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 The Alabama College System Copyright 2004 All Rights Reserved 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. The Alabama College System Copyright 2004 All Rights Reserved 2 Maternal and Child Nursing NUR 106 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. The Alabama College System Copyright 2004 All Rights Reserved 3 Maternal and Child Nursing NUR 106 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. The Alabama College System Copyright 2004 All Rights Reserved 4 Maternal and Child Nursing NUR 106 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. The Alabama College System Copyright 2004 All Rights Reserved 5 Maternal and Child Nursing NUR 106 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. The Alabama College System Copyright 2004 All Rights Reserved 6 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. The Alabama College System Copyright 2004 All Rights Reserved 7 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. The Alabama College System Copyright 2004 All Rights Reserved 8 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 The Alabama College System Copyright 2004 All Rights Reserved 9 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 The Alabama College System Copyright 2004 All Rights Reserved 10 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 The Alabama College System Copyright 2004 All Rights Reserved 11 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 The Alabama College System Copyright 2004 All Rights Reserved 12 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. The Alabama College System Copyright 2004 All Rights Reserved 13 Maternal and Child Nursing NUR 106 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. The Alabama College System Copyright 2004 All Rights Reserved 14 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. The Alabama College System Copyright 2004 All Rights Reserved 15 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 The Alabama College System Copyright 2004 All Rights Reserved 16 Maternal and Child Nursing NUR 106 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 The Alabama College System Copyright 2004 All Rights Reserved 17