COURSE NUMBER NGR 6366 Section IH02

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UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
Spring, 2016
COURSE NUMBER
NGR 6366 Section IH02
COURSE TITLE
Nurse-Midwifery Care I
CREDITS
03
PLACEMENT
DNP Program: Nurse-Midwifery Track
PREREQUISITE
NGR 6002C: Advanced Health Assessment and Diagnostic
Reasoning
NGR 6140
Physiology and Pathophysiology for Advanced
Nursing Practice
NGR 6636
Health Promotion and Role Development in
Advanced Nursing Practice
PRE/COREQUISITES
NGR 6172
NGR 6365
NGR 6366L
FACULTY
Anita Lenas DNP, FNP, CNM
alenas@ufl.edu
may email or text anytime
Pharmacotherapeutics for Advanced Practice
Nursing
Primary Care for Nurse –Midwifery Practice
Nurse-Midwifery: Care of Women and Neonates
Clinical I
(Office) 386-972-4051
(Cell) 386-972-4051
Office Hours: Monday 2-6pm
Thursday 10a-2p
COURSE DESCRIPTION This course provides the knowledge, theory, and research
necessary for the management of normal and developmental health care for females from puberty
through senescence. The focus is on neonates and females at low risk for complications.
Emphasis is on evidence-based, patient-centered assessment, diagnosis, and management plans
for full-scope nurse-midwifery care of healthy females and neonates. Principles of consultation,
collaboration and referral are introduced. The American College of Nurse-Midwives Core
Competencies and Standards of Practice are used as a basis for planning care.
COURSE OBJECTIVES
Upon completion of this course, the student will be able to:
1. Synthesize knowledge, theory and research findings from nursing and other disciplines
into assessment, diagnostic, and health care management plans for females and neonates
at low risk for complications.
NGR 6366 - Section IH02 – Spring 2016 - Lenas
2. Synthesize knowledge of normal physiologic and psychosocial parameters of female
health from puberty through senescence.
3. Develop comprehensive assessment and diagnostic plans that are evidence based and
patient centered.
4. Describe national, state, and local administrative resources that facilitate and complement
comprehensive health care for females and neonates.
5. Discuss how interdisciplinary consultation, collaboration, and referral ensure continuity
of care and optimal health care delivery.
6. Differentiate the nurse-midwifery role from other health care practitioner roles in the
provision of care to females and neonates.
7. Discuss legal guidelines and ethical principles that promote informed decision making for
females and neonates at low risk for complications.
8. Utilize the nurse-midwifery management process to assess and plan patient centered care
for delivery in hospitals, birthing centers and out of hospital environments.
COURSE SCHEDULE
E-Learning in Sakai is the course management system that you will use for this course. ELearning in Sakai is accessed by using your Gatorlink account name and password at
http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login
site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send
email to helpdesk@ufl.edu.
It is important that you regularly check your Gatorlink account email for College
and University wide information and the course E-Learning site for announcements and
notifications.
Course websites are generally made available on the Friday before the first day of classes.
Online lectures weekly with two hours of ADOBE CONNECT discussion
TOPICAL OUTLINE
I. Anatomy and physiology of
A. The female from puberty through senescence, including the childbearing female,
B. The fetus and the neonate from labor onset through immediate postpartum period
C. Mechanisms of labor, fetal positions and presentations.
II. Use of the nurse midwifery management process in antepartal, intrapartal, postpartal,
neonatal, and gynecologic care delivery
A. Assessment components
1. Nutritional needs
NGR 6366 - Section IH02 – Spring 2016 - Lenas
2.
3.
4.
5.
6.
7.
Risk assessment
Recognition of labor and its role in the birth of the neonate.
Etiology of pain during parturition
Recognition and classification of lacerations of the birth canal
Neonatal status and gestational age.
Post birth assessment: delivery and inspection of the placenta, assessment
and evaluation of the birth canal, inspection of the cervix and vagina.
8. Emotional and psychosocial changes including:
a) Maternal/infant/family attachment
b) Grief/loss processes
9. Developmental issues, including age and aging
a) Special needs of laboring females under age 20 and 35 years and
above
10. Human sexual response including sexual problems, PLISSIT, counseling
11. Undesired pregnancy
12. Fertility issues, including preconception/ assisted fertility
13. Variations in health care practices related to clinical conditions, ethnic
groups, sexual preference/practices or vulnerability, and belief systems.
B. Management plan components
1. Diagnostic
a) Common laboratory and diagnostic tests
b) Diagnosis and evaluation of the normal course of labor, birth and
the immediate postpartum period
2. Therapeutic
a) Pharmacologic and non-pharmacologic treatments
b) Initiation of labor
c) Lactation and methods for facilitation and suppression
i. Mastitis/engorgement/sore nipple treatment
d) Selection of appropriate perineal repair techniques
3. Education
a) Health promotion and illness prevention strategies
b) Client education, including childbirth and lactation
4. Referral and follow-up
a) Referral/ Resources including national, state, and local agencies
III. Role issues
A. Nurse midwifery professional role compared and contrasted to other health care
provider roles
B. Legal guidelines and ethical perspectives for nurse-midwifery that promote
informed decision-making in clients.
TEACHING METHODS
Lecture, case studies, discussion, demonstration, simulations, and readings.
NGR 6366 - Section IH02 – Spring 2016 - Lenas
LEARNING ACTIVITIES
Individual and group study, paper comparison of underrepresented populations and clinical
condition
EVALUATION
Written examinations 45%
Written assignments
45% (30 points paper/15 points presentation)
Class participation
10%
Attendance at Dorothy Smith lectureship (Feb 6-7, 2014) 1% extra credit
Note: every effort will be made to return assignments within 10 working days
MAKE UP POLICY
Requirements for class attendance and make-up exams, assignments, and other work are
consistent with university policies that can be found at:
http://gradcatalog.ufl.edu/content.php?catoid=5&navoid=1054#attendance
Students are expected to be present for all classes, other learning experiences and examinations.
Students who have extraordinary circumstances preventing attendance should explain these
circumstances to the course instructor prior to the scheduled class as soon as possible.
Instructors will make an effort to accommodate reasonable requests.
A grade penalty may be assigned for late assignments or make-up exams. Make-up exams may
not be available in all courses.
GRADING SCALE/QUALITY POINTS
A
95-100 (4.0)
C
A93-94 (3.67)
CB+
91- 92 (3.33)
D+
B
84-90 (3.0)
D
B82-83 (2.67)
DC+
80-81 (2.33)
E
74-79* (2.0)
72-73 (1.67)
70-71 (1.33)
64-69 (1.0)
62-63 (0.67)
61 or below (0.0)
* 74 is the minimal passing grade
For more information on grades and grading policies, please refer to University’s grading
policies: http://gradcatalog.ufl.edu/content.php?catoid=4&navoid=907#grades
UNIVERSITY AND COLLEGE OF NURSING POLICIES:
Please see the College of Nursing website for a full explanation of each of the following
policies - http://nursing.ufl.edu/students/student-policies-and-handbooks/course-policies/.
Attendance
Academic Honesty
UF Grading Policy
NGR 6366 - Section IH02 – Spring 2016 - Lenas
Accommodations due to Disability
Religious Holidays
Counseling and Mental Health Services
Student Handbook
Faculty Evaluations
Student Use of Social Media
REQUIRED
All texts from previous DNP courses
American College of Nurse-Midwives (ACNM) http://www.acnm.org/
Core Competencies for Nurse-Midwifery Practice (2012)
The Standards for the Practice of Nurse-Midwifery (2011)
The ACNM Code of Ethics (2008)
REQUIRED TEXTS
Beckmann, C., Ling, F., Smith, R. & Barzansky, B. (2014) Obstetrics and Gynecology (7th ed).
Philadelphia, PA: Lippincott Williams & Wilkins
Gabbe, S., Simpson, J. L., Niebyl, J. R., Galan, H., Goetzl, L., Jauniaux, E.R. & Landon, M (2012)
Obstetrics: Normal and Problem Pregnancies (6th ed). Philadelphia, PA: Churchill Livingstone
Hatcher, R. A., Trussell, J., Nelson, A.L., Cates, W., Stewart, F., & Kowal, D. (2011). Contraceptive
technology (20th ed.). New York, NY: Ardent Media.
Posner, G., Dy, J., Black, A., & Jones, G. (2013). Oxorn-Foote: Human labor and birth (6th
ed.). Norwalk, CT: Appleton & Lange.
King, T., Brucker, M., Kriebs, J., & Fahey, J. (2013). Varney’s midwifery (5th ed.). Sudbury,
ME: Jones and Bartlett.
RECOMMENDED TEXTS
Briggs, G.G, Freeman, R.K., & Yaffe, S.J. (2011). Drugs in pregnancy and lactation (9th ed.).
Philadelphia, PA: Lippincott Williams & Wilkins.
Cunningham, F. G., Leveno, K. J., Bloom, S.L., Hauth, J.C., Gilstrap, L. C., & Wenstrom, K.D. (2009).
Williams Obstetrics (23rd ed.). Columbus OH: McGraw-Hill.
NGR 6366 - Section IH02 – Spring 2016 - Lenas
Gordon, J. D., Rydfors, J., Druzin, M.L., Tadir, Y., El-Saved, Y., Chan, J., Lebovic, D., Langen, E. &
Fuh, K. (2007). Obstetrics, Gynecology and Infertility: Handbook for Clinicians; Pocket Edition.
Arlington, VA: Scrub Hill Press
Varney, H. (2009). Varney’s Pocket Midwife (2nd ed). Sudbury, ME: Jones and Bartlett.
Youngkin, E. Q., Davis, M. S., Schadewald, D.M., & Juve, C. (2013). Women’s Health: a primary
health guide. (4th ed.). Upper Saddle River, NJ: Pearson Education Inc.
NGR 6366 - Section IH02 – Spring 2016 - Lenas
WEEKLY SCHEDULE
Date
UF MIDWIFERY
BOUND
CON Gainesville
LAB
01/11/16
Monday 9-5pm
evening TBA
UF MIDWIFERY
BOUND
1/12/16
Tuesday 9-4
Lecture
Introduction to Spring semester and
simulation lab work, role of the midwife
DVDs (CON classroom, Gainesville Fl)
L&D Lab (Normal birth, fetal monitoring,
vaginal examination)
Suture Lab- management of the perineum
IUPC, IFSE, local infiltration, other
procedures
Examination of the newborn
CON Gainesville
LAB
1/04/16
l/11/16
Mock Clinical Encounter
Menstrual Cycle / Ovulation
A & P of Labor
Normal Labor Stage I
Normal Labor Stage II
A& P Of Pregnancy/Fetal
development/pelvimetry/fetopelvic
relationships
Readings
CANVAS
Handouts online
V Part V 795-1100 Intrapartum
G Chapters 13 & 16
O Part 2 Chapters 9-12
CANVAS
Handouts online
V Chapter 29E
G Chapter 13
V Chapter 38
B Chapter 10
G Chapter 21
V Chapter 22C
CT Ch 2
G Ch 13
V Part V; OF Part 2 & 3
V Ch 25; OF Part 1
Mechanisms of Labor
1/18/16
Prenatal Care
V Ch 22
G Ch 6 & 7
Normal laboratory values in pregnancy and
birth
V Ch 21 & 22, G Ch 10 & 11,
Appendix 1
Labor Support/Non-pharmacological
methods of pain relief
Pharmacological pain relief
V Ch 23
G Ch 17
NGR 6366 - Section IH02 – Spring 2016 - Lenas
1/25/16
EXAM I
Grief; Attachment and Loss
3rd & 4th stage
02/01/16
02/08/16
Newborn exam, transition to extrauterine
life; hyperbilirubinemia
Dorothy Smith Lecture UF GNV
February 6-7 2014
Newborn infections / Social issues
Common discomforts of pregnancy
02/15/16
Lactation, breastfeeding, and mastitis
02/22/16
EXAM II
Menopause, HRT/ well woman exam
February 29-March 04
Resources on CANVAS
V pp 754-755
G pp 604-605
V Ch 31
Newborn handouts online
V Ch 38A
OF Ch 39
G Ch 21
G Ch 21
V Part VII
B Ch 2
B Ch 11 V Ch 36
G Ch 23
Y Ch 22
V Ch 19 & Primary Care
Appendices A-E
B Ch 1 & 41
Y Ch 5, 6 &18
SPRING BREAK – NO CLASS
03/07/16
Nutrition / weight management
G Ch 7
CANVAS handouts
03/14/2016
Undesired pregnancy
CANVAS handouts
V Ch 16
G Ch 16
Cord blood gas analysis
PAPER DUE
03/21/16
Gender and Sexuality in pregnancy, birth and
NGR 6366 - Section IH02 – Spring 2016 - Lenas
women’s health- issues and counselling
CANVAS handouts and web
links
B Ch 35
03/28/16
Mental Health in pregnancy and birth
G Ch 52
B pp134-135
04/04/16
Role of the Midwife- including legal and
ethical perspectives
Live presentation via
ADOBE CONNECT
required attendance
Speaker TBA
previously
(Cele Jevitt PhD)??, CNM
Yale University and students
Role of allied agencies and health promotion
in women’s health:
04/11/16
CANVAS handouts
WIC, Healthy Start, La Leche league;
Peaceful Paths
V Ch 1 & 2
Fertility issues
Live presentation via
ADOBE CONNECT
required attendance
TBA fertility specialist
04/18/16
(Alice Rhoton MD) ??
EXAM III
PRESENTATIONS online
Abbreviations for texts:
V- Varney
G- Gabbe
O- Oxorn-Foote
Y- Youngkin
B- Beckmann
Approved: Academic Affairs Committee:
Faculty:
UF Curriculum:
NGR 6366 - Section IH02 – Spring 2016 - Lenas
06/09
06/09
10/09
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