Georgia College and State University
College of Health Sciences
School of Nursing
Spring 2015
Course Prefix and
Number
Prerequisites
NRSG 3460
Course Title
Nursing the Childbearing Family
NRSG 3140
NRSG 3240
NRSG 3340
Lab Hours:
4
Online 33%
Face to Face
66%
Faculty
Course Coordinator:
Josie Doss, MSN, RNC-OB
Assistant Professor
222 Parks Memorial
(478) 955-4743 (Cell)
Email Georgia View D2L first
josie.doss@gcsu.edu
Office Hours: Please check office door for office hours and sign-up sheets
Lecture Hours
3
Contact Hours:
11
Credit Hours:
5
Additional Faculty
Emily Walsh-Edwards, MSN, APRN, NP-C
Instructor
Parks Memorial
Email - emily.walsh@gcsu.edu
Phone - (478) 731-2252
Office Hours: Please check office door for office hours and sign up sheets
Candace Gates RN, MSN, APRN, NP-C
Clinical Instructor – Houston Medical Center
Email – Candace.gates@gcsu.edu
Phone – (478) 397-5564
Required Text(s)
Maternal-Newborn Nursing: The Critical Components of Nursing Care 2nd Edition by
Linda Chapman and Roberta Durham. F. A. Davis Publisher. ISBN # 978-0-8036- 3704-7
Recommended Text(s)
Maternity and Women's Health Care, 10th Edition
Authors: Deitra Leonard Lowdermilk & Shannon E. Perry
ISBN: 9780323074292
Pearson Reviews & Rationales: Maternal-Newborn Nursing with Nursing Reviews &
Rationales (3rd Edition)
ISBN: 978-0132956864
Catalog Description:
Designed to enhance the student’s ability to provide comprehensive care to the childbearing
family.
Course Objectives
Upon completion of this course, the student will:
Program
Course Objectives
Objectives
1
Demonstrate effective communication when providing care
for the childbearing family
2, 9
3
4
5
6
7
8
10
Topic Outline
Differentiate between evidence based care and anecdotal care
for specific clinical situations of the childbearing family.
Apply principles of leadership, quality improvement, and
client safety to monitor and improve outcomes of nursing care
with the childbearing client and their family.
Describe the key issues related to disparities in maternal
/infant health outcomes.
Provide culturally and spiritually sensitive care unique to the
childbearing family.
Identify the major maternal/child risk factors that can
influence maternal/child birth outcomes.
Recognize the need for advocacy that influences care for the
childbearing family.
Collaborate with the client and healthcare team to facilitate the
provision of compassionate, coordinated care for the
childbearing family.
Construct an individualized, evidenced based nursing plan of
care to support physiologic and psychosocial integrity for the
childbearing family.
Introduction to Maternity Nursing, Potential Childbearing Clients,
and the Reproductive Process
A. Contemporary Maternity Practice
B.
Profile of the Childbearing Client and Family
C.
The Reproductive Process
D. Infertility/Abortion
E. Genetics
F. Preconception Care
Nursing the Childbearing Family During The Antepartum Experience
A. The Phenomenon of Pregnancy
B.
Antepartum Nursing Care
C.
Nutrition for the Childbearing Cycle
D.
Parent Education and Anticipatory Guidance
E.
High Risk Pregnancy
F.
Evaluation of Fetal Well-being
Nursing the Childbearing Family During the Intrapartum Event
A. The Phenomenon of Labor
B.
Biophysical and Psychosocial Aspects of Labor
C.
Nursing’s Contribution to Pain Relief and Obstetric
Analgesia/Anesthesia
D.
High Risk Labors
E.
The Cesarean Birth Experience
Nursing the Neonate and His/Her Family
A. Assessment of the Newborn
B.
Care of the Newborn
C.
Parent Education and Anticipatory Guidance
D.
High Risk Neonates : Birth-Related Stressors
E.
High Risk Neonates: Acquired Stressors
F. Perinatal Death
G.
The “Less Than Perfect Newborn”
Nursing the Childbearing Family During the Postpartum Experience
A. Biophysical and Psychosocial Aspects of Postpartum
B.
C.
D.
Postpartum Nursing Care
High Risk Postpartum
Contraception
Evidence – Based Practice
A. Practice decisions for the women experiencing a complicated
pregnancy.
B. Practice decisions for the women experiencing a
gynecological problem.
C. Practice decisions for the woman during postpartum.
Nursing Care for Women : Psychosocial and Global Issues
A. Women’s Health From a Global Health Perspective
B. WHO - World Health Organization
C. Gynecologic Issues Resulting From Childbirth – A global
Perspective.
D. Women’s Voices: Effects of Poverty
E. Being a patient advocate
Teaching/Learning
Methods
This is a Web enabled course with a flipped classroom design. One of the three lecture
hours per week will include online learning activities. Students will be required to have access
to the internet to successfully complete this course. Lecture, discussion, case studies,
simulations, interactive video on labor and birth, audiovisuals, learning modules, study guides
for examinations and examination review, campus lab activities, clinical learning, reflective
online journal, assigned readings, clinical reports, pre-and-post conferences are some of the
learning activities utilized in this course. Students are expected to come to class prepared
having read assignments and reviewed online modules.
Students must be able to access Georgia VIEW and submit assignments as either Word
documents or PDF files. Students are also encouraged to use the services of on-campus
SERVE to ensure course readiness of laptop and desktop computers.
Evaluation Methods
Achievement at a satisfactory level in both classroom and clinical components of the course is
required to pass NRSG 3460.
Course: Students must have a 75% average on all test requirements before points for
other assignments are added to their grades. Students not achieving a 75% test average will
earn the letter grade equivalent to the test average for the course grade, and will be required to
repeat the course before continuing in the nursing program. Grades will be calculated to two
decimal points and will be rounded ONLY for calculation of the final grade.
The course grade for the theory component will be calculated as follows:
Exam #1
Exam #2
Exam #3
Exam #4
Homework
Group project
NCLEX (HESI) Simulation Final exam
17%
17%
17%
17%
10%
5%
17%
HESI: Your course fees paid at registration include the cost of this specialty exam. The
specialty exam is the final for this course. You will be given two opportunities to take the
HESI.
 Attempt #1 may be used as a replacement for an excused test absence OR the
final exam (not both). A score greater than 900 on the first attempt will
exempt you from having to take the second HESI if you have not missed any
other exams.
 Attempt #2 will be used as the final exam UNLESS you scored >900 on
attempt #1 and did not use that score to replace an excused exam absence
and/or the score on attempt #1 was higher.
 A score greater than 1100 on either HESI will result in an increase of one grade
level. You MUST be passing the course based on your test scores (test 1,
test 2, test 3, test 4, and the final before you will receive an increased
grade level. ( i.e. if your test average is a 74 but you scored a 1100 on
HESI you will NOT pass the course)
Clinical: The student must demonstrate satisfactory achievement of each clinical competency
identified in the clinical evaluation instrument and satisfactory completion of required
clinically-pertinent written work (see weekly clinical experience guides for details). Please see
the NRSG 3460 Clinical Evaluation instrument for clinical competencies expected in the
course. The grade for the clinical component of the course is S (satisfactory) or U
(unsatisfactory).
 A U will be assigned for each clinical day the student fails to meet clinical requirements
as identified in the weekly clinical rubric and/or fails to submit assignments in a timely
manner, and/or demonstrates unsafe clinical practice.
 Two clinical U’s will result in clinical/course failure. Please see additional details
under Grading Scale.
Grading Scale
A = 91-100
B = 83-90
C = 75-82
D = 66-74
F = < 65
Prior to mid-semester you will receive feedback on your academic performance in this course.
Grades are available on Georgia VIEW for this course.
Course Policies
All policies in the current Georgia College & State University Undergraduate Catalog and the
Undergraduate Nursing Student Handbook are applicable. Please consult web site for
handbook at the following sites: http://www.gcsu.edu/registrar/catalog.htm and
http://www.gcsu.edu/nursing/bs/admission.htm. In addition to these University and School
policies, students are expected to comply with the following course policies:
 All students must regularly check bobcats email and D2L to receive official communication
from university faculty and staff.
 All students must have an activated Bobcat identification card. The Bobcat card is required
to use all library services, including the computer lab for testing.
 Rounding Policy: Rounding for this course will occur only with the final average grade for
the course. There will be no rounding of exam grades or other written assignments during
the semester. If the final course average to the nearest tenth is .5 or more, the final course
grade will be rounded up to the next whole number (i.e. 88.5 would be rounded to 89) (i.e.
88. 45 would not be rounded).
 Students must maintain current required clinical documents on file in the School of
Nursing. Students with missing or lapsed documents will not be eligible to participate in
clinical learning sessions. Missed absences for this reason will be considered unexcused
and will result in a clinical “unsatisfactory” grade for each missed session.
 Attendance: Prompt attendance is expected to class as well as clinical. If a student is to
miss a class or clinical or leave early, the instructor is to be notified BEFORE the class
begins. Any absence will require a verification of visit to a health clinic or physician’s
office to be considered an excused absence. Clinical absences must be re-scheduled by
the student and his/her clinical instructor.
 Uniform: The clinical uniform as outlined in the nursing handbook should be worn for all
clinical, lab, and simulation experiences unless otherwise noted by the course coordinator.
 Classroom Courtesy:
All beeping watches, pagers, and cell phones will be turned OFF when entering the




Clinical Facilities
Unacceptable clinical
behaviors
classroom.
Refrain from personal conversations during class time.
Studying for other exams will not be allowed.
Students will receive one warning for failing to follow classroom courtesy policy. A
second occurrence will result in the student being asked to leave the classroom and
schedule an appointment with the course coordinator.
Preparation for and Follow-up of Clinical Experiences:
Clinical paperwork is due by the 10pm on the Sunday following the clinical experience.
Late assignment are not accepted and will result in a clinical U.
All assignments will be submitted electronically using the designated assignment
dropbox. It is YOUR responsibility to assure that documents are submitted on-time. “I
thought it was submitted” is not a valid excuse. I suggest that you take a picture of the
submission confirmation if you are concerned about “lost” assignments.
Exam Make-up: Attendance on the day of the exam is MANDATORY. If you are
unable to be present for an exam, the faculty must be notified before the exam is
scheduled to begin. In the absence of an immediate and acceptable explanation for
missing any scheduled exam a 0 will be calculated as the earned exam score. The
points from the missed exam will be added to the final exam or the practice HESI
grade may be used for the missed exam. No make-up exams are given. Drug calculation
quiz is pass fail and must be successfully completed at 90% prior to being able to attend
clinical – inability to pass this exam may result in a course failure.
Test Review: To protect the security of exam questions no individual review of exam
questions will be permitted. A silent group test review will be conducted at times and
dates identified on the syllabus.
Remediation: Any student who scores below a 75% on any exam is required to
schedule an appointment with the faculty member responsible for the exam content.
These meetings may be scheduled in person or online via web-ex. Failure to complete
required testing remediation will result in 2 hours of required lab remediation.
Clinical facilities for this course may include Houston Medical Center (Warner Robins),
Coliseum Medical Center (Macon), and/or Navicent Health Medical Center Central Georgia
(Macon)













Breaching confidentiality, privacy and/or security.
Abandoning or knowingly neglecting patients/clients requiring nursing
care.
Failing to report to appropriate person when leaving the clinical area.
Failing to report critical information to the appropriate person.
Failing to report own errors.
Fabricating information.
Failing to notify appropriate person or agency in advance, if unable to
attend clinical lab activity.
Performing procedures without appropriate preparation, supervision,
or authorization.
Failing to comply with the Policy on Substance Abuse as described in
the Undergraduate Student Handbook (Georgia College & State
University, 2005).
Failing to treat clients, families, staff, faculty, and other students with
respect and dignity
Failing to provide nursing care because of diagnosis, age, gender,
ethnicity, creed, or sexual orientation.
Using inappropriate or unsafe judgment, technical skill or
interpersonal behaviors in providing nursing care.
Failing to notify the appropriate party of any unprofessional conduct
with may jeopardize patient/client safety.



Technology
Requirements
Academic Honesty
Religious Observance
Fire Drill Procedure
Request for Disability
Modifications:
Student Opinion
Survey Statement
Interlibrary Loan
Failing to practice nursing in accordance with prevailing nursing
standards due to physical or psychological impairment.
Diverting prescription drugs for own or another’s use.
Misappropriating money or property (stealing) from a patient/client,
other person or facility/agency.
The minimum technology requirements:
http://www.gcsu.edu/technology/campustech/recommendations.htm Microsoft on-line training
resource: http://office.microsoft.com/en-us/support/training-FX101782702.aspx?redir=0
The integrity of students and their written and oral work is a critical component of the academic
process. The submission of another’s work as one’s own is plagiarism and will be dealt with
using the procedures outlined in the GC Catalog. Remember that allowing another student to
copy one’s own work violates standards of academic integrity.
See the student Honor Code at the website below:
http://www.gcsu.edu/studentlife/handbook/code.htm
Students are permitted to miss class in observance of religious holidays and other activities
observed by a religious group of which the student is a member without academic penalty.
Exercising of one’s rights under this policy is subject to the GC Honor Code. Students who
miss class in observance of a religious holiday or event are required to make up the coursework
missed as a result from the absence. The nature of the make-up assignments and the deadline
for completion of such assignments are at the sole discretion of the instructor. Failure to follow
the prescribed procedures voids all student rights under this policy.
The full policy and prescribed procedures are found at:
http://gcsu.smartcatalogiq.com/en/Policy-Manual/Policy-Manual/Academic-Affairs/AcademicPolicies-Procedures-and-Resources/Academic-Policies-Miscellaneous/Student-Absence-Policy
Fire drills will be conducted annually. In the event of a fire alarm, students will exit the building
in a quick and orderly manner through the nearest hallway exit. Learn the floor plan and exits of
the building. Do not use elevators. If you encounter heavy smoke, crawl on the floor so as to
gain fresh air. Assist disabled persons and others if possible without endangering your own life.
Assemble for a head count on the front lawn of main campus or other designated assembly area.
For more information on other emergencies, please visit
http://www.gcsu.edu/publicsafety/emergency_management.htm
If you have a disability as described by the Americans with Disabilities Act (ADA) and the
Rehabilitation Act of 1973, Section 504, you may be eligible to receive accommodations to
assist in programmatic and physical accessibility. Disability Services, a unit of the GCSU
Office of Institutional Equity and Diversity, can assist you in formulating a reasonable
accommodation plan and in providing support in developing appropriate accommodations to
ensure equal access to all GCSU programs and facilities. Course requirements will not be
waived, but accommodations may assist you in meeting the requirements. For documentation
requirements and for additional information, we recommend that you contact Disability
Services located in Maxwell Student Union at 478-445-5931 or 478-445-4233.
Any student requiring instructional modifications due to a documented disability should make
an appointment to meet with the course coordinator within in the first week of classes. An
official letter from GCSU documenting the disability is expected in order to receive
accommodations.
Near the end of the semester, you will be asked to complete an online survey. Your responses
are valued because they give important feedback to instructors to help improve student learning.
All responses are completely confidential and your name is not stored with your responses in
any way.
Students are encouraged to use the GCSU Library and the interlibrary loan services
(http://www2.gcsu.edu/library/ill/) to obtain journal articles relevant to this course.