RNSG 1412 NURSING CARE OF THE CHILDBEARING AND CHILDREARING
Course Description:
This course focuses on the study of concepts related to the provision of nursing care for
childbearing and childrearing families; application of systematic problem-solving processes and
critical thinking skill; including a focus on the childbearing family during the perinatal periods
and the childrearing family from birth to adolescence; and competency in knowledge,
judgment, skill, and professional values within a legal/ethical framework.
Prerequisites: RNSG 1443, 1360, 1247; Co-requisite: RNSG 1262
Course Objectives:
Upon completion of the course the student will be able to:
1. Utilize clinical reasoning and the nursing process guided by evidence based practice as a
framework for nursing decisions in meeting the health care needs of the childbearing
and childrearing patient and family.
2. Integrate the etiology, pathophysiology, risk factors, signs and symptoms,
complications, therapeutic interventions for the childbearing and childrearing patient
and family.
3. Integrate the four roles of the professional nurse when providing patient-centered care
for the childbearing and childrearing patient and family
4. Develop teaching plans to assist the childbearing and childrearing patient and family in
meeting their needs for health maintenance, promotion, and /or restoration.
5. Integrate legal principles from governing and accrediting agencies and ethical guidelines
when planning patient- centered nursing care.
6. Formulate goals and outcomes that promote quality and a risk free, safe environment
for all individuals.
7. Demonstrate competence and safety in the performance of selected nursing skills.
8. Analyze the role of a health care advocate when collaborating with members of the
interdisciplinary health team, determining resources that facilitate continuity of care;
health promotion, maintenance, and restoration.
9. Integrate the principles of therapeutic communication that facilitate interactions with
patients and health care members.
10. Integrate use of technology when communicating and managing information to
support decision making to improve care for individuals and their families.
11. Integrate the guidelines and responsibilities associated with delegation of nursing care.
12. Integrate measures that promote the development and practice of professional nursing.
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COURSE CONTENT
Obstetric Modules:
Module – Conception and Prenatal Development
 Reproductive anatomy and physiology
 Fetal development
Module – Providing Patient-Centered Care for the Individual during Normal Pregnancy
 Antepartum Nursing Assessment
 Physical and Psychological Changes of Pregnancy
 Patient Teaching
 Substance abuse
 Teenage pregnancy
Module – Providing Patient-Centered Care for the Individual during Fetal Assessment
 Ultrasound
 Amniocentesis
 NST / OCT
 Biophysical profile
Module – Providing Patient-Centered Care for the Individual during Normal Labor and
Delivery
 Process and Stages of Labor and Delivery
 Physiology of Labor
 Signs of Labor
 Nursing care for the laboring patient
 Pain management
Module – Providing Patient-Centered Care for the Individual during Intrapartum Fetal
Monitoring
 Normal and Abnormal patterns
 Nursing care
Module – Providing Patient-Centered Care for the Individual during Normal Postpartum
 Physiological changes of involution by body system
 Nursing care
Module – Providing Patient-Centered Care for the Normal Newborn
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Transition to extrauterine life
Admission to the Nursery
Nursing assessment of the Newborn
Nursing Care
Module– Providing Patient-Centered Care for the Individual with Complications of Pregnancy
 Bleeding Disorders
o Abortions
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o Ectopic pregnancy
o Hydatiform mole
o Placenta previa
o Abruptio placenta
o DIC
Preeclampsia/ Eclampsia / HELLP
Fetal Demise
Hyperemesis Gravidarum
Diabetes
Heart Disease
Infections
o Urinary Tract
o TORCHA
Module – Providing Patient-Centered Care for the Individual with Complications of Labor and
Delivery
 Uterine dystocia
 Pelvic dystocia
 Fetal dystocia
 Premature Rupture of Membranes
 Preterm Labor
 Precipitous delivery
 Prolapse of the Umbilical Cord
 Amniotic fluid embolism
 Uterine Rupture
 Chorioamnioitis
Module – Providing Patient-Centered Care for the Individual with Complications of
Postpartum
 Postpartum Hemorrhage
 Puerperal Infection
o Urinary Tract infection
o Mastitis
o Breast Abscess
 Puerperal mental health disorders
o Depression
o Schizophrenia
Module – Providing Patient-Centered Care for the High Risk Neonate
 Characteristics of the Preterm and Postterm baby
 Respiratory Distress Syndrome
 Necrotizing Enterocolitis
 Opthalmia neonatorium
 Fetal alcohol syndrome
 Hyperbilirubinemia
 Infant of diabetic mother
 Drug addicted baby
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Hyperbilirubinemia
TORCHA infections
Module– Providing Patient-Centered Care for the Individual with Infertility
 Assessment of the Male and Female reproductive systems
 Diagnostic testing for the Male and Female
 Treatment modalities for infertility
Module – Providing Patient-Centered Care for the Individual seeking Contraception
 Natural Family Planning
 Chemical barriers
 Mechanical barriers
 Hormonal therapy
 Nursing Care
Pediatric Modules:
Module – Providing Patient-Centered Care for the Hospitalized Child
Module - Growth and Development/ Safety and Prevention
Module – Providing Patient-Centered Care for the Child with a Respiratory Disorder
 Otitis media / serous otitis media
 Tonsillitis / Adenoiditis
 Croup
 Epiglotitis
 Bronchiolitis
 Apnea
 Sudden Infant Death Syndrome
 Asthma / Reactive airway disease (RAD)
 Cystic Fibrosis
Module – Providing Patient-Centered Care for the Child with a Cardiovascular Disorder
 Congestive Heart Failure
 Congenital Heart Disease
o Types
o Open heart surgery
 Acquired cardiac diseases
o Kawasaki disease
o Rheumatic fever
Module– Providing Patient-Centered Care for the Child with a Gastrointestinal Disorder
 Cleft lip and palate
 Esophageal atresia / tracheophageal fistula
 Gastroesophageal reflux disease(GERD)
 Diarrhea/ gastroenteritis / metabolic acidosis/ dehydration
 Appendicitis
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Pyloric stenosis
Intussusception
Vovolus
Hirschsprung Disease
Failure to Thrive
Celiac disease
Umbilical hernia
Imperforate anus
Omphalocele
Module – Providing Patient-Centered Care for the Child with a Genitourinary Disorder
 Vesicoureteral reflux
 Defects (define only)
o Hypospadias / epispadias
o Cryptorchidism
 Acute Glomerulonephritis
 Nephrotic syndrome
Module – Providing Patient-Centered Care for the Child with a Neurological Disorder
 Increased intracranial pressure
 Spina bifida/ Myelomeningocele
 Hydrocephalus
 Cerebral Palsy
 Seizure disorders / Epilepsy
 Meningitis
 Downs syndrome
Module– Providing Patient-Centered Care for the Child with a Hematologic disorder or
Cancer
 Sickle cell anemia
 Hemophilia
 Leukemia
o Cancer treatment modalities
 Wilms tumor
Module– Providing Patient-Centered Care for the Child with a Musculoskeletal Disorder
 Clubfoot
 Dysplasia of the hip
 Fractures
 Muscular dystrophy
 Scoliosis
Module– Providing Patient-Centered Care for the Child with an Integumentary Disorder
 Impetigo
 Candidiasis
 Tinea infections / ringworm
 Pediculosis / Lice
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Scabies
Acne
Coordinator of Care
I. The Health Care Delivery Team
A. Members related to the obstetric and pediatric health team
II. The Health Care Delivery System
A. Issues and Trends impacting obstetric and pediatric nursing
B. Continuity of Care
1. Referral process for the obstetric and pediatric patient
2. Discharge planning for the obstetric and
pediatric patient and family
III. Coordinator of Care – Professional Communication
A. Intra-inter disciplinary channels of communication
IV. Coordinator of Care – Legal Aspects
A. Patient rights of the obstetric and pediatric patient
1. confidentiality
2. refusal of treatment
3. informed consent
Member of the Profession
Nursing as a Profession
A. Responsibility and Accountability
1. Adhering to the policies and procedures
for the obstetric and pediatric patient
B. Professional values of the Nurse
1. Commitment to the obstetric and pediatric patient
2. Professional demeanor
II. Member of the Profession -- ethical aspects
A. Ethical standards related to obstetric and pediatric nursing
B. Ethical dilemmas related to obstetric and pediatric nursing
I.
Labs:
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Postpartum Assessment
Infant Feeding
 Breast feeding
 Bottle feeding
Newborn Assessment
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