Nursing 19 – Family-Centered Maternity Nursing, page 1 of 12
Kingsborough Community College
The City University of New York
Department of Nursing
Nursing 19 – Family-Centered Maternity Nursing
Course Syllabus: 2012
Professor Catherine Olubummo RN, MSN, MS,
FNP Course Coordinator
Professor Janette O’Sullivan TITLE?
Credit – Hours: 4 crs., 14 hrs. (one-half semester)
Prerequisites
NUR 20, 22
Pre or Co-requisite SOC 31, ENG 24
Catalogue Description
Introduction to family centered maternity nursing. Lecture and laboratory sessions presents facts,
principles and concepts relevant to the care of individuals and families during the reproductive years of
the life cycle. Laboratory sessions will be on or off campus in hospitals or other health agencies.
Course Overview
This course introduces the student to family centered maternity nursing. Recognizing the impact of
pregnancy on the individual and family, the student develops an awareness of the physiological and
psychosocial adaptations that may occur during the childbearing years. It is expected that the student
synthesize facts and principles from the biological, behavioral and physical sciences when utilizing the
nursing process. Areas such as family structure, transcultural aspects, roles and developmental tasks will
be discussed. Coursework for the typical week will consist of lecture - discussion, 5 hours; on-campus
lab/simulation, 1 hour; Health Agency experience, 8 hours. It is essential for students to engage in
additional practice for the maintenance of skills. Provisions are available for additional time in the college
laboratory for practice.
Attendance
Complete participation in class is possible only when students are able to focus attention on the class,
therefore entering class after it has begun is disrespectful to Faculty and classmates. Talking out of turn
or exhibiting other disruptive behaviors is not tolerated and students will be asked to leave the classroom
or lab.
All electronic devices that generate sound must be turned off when any member of the academic
community enters a classroom. Cellular devices are allowed to be on in the classroom only if the owner is
using the caller ID, voice messages or a vibrating battery. NO TEXTING IS ALLOWED AT ANY TIME
DURING CLASS AND/OR LABS. Members of the academic community must exit the classroom to
make or receive calls.
A student is deemed excessively absent in any course when he or she has been absent 15% of the
number of contact hours a class meets during a semester. When a student is excessively absent, a grade
of “W” or “WU” will be assigned as described in the college catalogue. Attendance at pre and post
conference for laboratory experience is required. Absence from either pre or post conference constitutes
an absence for the day’s experience.
Students with Disabilities
It is college policy to provide reasonable accommodations to students with disabilities. Any student with a
documented disability who may need accommodations in this class is requested to speak directly to
Access-Ability Services, D-205, (718) 368-5175, as early in the semester as possible. All discussions will
remain confidential.
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 2 of 12
Evaluation
Final letter grades will be calculated according to college and departmental policy as follows:
A+
A
AW
WU
INC
97 – 100
93 – 96
90 – 92
B+
B
B-
87 – 89
83 – 86
80 – 82
C+
C
C-
78 – 79
75 – 77
70 – 74
D+
D
F
66 – 69
60 – 65
60 or below
Withdrew without penalty
Unofficial withdrawal (counts as a failure)
Term’s work is incomplete. Counts as an F grade
Nursing 19 – Final numeric grades will be calculated as follows:
Lecture examinations average (3 exams)
60%
Final examination
40%
Nursing Care Plans
Satisfactory or Unsatisfactory
Antepartal Patient Assessment Guide
Satisfactory or Unsatisfactory
Writing clinical assignments
Satisfactory or Unsatisfactory
Students are expected to take all tests when scheduled. Exceptions to this rule will be for emergency
situations and the faculty must know in advance. Students who do not take a test on the scheduled date
are required to take a makeup test. All makeup tests may be given at the end of the semester. Students
who fail to take the scheduled exams or makeup exams will receive a grade of zero for that test.
All written assignments must comply with college standards for written work. Written assignments are to
be turned in during the class period on the date that they are due. All assignments must be handed in by
the end of the course to complete the requirements of the course. A late assignment will meet the
requirements of the course but will not receive full credit. If written assignments are not submitted by the
end of the course, the student will receive a grade of "INC" for the course. Students must submit all
assignments prior to the beginning of the next semester in order to progress in the program.
Clinical agency performance will be evaluated as Satisfactory (S) or Unsatisfactory (U). Performance that
has been designated as "U" at the end of the course will result in failure of the course. A minimum
average grade of "75%" is required on all clinical assignments to achieve a satisfactory clinical grade.
A conference with the instructor is required at mid-semester, and at the end of the course, at which time
the student's progress in the course will be discussed. In addition, students may initiate conferences with
the instructor at other times.
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 3 of 12
Course Objectives and Student Learning Outcomes (SLOs)
The following objectives and outcomes apply when caring for the adult patient and family experiencing
complex and / or long term health alterations.
Outcomes
By the end of the semester the student will:
1.
2.
3.
4.
5.
6.
Incorporate knowledge of patient centered care
Apply principles of evidence based practice
Integrate principles of teamwork and collaboration
Analyze quality improvement data
Demonstrate principles of safety
Integrate informatics
Course Objectives
SLOs
Assessment Measure for Learning Outcomes
Students will perform satisfactorily in the classroom, lab / simulation and clinical setting as evidenced by
achieving 75% or greater on written exam, comprehensive patient specific Nursing Care Plans, various
course specific written assignments, and demonstration of satisfactory performance on course specific
clinical competency and evaluation tools.
Teaching Strategies
Lecture/Discussion
Simulated Laboratory Experiences
Demonstration/Return Demonstration
Case Studies
Multimedia
Computer Assisted Instruction
Pre and Post Conferences
Health Agency Experiences
Community Experiences
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 4 of 12
TEXTBOOKS
Required Textbooks for Nursing 19
- Murray & Mckinney. Foundations of Maternal – Newborn and Women’s Health Nursing. Fifth Edition,
2010
Program Required texts
- Carpenito, L. (2007) Nursing Diagnosis Handbook, 12th Edition. Lippincott
- Abrams, A. C. (2007) Clinical Drug Therapy, 9th edition, Lippincott
- Dudek, Susan G (2006) Nutrition Handbook for Nursing Practice, 5th Edition, Philadelphia, Pa: J.B.
Lippincott
- Thomas, Clayton L, editor. (2009) Taber’s Cyclopedia Medical Dictionary, 21st edition. Philadelphia,
Pa. F.A, Davis Company
- LeFevre-Key, Joyce (2010) Laboratory and Diagnostic Tests with Nursing Implications, Pearson
Optional References
- AJN: American Journal of Nursing
- JOGNN: Journal of Obstetric, Gynecologic and Neonatal Nursing
- MCN: The American Journal of Maternal-Child Nursing
All students are expected to have read and to adhere to the policies pertaining to the following, as
outlined in the department’s Nursing Student Handbook:
Attendance (detailed above)
Malpractice insurance, health clearance, and
CPR training
Evaluation and grading (detailed above)
Clinical competencies
College laboratory practice requirements
Clinical Agency experience requirements
(including appropriate dress)
Netiquette
Specific dress requirements for each clinical
course
Drug calculation policy
Mandatory skills review
Criteria for retention in the nursing program
Civility
Topical Outline
Unit 1 - Orientation to Family-Centered Maternity Nursing
Unit 2 - Assessment and Management of the Antepartal Patient and Family
Unit 3 - Assessment and Management of the Intrapartal Patient and Family
Unit 4 - Assessment and Management of the Postpartal Patient and Family
Unit 5 - Assessment and Management of the Neonate and Family
Unit 6 - Assessment and Management of Women’s Health Issues
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 5 of 12
Unit 1 – Orientation to Family Centered Maternity Nursing
Content/Lecture Discussion
Strategies to involve the students in reaching successful outcomes for successful completion of this
course
Strategies for identifying and managing current trends in contemporary maternity nursing
Coordination of care utilizing leadership, delegation, and priority setting in applying critical thinking to
the nursing process
Team functioning on safety & quality of care when meeting the needs of the family Centered
Maternity Nursing
Strategies relevant to the outcomes of care regarding principles of family as they apply to the child
bearing family
Provision of Course requirements with sensitivity and respect specific to the Syllabus review including
- The impact of culture on childbearing families
- Responsibility and accountability
- Current trends in community based
- Research
- Nursing diagnoses appropriate to the
- Quality assurance
childbearing family
- Informed consent
- Health teaching
- Maternal rights
- Legal-ethical implications of care
- Legal issues during delivery
- Standards of practice
- Home health care
- Managed care
Application of critical thinking processes when practicing safely in the delivery of care to the pregnant
patient
The purpose and the steps in critical thinking
The nurse’s role in maternity and women’s health care
Utilization of technology in the care of the antepartum patient
- Communication and documentation of care rendered via electronic medical record
- Uses hand held computer devices for health teaching
Uses the EMR impart for medication reconciliation
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 6 of 12
Unit 1 – Orientation to Family Centered Maternity Nursing
Related Learner Experiences
Required Reading
Murray & McKinney: Ch. 1 pp. 2-18, Ch. 2 pp. 22-34, Ch. 3 pp. 37-49, Ch. 4 pp. 55-39, Ch. 5 pp. 6983, Ch. 6 pp. 88-108
Nursing 19 syllabus
Written Assignments
Clinical evaluation form
Assessment tools
Nursing care plan
Clinical Competencies
Student will
- Complete a health assessment and head to toe physical exam of a prenatal patient in the
prenatal clinic
- Determine the prenatal patient’s EDC
- Identify health issues of the prenatal patient
- Develop a teaching plan to promote a healthy pregnancy
- Teach the prenatal patient selected health promotion activities including nutrition, expected
changes during pregnancy, identification of complications and what to do if occur
- Implement an individualized plan of care for the patient
- Provide patient-centered care based on evidence based practice with sensitivity and respect
- Act as a team leader using the principles of priority setting and delegation
- Incorporate national safety standards to ensure the safe and effective delivery of patient care
- Communicate to all members of the healthcare team utilizing SBAR
- Document patient status, health teaching, and medication reconciliation using the EMR while
meeting the needs of the antepartum patient
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 7 of 12
Unit 2 – Care of the Antepartum Patient and Family
Content/Lecture Discussion
The structure and function of the Reproductive System
Strategies to involve the patient and family in reaching successful outcomes for the antepartum
patient
Health teaching related to prenatal care
Strategies for identifying and managing care of the pregnant patient during antepartum period
Coordination of care utilizing leadership, delegation, and priority setting in meeting the antepartum
related needs
Team functioning on safety & quality of care when meeting the needs of the antepartum.
Strategies relevant to the outcomes of care for the antepartum patient
Provision of prenatal care with sensitivity and respect specific to the pregnant patient with prenatal
care including
- Physiological and psychosocial adaptation
- Prenatal care
- Antepartal fetal assessments
- Prenatal diagnostic tests
- Nutrition for childbearing
- Complications of pregnancy
Application of critical thinking processes when practicing safely in the delivery of care to the pregnant
patient with prenatal care
Use of the nursing process throughout the mutually designed plan of care for the antepartum patient
Utilization of technology in the care of the antepartum patient.
- Communication and documentation of care rendered via electronic medical record
- Uses hand held computer devices for health teaching
Uses the EMR impart for medication reconciliation
Related Learner Experiences
Required Reading
Murray & Mckinney, Ch.7 pp. 110-144, 125-145, p. 931, pp. 140-144, Ch. 8 pp. 147-167, Ch. 9 pp
169-195, Ch. 24 pp. 578-588, Ch. 25 pp. 629-631, 614-629, 632-646, Ch. 26 pp. 654-666 Ch. 34 pp.
909-910
A/V and CAI programs
Interactive Video: From Pregnancy to delivery
Laboratory/Simulation Experiences
Leopold’s Maneuver on the Noel Simulation
Clinical Experiences
Clinical Rotation to the Prenatal Clinic
Student will
- Complete a health assessment, head to toe physical exam
- Implements an individualized plan of care for the patient
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 8 of 12
Unit 2 – Care of the Antepartum Patient and Family
-
Provide patient-centered care based on evidence based practice with sensitivity and respect
Acts as a team leader using the principles of priority setting and delegation
Incorporate national safety standards to ensure the safe and effective delivery of patient care
Communicate to all members of the healthcare team utilizing SBAR
Document patient status, health teaching, and medication reconciliation using the EMR while
meeting the needs of the antepartum patient
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 9 of 12
Unit 3 – Care of the Intrapartum Patient and Family
Content/Lecture Discussion
Components of the birthing process
- Passage
- Powers
- Passenger
- Psyche
Strategies to involve the patient and family in reaching successful outcomes for the patient with
intrapartum care
Health teaching regarding labor and delivery.
Strategies for identifying and managing care of intrapartum patient
- Coordination of care in meeting related needs for the intrapartum care.
- Team functioning on safety & quality of care when meeting the needs of the intrapartum patient.
Strategies relevant to the outcomes of care for the intrapartum patient
Provision of intrapartum care with sensitivity and respect specific to
- Stages of labor
- Intrapartum complications
- Nursing care during labor
- Nursing care during obstetrical procedures
- Fetal Monitoring
- Pain management during childbirth
- Managing the discomfort of labor
- Perinatal education
- Immediate care of the newborn
Application of critical thinking processes when practicing safely in the delivery of care to the labor
patient
Use of the nursing process throughout the mutually designed plan of care for the labor patient.
Utilization of technology in the care of a labor patient.
Communication and documentation of care rendered via electronic medical record
Uses hand held computer devices for health teaching
Uses the EMR impart for medication reconciliation
Related Learner Experiences
Required Reading
Murray & Mckinney: Ch. 4 pp 53-66, Ch.12 pp. 237-260, Ch. 13 pp. 237-292, pp. 368-391, Ch. 15 pp.
331-357, Ch. 16 pp. 360-386, Ch. 27 pp. 693-727
A/V and CAI programs
Media: Labors of Love
Media: Labor & delivery augmentation
Media: Managing the Intrapartal Patient
Cesarean deliver VHS 290.1
Lab/Simulation Experience
Leopold’s Maneuver on the Noel Simulation
Summary guide to nursing care in labor
L & D worksheet
L & D Assessment and NCP
Clinical Experience
Clinical rotation in labor and delivery
Student will
- Complete a health assessment, head to toe physical exam
- Implements an individualized plan of care for the patient
- Provide patient-centered care based on evidence based practice with sensitivity and respect
- Acts as a team leader using the principles of priority setting and delegation
- Incorporate national safety standards to ensure the safe and effective delivery of patient care
- Communicate to all members of the healthcare team utilizing SBAR
- Document patient status, health teaching, and medication reconciliation using the EMR while
meeting the needs of the intrapartum patient
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 10 of 12
Unit 4 – Care of the Postpartum Patient and Family
Content/Lecture Discussion
The Postpartum assessment
Review of the acronym: BUBBLE HE
Strategies to involve the patient and family in reaching successful outcomes for the postpartum
patient
- Health teaching regarding care of the postpartum mother and newborn.
Strategies for identifying and managing care of the postpartum patient
- Coordination of care in meeting related needs for the postpartum patient.
Team functioning on safety & quality of care when meeting the needs of the postpartum patient
Strategies relevant to the outcomes of care for the postpartum patient
Provision of postpartum care with sensitivity and respect specific to :
- Physiological and psychosocial changes during postpartum period
- postpartum assessments and care
- Postpartum complications and management
- Pain management during postpartum period.
Application of critical thinking processes when practicing safely in the delivery of care to the
postpartum patient
- Use of the nursing process throughout the mutually designed plan of care for the postpartum
patient.
Utilization of technology in the care of the postpartum patient.
Use the EMR to communicate, document care, and impart for medication reconciliation.
Uses hand held computer devices for health teaching.
Related Learner Experiences
Required Reading
Murray & Mckinney: Ch. 17 pp. 390-419, Ch. 18 pp 421-440, Ch. 28 pp. 730-755
A/V and CAI programs
Media: Postpartum. VHS 212.1
Lab/Simulation Experience
Postpartum assessment
Clinical Experiences
Clinical rotation to Postpartum Unit
Student will:
- Complete a health assessment
- Complete a head to toe physical exam
- Implement an individualized plan of care for the postpartum patient
- Provide patient-centered care based on evidence based practice with sensitivity and respect
- Act as a team leader using the principles of priority setting and delegation
- Incorporate national safety standards to ensure the safe and effective delivery of care
- Communicate to all members of the healthcare team utilizing SBAR
- Documents patient status, health teaching, and medication reconciliation using the EMR.
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 11 of 12
Unit 5 – Care of the Neonate and Family
Content/Lecture Discussion
The Newborn assessment, including newborn reflexes
Strategies to involve the patient and family in reaching successful outcomes for the Neonate and
Family
- Health teaching related to care of the newborn
Strategies for identifying and managing care of the neonate utilizing a team approach
- Coordination of care utilizing leadership, delegation, and priority setting in meeting the neonate
related needs
Team functioning on safety and quality of care when meeting the needs of the neonate.
Strategies relevant to the outcomes of care for the neonate
Provision of neonate care with sensitivity and respect specific to the neonate patient including
- Physiological adaptation
- Newborn classification
- Care of the newborn Problems related to gestational age and development
- Infant nutrition and feeding
- Newborn at risk
Application of critical thinking processes when practicing safely in the delivery of care to the Neonate
Use of the nursing process throughout the mutually designed plan of care for the neonate.
Utilization of technology in the care of the adult patient with a Neonate
Communication and documentation of care rendered via electronic medical record
Uses hand held computer devices for health teaching
Uses the EMR impart for medication reconciliation
Related Learner Experiences
Required Reading
Murray & Mckinney: Ch. 19 pp. 442-457, Ch. 20 pp. 460-493, Ch. 21 pp. 497-523, Ch. 22 pp. 526-554,
Ch. 29 pp. 759-794, Ch. 30 pp. 799-829
A/V and CAI programs
Media: Physical Assessment of the Normal Newborn
Media: Video Vulnerabilities of the Neonate
Lab/Simulation Experience
Newborn assessment, newborn reflexes.
Clinical Experiences
Clinical Rotation to newborn nursery
Student will:
- Complete a health assessment
- Complete a head to toe physical exam
- Implement an individualized plan of care for the neonate patient
- Provide patient-centered care based on evidence based practice with sensitivity and respect
- Act as a team leader using the principles of priority setting and delegation
- Incorporate national safety standards to ensure the safe and effective delivery of care
- Communicate to all members of the healthcare team utilizing SBAR
- Documents patient status, health teaching, and medication reconciliation using the EMR while
meeting the needs of the neonate
(11/17/2011. Rev. 03/06/2012)
Nursing 19 – Family-Centered Maternity Nursing, page 12 of 12
Unit 6 – Care of the Woman’s Health Issues and Family
Content/Lecture Discussion
Review The methods of contraception
Strategies to involve the patient and family in reaching successful outcomes for the patient with
women’s health issues
Health teaching related to women’s health issues
Strategies for identifying and managing care of the patient with women health issues utilizing a team
approach:
- Coordination of care utilizing leadership, delegation, and priority setting in meeting the cancer
related needs for the patient with women health issues
Team functioning on safety and quality of care when meeting the needs of the adult patient with
women health issues
Strategies relevant to the outcomes of care for the patient with women health issues
Provision of women’s health care with sensitivity and respect specific to the patient with women
health issues including:
- Sterilization and infertility
- Reproductive alternatives
- Postpartum complications
Application of critical thinking processes when practicing safely in the delivery of care to the patient
with women health issues
Use of the nursing process throughout the mutually designed plan of care for the patient with women
health issues
Utilization of technology in the care of the patient with women health issues.
Communication and documentation of care rendered via electronic medical record
Uses hand held computer devices for health teaching
Uses the EMR to impart medication reconciliation
Related Learner Experiences
Required Reading
Murray & Mckinney: Ch. 31 pp. 833-858, Ch. 32 pp. 861-878, Ch. 34 pp. 894-925
Clinical Experiences
Prenatal clinic
OBGYN operating room
Student will:
- Complete a health assessment
- Complete a head to toe physical exam
- Implement an individualized plan of care for the patient with women’s health issues
- Provide patient-centered care based on evidence based practice with sensitivity and respect
- Act as a team leader using the principles of priority setting and delegation
- Incorporate national safety standards to ensure the safe and effective delivery of care
- Communicate to all members of the healthcare team utilizing SBAR
- Documents patient status, health teaching, and medication reconciliation using the EMR while
meeting the needs of the patient with women’s health issues
(11/17/2011. Rev. 03/06/2012)