
Unable to list priorities when administering caring interventions.
Demonstrates awareness of communicating a genuine caring
attitude
Satisfactory: Consistently demonstrates a caring attitude when caring
for patients and families.
Needs Improvement: Inconsistent in demonstrating a caring attitude
5
C.3
when caring for patients and families
Unsatisfactory: Does not demonstrate a caring attitude when caring
for patients and families.
Appreciates the significance of a caring attitude
Satisfactory: Values the importance of sensitivity to the childbearing
family.
Needs Improvement: Needs reminders regarding sensitivity to the
childbearing family
Unsatisfactory: Does not value the importance of being sensitive to
the childbearing family
Learner/Graduate Outcome D: DIVERISTY – Demonstrates professional nursing care
that incorporates sensitivity to culturally diverse clients across the lifespan.
SLO and related KSAs
GCO SLO # SLO and examples behaviors
Mid
Final
Describes limits and boundaries of caring relationships in relation
5,13 D.1
to diversity.
Satisfactory: Describes safe, compassionate and culturally sensitive
5,13
D.2
13
D.3
care to diverse populations.
Needs Improvement: Has difficulty in describing safe,
compassionate and culturally sensitive care to diverse populations.
Unsatisfactory: Cannot describe safe, compassionate and culturally
sensitive care to diverse populations
Demonstrates a respectful attitude and nonjudgmental attitude of
care.
Satisfactory: Consistently demonstrates a respectful attitude and
non-judgmental demeanor
Needs Improvement: Inconsistent in demonstrating a respectful
attitude and non-judgmental demeanor
Unsatisfactory: Does not demonstrate a respectful and attitude and
non-judgmental demeanor
Accepts and respects cultural differences
Satisfactory: Recognizes own beliefs related to diversity
Needs Improvement: Needs assistance in recognizing own beliefs
related to diversity
Unsatisfactory: Is unable to recognize own beliefs related to
diversity
Learner/Graduate Outcome E: QUALITY IMPROVEMENT – Utilizes data to ensure
quality improvement and support of evidence-based practice
SLO and related KSAs
GCO SLO # SLO and examples behaviors
Mid
Final
Describes the quality improvement process
6
E.1
Satisfactory: Identifies the initial steps in the quality improvement
process
Needs Improvement: Has difficulty identifying the initial steps in
the quality improvement process
Unsatisfactory: Unable to identify the initial steps in the quality
6
E.2
improvement process
Seeks quality improvement projects in the health care setting
Satisfactory: Utilizes the nursing process to enhance quality in the
health care setting. .
Needs Improvement: Needs assistance in utilizing the nursing
process to enhance quality in the health care setting
Unsatisfactory: Does not utilize the nursing process to enhance
quality in the health care setting
s
6
E.3
Values measurement and its role in quality care.
Satisfactory: Appreciate the value of obtaining accurate data when
caring for families.
Needs Improvement: Needs guidance in recognizing the value of
obtaining accurate data when caring for families.
Unsatisfactory: Does not value the importance of obtaining accurate
data when caring for families.
Learner/Graduate Outcome F: LEADERSHIP – Demonstrates knowledge of basic
delegation and leadership management skills.
SLO and related KSAs
GCO SLO # SLO and examples behaviors
Mid
Final
Explain
the
healthcare
institutional
chain
command
in
respect
to
1,2
F.1
the nurse
Satisfactory: Identifies different levels in the chain of command.
Needs Improvement: Needs assistance in identifying different
1,2
F.2
levels in the chain of command.
Unsatisfactory: Cannot identify different levels in the chain of
command.
Initiates plan for self-development as a team member
Satisfactory: Assumes the role of team member in the clinical setting;
1,2
F.3
identifies tasks that can be delegated.
Needs Improvement: Needs assistance in assuming the role of team
member in the clinical setting and in identifying tasks to be delegated.
Unsatisfactory: Does not assume the role of team member in the
clinical setting. Does not identify tasks that can be delegated.
Respects the different attributes that members bring to the team
Satisfactory: Fosters an attitude of mutual respect when working
with others.
Needs Improvement: Inconsistent in fostering an attitude of mutual
respect when working with others.
Unsatisfactory: Does not have an attitude of mutual respect when
working with others.
Learner/Graduate Outcome G: INFORMATION MANAGEMENT – Demonstrated and
utilizes information systems in the healthcare system.
SLO and related KSAs
GCO SLO # SLO and examples behaviors
Mid
Final
Describes
the
role
of
the
nurse
in
information
management
14
G.1
Satisfactory: Describes the use of electronic medical records and
14
G.2
other technological systems.
Needs Improvement: Inconsistently describes the use of electronic
medical records and other technological systems.
Unsatisfactory: Unable to describe the use of electronic medical
records and other technological systems.
Utilizes valid resources for data collection
Satisfactory: Consistently utilizes valid resources for data collection.
Needs Improvement: Needs assistance in utilizing valid resources
for data collection.
Unsatisfactory: Does not utilize valid resources for data collection.
3,14
G.3
Values the need for accurate communication of data.
Satisfactory: Appreciates the importance of accurate communication
of data.
Needs Improvement: Inconsistently demonstrates an appreciation
for accurate communication of data.
Unsatisfactory: Does not demonstrate an appreciation for accurate
communication of data
Learner/Graduate Outcome H: Professionalism – Demonstrates knowledge of professional
development and incorporates evidence-based practice in the nursing profession.
SLO and related KSAs
GCO
SLO # SLO and examples behaviors
Mid
Final
Examines
nursing
roles
that
contribute
to
coordination
and
H.1
integration of care
1,8,10
Satisfactory: Identifies professional behaviors in the student nurse
1,12,15 H2
1
H.3
role. Verbalizes the need to coordinate patient care with the health
care team.
Needs Improvement: Needs assistance in identifying professional
behaviors in the student nurse role. Does not consistently verbalize
the need to coordinate patient care with the health care team.
Unsatisfactory: Does not identify professional behaviors in the
student nurse role. Does not verbalize the need to coordinate patient
care with the health care team.
Apply the nursing process and methods of health promotion and
maintenance
Satisfactory: Applies the nursing process in promoting an optimal
level of wellness in women and their families.
Identifies actual and potential health care problems to promote an
optimal level of wellness for women and their families.
Needs Improvement: Inconsistently applies the nursing process in
promoting an optimal level of wellness in women and their families.
Needs assistance in identifying actual and potential health care
problems to promote an optimal level of wellness for women and their
families.
Unsatisfactory: Does not apply the nursing process in promoting
an optimal level of wellness in women and their families.
Does not identify actual and potential health care problems to
promote an optimal level of wellness for women and their families.
Seeks professional opportunities
Satisfactory: Demonstrates an eagerness for learning and a sense of
inquiry.
Needs Improvement: Occasionally demonstrates an eagerness for
learning and a sense of inquiry.
Unsatisfactory: Does not demonstrate an eagerness for learning or
a sense of inquiry.
General Comments
Date
Comments
Faculty signature
Mid-term review signatures and date
Student
__________________________________________
_________________
Faculty
__________________________________________
_________________
Final review signatures and date
Student
__________________________________________
_________________
Faculty
__________________________________________
_________________