COURSE SYLLABUS RNSG 1412 (4:4:0) ********** ASSOCIATE DEGREE NURSING PROGRAM DEPARTMENT OF NURSING HEALTH OCCUPATION DIVISION LEVELLAND CAMPUS

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1 COURSE SYLLABUS RNSG 1412 (4:4:0) NURSING CARE OF THE CHILDBEARING AND CHILDREARING FAMILY ********** ASSOCIATE DEGREE NURSING PROGRAM DEPARTMENT OF NURSING HEALTH OCCUPATION DIVISION LEVELLAND CAMPUS SOUTH PLAINS COLLEGE SPRING 2011

2 SCANS COMPETENCIES RESOURCES: Identifies, organizes, plans and allocates resources. C-1 TIME--Selects goal--relevant activities, ranks them, allocates time, and prepares and follows schedules. C-2 MONEY--Uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives C-3 MATERIALS & FACILITIES-Acquires, stores, allocates, and uses materials or space efficiently. C-4 HUMAN RESOURCES--Assesses skills and distributes work accordingly, evaluates performances and provides feedback. INFORMATION--Acquires and Uses Information C-5 Acquires and evaluates information. C-6 Organizes and maintains information. C-7 Interprets and communicates information. C-8 Uses computers to Process information. INTERPERSONAL--Works With Others C-9 Participates as members of a team and contributes to group effort. C-10 Teaches others new skills. C-11 Serves clients/customers--works to satisfy customer's expectations. C-12 Exercises leadership--communicates ideas to justify position, persuades and convinces others, responsibly challenges existing procedures and policies. C-13 Negotiates-Works toward agreements involving exchanges of resources resolves divergent interests.

3 C-14 Works with Diversity-Works well with men and women from diverse backgrounds. SYSTEMS--Understands Complex Interrelationships C-15 Understands Systems--Knows how social, organizational, and technological systems work and operates effectively with them C-16 Monitors and Correct Performance-Distinguishes trends, predicts impacts on system operations, diagnoses systems' performance and corrects malfunctions. C-17 Improves or Designs Systems-Suggests modifications to existing systems and develops new or alternative systems to improve performance. TECHNOLOGY--Works with a variety of technologies C-18 Selects Technology--Chooses procedures, tools, or equipment including computers and related technologies. C-19 Applies Technology to Task-Understands overall intent and proper procedures for setup and operation of equipment. C-20 Maintains and Troubleshoots Equipment-Prevents, identifies, or solves problems with equipment, including computers and other technologies. FOUNDATION SKILLS BASIC SKILLS--Reads, writes, performs arithmetic and mathematical operations, listens and speaks F-1 Reading--locates, understands, and interprets written information in prose and in documents such as manuals, graphs, and schedules. F-2 Writing-Communicates thoughts, ideas, information and messages in writing, and creates documents such as letters, directions, manuals, reports, graphs, and flow charts. F-3 Arithmetic--Performs basic computations; uses basic numerical concepts such as whole numbers, etc. F-4 Mathematics--Approaches practical problems by choosing appropriately from a variety of mathematical techniques. F-5 Listening--Receives, attends to, interprets, and responds to verbal messages and other cues. F-6 Speaking--Organizes ideas and communicates orally. THINKING SKILLS--Thinks creatively, makes decisions, solves problems, visualizes, and knows how to learn and reason F-7 Creative Thinking--Generates new ideas. F-8 Decision-Making--Specifies goals and constraints, generates alternatives, considers risks, and evaluates and chooses best alternative. F-9 Problem Solving--Recognizes problems and devises and implements plan of action. F-10 Seeing Things in the Mind's Eye--Organizes and processes symbols, pictures, graphs, objects, and other information. F-11 Knowing How to Learn--Uses efficient learning techniques to acquire and apply new knowledge and skills.

4 F-12 Reasoning--Discovers a rule or principle underlying the relationship between two or more objects and applies it when solving a problem. PERSONAL QUALITIES--Displays responsibility, self-esteem, sociability, self-management, integrity and honesty F-13 Responsibility--Exerts a high level of effort and preservers towards goal attainment. F-14 Self-Esteem--Believes in own self-worth and maintains a positive view of self. F-15 Sociability--Demonstrates understanding, friendliness, adaptability, empathy, and politeness in group settings. F-16 Self-Management--Assesses self accurately, sets personal goals, monitors progress, and exhibits self-control. F-17 Integrity/Honesty--Chooses ethical courses of action.

5 SOUTH PLAINS COLLEGE ASSOCIATE DEGREE NURSING PROGRAM NURSING CARE OF THE CHILDBEARING AND CHILDREARING FAMILY TABLE OF CONTENTS COURSE SYLLABUS... 1 Course Description... 1 Course Learning Outcomes... 2 Course Competencies... 4 Academic Integrity... 4 Scans and Foundation Skills... 4 Verification of Workforce Competencies... 4 SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS... 5 Required Text... 5 Recommended Text... 5 Attendance Policy... 5 Assignment Policy... 6 Grading Policy... 7 COURSE OUTLINE... 7

6 ACCOMMODATION... 9 COURSE CONTENT Introduction Foundations of Nursing Care for the Childbearing & Childrearing Families A. Introduction to Maternal/Child Nursing B. Maternal & Child Health Nursing Today C. Special Considerations in Caring for Children Unit 0.I - The Family Before Birth A. Conception and Prenatal Development B. Perinatal Education C. Physiologic and Psychosocial Adaptions to Pregnancy D. Nutrition for Childbearing E. Fetal Diagnostic Tests... 17

7 Unit 0.II - The Family During Birth A. Nursing Care During Labor and Birth B. Pain Management During Childbirth C. Intrapartum Fetal Monitoring D. Nursing Care During Obstetric Procedures Unit 0.III - The Family Following Birth A. Nursing Care of the Postpartal Women B. Nursing Care of the Women and Family Experiencing a Postpartal Complication C. Care of the Newborn and Family D. Care of the High Risk Newborn Unit 0.IV Families at Risk During the Childbearing Period A. Intrapartal Complications B. The Childbearing Family with Special Needs C. Complications of Pregnancy D. Concurrent Disorders During Pregnancy Unit 0.V Other Reproductive Issues A. Family Planning B. Infertility C. Women s Health Care D. Grief & Loss E. Hereditary and Environmental Influences in Childbearing... 25

8 Unit P.I - Nursing Role in Health Promotion for the Child Rearing Family A. Health Promotion for the Developing Child B. Health Promotion for the Infant C. Health Promotion for Early Childhood D. Health Promotion for the School Age Child E. Health Promotion for the Adolescent F. Ill child in the Hospital and other settings Unit P.II - Problems Related to Transfer of Oxygen & Nutrients A. The Child with Respiratory Dysfunction B. Immunologic Alterations C. Infectious Disorders... 31

9 Unit P.III - Problems Related to Production & Circulation of Blood A. Assessment of Cardiovascular Alterations B. Hematologic Alterations C. Cancer Unit P.IV - The Child with Disturbances of Gastrointestinal, Renal or Endocrine Disorders A. Gastrointestinal Alterations B. Genitourinary Disorders C. Endocrine System Disorders Unit P.V - The Child with Neurologic, Musculoskeletal Sensory and Integumentary Alteration, Cognitive Impairment A. Neurologic B. Musculoskeletal C. The Child with a Sensory Alteration D. Integumentary Alterations E. Cognitive Impairment APPENDICES A - STUDENT CONTRACT B - COURSE GRADE WORKSHEET... 46

10 Campuses: Levelland COURSE SYLLABUS COURSE TITLE: RNSG 1412 Nursing Care of the Childbearing and Childrearing of Family INSTRUCTORS: Jill Pitts, RNC, MSN Lourie Winegar. RN, MSN Ray Hughes, RN Jennifer Payne RN. BSN OFFICE LOCATION AND PHONE/ Jill Pitts TA 133, Ext. 2385, (Home), (Cell) Lourie Winegar TA128, , Ext. 2383, (Cell) Ray Hughes TA 150, , Ext 2390, (Cell) Jennifer Payne TA 110, , Ext 2391, (cell) OFFICE HOURS: Posted on each instructor s door. SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT S LIFE 1

11 I. GENERAL COURSE INFORMATION A. COURSE DESCRIPTION RNSG 1412, an introduction to Maternal-Child nursing, is designed to provide the learner with basic knowledge and skills to function within the three roles of nursing (provider of care, coordinator/manager of care, and member of the profession) while working with clients, families, and/or groups in the childbearing/childrearing stages of life in a variety of settings. This course focuses on the care of the biopsycho-socio-spiritual childbearing/childrearing stages of life in a variety of settings. This course focuses on the care of the bio-psycho-socio-spiritual childbearing/childrearing family through the use of critical thinking/problem solving, delegation, and nursing process within an interpersonal and collaborative framework. This course must be taken and passed concurrently with RNSG Supportive foundation knowledge needed to care for the childbearing/childbearing individual, family, and community includes physical and emotional aspects of nursing care, integrating developmental, nutritional, and pharmacological concepts. Also essential in success are concepts of communication, safety, legal ethical issues, current technology, economics, humanities and biological, social and behavioral sciences. 1. Meet all requirements for admission into the Associate Degree Nursing Program. 2. Prerequisites: RNSG 1513, 1205, 1160, 1115, 1443, 2460, 2213, BIOL 2402, 2420, PSYC

12 3. Placement: Spring Time Allotment: Sixteen (16) weeks. The course allows four- (4) semester hour credits. This includes four (4) hours of classroom and instruction each week. 5. Teaching Strategies: Demonstrations, independent assignment, nursing laboratory, simulated lab, audiovisual media, student presentations, and group discussion, selected presentations, and group discussion, selected case presentation material, review of journal articles, study guides, and lecture seminars. 6. Teaching Personnel: Associate Degree Nursing faculty; guest speakers. 7. In addition to the program educational objectives, all SCANS and ELC's (Entry Level Competencies) are found throughout the syllabus. The ELC's are designated by their number in parentheses after each objective in each unit. The SCANS competencies are identified by number at the beginning of each unit. B. COURSE LEARNING OUTCOMES Upon successful completion of RNSG 1412 the student will meet all Level III Educational Objectives as specifically applied to the childbearing and/or childrearing family. Additional specific information and objectives are found in the course description and each unit s objectives. In addition to the program educational objectives, all SCANS and ELC's are found throughout the syllabus. The SCANS competencies are identified by number at the beginning of each unit. The Level III educational objectives/elc's are identified by number in parenthesis under each role heading in each unit. 3

13 PROVIDER OF CARE: 1. Integrate theoretical concepts of the bio-psycho-socio-spiritual sciences with nursing knowledge and skills to meet the basic needs of clients, families, and/or groups throughout the life span in a variety of settings. 2. Integrate the five steps of the nursing process into nursing practice. 3. Communicate and collaborate effectively with clients, families, and/or groups in a variety of settings. 4. Provide safe cost-effective nursing care in collaboration with members of the health care team using critical thinking, problem solving, and the nursing process in a variety of settings through direct care, assignment or delegation of care. 5. Integrate principles of teaching learning in providing information to clients, families, and/or groups regarding promotion, maintenance, and restoration of health or the process of death and dying. 6. Evaluate responses and outcomes to therapeutic interventions, clinical data and current literature to make appropriate nursing practice decisions. MANAGER/COORDINATOR OF CARE: 1. Determine the function within the organizational framework of various health care settings. 2. Evaluate the effectiveness of community resources in the delivery of health care to clients, families, and/or groups. 3. Coordinate the health care team in delivering care to clients, families, and/or groups. 4. Coordinate appropriate referral sources to meet the needs of clients, families, and/or groups. 4

14 5. Utilize critical thinking and problem solving skills in prioritizing the management and coordination of all aspects of care. MEMBER OF THE PROFESSION: 1. Assume responsibility for professional and personal growth and development. 2. Assume ethical and legal responsibility and accountability for one s nursing practice. 3. Act as a health care advocate to provide quality health care for clients, families and/or group. 4. Demonstrate caring behavior when interacting with clients, family and members of health care profession. C. COURSE COMPETENCIES Successful completion of this course requires a grade of C or better; satisfactory total grade point average on examinations and assignments, satisfactory achievement of unit, objectives; completion of pediatric math competency exam with a grade of 90% of better, completion of standardized tests as applicable to the curriculum, and regular classroom attendance. Upon successful completion of this course, each student will have demonstrated accomplishment of the level objectives for the course, through a variety of modes (exams, role-play, case studies, individual presentation, and group presentation). D. ACADEMIC INTEGRITY Refer to the SPC College Catalog. Refers to the SPC ADNP Nursing student handbook Honesty Policy. 5

15 E. SCANS AND FOUNDATION SKILLS Scans and foundation skills found within this course are listed below the unit title and above the content column of each unit. F. VERIFICATION OF WORKPLACE COMPETENCIES Successful completion of the ELC statements at the level specified by the course (Level Objectives) will allow the student to continue to advance within the program. Upon successful completion of the program students will be eligible to apply to take the state board exam (NCLEX) for registered nurse licensure. 6

16 II. SPECIFIC COURSE/INSTRUCTOR REQUIREMENT A. TEXTBOOK AND OTHER MATERIAL Required Texts James, S., & Ashwill, J. (2007) Nursing Care of Children: Principles and Practice. (3 rd Edition) Philadelphia, PA. W. B. Saunders. James, S., Ashwill, J. Study Guide Murray, S, & McKinney, (2010). Foundations of Maternal-Newborn Nursing and Woman s health Nursing. (5 th Ed.). Philadelphia, PA. W. B. Saunders. Murray, S., & McKinney, E. Study Guide Taketome, Hodding, & Kraus (2009 or 2010). Lexicomp s Pediatric Dosage Handbook. (16 th or 17 th Edition) * * Drug Book of Choice * * Medical Dictionary of Choice Recommended Texts Mosby s Nursing Video Skills: Maternal, Newborn & Women s Health Mosby s Nursing Video Skills: Care of Infants and Children 7

17 Ihlenfeld, J. T. (2003). Virtual clinical Excursions for James, Ashwill, & Droske. Philadelphia: Saunders. Caphion & Crion (2006). Virtual Clinical Excrusion for Foundations of Maternal-Newborn Nursing. Philadelphia: Saunders. B. ATTENDANCE POLICY The SPC ADNP policy must be followed. Refer to the SPC ADNP Student Nurse handbook to review this policy. In addition, refer to the attendance policy found in the South Plains College Catalog. Lecture attendance is mandatory. The instructor will initiate a student's withdrawal if a student misses 8 hours or more of class. The student may be referred to the AAS Committee at the discretion of the instructor. Student is encouraged to review and follow the attendance policy in the SPC Student Handbook. C. ASSIGNMENT POLICY 1. Completion of Student Contract for RNSG 1412 and All required work must be in on time in order that the student may benefit from the corrections and study for future examinations. Assigned outside work is due on the dates specified by the instructor. Assignments turned in later than the due date will not be accepted unless the instructors clear the circumstances with the student. Regardless of the circumstance, late work will be assessed penalty points by the instructor. The assignment will be docked five (5) points per day for each late day. The assignment will be docked 2.5 points if turned in after 9:00 am on the date it is due. An assignment will not be accepted after one week past the due date; therefore, the grade will be a zero if more than 1 week late. 3. There will be four exams, one final exam, ATI average, and a pediatric medication test. a. All exams will be administered in the computer lab. In case of computer scheduling problems, a paper & pencil test will be given. Students will not be 8

18 allowed to have paper to write on during tests. No cell phones, USB drives, laptop computers are ever allowed in the computer lab; students in violation of this rule may be dismissed from the program. b. The student will not retain exams. c. A student must communicate with the course instructors if unable to take a test on the scheduled day. If there is no communication by one week from the date of the exam, or the student doesn't have a legitimate excuse to miss the exam, a "0" will be given. If a student is deemed by the instructors to have a legitimate excuse to miss an exam, the next exam will count twice, once for the missed exam and also for the regularly scheduled exam. (This will be allowed once in the semester). d. The final exam must be taken when scheduled or the student may be given an alternate make-up exam. e. The Maternity and Pediatric ATI Tests will be taken during the semester. The two scores will be averaged together & counted as an exam grade. (< level 1 = 65, level 1=75, level 2 = 86, level 3 = 95). f. Satisfactory completion of pediatric medication administration exam with a grade of 90% or above. Student will not be allowed to do pediatric clinical until the exam has been passed. The exam may be retaken twice if not passed the first time. See student handbook for consequences of not passing. 9

19 4. Two databases, one for a pediatric patient and one for an Postpartum patient will be completed during the semester a. No photocopies of any part of the patient s chart or actual parts of the chart may be taken from the hospital or clinic. Students may be dismissed from the class and/or program for violating this guideline. D. GRADING POLICY 1. The course grade will be compiled from exams for a, total of 80%, and 20% for the final exam. 2. The final exam will be administered at the end of the semester and is comprehensive. 3. A student course grade worksheet can be found in Appendix B. 4. All exams and final exam must average 77% or better to pass the course. 5. A student must have received a minimum course grade of "C" or above to progress to the next nursing course or graduate. Grading Scale: A = 90% - 100% B = 80% % C = 77% % D = 60% % F = below 60.00% III. COURSE OUTLINE 6. Failure of either theory or clinical will necessitate repeating all concurrent courses. When repeating any course, the student is required to retake all aspects of the course including the required written work. Introduction Foundations of Nursing Care for the Childbearing & Childrearing Families A. Introduction to Maternal/Child Nursing B. Maternal & Child Health Nursing Today 10

20 C. Special Considerations in Caring for Children Unit 0.I - The Family before Birth A. Conception and Prenatal Development B. Perinatal Education C. Physiologic and Psychosocial Adaptions to Pregnancy D. Nutrition for Childbearing E. Fetal Diagnostic Tests Unit 0.II - The Family During Birth A. Nursing Care During Labor and Birth B. Pain Management during Childbirth C. Intrapartum Fetal Monitoring D. Nursing Care During Obstetric Procedures Unit 0.III - The Family Following Birth A. Nursing Care of the Postpartal Women C. Nursing Care of the Women and Family Experiencing a Postpartal Complication C. Care of the Newborn and Family D. Care of the High Risk Newborn Unit 0.IV Families at Risk During the Childbearing Period A. Intrapartal Complications 11

21 B. The Childbearing Family with Special Needs C. Complications of Pregnancy D. Concurrent Disorders During Pregnancy Unit 0.V Other Reproductive Issues A. Family Planning B. Infertility C. Women s Health Care D. Grief & Loss E. Heredity and Environmental Influences in Childbearing Unit P.I - Nursing Role in Health Promotion for the Child Rearing Family A. Health Promotion for the Developing Child B. Health Promotion for the Infant C. Health Promotion for Early Childhood D. Health Promotion for the School Aged Child E. Health Promotion for the Adolescent F. The Ill Child in the Hospital and other Setting Unit P.II - Problems Related to Transfer of Oxygen & Nutrients A. The Child with Respiratory Dysfunction B. Immunologic Alterations C. Infectious Disorders Unit P.III - Problems Related to Production & Circulation of Blood A. Assessment of Cardiovascular Alterations 12

22 B. Hematologic Alterations C. Cancer Unit P.IV - The Child with Disturbances of Gastrointestinal, Renal or Endocrine Disorders A. Gastrointestinal Alterations B. Genitourinary Disorders C. Endocrine System Disorders Unit P.V - The Child with Neurologic, Musculoskeletal, Sensory and Integumentary Alterations and Cognitive Impairment A. Neurologic B. Musculoskeletal C. The Child with a Sensory Alteration D. Integumentary Alterations E. Cognitive Impairment. III. ACCOMMODATIONS Students with disabilities, including but not limited to physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Special Services Coordinator. For more information, call or visit the Special Services Office in the Student Services Building, ext. 2529,

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