1 DIXIE STATE COLLEGE OF UTAH ASSOCIATE DEGREE NURSING PROGRAM NUR 2200 MATERNAL/NEWBORN II FALL 2008 Kathy Rasmussen MSN RN Office, Room 364, Taylor Building Office Hours: Tues. 1300 to 1700 Office Phone: 435-879-4805 Cell: 435-773-7441 Email: rasmussen@dixie.edu Office Hours: Tuesdays 1330 to 1530 and Fridays 1330 to 1530 1 2 Dixie State College of Utah ADN Program COURSE NAME AND NUMBER: Maternal/Newborn II NUR 2200 CRN 42575 CREDIT AND CONTACT HOURS: 1.5 credit hours 11 classroom theory hours Prerequisites: NUR 1200 Co-requisites: NUR 2250, 2260, 2220, 2230, and 2300 Course Description This nursing course uses theory to focus on meeting complex human needs of the family and the newborn throughout the childbearing cycle. Emphasis is placed on the role of the registered nurse in caring for high-risk adult/newborn clients during the antepartum, labor/delivery and postpartum periods including facilitation and understanding of diagnostic testing. The course work encourages the development of critical thinking, therapeutic communication, technical skills, leadership/management skills, effective time management, professional behavior, and caring. Required Texts Wong, D.L., Perry, S.E., Hockenberry, M.J, Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.). St. Louis: Mosby-Year Book, Inc. Wong, D.L., Perry, S.E., Hockenberry, M.J., M.J, Lowdermilk, D.L., & Wilson, D. Maternal child nursing care study guide (3rd ed.). St. Louis: MosbyYear Book, Inc. Wissmann, J. (2006). ATI Maternal newborn nursing RN (7th ed.). Overland Park, KS: Assessment Technologies Institute. 2 3 Highly Recommended Texts Carpenito-Moyet, L. J. (2008). Handbook of nursing diagnosis (12th ed.). Philadelphia: Lippincott Williams & Wilkins. Nursing 2009: Drug Handbook (29th ed.). (2009). Philadelphia: Lippincott, Williams & Wilkins. Pagana, K. D. & Pagana, T. J. (2007). Mosby’s diagnostic and laboratory test reference (8th ed.). St. Louis: Mosby. Publication manual of the American psychological association APA (5th ed.). (2001). Washington, DC: American Psychological Association. Treas, L. S. (Ed.). (2006). ATI fundamentals for nursing (5th ed.). Overland Park, KS: Assessment Technologies Institute. Wissmann, J. (2006). ATI Adult medical surgical nursing RN (7th ed.). Overland Park, KS: Assessment Technologies Institute. Supplemental Learning Opportunities The following are intended to provide the student with learning opportunities that will supplement and enhance the required readings and assignments of this course. Supplemental learning opportunities include maternal/newborn nursing readings, videotapes, and online information that can be acc Videotapes (available at DRMC): Gestational Diabetes DIA00012 Living with Grief after Sudden Loss PSY00043 Web Sites: Ob/Gyn Nursing: www.awhonn.org (Association of Women’s Health, Obstetric, and Neonatal Nursing, lists available resources) Breastfeeding: 3 4 www.lalecheleague.org (organizational information, breastfeeding information reprinted from publications, great site for health care professionals and consumers) Pregnancy: Any of the consumers oriented Web sites sponsored and maintained by well known consumer organizations, e.g. Down Syndrome Association, Mothers of Twins, Compassionate Friends, are great sources of high risk pregnancy information helpful to consumers and health care providers. They are to be accessed at the student’s discretion. Readings and online resources have been used by the instructor and judged to be credible, reliable, interesting, and helpful. Goals of the Course The goals of this course are to address the Eight Threads or Competencies of the nursing program as follows: Critical thinking is addressed throughout the course via critical thinking test items, class discussions, and reading material including material outside the textbook such as peer reviewed journal articles. Technical skills are addressed and learning reinforced during class lecture/discussion, as well as through application of classroom principles in the last class day teamwork activity. Therapeutic communications are emphasized during the reading assignments and classroom discussion/lecture and through assigned written work, particularly the cover letter and resume. Safety is addressed throughout the course in lecture/discussion, test items, and the assigned reading material. Nursing process is emphasized during each lecture/discussion, reading materials assigned, and testing. Time Management/Organization is fostered by encouraging attendance at each class, assignments during lecture/discussion, as well as outside classroom assignments such as the resume. Leadership and Management are cultivated as students develop teams and prepare in-class assignments and presentations. Caring is emphasized in the development of acute care critical thinking exercises and during the student/client interactions. 4 5 Disabled Students In compliance with the Americans with Disabilities Act-1990, and in support of the Dixie State College Disabled Student, if you are a student with a medical, psychological, or learning disability or think you might have a disability and would like accommodations, contact the Disability Resource Center (652-7516) in the Student Services Center. The Disability Resource Center will determine eligibility of the student requesting special services and determine the appropriate accommodations related to your disability. Rebelmail Important class and college information will be sent to your email account. This information includes your DSC bill, financial aid/scholarship notices, and notification of dropped classes, reminders of important dates and events, and other information critical to your success in this class and at DSC. If you do not know your user name and password, go to www.dixie.edu and select “Rebelmail,” for complete instructions. You will be held responsible for information sent to your Rebelmail email, so please check it often. Academic Integrity/Student Conduct A fundamental quality of all successful nurses is integrity and a genuine concern for the well being of the patient. Quality professional patient care requires a relationship built on trust, trust requires honesty, and honesty is the foundation of integrity.” Academic Integrity is expected of students and faculty at Dixie State College. Students are expected to abide by the Dixie State College of Utah (DSC) student code available at http://www.dixie.edu/humanres/polstu.html. Dixie State College takes a very serious view of violations of academic integrity. As members of the academic community, the College’s administration, faculty, staff, and students are dedicated to promoting an atmosphere of honesty and are committed to maintaining the academic integrity essential to the educational process. Inherent in this commitment is the belief that academic dishonesty in all forms violates the principles of integrity and impedes learning. Students in DSC Nursing Programs have a responsibility to the public and to the nursing profession; thus, it reserves the privilege of retaining only those students who, in the judgment of the faculty, demonstrate high academic standards. These academic standards include honesty, accountability, and responsibility for one’s own work. Academic dishonesty is an unacceptable mode of conduct and will not be tolerated in any form. Academic dishonesty includes, but is not limited to, plagiarism, cheating, collusion, falsification, copying another student’s work, and soliciting unauthorized information about an exam. Students who know about any form of cheating or academic dishonesty and do not report it to appropriate individuals are equally guilty of academic dishonesty and may face the same consequences. Students who violate the student code of conduct or rules of academic integrity may be subject to dismissal from DSC Nursing Programs and the college according to college policy. 5 6 Student Performance Expectations/Classroom Civility Students are expected to come to each class prepared with the assigned readings and assignments completed and ready to make valuable contributions to functional class learning. As well, respect for others within the classroom including fellow students and the instructor is essential. Academic incivility is defined as any action by a student or faculty member, which interferes with a harmonious and cooperative learning environment. Actions that are examples of academic incivility and/or disrespect include but are not limited to: Cell phone/pager not on vibrate or mute Leaving the class to take a page or phone call except in true emergency situations Sleeping during class Arriving late or leaving early Coming unprepared Not taking notes during class Carrying on side conversations Browsing the web, text messaging, playing games, etc. on laptop or cell phone Dominating discussions Belittling, taunting, or harassing comments toward other students and the instructor Uncivil or disrespectful behavior will not be tolerated and if it occurs, the student most likely will be asked to leave the classroom. Attendance and Tardiness Policy Attendance is essential because of the demanding nature of the nursing program. The instructors will adhere to the guidelines regarding attendance and tardiness that are described in the Nursing Student Handbook. Excessive and/or consecutive absences and/or tardiness may result in a grade reduction or dismissal from the program. It is to your advantage to notify the instructor in advance if you must miss a class. Late Assignment Policy All assignments must be submitted to the instructor on or before the due date, unless the student has negotiated a different due date with the instructor at least 24 hours before an assignment is due. If no negotiation is made with the instructor, a late assignment will receive a 10% reduction in grade for each day that it is late. If an assignment is more than four days late, it will not be accepted and the assignment will be given a zero. 6 7 ATI Testing The Dixie State College Nursing Program is implementing ATI testing resources in each course. The purpose of ATI is to help supplement the student’s education throughout the nursing program. The main objective of ATI testing is to identify the strengths and weaknesses of each student. Consequently, the key to success is remediation in the weak areas identified by the testing as follows: 1. Take the proctored exam. 2. Identify items in the Topics to Review section. 3. Create a focused review for topics identified. (See handout for specific instructions.) 4. While reviewing your personalized Focused Review, create an outline or concept map for each item in the Topics to Review section. 5. Submit a copy of Topics to Review list and outlines or concept maps of items to the instructor. After a student has taken a proctored assessment, and has completed the above remediation plan, points will be given as described below: Courses that Offer the Proctored Assessment Twice Proctored Exam Level 3=100 points Level 2=60 points Level 1=50 points Below Level 1=30 points Remediation None 15 points for remediation and 15 points for the retake of the proctored assessment 15 points for remediation and 15 points for the retake of the proctored assessment Make appointment with the instructor 15 points for remediation and 15 points for the retake of the proctored assessment Courses that Offer the Proctored Assessment Once (Pediatrics, Psych, and Maternal-Newborn) Proctored Exam Level 3=100 points Level 2=60 points Level 1=50 points Below level 1= 30 points Remediation None 30 points for remediation 30 points for remediation Make appointment with the instructor 30 points for remediation 7 8 Class Presentations Eight groups of five students will present information of a specific disease or disorder of a client. The main purpose of this presentation is to demonstrate patient teaching. Each presentation should take exactly 15 minutes. All members are to collaborate and participate in this assignment. Creativity is encouraged. This presentation should include nursing diagnoses. The oral presentation rubric is found on page 14. See the list on page 13 for your assigned groups . Participation Points During each class period, five points will be given for various activities provided by the instructor. The activities may be planned at anytime during the class period and will encompass a variety of learning methods. Attendance and Tardiness Policy Attendance is essential because of the demanding nature of the nursing program. The instructors will adhere to the guidelines regarding attendance and tardiness that are described in the Nursing Student Handbook. Excessive and/or consecutive absences and/or tardiness may result in a grade reduction or dismissal from the program. It is to your advantage to notify the instructor in advance if you must miss a class. Testing Exams must be taken on the specific day(s) and/or class period. ATI testing will occur at regular intervals throughout the program. Any exception to this will be at the discretion of the nursing faculty administering the test. It will be the responsibility of the student to talk in person with the faculty member who is administering the exam about necessary exceptions. This exception may result in an automatic reduction of points. The dean is the only person with authority to allow students to take a final exam at an alternate time. Exam Remediation Policy As stated in the Nursing Student Handbook, students are required to maintain at least a 74% exam average to pass the course. This means that it is possible to have a passing average on written assignments yet earn a failing grade, an F, in the course because of a less than 74% exam average. Failing this course or any other nursing course this semester means that the student has not successfully completed the nursing program and cannot take the RN licensing exam. There are three interval exams in this course and a comprehensive final exam. If a student receives less than a 74% on the first interval exam, he or she will be asked to make an appointment with the instructor to review exam questions, identify areas of weakness, and plan strategies for improved learning and testtaking. The student will be referred to the Tutoring Center and/or Advisement and Counseling Office for further assistance as needed. 8 9 GRADING CRITERIA QUIZZES/EXAMS (50% of Grades): Quizzes (5%) A10-point quiz will be given at the beginning of each class (10 totals). The content for the quizzes will come from the assigned readings and study guide exercises for the day. Use the objectives in the supplemental syllabus to help you prepare for the quizzes as you do your pre-class assignments DATE Score DATE Score Tues. Aug 26 Fri. Aug 29 Tues. Sep 2 Fri. Sep 5 Ch. 9 Ch. 13 Ch. 14 Ch. 14 Tues. Sep. 9 Fri. Sep 12 Tues. Sep 16 Fri. Sep 19 Ch. 17 Ch. 19 Ch. 19 Ch. 23 DATE Score Tues. Sep 23 Fri. Sep 26 Tues. Sep 30 Total Ch. 27 Ch. 28 Ch. 28 TOTAL for quizzes __________________/100 X .05 = _______ Exams (45%) Maternal/Newborn II will have five exams whose scores will account for 45% of the total grade: three interval exams worth 8% each, the Final Exam worth 12%, and the ATI proctored Maternal/Newborn Nursing exam worth 9%. The Final Exam will include random content from all chapters covered in this course. INTERVAL EXAM 1 (Lessons 1-4) Sep 5 thru Sep 8 INTERVAL EXAM II (Lessons 5-8) Sep 19 thru Sep 23 INTERVAL EXAM III (Lessons 9-11) Sep 30 in-class FINAL EXAM Sep 30 thru Oct 3 ATI Proctored Exam (Dates to be announced) _________/100 X .08 = _______ _________/100 X .08 = _______ _________/100 X .08 = _______ _________/100 X .12 = _______ _________/100 X .09 = _______ TOTAL POINTS FOR QUIZZES AND EXAMS ________ 9 10 WRITTEN ASSIGNMENTS/PRESENTATIONS (50% OF GRADE) This course has three written assignment segments: 1) resource guide for parents/families experiencing a high-risk pregnancy, 2) worksheets/case studies,; and 3) student presentation. 1. Resource Guide for Parents/Families Experiencing a High Risk Pregnancy (20%) You are to develop a guide that can be used by you to refer a client/family to appropriate community resources for their high-risk pregnancy needs. The guide should be in outline form listing the resources with a concise statement describing each resource and how the client/family accesses that resource. Include community health services, support groups, home care agencies, counseling facilities, and Internet sites if available with at least six but no more than twelve resources listed. At the first class each student will choose a topic for their resource guide from the following: Substance Abuse, Pregnancy Loss, Multiple Pregnancy, Maternal Home Care, Pregnancy Termination Counseling, Psychiatric Disorders, Domestic Violence, Medically Disadvantaged or Indigent Families, Newborn with Down syndrome, Newborn with a Neural Tube Defect, and Premature Newborn. Please refer to the specific grading criteria included in the syllabus. The resource guide is due Friday Sept.19, 2008. TOTAL _________/20 X .20 = _____ 2. Pregnancy, Intrapartal, and Postpartal-Family at Risk Case Studies/Worksheets Case studies or work sheets, a total of 5 assignments worth 10 points each, will account for 15% of your grade. The worksheets and/or case studies are intended to help you review concepts and principles related to nursing care of the client/family experiencing a high risk pregnancy, either intrapartum or postpartum. Use your textbook or other maternal newborn resources to complete the assignments. You will have time allotted during class to complete some of these assignments. TOTAL _________/50 X .15 = _____ 3. Student Presentations (15%) Students will be divided into 8 groups of 5 and each group will present a 15minute oral presentation. (See the list of groups and assigned topics on page 9). Topics for the presentation will be related to nursing interventions for the mother, or newborn, with complications. Presentations should include: nursing diagnoses, expected out-come, rationale, and nursing interventions Use at least three references other than your textbook. You are to hand in a typed outline of your presentation and a list of references typed in an APA format. Please refer to the specific grading criteria included in this syllabus. TOTAL _________/35 X .15 = _____ 10 11 TOTAL FOR WRITTEN ASSIGNMENTS __________ TOTAL FOR COURSE __________ CLINICAL No concurrent clinical component is in place for this course as clinical facilities providing high-risk maternal/newborn care are limited locally. Some opportunities were offered for slots in maternal/newborn areas providing newborn intensive care (NICU) during NURS 2105, the previous semester. Guest lectures with expertise in the critical care in maternal newborn also share in the classroom teaching. The instructor regrets the minimal clinical component as a learning opportunity for students and will try to emphasize clinically relevant instruction during the theory portion of the course. 11 12 NURS 2200 MATERNAL/NEWBORN II RUBRIC for GRADING PARENTS/FAMILY RESOURCE GUIDE Specific Criteria 1. Concisely utilizes at least 6 but no more than 12 resources appropriate to topic; and lists these in the resource guide and on a separate APA-style reference page. 2. Includes community health services, support groups, and Web sites. Possible Points 6 Points Instructor Comments Received 4 3. Describes how parents/family access resources. 5 4. Typed, appearance, neatness, grammar, punctuation, and spelling. 5 TOTAL 20 12 13 Group Presentation Assignments DATE TOPIC GROUP MEMBERS Group #1 Intrauterine Growth Restriction Aug. 29 Nanette Day, Emilee Gessel, Amanda Gillespie, Keith Hansen, Tiffany Zajacs Group #2 Sept. 2 Severe Pre-eclampsia Group #3 Sept. 5 Trauma During Pregnancy Group #4 Sept. 12 Pre-term Labor Group #5 Active Management of Labor Sarah Morwood, Mason Watts, Staci Despain, Emily Wright, Rory McDonald Heather Bringhurst, Tammy Branch, Alberto Souza, Stephany Paine, Katie Lewis Paula Adamco, Rachel Crawford, Daniel Hutchinson, Christen Wilkin, Venessa Albrecht Gina Jensen, Eric Hansen, Kristy Avery, Jesse Jones, Joann Anderson, Sept. 16 Group #6 Postpartum Hemorrhage Sept. 19 with DIC Group #7 Sept. 23 Infants of Diabetic Mothers Group #8 Sept. 30 Jason Larsen, Natalie Broadbent, Virginia Fischer, Jill Chappell, Susan Grisier Christine Carter, Nicole Parkinson, Scott Stagg, Angela Sadovich, Hilary Curtis Shane Jones, Milea, Hunt, Jackie Bell, Lydia Hench, Megan Mott Neonatal Infections 13 14 RUBRIC for GRADING MATERNAL NEWBORN II PRESENTATION Specific Criteria 1. Describes chosen topic including potential implications for mother or newborn. 2. Includes nursing assessment of mother or newborn that is related to specified problem. 3. Includes nursing diagnoses appropriate to problem. . 4. Describes expected outcomes for the mother or newborn with the specified problem. 5. Provides explanation of nursing interventions to achieve outcomes with rationale for each intervention. Possible Points 5 Points Received Instructor Comments 5 5 5 5 6. Gives a succinct summary at conclusion of presentation. 1 7. Presents within 15-minute time frame with confidence, clarity, using eye contact, effective projection of voice. 8. Completes outline with maximum of 3 pages in APA format. 4 4 9. Cites three references other than course textbook in APA format. 1 TOTAL POINTS 14 15 NURS 2200 FALL 2008 COURSE SCHEDULE Week Tuesday 0800 to 0930 Friday 0800 to 0930 1 #1 Aug. 26 Ch. 9 Maternal/ NB Assessment for Risk Factors #2 Aug. 29 Ch. 13 Pregnancy at Risk: Preexisting Conditions Presentation-IUGR 2 #3 Sept. 2 Ch. 14 Pregnancy at Risk: Gestational Conditions Presentation-Severe Pre-eclampsia #5 Sept. 9 Ch. 17 3 Fetal Assessment during Labor Resource Guide Due 4 5 6 #4 Sept. 5 Ch. 14 (cont.) Gestational Conditions Presentation: Trauma During Pregnancy EXAM #1 #6 Sept. 12 Ch. 19 Labor & Birth at Risk Presentation- Pre-term Labor #7 Sept. 16 Ch. 19 (cont.) Labor & Birth at Risk Presentation- Active Management of Labor #8 Sept. 19 Ch. 23 Postpartum Complications Presentation-Postpartum Hemorrhage EXAM #2 #9 Sept. 23 Ch. 27 Infants with Gestational AgeRelated Problems Presentation- Infants of DM Mothers #10 Sept. 26 Ch. 28 Acquired & Congenital Problems Guest Lecture: Dr. Larry Eggert, Neonatalogist #11 Sept. 30 Ch. 28 (cont.) Acquired & Congenital Problems Presentation-Neonatal Infections EXAM #3 FINAL Sept 30 thru Oct. 5 ATI Proctored Examto be announced later 15 16 Dixie State College ADN Program NUR 2200 Maternal/Newborn Nursing II August 26, 2008 Kathy Rasmussen MSN RN LESSON #1 Care of the High Risk Woman during Pregnancy: Part I Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Describe the implications of high risk pregnancy, regionalization of health care services, and categories of risk factors. 2. Examine history of client and assessment data to identify signs and symptoms of antepartum complications. 3. Examine the purpose, nursing responsibilities, normal parameters and significance of variation from those parameters for the following diagnostic tests: daily fetal movement count, ultrasonography, amniocentesis, percutaneous umbilical blood sampling, chorionic villus sampling, alpha-fetoprotein, nonstress test and contraction stress test. Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 9) Assignments: Complete Chapter 9 in the study guide. Study guide exercises are non-graded but most of the quiz questions will come directly from the study guide. 16 17 Dixie State College ADN Program NURS 2200 Maternal/Newborn Nursing II August 29, 2008 Kathy Rasmussen MSN RN LESSON #2 Care of the High Risk Woman during Pregnancy: Part I Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Interpret the assessment findings, pathophysiology, etiology, medical management, and nursing management for pre-existing antepartum complications: diabetes mellitus, cardiovascular disorders, and substance use. 2. Utilize the nursing process in caring for a woman with an antepartum complication. Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 13) Assignments: Complete Chapter 13 in the study guide. Study guide exercises are non-graded but most of the quiz questions will come directly from the study guide. 17 18 Dixie State College ADN Program NUR 2200 Maternal/Newborn Nursing II September 2, 2008 Kathy Rasmussen MSN RN LESSON #3 Care of the High Risk Woman during Pregnancy: Part II Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Interpret the assessment findings, pathophysiology, etiology, medical management, and nursing management for the gestational antepartum complication: maternal hemorrhagic disorders. 2. Utilize the nursing process in caring for a woman with this antepartum complication. Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006) Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 14) Assignments: Complete the following areas in Chapter 14 in the study guide: “Reviewing Key Concepts and Content” #40 thru 85; and be prepared to discuss “Thinking Critically” #4 through #8. (Also will be included in next week’s lecture) NOTE: These readings and assignments apply to Lesson #4, as well. 18 19 Dixie State College ADN Program NUR 2200 Maternal/Newborn Nursing II September 5, 2008 Kathy Rasmussen MSN RN LESSON #4 Care of the High Risk Woman during Pregnancy: Part II (cont.) Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Interpret the assessment findings, pathophysiology, etiology, medical management, and nursing management for gestational antepartum complications: maternal infections, trauma during pregnancy. 2. Utilize the nursing process in caring for a woman with an antepartum complication. Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 14) Assignments: Complete the following areas in Chapter 14 in the study guide: “Reviewing Key Concepts and Content” #40 thru 85; and be prepared to discuss “Critical Thinking” #4 through #8. (This assignment is also included in the previous lecture.) NOTE: These readings and assignments apply to Lesson #3, as well. INTERVAL EXAM # 1 Includes Lessons 1 through 4; at testing center 19 20 Dixie State College ADN Program NUR 2200 Maternal/Newborn Nursing II September 9, 2008 Kathy Rasmussen MSN RN LESSON #5 Care of the High Risk Woman with Complications during Labor Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Describe the purpose, nursing responsibilities, normal parameters, and significance of variation from those parameters of testing for fetal well-being: intermittent auscultation, electronic fetal monitoring, fetal blood sampling, fetal pulse oximetry. 2. Implement nursing interventions for intrauterine resuscitation. 3. Utilize the nursing process in caring for the woman with complications during labor. Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 17) Assignments: Complete Chapter17 in the study guide. Note: Resource Guide Due (9-907) 20 21 Dixie State College ADN Program NUR 2200 Maternal/Newborn Nursing II September 12, 2008 Kathy Rasmussen MSN RN LESSON #6 Care of the High Risk Woman with Complications during Labor (cont.) Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Interpret the assessment findings, pathophysiology, etiology, medical management and nursing management for labor complications: preterm labor and birth; premature rupture of membranes; dystocia; postdate pregnancy, labor, and birth; and obstetric emergencies. (Chapter 19) 2. Utilize the nursing process in caring for the woman with complications during labor. Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 19) Assignments: Complete Chapter 19 in the study guide. Note: These readings and assignments apply to Lesson #7, as well. 21 22 Dixie State College ADN Program NUR 2200 Maternal/Newborn Nursing II September 16, 2008 Kathy Rasmussen MSN RN LESSON #7 Care of the High Risk Woman with Complications during Labor (cont.) Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Interpret the assessment findings, pathophysiology, etiology, medical management and nursing management for labor complications: dystocia; postdate pregnancy, labor, and birth; and obstetric emergencies. 2. Utilize the nursing process in caring for the woman with complications during labor. Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 19) Assignments: Complete Chapter 19 in the study guide. Note: These readings and assignments apply to Lesson #6, as well. 22 23 Dixie State College ADN Program NUR 2200 Maternal/Newborn Nursing II September 19, 2008 Kathy Rasmussen MSN RN LESSON #8 Care of the High Risk Postpartum Woman With or Without Complications Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Describe the pathophysiology, etiology, assessment findings, medical management, and nursing management of postpartum complications: hemorrhage, thromboembolic disease infections, sequelae of childbirth trauma, and psychologic disorders. 2. Utilize the nursing process in caring for a woman with a postpartum complication. 3. Describe stages of bereavement, signs and symptoms of grief, and tasks of mourners for a client and family with a pregnancy loss. 4. Create emotional support for the client and family with a pregnancy loss Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 23) Assignments: Complete Chapter 23 in the study guide INTERVAL EXAM #2 Includes Lessons 5 through 8; at testing center 23 24 Dixie State College ADN Program NURS 2200 Maternal/Newborn Nursing September 23, 2008 Kathy Rasmussen MSN RN LESSON #9 Care of the Critically Ill Newborn: Part I Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Describe the pathophysiology, etiology, and assessment findings, medical management, and nursing management of specific problems of the newborn: prematurity; postdate and postmaturity; SGA, IUGR and LGA infants; and infants of diabetic mothers. 2. Utilize the nursing process in caring for the critically ill newborn. Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 27) Assignments: Complete Chapter 27 in the study guide. 24 25 Dixie State College ADN Program NUR 2200 Maternal/Newborn Nursing Guest Lecturer: Dr. Larry Eggert, Neonatologist September 26, 2008 Kathy Rasmussen MSN RN LESSON #10 Care of the Critically Ill Newborn: Part I Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Describe the pathophysiology, etiology, assessment findings, medical management, and nursing management of specific problems of the newborn: birth trauma; neonatal infections; substance abuse; hyperbilirubinemia; and congenital anomalies. 2. Utilize the nursing process in caring for the critically ill newborn. 3. Summarize the interventions used in the care of the high-risk neonate to maintain thermoregulation, maintain optimal hydration and nutrition, promote adequate urinary and bowel elimination, provide hygienic care, prevent and detect complications, ensure environmental safety, and promote bonding. 4. Describe the assessment by systems of the high risk newborn. 5. Formulate a plan of nursing care for the high risk newborn and family. Readings: Wong, D.L., Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L., & Wilson, D. (2006). Maternal child nursing care (3rd ed.) St. Louis: Mosby-Year Book, Inc. (Chapter 28) Assignments: Complete Chapter 28 in the study guide. Note: These readings and assignments apply to Lesson #11, as well. 25 26 Dixie State College ADN Program NUR 2200 Maternal/Newborn Nursing II September 30, 2008 Kathy Rasmussen MSN RN LESSON #11 Care of the Critically Ill Newborn: Part II Class Objectives: Upon completion of the readings, assignments, and class activities, the student will be able to: 1. Summarize the interventions used in the care of the high-risk neonate to maintain thermoregulation, maintain optimal hydration and nutrition, promote adequate urinary and bowel elimination, provide hygienic care, prevent and detect complications, ensure environmental safety, and promote bonding. 2. Describe the assessment by systems of the high risk newborn. 3. Formulate a plan of nursing care for the high risk newborn and family. Readings: Note: These readings and assignments apply to Lesson #10, as well. TESTING: Interval Exam 3 in class; includes Lessons 9, 10 &11 FINAL EXAM: September 30 to October 5 in the Testing Center. ATI Maternal/Newborn Nursing Proctored Exam: (Time to be announced) 26