SOUTHWEST TEXAS JUNIOR COLLEGE
ASSOCIATE OF APPLIED SCIENCE IN NURSING DEGREE
LVN to RN Transition Program
2401 Garner Field Road
Uvalde, TX 78801-6221
COURSE SYLLABUS
RNSG 2362 Maternal/Newborn Nursing and Women’s Health
Clinical Course
Course Title:
Course Description: A health-related work-based learning experience that enables the
student to apply specialized occupational theory, skills, and
concepts. Direct supervision is provided by the clinical
professional. (WECM)
Level: Intermediate
Course Objectives/Outcomes: Upon completion of the requirements for this course, the
student will be able to:
PROVIDER OF CARE
1. Apply the theory, concepts, and skills involving specialized
materials, tools, equipment, procedures, regulations, laws, and
interactions within and among political, economic,
environmental, social, and legal systems associated with the
occupation and teamwork skills. (WECM)
2. Apply nursing process to the care of childbearing families and
women with selected alterations in reproductive health.
3. Implement methods to evaluate individual client and family
responses to therapeutic modalities utilized to promote
adaptation.
4. Apply pharmacological principles necessary in caring for
childbearing families and women with alterations in
reproductive health.
5. Utilize critical thinking skill, nursing literature findings, and
socio-cultural knowledge to plan care for childbearing families.
COORDINATOR OF CARE
6.
Demonstrate appropriate written and verbal communication
kills using the terminology of the occupation and the
business/industry. (WECM)
7. Collaborate with the interdisciplinary health care team in
providing nursing care to childbearing families and/or women with
selected alterations in reproductive health.
8. Demonstrate appropriate documentation of the provision of
nursing care to childbearing families and/or women with selected
alterations in reproductive health.
9. Utilize critical thinking to set priorities in the management of
nursing care for childbearing families and/or women with
alterations in reproductive health.
10. Advocate for clients, family and self in providing a safe
environment.
MEMBER OF A PROFESSION
11. Communicate nursing knowledge and learning needs as they
relate to childbearing families and/or women with alterations in
reproductive health to instructors.
12. Demonstrate professional attributes when providing nursing
care to childbearing families and/or women with selected
alterations in reproductive health.
13. Demonstrate legal and ethical behavior, safety practices,
interpersonal and teamwork skills.
14. Administer care to mother and infant based on ethical/legal
principles using the Texas Nursing Practice Act, American Nurse
Association Code of Ethics and Standards of Care.
Content Outline:
The following topics will be discussed during pre and post
conference:
Unit I.
Orientation to the Obstetric and Nursery area.
1.
Review of the pharmacology examination
2.
Review Assessment of the Adult Patient
Unit II
Nursing Management of the Prenatal Client
1.
Admission of the Ante-partum Client
2.
Prenatal Physical Assessment
A.
Fundus Height Measurement
B.
Leopold’s Maneuvers to determine
Position and Presentation
C.
Maternal Physical Assessment
3.
Assessment of Fetal Status
A.
B.
C.
4.
5.
7.
.
6.
Fetal Heart Tone/rate
External fetal monitoring technique
Fetal Heart Rate patterns and
periodic changes
D.
Non-stress test
E.
Fetal Activity Status
Assessment of the expectant family’s
response to pregnancy
Administration of medications using the five
rights and evaluation of expected and
adverse response
Assess for labor or progress of premature
labor
Report and record admission findings
Unit III.
Nursing Management of the Client During Labor
1.
Admission procedure for a client in labor
2.
Evaluation of labor progression related to
the four stages.
3.
Assess fetal heart patterns and report fetal
distress
4.
Evaluate rupture of membranes and use
appropriate intervention
Unit IV.
Nursing Management of the Client During Delivery
1.
Evaluate Newborn at birth
A.
Airway
B.
Warmth
C.
Gentle Handling
D.
Identification
2.
Use appropriate supportive and therapeutic
nursing interventions immediately post
delivery
3.
Prepare mother for post partum evaluation
A.
Pelvic Examination
B.
Removal of placenta
4.
A.
Promote the attachment process
B.
Assess level of pain
C.
Use appropriate comfort measures
5.
Recognize and report common maternal and
fetal problems during labor.
6.
Promote the use of psycho-prophylactic and
prepared childbirth methods
7.
Foster maternal/parental self-esteem
8.
Report/record events as appropriate
Unit V.
Nursing Management of the Post-delivery Client
1.
Admission of Mother to Post Partum
2.
Evaluate condition of fundus
3.
Evaluate lochia
4.
Assess status of breasts and breast-feeding
intent
5.
Assess physiologic and psychologic changes
in the puerperium
6.
Report changes indicative of complications
7.
Report and record activities and conditions
8.
Promote comfort during puerperium
9.
Evaluate mother-father-infant interactions
10.
Prevent infection
11.
Promote safety and provide privacy
12.
Administer medications as ordered
13.
Administer cold/heat treatments to promote
healing, reduce swelling and provide
comfort to the perineal area
14.
Monitor elimination and manage if
abnormal
15.
Provide information, literature and resources
for family planning
16.
Compare and contrast primi-gravida and
multi-gravida bonding process
17.
Discharge instruction and documentation on:
A.
Perineal care
B.
Danger signs of infection
C.
Breast Infections
D.
Medications
F.
Breast feeding
G.
Bottle feeding and care
H.
Activity, house work, exercise and
rest
I.
Follow-up medical care
J.
Return to work
K.
Meds that pass through milk
L.
Signs of sub-involution and
hemorrhage
M.
Postpartum blues
Unit VI.
1.
2.
3.
Nursing Management of Neonate
Admission of neonate to nursery
Neonatal physical assessment
Neonatal measurements
A.
Weight
B.
Length
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Credit Hour Allocation:
Co-requisite Didactic Course:
C.
Head Circumference
D.
Chest Circumference
Neonatal vital signs
Gestational age assessment
Neonatal behavioral assessment
Assessment of parental attachment
Administration of neonatal medications
safety
Maintenance of neonatal neutral temperature
zone
Implementation of neonatal neutral
temperature zone
Evaluation of feeding: breast and bottle
A.
Infant readiness
B.
Parental responses
C.
Teaching
Infant care tasks
A.
Bathing
B.
Umbilical cord care
C.
Diapering, clothing
D.
Positioning
Discharge of neonate
A.
Teaching of parents
B.
Return visits for testing (Neonatal
Screen)
C.
Pediatric supervision-return visit
D.
Safety Measures
E.
Sleep/wake cycles
F.
Feeding
G.
Growth and Development
H.
Community resources
I.
Use of infant seat
3 Semester Credit Hours (144 Clinical Hours)
RNSG 2208 Maternal/Newborn Nursing and
Women’s Health
Credit Hour Allocation for Co-requisite Didactic Course:
2 Semester Credit Hours
Required Textbooks: Current Student Handbook for Nurses
Syllabus: RNSG 2362 Maternal/Newborn Nursing and Women’s
Health Clinical Course
Loudermilk, D. L. and Perry, S. E.,(2007). Maternity & Women’s
Health Care. 9th Edition. Elsevier-Mosby: St. Louis
Required References:
Adams, M., et al.(2000). Pharmacology for nurses: A
Pathophysiologic Approach. Upper Saddle River, New Jersey:
Pearson Prentice.
Pagano, K. & Pagano, T. (2007). Manual of Diagnostic and
Laboratory Tests (2nd Ed.). St. Louis: C.V. Mosby.
Evaluation Criteria:
Completion of Clinical Management
for Mother and Infant
55%
Written Documentation of Medications During
Labor
10%
Post Conference Presentation on Nutrition
10%
Completion of Skills and Scenarios with Simulation 25%
Tools to Measure Progression:
Weekly Evaluations of Planning & Implementing Care
Criteria for Completion of Activities and Scenarios with
Simulation
Student Learning Activities:
Clinical Experience with Labor, Delivery and Post Partum
Clinical Experience with Care of Infant
Simulation Activities with Mother and Infant
Grading Policies:
A minimum grade of 75% is necessary to receive a passing coursegrade
of “C” or higher.
 Students are expected to attend all scheduled clinical experiences.
 A student absent from clinical will receive a grade of (0) for the
day.
 A clinical absence cannot be made up.
 A student who will be late or absent must call the assigned unit at
least 30 minutes prior to the beginning of the clinical day.
 Nursing faculty assigned must be notified of intended absence
 A violation of Minimum Safe Standards will result in a grade of
(0) for that clinical day.
 Students are expected to respond to the faculty member’s request
for conferences regarding clinical work.


Alternative clinical assignments such as orientation or observation
experiences will be calculated according to the objectives that
apply for the day.
At the end of the course, students must schedule an appointment
with the faculty member to review the final clinical evaluation.
RATING SCALE FOR CLINICAL GRADING
The following criteria will be followed to complete the evaluation form:
5
Demonstrates outstanding clinical performance in a self-directed manner;
seeks guidance or assistance when necessary to meet established criteria.
4
Demonstrates above average clinical performance with minimum
guidance or assistance and seeks assistance when necessary to meet
established criteria.
3.
Demonstrates deficiencies in clinical performance and must be reminded
and assisted to meet established criteria.
2.
Demonstrates below average clinical performance and needs frequent
guidance and assistance to meet established criteria.
1.
Demonstrates poor clinical performance needing constant guidance and
assistance to meet established criteria.
0
Fails to meet established criteria
NA
Non-applicable or no opportunity
75% is minimum passing grade.
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