PENN VALLEY COMMUNITY COLLEGE
NURSING DIVISION
PRACTICAL NURSING PROGRAM
COURSE SYLLABUS
COURSE TITLE: NURSING OF THE CHILDBEARING FAMILY
COURSE NUMBER:
PNUR 132
COURSE UNIT: MATERNAL AND NEWBORN NURSING
UNIT OBJECTIVES: Upon satisfactory completion of this course, the student,
through written or verbal communication and/or performance evidenced by at least
a 75% final grade will:
1.
Match terms associated with obstetrics to their correct definitions
2.
Explain the structure and function of the female reproduction system
3.
Describe the structure and function of the male reproduction system
4.
Discuss the menstrual cycle’s hormonal changes and influences
5.
Analyze the distinguishing characteristics of the fetal circulation
6.
Differentiate between the stages of growth and development from
conception to birth
7.
Relate the normal antepartal changes in the expectant mother and the
nursing implication of each
8.
Discuss the complication of pregnancy
9.
Choose appropriate nursing interventions for care of the pregnant
woman
10. Describe the physiology of the normal labor and delivery
11. Select appropriate nursing interventions in the care of the laboring,
delivering and recovering client
12. Discuss the characteristics of the normal newborn
13. Describe the immediate care of the newborn in the delivery room and
during the stay in the nursery
14. Classify medications used in pregnancy, labor and delivery,
postpartum care and in the nursery
15. Compare effectiveness of the various forms of birth control
TEXTBOOK
Liefer, G. (2003). Introduction to Maternity and Pediatric Nursing (4th ed)
Philadelphia: W.B. Saunders.
REFERENCE BOOKS:
Potter and Perry (2001), Fundamentals of Nursing. (5th ed) St. Louis, Mo:
Mosby.
Thibodeau, G.A., & Stock, K.T. (2000). Structure and Function of the
Body (11th ed) St. Louis, Mo: Mosby.
Clayton, B. D., Stock, Y. N. (1997). Basic Pharmacology for Nurses. (11th
ed). St. Louis: Mosby.
TEACHING METHHODS: This course is taught by lecture, discussion, group
projects and written assignments. Audiovisual material will supplement lecture.
Clinical observation and experience, along with Nursing Arts lab practice will
allow students to apply theory to the clinical setting.
CLINICAL REQUIREMENTS: The clinical component of the course is graded on
a PASS/FAIL basis. The Student must pass the clinical component in order to
receive a transcript grade for the course. If the student fails the clinical rotation, the
grade for the course will be transcripted as an “F”. The student must meet at least
75% of the clinical with an NI or above to pass the clinical rotation.
(SEE ATTACHED CLINICAL OBJECTIVES.)
ASSESSMENT MEASURES: Written examinations in the form of quizzes and
final examination, projects and group activities along with clinical evaluations may
be used to measure success in this course.
1. Written quizzes and final exams will be assessed points.
2. No final grade will be recorded until all written work is completed as
assigned.
Grading: We feel that the bulk of every student’s grade should be based primarily
on exams. However, as we provide other methods of learning such as outlines,
vocabulary worksheets, TLC assignments and group work, verbal and written. We
will weight your grade for the class. 50% of your grade is from maternal nursing
and 50 % is from pedriatic nursing.
Exams are weight as 80% of the course value.
Pop quizzes and class “unannounced” quizzes or written work, ie assessments or
care plans will be worth 10 % of the course value. Pop Quiz
Are Not Made up.
Written assignments are 5% of the course value.
Group work and projects, TLC work is 5% of the course value.
Please use black board to view the breakdown. As we go through course the total
in grades on blackboard will always reflect the accurate % for your overall grade
in this course.
The grading scale is as follows:
A
B
C
92 – 100 %
84 – 91 %
75 – 83 %
You must have at least 75 % to pass this course and continue on in the program.
REFER TO STUDENT HANDBOOK FOR POLICIES: i.e. attendance, grading,
testing, expected behavior and program progression, etc
The Metropolitan Community College complies with the American With
Disabilities Act. If you need any accommodation due to a documented disability,
please contact Gretchen Blythe, Campus Center, room 221, (voice) 816-759-4152.
SUMMARY OF LESSON CONTACT
UNIT I
Introduction to Maternal and Newborn Nursing
Lesson 1. History and trends in childbirth
Lesson 2. Human reproduction-review BSF
Lesson 3. Fetal development
UNIT 2
The expectant family
Lesson 4. Physical/Psychological adaptation to pregnancy
Lesson 5. Prenatal care
Lesson 6. Complications of pregnancy
Lesson 7. Assessment of fetal health
UNIT 3
Labor and birth experience
Lesson 8
Process of normal labor
Lesson 9. Pain management in labor
Lesson 10. Complications of labor and birth
UNIT 4
The postpartum family
Lesson 11. Physical/Psychological adjustments
Lesson 12. Nursing care
Lesson 13. Complications postpartum
Lesson 14. Family planning
UNIT 5
The normal newborn
Lesson 15. Adjustment to extrauterine life
Lesson 16. Assessment and daily care
PENN VALLEY COMMUNITY COLLEGE
NURSING DIVISION
PRACTICAL NURSING PROGRAM
UNIT 1
LESSON 1
HISTORY AND TRENDS:
Dates to know--- 5th Century Training
1563-1636
17231621—USA
1637
1716
18th & 19th Century
1907
1910
1970’s
HOSP ITAL BIRTHS
PHYSICIAN
THE OB NURSE
OB TECH
CONSUMERS ‘SAY”
LESSON 2 REPRODUCTION
I. The Four Basic Functions of the Female Reproduction System.
TO PRODUCE OVARIAN HORMONES WHICH ARE
RESPONSIBLE FOR THE FEMALE SEX CHARACTERISTICS
AND REPRODUCTIVE FUNCTION
TO PRODUCE OVUM AND DELIVER IT TO AREA OF
CONCEPTION
TO NUTURE AND SUSTAIN THE DEVELOPING FERTILIZED
OVUM (PRODUCT OF CONCEPTION) UNTIL BIRTH
TO ACCOMPLISH DELIVERY OF THE PRODUCT OF
CONCEPTION
EXTERNAL GENITALS (SELF REVIEW)
VULVA
LABIA MAJORA
LABIA MINORA
PREPUCE
CLITORIS
BARTHOLIN GLAND
HYMEN
URINARY MEATUS
PERINEUM
ANUS
INTERNAL ORGANS
VAGINA
UTERUS
STRUCTURE AND DIVISIONS OF THE UTERUS
1.
FUNDUS
2.
CORPUS
3.
ISTHMUS
4.
CERVIX
BLOOD SUPPLY TO UTERUS
OVARIES
FALLOPIAN TUBES
BONY PELVIS:
BREASTS AND MAMARY GLANDS
FUNCTION OF THE FEMALE REPRODUCTIVE CYCLE
A.
MENARCHE
B.
FEMALE HORMONES
1. HYPOTHALAMUS/ANTERIOR PITUITARY
a.
HYPOTHALAMUS
b.
ANTERIOR PITUITARY
2. OVARIES
a. ESTROGEN
b. PROGESTERONE
c. TESTOSTERONE
3. ENDOMETRIUM SECRETIONS
THE COMPLEX INTERACTIONS OF HORMONES
Glands & Hormones Together are responsible for:
OVARIAN CYCLE:
FOLLICULAR PHASE
OVULATION
LUTEAL PHASE
SIGNS OF OVULATION
THE MENSTRUAL CYCLE:
FOUR PHASES EACH MONTH1. MENSTRUAL PHASE
2. PROLIFERATION PHASE
3. SECRETORY PHASE
4. 2 OPTIONS
a.
ISCHEMIC PHASE
b.
PREGNANCY PHASE
MALE REPRODUCTIVE SYSTEM
1.
TESTES
A.
MALE REPRODUCTIVE GLANDS
B.
FUNCTION OF TESTES
C.
TESTOSTERONE
2.
EPIDIDYMIS
3.
VAS DEFERENS
4.
SEMEN
LESSON 2.
A.
HUMAN REPRODUCTION
CONCEPTION
DEFINE:
ZYGOTE
CLEAVAGE
IMPLANTATION AND DETERMINATION OF SEX
CHROMOSOMES:
A.
MAKE UP
CELLULAR DIVISION
A.
MITOSIS
B.
MEIOSIS
C.
D.
E.
CELLULAR MULTIPLICATION
UTERINE ENDOMETRUIM
CELLULAR DIFFERENTIATION
INTRAUTERINE DEVELOPMENT:
EMBRYONIC MEMBRANE
1.
CHORION
2.
AMNION
AMNIOTIC FLUID
FUNCTION OF AMNIOTIC FLUIDS
PLACENTA
CIRCULATION AND FUNCTION OF PLACENTA
UMBILICAL CORD
LESSON 3.
FETAL CIRCULATION
FETAL CIRCULATION
3 DIFFERING STRUCTURES:
FETAL DEVELOPMENT
UNIT 2
The expectant family
Lesson 4. Physical/Psychological adaptation/changes to pregnancy
INTRODUCTION:
DURATION OF PREGNANCY
A AND P OF PREGNANCY
Uterus
Cervix
Ovaries
Vagina
Breasts
Cardiovascular changes
GI system changes
Urinary system changes
Skin and hair
Musculoskeletal system changes
Endocrine system changes
SIGN OF PREGNANCY
A.
B.
C.
PRESUMPTIVE SIGNS
PROBABLE SIGNS OF PREGNANCY
POSITIVE SIGNS OF PREGNANCY
PSYCHOLOGICAL RESPONSES TO PREGNANCY
TASKS OF MOTHER
HISTORY OF CLIENT
PHYSICAL EXAM OF CLIENT
LABORATORY STUDIES
EVALUATION OF EMOTIONAL RESPONSES
CLIENT TEACHING
Lesson 5. Prenatal care
DOCTOR’S VISITS:
EDC ---NAGELES RULE
DANGER SIGNS (REPORTABLE SIGNS)
ASSESSMENT OF FUNDUS
ADDITIONAL CONSIDERATIONS DURING PREGNANCY
MATERNAL NUTRITION
Lesson 6. Complications of pregnancy
CLASS PROJECT
Lesson 7. Assessment of fetal health
DEMONSTRATION
UNIT 3
Labor and birth experience
Lesson 8
Process of normal labor
THE 4 “P” OF LABOR
1.
PASSAGE
2.
PASSENGER
3.
POWERS
4.
PSYCHE
PASSAGEWAY OF BIRTH
PELVIC TYPES- 4
ASSESSMENT OF MATERNAL PELVIC
A.
INLET
B.
CAVITY
C.
OUTLET
FETAL POSITIONS AND PRESENTATIONS
ATTITUDE
LIE
PRESENTATION
POSITION
FETUS
IDENTIFY FETAL STRUCTURE IMPORTANT IN THE BIRTH
PROCESS
HEADS
PRESENTATIONS
RELATIONSHIP OF PRESENTING PARTS TO MATERNAL
PELVIS
ENGAGEMENT
STATION
FORCES OF LABOR
PRIMARY POWER
SECONDARY POWER
A & P OF CONTRACTIONS
FREQUENCY OF CONTRACTIONS
PREMONITORY SIGNS OF LABOR
LIGHTENING
BRACTION HICKS CONTRACTIONS
CERVICAL CHANGES
BLOODY SHOW
RUPTURE OF MEMBRANES
SUDDEN BURST OF ENERGY
OTHER SIGNS
LABOR STAGES AND PHASES
PENN VALLEY COMMUNITY COLLEGE
NURSING DIVISION
PRACTICAL NURSING PROGRAM
COMPUTER ASSIGNMENTS
Complete program:
SELF-STUDY MATERNITY-NEWBORN DO ALL SECTIONS:
LS 2000 directions to be placed on board for you. 90%
ATTENTION: YOU MAY NOT PRINT OUT THE STUDY GUIDE
OUTLINE!
TAKE THE TEST FOR THE PROGRAM AND THAT WILL GET YOU
VALIDATION You have to complete this assignment with a 90% to progress to
next course.
Watch the following films for Maternal Nursing.
DATE/INITIALS
CESAREAN BIRTH
_______
CONCEPTION TO BIRTH
_______
MIRACLE OF LIFE
_______
HAVING YOUR BABY: PRENATAL CARE
_______
HAVING YOUR BABY: LABOR AND DELIVERY _______
HAVING YOUR BABY: NEWBORN CARE
_______
HAVING YOUR BABY: POSTNATAL CARE
_______
HAVING YOUR BABY: BREAST FEEDING
_______
PHYSICAL ASSESSMENT OF THE NEWBORN
_______
CHECK IT OUT AND AFTER WATCHING THE MOVIE THEN HAVE
THE STAFF SIGN IN THE APPROPRIATE BLANK.
PENN VALLEY COMMUNITY COLLEGE
NURSING DIVISION
PRACTICAL NURSING PROGRAM
OB Care Plan assignment:
Develop a Care Plan for a normal Laboring and Delivering patient,
postpartal patient and newborn infant.
Each of the 4 areas of birth will have 4 nursing diagnosis and at least 7
interventions, rationales and evaluations.