I. NUR 106: Maternal and Child Nursing

Revised Spring 2014
Alabama
Department of
Postsecondary Education
Representing Alabama’s Public Two-Year College System
NORTHEAST ALABAMA
COMMUNITY COLLEGE
NUR 106: Maternal and Child Nursing
Theory
4 credit hours
Lab
0 credit hour
Clinical
1 credit hour
Total
5 credit hours
I. CLASS MEETING DATES/TIMES/LOCATION
TBA
II. CLINICAL DATES/TIMES/LOCATION
TBA
III. INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY,
OFFICE HOURS/LOCATION
Mrs. Jane Hopson – Course Coordinator
Health Education Building, Office 226
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Maternal and Child Nursing
NUR 106
IV. COURSE DESCRIPTION:
This course focuses on the role of the nurse in meeting the physiological,
psychosocial, cultural and developmental needs of the maternal and child client.
Course content includes antepartal, intrapartal, and postpartal care, complications
of pregnancy, newborn care, human growth and development, pediatric care, and
selected pediatric alterations. Nutrition, pharmacology, cultural diversity, use of
technology, communication, anatomy and physiology review, medical
terminology, critical thinking, and application of the nursing process are
integrated throughout this course. Upon completion of this course students will be
able to provide and manage care for maternal and pediatric clients in a variety of
settings. This course supports CIP codes 51.1601 and 51.1613.
V. PREREQUISITE(S)/CO-REQUISITE(S)
PREREQUISITE COURSES:
NUR 102 – Fundamentals of Nursing
NUR 103 – Health Assessment
NUR 104 – Introduction to Pharmacology
BIO 201 – Anatomy and Physiology I
MTH 116 – Mathematical Applications (PN Program)
MTH 100 – Intermediate College Algebra (RN Program)
CO-REQUISITE COURSES:
NUR 105 – Adult Nursing
BIO 202 – Anatomy and Physiology II
ENG 101 – English Composition I
VI. TEXTBOOK(S) AND OTHER LEARNING RESOURCES
See Reading Assignment
VII. COURSE OBJECTIVES
1. Utilize the nursing process to provide nursing care for maternal and child
clients.
2. Utilize the nursing process to provide nursing care for pediatric clients.
VIII. PROFESSIONAL COMPETENCIES/OBJECTIVES
 Utilize the nursing process to provide nursing care for maternal and child
clients.
 Utilize the nursing process to provide nursing care for pediatric clients.
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Maternal and Child Nursing
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MODULE A – ANTEPARTUM
A1.0 Utilize the nursing process to provide nursing care for maternal and child
clients.
A1.1
Given scenarios and/or clinical setting, use the nursing
process to provide antepartal care.
A1.1.1
A1.1.2
A1.1.3
A1.1.4
A1.1.5
A1.1.6
A1.1.7
A1.1.8
A1.1.9
A1.1.10
A1.1.11
A1.1.12
A1.1.13
A1.1.14
A1.1.15
A.1.1.16
A1.2
Explain the anatomy and physiology associated with
conception and pregnancy.
Define key terms associated with antepartal care.
Identify dynamics of family interactions.
Explain health promotional considerations related to
preconception.
Differentiate between the stages of fetal development.
Differentiate between the signs of pregnancy.
Relate the physiological changes of pregnancy to its
clinical manifestations.
Differentiate between the four major developmental
tasks associated with the psychological adaptation to
pregnancy.
Explain health promotion considerations related to
antepartal care.
Interpret diagnostic tests for antepartal clients.
Describe the pharmacological agents for antepartal
clients.
Analyze nutritional requirements for antepartal clients.
Recommend interventions to manage the discomforts of
pregnancy.
Explain various prepared childbirth education methods.
Use critical thinking to manage nursing care for
culturally diverse antepartal clients.
Evaluate expected outcomes of nursing care for
antepartal clients.
Given scenarios and/or a clinical setting, develop a nursing
care plan to provide antepartal care.
MODULE B – COMPLICATIONS OF PREGNANCY
B1.0 Utilize the nursing process to provide nursing care for maternal and child
clients.
B1.1
Given scenarios and/or a clinical setting, use the nursing
process to provide safe and effective care for clients
experiencing complications of pregnancy.
B1.1.1
B1.1.2
B1.1.3
Define terms associated with selected pregnancy
complications.
Differentiate between the roles of the practical nurse and
the registered nurse in providing care for clients
experiencing selected complications of pregnancy.
Describe methods of assessing fetal well-being.
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Maternal and Child Nursing
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B1.1.4
B1.1.5
B1.1.6
B1.1.7
B1.1.8
B1.1.9
B1.1.10
B1.1.11
B1.1.12
B1.1.13
B1.1.14
Describe selected complications of pregnancy.
Describe the pathophysiology associated with selected
complications of pregnancy.
Interpret clinical manifestations for clients experiencing
selected complications of pregnancy.
Interpret diagnostic tests for selected complications of
pregnancy.
Describe the pharmacological agents and/or treatments
for selected complications of pregnancy.
Analyze nutritional considerations for clients
experiencing selected complications of pregnancy.
Explain health promotion related to complications of
pregnancy.
Identify expected outcomes of treatment modalities for
clients experiencing selected complications of
pregnancy.
Describe the psychosocial care for clients, family, and/or
support systems experiencing selected complications of
pregnancy.
Use critical thinking to manage nursing care for
culturally diverse clients experiencing selected
complications of pregnancy.
Evaluate expected outcomes of nursing care for clients
experiencing selected complications of pregnancy.
B1.2
Given scenarios and/or a clinical setting, assess fetal well
being.
B1.3
Given scenarios and/or a clinical setting, develop a nursing
care plan for clients experiencing complications of
pregnancy.
MODULE C – INTRAPARTUM
C1.0 Utilize the nursing process to provide nursing care for maternal and child
clients.
C1.1
Given scenarios and/or a clinical setting, use the nursing
process to assist a client during intrapartum.
C1.1.1
Define key terms associated with intrapartum.
C1.1.2
C1.1.3
C1.1.4
C1.1.5
C1.1.6
C1.1.7
C1.1.8
C1.1.9
C1.1.10
Explain theories related to the onset of labor.
Differentiate between true and false labor.
Explain the maternal systemic responses to labor.
Explain the variables affecting labor.
Differentiate between the stages of labor.
Explain the process of admitting intrapartal clients.
Describe psychosocial care during intrapartum.
Interpret diagnostic tests for intrapartal clients.
Analyze nutritional considerations for intrapartal clients.
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Maternal and Child Nursing
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C1.1.11
C1.1.12
C1.1.13
C1.1.14
C1.1.15
C1.1.16
C1.1.17
C1.2
Explain various intrapartal procedures.
Explain induction/augmentation of labor.
Describe the pharmacological agents and/or treatments
during intrapartum.
Identify expected outcomes of treatment modalities for
intrapartal clients.
Recognize selected intrapartal complications.
Use critical thinking to manage nursing care for
culturally diverse intrapartal clients.
Evaluate expected outcomes of nursing care for
intrapartal clients.
Given scenarios and/or a clinical setting, provide immediate
care to the newborn.
C1.2.1
C1.2.2
Explain nursing interventions for immediate newborn
and mother care.
Explain the process of assessing a newborn using the
APGAR scoring system.
C1.3
Given scenarios and/or a clinical setting, develop a nursing
care plan to provide care during intrapartum.
MODULE D – POSTPARTUM
D1.0 Utilize the nursing process to provide nursing care for maternal and child
clients.
D1.1
Given scenarios and/or a clinical setting, use the nursing
process to assist clients with postpartal care.
D1.1.1
D1.1.2
D1.1.3
D1.1.4
D1.1.5
D1.1.6
D1.1.7
D1.1.8
D1.1.9
D1.1.10
D1.1.11
D1.1.12
D1.1.13
D1.1.14
Define key terms associated with postpartal care.
Describe the various aspects of family adaptation.
Describe postpartal physiologic changes.
Describe postpartal psychosocial changes.
Explain the Newborns’ and Mothers’ Health Protection
Act of 1995 in relation to discharging a client.
Explain aspects of health promotion related to postpartal
care.
Differentiate between the nursing care for vaginal birth
and cesarean birth.
Interpret diagnostic tests for postpartal clients.
Analyze nutritional considerations for postpartal clients.
Describe the pharmacological agents and/or treatments
during postpartum.
Explain various postpartal procedures.
Identify expected outcomes of treatment modalities for
postpartal clients.
Recognize selected complications associated with
postpartal clients.
Use critical thinking to manage nursing care for
culturally diverse postpartal clients.
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Maternal and Child Nursing
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D1.1.15
D1.1.16
D1.2
Explain teaching and learning for postpartal care and
discharge.
Evaluate expected outcomes of nursing care for
postpartal clients.
Given scenarios and/or a clinical setting, develop a nursing
care plan to provide postpartal care.
MODULE E – NEWBORN CARE
E1.0 Utilize the nursing process to provide nursing care for maternal and child
clients.
E1.1
Given scenarios and/or a clinical setting, use the nursing
process to provide newborn care.
E1.1.1
E1.1.2
E1.1.3
E1.1.4
E1.1.5
E1.1.6
E1.1.7
E1.1.8
E1.1.9
E1.1.10
E1.1.11
E1.1.12
E1.1.13
E1.1.14
E1.1.15
E1.2
Define key terms associated with newborn care.
Explain immediate care needs for a newborn.
Identify the physical characteristics of the newborn.
Explain reflexes of the newborn.
Describe behavioral characteristics of the newborn.
Describe gestational age assessment of the newborn.
Interpret diagnostic tests for the newborn.
Analyze nutritional considerations for the newborn.
Describe the pharmacological agents and/or treatments
for the newborn.
Explain selected procedures related to newborn care.
Identify expected outcomes of treatment modalities for
the newborn.
Recognize selected complications associated with the
newborn.
Recognize cultural diversity in the management of
newborn care.
Explain teaching and learning for newborn care.
Evaluate expected outcomes of nursing care for the
newborn.
Given scenarios and/or a clinical setting, develop a nursing
care plan to provide newborn care.
MODULE F – PEDIATRIC CARE
F1.0 Utilize the nursing process to provide nursing care for pediatric clients.
F1.1
Given scenarios and/or a clinical setting, use the nursing
process to provide pediatric care.
F1.1.1
F1.1.2
Define key terms associated with human growth and
development.
Define key terms associated with pediatric care.
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Maternal and Child Nursing
NUR 106
F1.1.3
F1.1.4
F1.1.5
F1.1.6
F1.1.7
F1.1.8
F1.1.9
F1.1.10
F1.1.11
F1.1.12
F1.1.13
F1.1.14
F1.1.15
F1.2
Explain the principles of growth and development
through adolescence.
Explain various theoretical perspectives of human
growth and development through adolescence.
Differentiate between the stages and characteristics of
human growth and development through adolescence.
Explain teaching and learning strategies through
adolescence.
Explain preparation of a pediatric client and family for
hospitalization.
Identify elements of a developmental assessment
through adolescence.
Differentiate between pediatric procedures and adult
procedures.
Differentiate between administering the pharmacological
agents for pediatric clients and adults.
Analyze nutritional considerations through adolescence.
Recognize cultural diversity in the management of
pediatric clients.
Explain health promotion related to pediatric clients.
Evaluate expected outcomes of nursing care for pediatric
clients.
Explain reactions and perceptions to end of life issues
for the pediatric client and family.
Given scenarios and/or a clinical setting, develop a nursing
care plan to provide pediatric care.
MODULE G – SELECTED PEDIATRIC ALTERATIONS
G1.0 Utilize the nursing process to provide nursing care for pediatric clients.
G1.1
Given scenarios and/or a clinical setting, use the nursing
process to provide pediatric care.
G1.1.1
G1.1.2
G1.1.3
G1.1.4
G1.1.5
G1.1.6
G1.1.7
G1.1.8
Define terms associated with selected pediatric
alterations.
Describe selected pediatric alterations.
Describe the pathophysiology associated with
selected pediatric alterations.
Interpret clinical manifestations for pediatric
alterations.
Interpret diagnostic tests for selected pediatric
alterations.
Describe the pharmacological agents and/or
treatments for selected pediatric alterations.
Analyze nutritional considerations for clients
experiencing selected pediatric alterations.
Explain health promotion related to selected
pediatric alterations.
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Maternal and Child Nursing
NUR 106
G1.1.9
G1.1.10
G1.1.11
G1.1.12
G1.2
Identify expected outcomes of treatment modalities
for clients experiencing selected pediatric
alterations.
Describe the psychosocial care for clients, family,
and/or support systems experiencing selected
pediatric alterations.
Use critical thinking to manage nursing care for
culturally diverse clients experiencing selected
pediatric alterations.
Evaluate expected outcomes of nursing care for
clients experiencing selected pediatric alterations.
Given scenarios and/or a clinical setting, develop a
nursing care plan to provide pediatric care.
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Maternal and Child Nursing
NUR 106
OUTLINE OF MODULES
MODULE A – ANTEPARTUM
 Anatomy and physiology associated with conception and pregnancy
 Terms
 Family
 Preconception health promotional considerations
 Fetal development
 Signs of pregnancy
 Physiological changes of pregnancy
 Psychological adaptation to pregnancy
 Prenatal education and care
 Diagnostic tests
 Pharmacological agents
 Nutrition
 Discomforts of pregnancy
 Childbirth education
 Nursing process
MODULE B – COMPLICATIONS OF PREGNANCY
 Terms
 Nursing roles
 Assessment of fetal well-being
 Complications of pregnancy
○ Hyperemesis gravidarum
○ Bleeding
○ Hypertensive disorders of pregnancy
○ Chronic medical problems
○ Infections
○ Hemolytic diseases
○ Multifetal pregnancy
○ Substance abuse
○ Preterm labor
 Pathophysiology/Clinical manifestations
 Diagnostic tests
 Pharmacological agents/treatments
 Nutritional considerations
 Health promotion
 Nursing Process
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Maternal and Child Nursing
NUR 106
MODULE C – INTRAPARTUM
 Terms and theories related to intrapartum
 Onset of labor
 Maternal responses to labor
 Variables affecting labor
 Stages of labor
 Admissions of client in labor
 Psychosocial care during intrapartum
 Diagnostic tests
 Nutritional considerations
 Obstetric procedures
 Induction/augmentation of labor
 Pharmacology
 Immediate newborn/mother care
○ APGAR
 Nursing process
MODULE D – POSTPARTUM
 Terms
 Family adaptation
 Physiologic changes
 Psychosocial changes
 Newborns’ and Mothers’ Health Protection Act of 1995
 Health promotion
 Vaginal/Cesarean birth
 Diagnostic tests Newborns’ and Mothers’ Health Protection Act of 1995
 Nutritional considerations
 Pharmacological/treatments
 Postpartal procedures
 Complications
 Nursing Process
 Teaching and learning for postpartal care and discharge
MODULE E – NEWBORN CARE
 Terms
 Care needs of the newborn
○ First bath
○ Cord care
 Physical characteristics of the newborn
○ Common variations
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Maternal and Child Nursing











NUR 106
Reflexes
Behavioral characteristics
Gestational age
Diagnostic tests
Nutritional considerations
Pharmacological agents/treatments for the newborn
Selected procedures
○ Circumcision
○ Hearing screens
○ Heel sticks
○ Serology screening
Complications
Cultural diversity
Nursing process
Teaching and learning
MODULE F –PEDIATARIC CARE
 Human growth and development terms
 Pediatric care terms
 Principles of human growth and development.
 Theoretical perspectives of human growth and development
 Stages and characteristics of human growth and development
 Teaching and learning strategies
 Preparing the pediatric client and family for hospitalization
 Developmental assessments
 Pediatric procedures
 Pharmacological agents
 Nutritional considerations
 Cultural diversity
 Health promotion
○ Screening
○ Risk factors
○ Immunizations
○ Safety
○ Lifestyle choices
 End of life issues
 Nursing process
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Maternal and Child Nursing
NUR 106
MODULE G – SELECTED PEDIATRIC ALTERATIONS
 Terms
 Selected pediatric alterations
○ Respiratory system
○ Cardiovascular system and Blood Disorders
○ Infectious disorders, Lymphatic and Immune systems
○ Gastrointestinal system
○ Musculoskeletal system
○ Endocrine system
○ Integumentary system
○ Nervous system
○ Sensory system
○ Genitourinary system
○ Psychosocial disorders
 Pathophysiology
 Clinical manifestations
 Diagnostic tests
 Pharmacological agents/treatments
 Nutritional considerations
 Health promotion
 Nursing process
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Maternal and Child Nursing
NUR 106
IX. EVALUATION AND ASSESSMENT
A. Theory
1. Tests announced or unannounced may be given throughout the course and
may incorporate various teaching/learning methods (for example:
situational, multiple choice, discussion, performances, etc).
2. All nursing exams should be taken on the day they are scheduled. In the
event of illness, bereavement, or court attendance, the student is required
to notify the course coordinator or clinical instructor PRIOR to the test.
Immediately upon return to campus, the student is required to submit
documentation which supports the absence. A make-up exam will be
given at the end of the semester IF appropriate documentation has been
provided at the time of the absence.
3. Prior to each unit exam, the student will complete PrepU Pre-tests on the
topic areas being tested. A minimum grade of 80% or mastery level must
be achieved for admission to the unit exam. If the student does not
complete the assignments according to posted deadlines, the student will
not be allowed to take the exam and a make-up exam will be taken at the
end of the semester.
4. All students are required to attend test reviews following exams. Students
who score less than 75% on unit exams are required to complete a
remediation assignment in the computer lab on a designated day. Students
must score a minimum of 80% on the remediation assignment.
Remediation assignments must be submitted to the instructor on the day of
remediation.
STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION
ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT
UNIT EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END
OF THE SEMESTER.
5. If a make-up exam is to be taken for any reason, the student must
complete a PrepU Pre-test assignment on the modules being tested before
the exam can be taken. A minimum grade of 80% or mastery level must
be achieved for admission to the make-up exam. Failure to complete the
assignment with a minimum score of 80% or mastery level will result in a
zero (0) for that make-up exam.
6. Required written assignments are due by the end of the scheduled class
period.
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Maternal and Child Nursing
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B. Clinical
1. Performance in the clinical setting is evaluated according to the form,
Evaluation of Clinical Performance. A final evaluation of satisfactory in
clinical performance is required to progress in nursing. A rating of
unsatisfactory in clinical performance will result in a grade of “F” for the
nursing course regardless of any other grading component in the course.
2. Students may not attend clinical lab until they have successfully
completed all required assignments in order to provide safe client care.
C. Computerized Tests
Students will be required to pay a testing fee to cover the expense of the
Health Education Systems (HESI) tests. The HESI tests are scheduled
throughout the nursing curriculum.
D. Course Grade
1. The course grade is a composite grade based on the following:
a. Unit tests
b. Comprehensive final examination (HESI)
c. Clinical performance evaluation
Student must achieve a grade of 75% or above in each course to continue
in the nursing program. A grade below 75% will result in a “D” or an “F”
depending on the numerical score.
2. Course and instructor evaluation by each student is required.
3. Conference with the clinical instructor is required each semester.
4. In the event of a failing grade, students are urged to see their instructor for
a conference.
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Maternal and Child Nursing
NUR 106
X. ATTENDANCE
A. Students are expected to attend all classes for which they are registered. The
student must be present 80% of the scheduled class dates in order to
demonstrate the expected course outcomes and successfully apply theoretical
concepts to the clinical practicum. Students who are unable to attend class
regularly, regardless of the reason or circumstance, should withdraw from that
class before poor attendance interferes with the student’s ability to achieve the
objectives required in the course. Withdrawal from class can affect eligibility
for federal financial aid. Withdrawal from class can prohibit progression in
nursing and allied health programs.
B. Students are expected to attend all clinical rotations required for each course.
Only excused absences (a maximum of one) will be considered for make up.
However, due to limited clinical space and time, clinical make up days cannot
be guaranteed. Failure to complete clinical rotations will prohibit progression
in nursing and allied health programs.
XI. STATEMENT ON DISCRIMINATION/HARASSMENT
The College and the Alabama Board of Education are committed to providing
both employment and educational environments free of harassment or
discrimination related to an individual’s race, color, gender, religion, national
origin, age, or disability. Such harassment is a violation of State Board of
Education policy. Any practice or behavior that constitutes harassment is a
violation of State Board of Education policy. Any practice or behavior that
constitutes harassment or discrimination will not be tolerated.
XII. AMERICANS WITH DISABILITIES
The Rehabilitation Act of 1973 (Section 504) and the American with Disabilities
Act of 1990 state that qualified students with disabilities who meet the essential
functions and academic requirements are entitled to reasonable accommodations.
It is the student’s responsibility to provide appropriate disability documentation to
the College. Please contact the ADA representative.
COURSE CALENDAR
Course Calendar will be provided to student by the first day of class.
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Maternal and Child Nursing
NUR 106
XIII. STUDENT ACKNOWLEDGEMENT FORM
I have received the Course Syllabus for NUR 106: Maternal and Child Nursing.
My signature indicates that I have read and understand the contents.
___________________________________
Student’s Signature
___________________________________
Print Name
___________________________________
Date
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Maternal and Child Nursing
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Northeast Alabama Community College
Form 1: Learning Outcomes Attachment for Career/Technical Courses
(Instructor Evaluation of Course)
Faculty regularly review the extent to which the course and program learning outcomes identified
in a course syllabus are being attained by students who complete the course. Each syllabus
identifies the assessment method that will be used to demonstrate student mastery of the desired
learning outcomes for that course. Before teaching a course, faculty should review the syllabus to
understand how the program learning outcomes will be evaluated. Once the course is complete,
this form is used by the instructor to report how well students demonstrated mastery of those
course learning (and by extension, program learning) outcomes.
Course Prefix & No.: NUR 106
Instructor: Jane Hopson
Semester: Spring
Type of Delivery – Mark One*:
Course Title: Maternal and Child Nursing
Date:
Section Number(s):
Dual Enrollment
Online
Traditional
*Double click on the appropriate box. When the form field menu appears, select “checked” under Default value.
Note: To insert or delete rows on the table, click on Table on the tool bar.
Learning Outcome
(Industry or Professional
Competency)
Evaluation Method
Evaluation Results
Explain how each learning outcome for this course is
assessed.
Of the students who earned a grade of
C or better for the course, what
percentage demonstrated attainment of
the stated outcomes?
Utilize the nursing
process to provide
nursing care for
maternal and child
clients.
The student will perform satisfactorily
in the clinical setting while providing
nursing care for maternal and child
clients. (Refer to Evaluation of Clinical
Performance - Students must score 75%
or greater in the clinical lab to progress
in the nursing program.)
Utilize the nursing
The student will perform satisfactorily
process to provide
in the clinical setting while providing
nursing care for
nursing care for pediatric clients with
pediatric clients.
health alterations. (Refer to Evaluation
of Clinical Performance - Students must
score 75% or greater in the clinical lab
to progress in the nursing program).
Use of Evaluation Results
Explain how evaluation results will be used to improve the course.
*Reviewed:
Division Chair or Program Supervisor
Date
*To be completed by Division Chair or Program Supervisor Only
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