KAPI'OLANI COMMUNITY COLLEGE University of Hawai'i COURSE OUTLINE (Form: 02/02/02) NURS 128 Perinatal Nursing 1. COURSE INFORMATION: (3/13/06) NURS 128 Perinatal Nursing number of credits? Summer 6 hours lecture, 18 hours lab/clinical per week for 4 week Prerequisite(s): A grade of “C” or higher in NURS 101; a grade of “C” or higher in NURS 120; a grade of “C” or higher in NURS 122; a grade of “C” or higher in NURS 126; a grade of “C” or higher BIOL 130; and a grade a “C” or higher in FAMR 230. NURS 128 Perinatal Nursing focuses on the nursing theory and skills necessary for the care of mothers and newborns from varied cultural backgrounds, during and after birth. Knowledge is applied in client care situations in obstetrical settings. COMMENTS: Comment: NURS 128 is offered in the summer only. NURS 128 may not be audited; NURS 128 may not be taken for credit/no credit. Students must pass all math, theory, and clinical components in order to pass the course. 2. COURSE OBJECTIVES/COMPETENCIES: Upon successful completion of NURS 128, the student should be able to: 3. Apply knowledge and skills previously acquired from FAMR 230 and NURS 122 to the care of the new mother and newborn. Describe the scope and aims of maternity nursing. Perform safe, culturally appropriate nursing care for the woman during the antepartum, intrapartum, and postpartum periods. Perform safe nursing care for the newborn. GENERAL EDUCATION AND RELATIONSHIP TO OTHER COURSES: NURS 128 is a required course in the PRACN curriculum. It focuses on the application of nursing care skills in the care of women during pregnancy and birth, and the care of the newborn. It builds on the nursing knowledge and skills gained in NURS 120, NURS 101, and NURS 122, and on the understanding of biological needs of humans gained in BIOL 130. An understanding of developmental needs and appreciation of the changing role of the expanding family comes from FAMR 230, Human Growth and Development. NURS 128 COL 1 This course supports the following college competency areas: Computation and communication abilities Values for living Quality of life as affected by technology and science Awareness of the dynamics in contemporary issues Problem-solving and decision-making abilities Responsiveness to the arts and humanities Career choices and life-long learning Study in a selected program NURS 128 satisfies the following program competencies: 4. Successfully complete the NCLEX licensure examination for practical nursing. Function as a member of the health care team under the supervision of the RN and/or MD. Participate in the planning, implementation, and evaluation of nursing care. Administer safe nursing care for clients throughout the life span. Identify the legal and ethical responsibilities of the practical nurse. COURSE CONTENT: I. Introduction of perinatal nursing 1 hour II. Nursing care in perinatal nursing A. vital statistics relating to fertility and birth B. review of reproductive anatomy and physiology C. culture and reproduction 3 hours III. Nursing care of the antepartal woman A. signs and symptoms of pregnancy B. fetal and maternal development in pregnancy C. common discomforts of pregnancy D. childbirth preparation 3 hours IV. Nursing care during the intrapartum period A. signs and symptoms of false/true labor B. assessment of fetal well-being C. assisting the laboring woman D. warning signs in pregnancy 3 hours V. Nursing care during the postpartum period A. physiological changes during involution B. psychological changes during the postpartum period C. postpartal care. D. teaching related to infant feeding, infant and self-care E. postoperative cesarean section and PPS care 3 hours NURS 128 COL 2 F. assessment and management of postpartal complications VI. Nursing care of the newborn A. newborn assessment B. infant care and feeding C. facilitating parent-child bonding 3 hours VII. Pregnancy complications A. spontaneous abortion B. preterm labor C. infections, teratogens D. placental complications E. gestational diabetes F. hypertensive disorders of pregnancy 3 hours VIII. Newborn complications A. care of the premature and postmature infant B. care of the newborn and an infection C. assessment and management of birth trauma 3 hours IX. Family planning A. overview of fertility control B. types and uses of birth control C. infertility 2 hours 5. POSSIBLE TEXTS: Asperheim, M.K. (2005). Introduction to pharmacology, 10th edition. Elsevier Saunders. Brown and Mulholland (2004). Drug calculations: process and problems for clinical practice, 7th edition. Elsevier Saunders. deWit (2005). Fundamental concepts and skills for nursing w/ 3 CDs. Elsevier Saunders. deWit (2005). Student learning guide to accompany fundamental concepts and skills in nursing. Elsevier Saunders. Klossner, M.J., and Hatfield, N.T. (2006). Introductory maternity and pediatric nursing. Lippincott Williams & Wilkins. Nix, S. (2005). Basic nutrition and diet therapy, 12th edition. Elsevier Saunders. Nursing Department (current year). NURS 128 Course Competencies and handouts. Honolulu: Kapi’olani Community College. NURS 128 COL 3 Nursing Department (current year). Skills Standards. Honolulu: Kapi’olani Community College. Tabor’s Cyclopedic Dictionary, 20th edition. (2004). F.A. Davis. Williams and Hopper (2003). Understanding medical surgical nursing. 6. METHODS OF INSTRUCTION: A variety of teaching methods are utilized including: Lecture Guest speakers Demonstrations Videos/DVD’s Small group discussions Student presentations Clinical/lab experiences 7. METHOD OF EVALUATION: Theory: Exams (4 at 25% each) Newborn Assessment 100% Pass/Fail ??? Postpartum Assessment Family planning oral presentation Total Pass/Fail Student & instructor written critique 100% Clinical: The clinical component of the course is pass or non-pass. Student clinical evaluations are based on midterm and final clinical evaluations. These evaluations are based on the clinical objectives, preplanning, clinical performance, and written assignments. The student must pass each clinical rotation in order to pass the theory portion of the course. ??? Math: The student has opportunities to pass a (singular) math exam with 100% accuracy by the date indicated on the course syllabus. BEFORE the official withdrawal date? Department calculators may be used. The student must receive 100% on each math test (plural?) in order to pass the math portion of the course. Grading Scale: 90 - 100% = A 80 - 89% = B 70 - 79% = C NURS 128 COL 4 60 - 69% = D less than 60% = F Whatever method of evaluation is used, it is understood that the instructor reserves the right to make necessary and reasonable adjustments to the evaluation policies outlined. 8. 9. JUSTIFICATION: A. This curriculum change is required for a 5 year cyclic review. B. This is not an experimental course. C. There are no changes in number of credits or required hours for this course. RESOURCE REQUIREMENTS: A. The source of funding remains unchanged. Since this is an update of the course, there are no increases in staffing, supplies, or equipment needs. B. This course does not impact any other departments. C. Maximum enrollment per class section is 30. The estimated number of sections to be offered per semester is one. 10. ARTICULATION: A. Hawaii Community College has an identical course as follows: NURS 126 3 credits Hawaii Community College is the only other college in the University of Hawaii system offering this course. B. This course is not appropriate for articulation with the University of Hawaii at Manoa General Education Core Requirements. C. This course is not appropriate for articulation with any other department or college requirements in the University of Hawaii system. NURS 128 COL 5