CATALOG # PNC113 CIP # 511613 Date: April 26, 2006 Moberly Area Community College Common Syllabus PNC 113: Maternal Newborn Nursing Current Term Instructor: Office number: Office hours: Contact information: Classroom number: Class days and time: Catalog description: PNC 113: Maternal Child Nursing (6-12-9) This course is designed to give the practical nursing student a beginning level of competency in maternal-newborn care. Primary emphasis is placed on preparing the individual to function in prenatal care, labor, delivery, postpartum, and newborn care in a family-centered environment. A clinical component is included to give the student an opportunity for practical application of classroom-acquired knowledge and skill. Prerequisite: Successful completion of the fall and spring semester in the practical nursing program. Texts: Morrison-Valfr. Foundations of Mental Health Care. 5th Edition. Elsevier aMosby. ISBN: 978-0-323-08620-2 . Wold. Basic Geratric Nursing. 5th Edition. Elsevier ISBN: 978-0-323-07399-8. MACC Gerontological Nursing Syllabus and Power point MACC, Maternal Newborn Nursing Syllabus, MACC. MACC Maternal Newborn Powerpoints MACC Med/Surg Nursing II PN Powerponts MACC Medical Surgical Nursing Syllabus-P MACC Mental Health Concepts Syllabus & Power Other required facilities/equipment: Moberly Regional Medical Center, MACC Skills Lab, Audrain Medical Center, Mexico Skills Lab Purpose of Course: This course is designed to give the Practical Nursing Student a beginning level competence in Maternal-Newborn Care. Primary emphasis is placed on preparing the individual to function in prenatal care, labor, delivery, postpartum, and newborn care in a family centered environment. A clinical component is included to give the student an opportunity for practical application of classroom acquired knowledge and skills. 1 Course Objectives: After completing this course the student should be able to: 1. Relate the development of obstetrics from ancient to modern times. 2. List the organs of reproduction of both male and female and give the physiology of each. 3. Discuss current trends in infant and maternal morality. 4. Trace embryonic and fetal growth and development from conception to birth. 5. Identify the usual effects, signs, and symptoms of pregnancy. 6. Assess the physical, emotional, cultural, and spiritual needs of the entire family during pregnancy and following birth. 7. Identify the more common complications of pregnancy, labor, delivery and the postpartum period; stating their symptoms, treatment and nursing care. 8. Trace the process of labor and birth from onset of labor through the immediate post partum period and the immediate newborn period stating applicable nursing care measures for each stage. 9. Recognize the importance of infection control in Maternal-Newborn Care. 10. Recognize the importance of communication and the establishment of a therapeutic interpersonal relationship with the childbearing family. 11. Identify the leadership expectations for the practical nurse providing care for the childbearing family. 12. Assess the normal newborn and develop a plan of care for the well newborn. 13. Identify the more common abnormal conditions of the newborn, signs and symptoms, treatment and nursing care of each. 14. Identify the more common psychological and physical adjustments required of the family with the arrival of the newborn. 15. Identify the more common methods of birth control and give advantages and disadvantages of each. 16. Recognize the importance of medical supervision of mother and infant. 17. Discuss culture and its implications for provision of maternity care. 18. Discuss the concept of team as applied to maternity care. 19. Identify the Practical Nurse’s role to restore, promote, prevent, and rehabilitate the pregnant mom and/ the newborn. Clinical Objectives: 1. Acquire an understanding of the importance of family involvement in obstetrical newborn care by working with the family during labor and delivery, post partum care and sibling visitation. 2. Recognize the need for mother, father, and infant to interact as a new family without interruption. 3. Judge the quality of family-infant bonding. 4. Plan supportive nursing care for the new mother and her child. 5. Write a nursing care plan for a post-partum client. 6. Complete assessment for newborn infant for clinical day in newborn nursery. 7. Practice measures necessary for infection control in the obstetrical department. 2 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Assess the conditions and nursing needs of post-partum client and newborn infant to whom assigned. Choose appropriate nursing care measures for assigned clients with guidance from instructor. Practice appropriate obstetrical and basic nursing techniques. Prepare the mother and infant for discharge from the health care facility by assisting with appropriate teaching. Select appropriate educational materials related to post-partum care and infant care. Evaluate the effectiveness of client teaching. Complete a “Special Area Assignment” for each delivery or C section observed. Chart concisely, appropriately and accurately. Identify symptoms of complications of pregnancy, labor, and the puerperium react appropriately. Demonstrate an ability to work cooperatively with all health team members and fellow workers. Identify the scope/role for the Practical Nurse who works in the obstetric unit. Summarize your learning experience during clinical conference. Course Content: Chapter 1: Chapter 2: Chapter 3: The Past, the Present, and the Future of Maternity and Pediatric Nursing A. Introduction B. The Past C. The Present D. The Future Human Reproductive Anatomy and Physiology A. Puberty B. Male Reproductive System C. Female Reproductive System Prenatal Development A. Cell Division B. Gametogenesis C. Fertilization D. Development E. Multifetal Pregnancy Chapter 4: Prenatal Care and Adaptations to Pregnancy A. Goals of Prenatal Care B. Indications of Pregnancy C. Normal Physiologic Changes in Pregnancy D. Nutrition for Pregnancy and Lactation E. Common Discomforts in Pregnancy F. Psychological Adaptations to Pregnancy Chapter 5: Nursing Care of Women with Complications During Pregnancy A. Pregnancy Related Complications 3 B. C. D. E. Pregnancy Complicated by Medical Conditions Environmental Hazards During Pregnancy Trauma During Pregnancy Effects of a High Risk Pregnancy on the Family Chapter 6: Nursing Care During Labor and Birth A. Components of the Birth Process B. Normal Childbirth C. Settings for Childbirth D. Admissions to the Hospital or Birth Center E. Continuing Nursing Care During Labor F. Nursing Care During Birth G. Nursing Care Immediately After Birth Chapter 7: Nursing Management of Pain During Labor and Birth A. Childbirth and Pain B. Education for Childbearing C. Nonpharmacologic Pain Management D. Pharmacologic Pain Management E. The Nurse’s Role in Pain Management Chapter 8: Nursing Care of Women with Complications During Labor and Birth A. B. C. D. E. F. Chapter 9: Obstetric Procedures Abnormal Labor Premature Rupture of Membranes Preterm Labor Prolonged Pregnancy Emergencies During Childbirth The Family After Birth A. Adapting Care to Specific Groups and Cultures B. Immediate Postpartum Period: The Fourth Stage of Labor C. Postpartum Changes in the Mother D. Care of the Newborn E. Breastfeeding F. Formula Feeding G. Discharge Planning Chapter 10: Nursing Care of Women with Complications Following Birth A. Hemorrhage B. Thromboembolic Disorders C. Infection D. Subinvolution to the Uterus E. Disorders of Mood 4 Chapter 11: The Nurse’s Role in Women’s Health Care A. Preventative Health Care for Women B. Menstrual Disorders C. Induced Abortion D. Gynecologic Infections E. Family Planning F. Infertility Care G. Menopause H. Pelvic Floor Dysfunction I. Other Female Reproductive Tract Disorders Chapter 12: The Term Newborn A. Adjustment to Extrauterine Life B. Physical Characteristics and Nursing Assessment C. Preventing Infection D. Discharge Planning E. Home Care Chapter 13: Preterm and Postterm Newborns A. The Preterm Newborn B. The Posterm Newborn C. Transporting the High Risk Newborn Chapter 14: The Newborn with a Congenital Malformation A. Malformations Present at Birth B. Metabolic Defects C. Chromosomal Abnormalities D. Perinatal Damage E. Infant of a Diabetic Mother Program outcomes and assessment: The practical nursing faculty continually strives to meet the needs of the practical nursing student through program improvements. This is a cooperative effort that includes input from the faculty, students, the Practical Nursing Advisory Board and other appropriate agencies or entities. Students are assessed on mastery of the course concepts and essential skills throughout the courses of the Practical Nursing program. Other program assessments are part of the Comprehensive Nursing Assessment Plan that includes clinical performance criteria, essential skills mastery, the clinical process evaluation, NCLEX-PN testing, successful licensure, placement rates, follow-up surveys, and approval by the Missouri State Board of Nursing. Instructor policies: Academic Dishonesty: MACC board policy is as follows: “Academic dishonesty by students damages institutional credibility and unfairly jeopardizes honest students; therefore, it will not be tolerated in any form.” Forms of academic dishonesty include but are not limited to the following: violations of copyright law, plagiarism, fabrication, cheating, collusion, and other academic misconduct. Incidents of dishonesty regarding assignments, examinations, classroom/laboratory 5 activities, and/or the submission of misleading or false information to the College will be treated seriously. The procedure for handling academic dishonesty is outlined in the Student Handbook (Policy Handbook M.010). In cases of alleged academic dishonesty, the burden of proof is on the student, not on the instructor. Attendance: Daily attendance records will be kept on all students. Absenteeism is discouraged. Attendance of classroom and clinical activities in the practical nursing program differs from the college attendance policy and is outlined in the Practical Nursing Student Handbook. Tardiness, make-up and late work: Refer to the Practical Nursing Student Handbook. Grading/student assessment: Final grade in the course will be determined by: 1. Six to eight exams comprising 60% of the theory grade as exams. 2. Six to eight quizzes or workbook assignments comprising 5% of the theory grade as homework. 3. One final examination comprising 15% of the theory grade as a final. 4. Clinical evaluation points comprising 20% of the grade as clinical points. 5. The student must achieve a score of 78% in BOTH theory and clinical to pass the course. Refer to student handbook for the following policies: Drop policy Drug/alcohol policy Grade appeal procedure Student code of conduct Student due process and grievance procedure Student rights and privacy act Use of computing resources ADA Statement Students who have disabilities that qualify under the Americans with Disabilities Act may register for assistance through the Office of Access and ADA Services. Students are invited to contact the Access Office to confidentially discuss disability information, academic accommodations, appropriate documentation and procedures. For more information, please call either the Moberly office at (660) 263-4100 x 11240 or the Columbia office at (573) 234-1067 x 12120, or visit our web page at http://www.macc.edu/index.php/services/access-office. 6