Course Outline for Nursing 51, Page 4

Chabot College Fall 2005 Replaced Fall 2012 Course Outline for Nursing 51 NURSING OF THE CHILDBEARING FAMILY (OBSTETRICAL NURSING )

Catalog Description

51 - Nursing of the Childbearing Family (Obstetrical Nursing) 4 units

Emphasis placed on the use of the nursing process in promoting adaptive processes necessary for coping with the health issues of the childbearing family; theory and clinical highlight the coping mechanisms for childbearing families. Focus is on cultural diversity and growth and development as they affect the physiological and psychological adaptation of families experiencing pregnancy, labor and birth, postpartum, and the newborn infant. Theory and clinical practice includes integration of assessment skills, growth and development, violence against women, nutrition, pharmacological concepts, ethical issues, and teaching strategies unique to childbearing families. Clinical focuses on care of clients in community and acute care settings. Prerequisite: Formal referral by the California Board of Registered Nursing for the purpose of meeting requirements for eligibility to take the licensing examination for registered nursing (NCLEX-RN). May not receive credit if Nursing 59 has been completed. 2 hours lecture, 6.75 hours laboratory. [Typical contact hours: lecture 35, laboratory 118.125]

Prerequisite Skills:

Expected Outcomes for Students:

Upon completion of the course, the student should be able to:

Theoretical Outcomes 1. discuss an assessment on an antepartum, intrapartum, postpartum, and newborn client,; identifying high-risk clients through the systematic collection of data in hospital and community settings; 2. develop relevant, culturally sensitive, and developmentally appropriate nursing care plans for childbearing families based on assessment data; 3. identify appropriate psychosocial and physical nursing interventions for childbearing families, including health teaching related to childbirth preparation, prenatal nutrition, postpartum adjustment, infant care, breast and bottle feedings, family planning, growth and development, and safety of the newborn; 4. facilitate the parent-child relationships of bonding and attachment; 5. identify cultural patterns influencing the family’s adaptation to the childbearing experience; 6. explain the physiological and pathophysiological processes of childbearing through written assignments and planned interventions with clients; 7. articulate some of the ethical issues involved in the health care of families, especially women’s obstetrical care; 8. facilitate the family’s adaptation and role change during the childbearing process; 9. discuss nursing responsibilities in the care of families with unexplained death or injuries to the newborn infant.

Clinical Outcomes: Chabot College Course Outline for Nursing 51, Page 2 Fall 2005

1. perform an assessment on an antepartum, intrapartum, postpartum and newborn client, identifying high-risk clients through the systematic collection of data in hospital and community settings; 2. develop a relevant, culturally sensitive, and developmentally appropriate nursing care plans for childbearing families based on assessment data; 3. identify appropriate psychosocial and physical nursing interventions for childbearing families including health teaching related to childbirth preparation, prenatal nutrition, postpartum adjustment, infant care, breast and bottle feeding, family planning, growth and development, and newborn safety; 4. facilitate the parent-child relationships of bonding and attachment; 5. safely administer medications to a variety of obstetric clients using the developmentally appropriate approach; 6. appropriately articulate with community resources available for new parents; 7. identify and describe the steps of the nursing process in maternity settings, and incorporate legally appropriate principles in the care of obstetric clients; 8. identify and institute appropriate interventions in violence against women; 9. identify the conditions associated with genetic patterns of inheritance and correlate antepartal care appropriately; 10. demonstrate the following nursing skills as adapted to childbearing families; a. application of bedside assessment, respiratory, and abdominal; b. application of the adaptation model based on Roy’s theory in the formulation of nursing care plans for the childbearing family; c. family teaching concepts related to: 1) need for health supervision of the childbearing family; 2) personal hygiene; 3) birth control; 4) newborn care; 5) newborn feeding; 6) maternal antepartum, intrapartum, and postpartum care, including physical and emotional support; d. administration of parenteral therapies; e. care of the normal postpartum mother and the postpartum mother at risk; f. care of the normal newborn; g. care of the client in labor; h. care of the intrapartum and postpartum client having a caesarian delivery.

Course Content:

1. Assessment of antepartum, intrapartum, postpartum, and newborn client 2. Care of the antepartum, intrapartum, postpartum, and newborn client experiencing high risk conditions such as, but not limited to: a. diabetes mellitus b. prematurity c. drug abuse d. PIH e. antigen-antibody issues f. hyperemesis gravidarum g. dysfunctional labor h. operative obstetrics i. obstetrical anesthesia and analgesia j. STDs k. hemorrhagic issues l. lactation, newborn feeding, thermoregulation problems 3. Comfort measures for the antepartum, intrapartum, postpartum and newborn client including: Chabot College Course Outline for Nursing 51, Page 3 Fall 2005

a. positioning b. exercises c. breathing techniques d. medications e. thermal regulation 4. Teaching and psychological support measures for the antepartum, intrapartum, postpartum and newborn client including: a. nutrition b. birth control c. genetic issues d. new family roles 5. Nutritional support for the antepartum, intrapartum, postpartum and newborn client including fluid and caloric needs 6. Medication support for the antepartum, intrapartum, postpartum and newborn client including normal and high risk needs 7. Elimination support measures for the antepartum, intrapartum, postpartum and newborn client experiencing: a. constipation b. urinary frequency c. bladder distention d. water intoxication e. abnormal stools 8. Family support measures for the antepartum, intrapartum, postpartum and newborn client including: a. discharge planning b. violence against women c. extended family support d. privacy issues

Methods of Presentation:

1. Lecture 2. Seminar discussion 3. Clinical Practice

Assignments and Methods of Evaluating Student Progress:

1. Typical Assignments a. Complete and submit responses to case studies in maternal and Newborn nursing using interactive computer simulations b. Perform a head-to-toe assessment on a newly delivered mother and newborn infant and document findings in the chart c. Analyze and evaluate results of a head-to-toe assessment of a newly delivered mother and newborn infant d. Implement safe and effective nursing care, using interventions developed from the analysis and evaluation of the assessment of a newly delivered mother and newborn infant e. Evaluate nursing function differences in the home, out-patient clinic and hospital settings f. Complete and submit responses to critical thinking exercises in the required study guide g. Prepare a written document explaining the principles of and rationale for safe and effective carfe of the patient in active labor

2. Methods of Evaluating Student Progress Chabot College Course Outline for Nursing 51, Page 4 Fall 2005

a. In-class projects b. Nursing care plans c. Medication cards d. Homework e. Class participation f. Clinical performance tools g. Written final exam

Textbook(s) (Typical):

Foundations of Maternal-Newborn Nursing, Murray, McKinney, and Garrie, 3rd ed., Mosby, 2002 Study Guide: Foundations of Maternal Newborn Nursing, Murry, McKinney, and Garrie, 3rd ed. Mosby, 2002

Special Student Materials:

1. Stethoscope 2. Student ID card 3. Lab Coat 4. Student Uniform 5. Watch with sweep second hand

Students will provide own transportation to and from health care facilities

nc/n51courseoutline.05.doc New: 9/04 Rev. 2/05