Care of the Childbearing Family Syllabus for 2011-2012
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Instructor Information

Office Location

Jones Hall 234

Office Hours

By appointment

Course Information

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Course

RNSG-1251-001 Care of the Childbearing Family

Prerequisites

Prerequisites: RNSG 1301 and RNSG 1331
Corequisite: RNSG 1260

Course Description

Study of concepts related to the provision of nursing care for childbearing families. Topics may include selected complications. Topics include knowledge, judgment, skills and professional values within a legal/ethical framework. Focus is on delivery of safe nursing care, critical thinking and integration of communication skills. This course lends itself to a blocked approach.

Student Resources Student Resources Website

Department Expectations

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Hours

(2 sem hrs; 2 lec, 1 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

REGUIRED TEXTBOOKS:

Maternity and Women's Health Care (10th ed.), Mosby, Lowdermilk and Perry

Davis> Drug Guide for Nurse's (F.A Davis)

Vincent, Rebecca: Course Manual for RNSG 1251 and RNSG 1260

 SUGGESTED TEXTBOOKS:

Any textbook designed to help students analyze and interpret lab results

Maternity & Women's Health Care Study Guide (10th ed.), Mosby, Lowdermilk and Perry

Taber's Cyclopedia Medical Dictionary (F.A. Davis)

Documentation in Action (Lippincott, Williams, and Wilkins)

Supplies

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Student Performance

STUDENT PERFORMANCE/LEARNING OUTCOMES:

The student will identify changes which may be experienced by the childbearing family; utilize critical thinking skills and a  systematic problem-solving process for providing client-centered care for the family during prenatal, intrapartum, and postpartum periods; and explain the roles of the associate degree nurse in caring for the childbearing family.  The student will learn to facilitate adaptation of the family to their changing roles and assist in the promotion, maintenance, and restoration of health.

COURSE OUTCOMES:

 PROVIDER OF CARE: 

  1. Acquire increasing confidence and knowledge to assist in the promotion, maintenance, and restoration of health for the childbearing family.
  2. Apply theoretical concepts from the behavioral, natural, social, and nursing sciences to provide culturally diverse care for the childbearing family.
  3. Utilize a systematic process and clinical reasoning to develop and provide holistic, patient-centered care for childbearing families within the community.
  4. Identify nursing concepts necessary to meet the unique psychosocial needs of the childbearing family.
  5. Identify compassionate behaviors and appropriate communication skills for providing care to childbearing patients and families from diverse social, cultural, and religious backgrounds.
  6. Develop a health teaching plan for the immediate and long term needs of childbearing families.
  7. Identify appropriate community resources available to meet the needs of childbearing families.
  8. Improve basic nursing skills in physical assessment and nursing process in the care of childbearing families. 

COORDINATOR OF CARE: 

  1. Identify resources and skills necessary to collaborate and participate with the multi-disciplinary health care team to provide  holistic, patient-centered care to childbearing families within the community.
  2. Understand and utilize current technology and efficient management skills to provide holistic, patient-centered care to childbearing families.
  3. Identify the role of the professional nurse as an integral member of the multidisciplinary team in planning, implementing, and evaluating holistic, patient-centered care for childbearing families within the community.
  4. Develop appropriate and effective communication skills when interacting with individuals, families, and members of the multidisciplinary team. 

MEMBER OF A PROFESSION: 

  1. Identify a safe, legal, and ethical framework and professional standards of care, demonstrating a concern for quality of life and respect for human dignity and value when caring for the childbearing family.
  2. Identify personal strengths and opportunities for improvement to enhance professional development in nursing practice and in the care of childbearing families.
  3. Apply evidence-based practice data from current literature to provide safe and effective nursing care to childbearing families.

Students Rights and Responsibilities

Student Rights and Responsibilities

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If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

\ BEHAVIORAL OBJECTIVES FOR COURSE:

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\ Students are full partners in fostering a classroom environment which is conducive to learning.  In order to assure that all students have the opportunity to gain from time spent in class, unless otherwise approved by the instructor, students are prohibited from engaging in any form of behavior that detracts from the learning experience of fellow students.  Inappropriate behavior in the classroom may result in a request for the offending student to leave class. (For additional information see ADN Student Handbook: Professional Conduct, ANA Code of Ethics and AC Student Rights and Responsibilities).

Grading Criteria

GRADING CRITERIA/GRADE SCALE:

Module exams (3) will comprise 75% of the grade and the final exam will compromise 25% of the grade. The grades earned will be based on the following scale;

A= 90%-100%

B= 80%-89%

C= 70-79%

D= 60-69%

F= below 60%

Make up exams must be completed within one week of the scheduled examination.  An appointment may be made with the instructor to review the examination for ONE week after the classroom review of the module examination.

One EVOLVE Maternity Nursing specialty exam will be administered toward the end of the semester.  Students who score 70-79% will receive two extra points on the third major examination and students who score 80% and above will receive four extra points on the third major examination.

Attendance

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\ Regular attendance (90%) is necessary for satisfactory achievement.  Therefore, it is the responsibility of the student to attend class.  Please review the student contract for specific requirements.

Calendar

Module exams (3) will comprise 75% of the grade and the final exam will compromise 25% of the grade. 

One EVOLVE Maternity Nursing specialty exam will be administered toward the end of the semester.  Students who score 70-79% will receive two extra points on the third major examination and students who score 80% and above will receive four extra points on the third major examination.

The final exam will be scheudled during the week of finals.  It is comprehensive and will be 25% of the final grade. 

The final exam schedule will be posted at least one month prior to the final exam week.  Students who have general education course exams which may conflict with nursing exams are allowed to re-schedule their nursing exam on an individual basis with the consent of the nursing faculty member and the computer testing lab assistant.

Module I:

  1. History, statistics, and cultural variations in the care of the childbearing family
  2. Legal, ethical, and quality improvement considerations in Maternal Child Nursing.
  3. Trends in fertility and birth rates.
  4. Current health care delivery problems in our society.
  5. Nursing care during pregnancy
    1. Development of embryo and fetus
    2. Physiological changes of pregnancy
    3. Signs and symptoms of pregnancy
    4. Psychological changes of pregnancy
    5. Nutritional issues in pregnancy
  6. Nursing care during labor and delivery
    1. Factors affecting labor and delivery
      1. Fetal position and lie
      2. Types of pelvises
    2. Conduct of normal labor
      1. Premonitory signs of labor
      2. The concept of pain
      3. Stages of labor and nursing management for each stage
    3. Fetal heart rate monitoring
      1. Types of monitoring
      2. Evaluating FHR
    4. Anesthesia during labor and delivery
    5. Conduct of vaginal delivery
      1. a. Spontaneous
      2. b. Induction/Augmentation
      3. c. Forcep and vacuum assisted delivery
    6. Antepartum testing
      1. a. Amniocentesis
      2. b. BPP
      3. c. NST/OCT

Module II:

  1. A. The Normal Newborn
    1. Immediate needs of the newborn
    2. Physiology of the newborn
      1. Respiratory changes
      2. Circulatory changes
      3. Metabolic changes
      4. Neurological changes
    3. Characteristics of the newborn
      1. Initial care in nursery
      2. Continued care in the nursery
      3. Pharmacological needs of the newborn
    4. Respiratory distress
    5. Infections in newborn
    6. Infant nutrition
  2. Nursing care during the puerperium
    1. Assess physiological and anatomical changes in the reproductive tract
    2. Hemorrhage:
      1. signs & symptoms
      2. nursing care
      3. hematomas
    3. Perform physical assessment and comfort measures
      1. breast
      2. uterus
      3. bladder
      4. bowel
      5. lochia
      6. episiotomy/perineum
      7. Homan�s sign
    4. Assessment of maternal emotional status
    5. Discuss the effects of pregnancy and the mother-infant attachment process
    6. Social and cultural variations regarding parenthood
  3. Assess and guide the breastfeeding mother
  4. Adolescent Pregnancy
  5. Contraceptives

 

Module III:

  1. Complications of Pregnancy
    1. Hypertensive disorder:
      1. Pre-eclampsia-mild or severe
      2. Chronic hypertensive disease/PIH
      3. HELLP
    2. 2. Bleeding during pregnancy
      1. Abruptio placenta
      2. Placenta previa
    3. Diabetes Mellitus
    4. Heart disease
    5. Hyperemesis gravidarum
    6. Preterm Labor
  2. Complications of Labor and Delivery
  1. Dystocia:
    1. Primary
    2. Seconday
  2. Cephalopelvic disproportion

COMPLICATIONS OF THE PUERPERIUM

  1. 1. Infections:
    1. a. Puerperal
    2. b. Perineal
    3. c. Chorioamnioitis
  2. Premenstrual Syndrome
  3. Menopause
  4. Sexually transmitted diseases

Module IV:

  1. Compromised newborn
    1. Addiction
    2. Fetal Alcohol Syndrome
    3. Post maturity
    4. Jaundice
    5. Prematurity
  2. The Premature Infant
    1. Classification
    2. Assessment
    3. Nursing care
  3. TORCH infections , Birth Trauma, and Metabolic Conditions
  4. Pregnancy Loss
    1. Ectopic
    2. Hydatiform Mole
    3. Abortion
  5. Infertility
  6. Perinatal Loss
    1. Grief Process
    2. Nusing care

Additional Information

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\ Vincent, Rebecca: Course Manual for RNSG 1251 and RNSG 1260

\ www.actx.edu

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\ http://evolve.elsevier.com

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\ www.actx.angellearning.com

Syllabus Created on:

11/30/-1 12:00 AM

Last Edited on:

11/30/-1 12:00 AM