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LONG BEACH CITY COLLEGESchool of Health and ScienceAssociate Degree Nursing ProgramADN 235A/ALMaternal/Newborn NursingFALL 2012EDITED BY:Maricela Arnaud, RN, MSN, FNPBrenda McCane Harrell, RN, MSN, Ed.DRonda Wood, RN-BC, MN, Ed.D 2012 Long Beach City College Associate Degree Nursing Program
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 235A – Maternal/Newborn NursingTABLE OF CONTENTSGENERAL INFORMATIONTable of Contents .1.0Course Information .1.3Course Outline .1.5Theoretical Framework .1.8Course Requirements – Theory . 1.9Learning Outcomes – Theory . .1.10Challenge Policy: Challenge Option: Women's Health .1.11Challenge Application .1.12Weekly Schedule . 1.13Assignments and Grading .1.14THEORY CONTENTComputer Programs .2.0Assessment and Management: Antepartum Period .3.0Self Learning Exercises .3.2Worksheet: Ovarian Cycle .3.4Antepartum Terminology.3.5Antepartum Study Guide A&P Changes .3.6Worksheet: Presumptive /Subjective Signs .3.8Worksheet: Probable /Objective Signs .3.9Worksheet: Positive /Diagnostic Signs .3.10Worksheet: Common Discomforts .3.11Worksheet: Promotion of Normalcy .3.13Worksheet: Danger Signals.3.15Worksheet: Antepartal Fetal Diagnostics .3.16Health Deviations: Pregnancy at Risk .4.0Worksheet: Hemorrhagic Complications of Childbearing .4.2Worksheet: Drugs Used for Hypertension .4.3Study Guide: Video-Pregnancy Induced Hypertension .4. 4Worksheet: Pathophysiology of H.E.L.L.P. .4.5Study Guide: Exercise-Diabetes in Pregnancy .4.61.0
Normal Labor & Delivery .5.0Worksheet: Stages of Labor .5.1Worksheet: Drugs used in L/D .5.3Worksheet: Anesthesia in L/D .5.4Medical Orders: Continuous Epidural Infusion Orders .5.5Worksheet: Fetal Heart Rate Patterns .5.6Normal Newborn .6.0Postpartum Period .7.0Vocabulary .7.1RH Problems .7.2Worksheet: Conception Control .7.4Health m Complications .8.0Postpartum Infections .8.1Hemorrhagic Complications .8.2DIC Disseminated Intravascular Coagulation .8.3Health Deviations: High Risk Infant.9.0Worksheet: Comparison of Hi-risk, Term and Post-term Infant .9.1Health Deviations: Complications of Labor .10.0Health Deviations: Gynecological Disorders.11.0Worksheet: Hormonal Therapy.11.2Health Deviations: Perinatal Loss .12.0Instruction Sheet: Do’s and Don’ts Grieving Parents . .12.1Please Cry With Me . .12.3Fetopelvic Relationships Sub-Module .13.0.13.31.1
Long Beach Community College DistrictLONG BEACH CITY COLLEGEADN 235A Maternal/Newborn NursingCOURSE INFORMATIONCourse Description: This course emphasizes Orem’s Self-Care Theory of developmental selfcare requisites, health deviations and universal self-care requisites as it relates to women andnewborns. The content involves the study of gynecological problems, deviations from normalpregnancy, care during prenatal, intrapartal, and postpartal periods, of normal and high riskpregnancy. In addition the assessment and care of the normal newborn is included.Time allotment, sequencing and enrollment1.5 Semester Units (based upon an 16 week course)ADN 235A Class Lecture: 6 hours & 45 minutes per week, Total of 27 hoursThis course is offered twice during the third semester with enrollment as space and resourcesallow. Concurrent enrollments with ADN 235AL and ADN 600 are required.Required Texts:1. Deglin, J. & Vallerand, A. Davis's Drug Guide for Nurses, Philadelphia, PA: F.A. Davis.2. Dudek, Nutrition Handbook for Nursing Practice, Philadelphia, PA: Lippincott Williams& Wilkins.3. Leifer, G., & Hartson, H. Growth and Development across the Lifespan, a healthpromotion focus. St. Louis, MO: Saunders.4. Ladwig, G., & Ackley, B., Mosby’s guide to nursing diagnosis, St. Louis, MO: Mosby,Inc.5. Ricci, S.S. & Kyle, T. (2009). Maternity and Pediatric Nursing. Philadelphia, PA: WoltersKluwer/Lippincott, Williams & Wilkins.6. Smeltzer, S., Bare, B., Hinkle J., & Cheever, K., Brunner & Suddarth's Textbook ofMedical Surgical Nursing, Philadelphia, PA; Lippincott Williams & Wilkins.7. LBCC Staff, ADN 235A/AL Course Syllabus8. LBCC ADN Student Handbook appropriate to the year admitted to the nursing program.Teaching Methods:Lecture and discussionCritical Thinking ExercisesCompletion of Sub ModuleWeb based testing (ATI)Videos, CAI computer programsStudent Evaluation:Quizzes:Final Exam:Total Points:75 points50 points125 points1.3
Student Course Grade:When students achieve satisfactory clinical performance in ADN235AL, the percentage oftheory grade in ADN 235A will become the course grade for both courses. If the student'sclinical performance is less than satisfactory, the grading policy in the Student Handbook will befollowed.Course Instructors:Name & CredentialsMaricela Arnaud RN, MSN, FNPBrenda M. Harrell, RN, MSN, Ed.D.Ronda Wood, RN-BC, MN, Ed.D.OfficeGNNPhoneEmail(562) 938-4170 Marnaud@lbcc.edu(562) 938-4172 Bharrell@lbcc.edu(562) 938-4615 Rwood@lbcc.eduInstructor’s offices hours are posted on each instructor’s office door. Other hours may be arranged.Part-time teachers may be reached by special arrangement with the individual student.1.4
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 235A Maternal/Newborn NursingCOURSE OUTLINEOutline of all concepts/topics to be covered in the class.Concept/Topic:I.IntroductionII.Antenatal periodA. Application of Orem’s Self-Care Theory & the nursing process during theantenatal period.B. Fetal developmentC. Physiological changes & discomforts of pregnancyD. Signs of pregnancyE. Perintal assessmentF. Danger signs during pregnancyG. Nutritional needs during pregnancyH. Psychological tasks of pregnancyIII.Complications of pregnancyA. Application of Orem’s Self-Care Theory & the nursing process to women withcomplications of pregnancyB. DiabetesC. AnemiaD. Heart disordersE. Bleeding disordersF. Incompetent cervixG. Hyperemesis gravidariumH. Premature rupture of membranes & preterm laborI. Hypertensive disordersJ. Blood disordersK. SurgeryL. TraumaM. InfectionsN. NutritionIV.Intrapartum periodA. Application of Orem’s Self-Care Theory & the nursing process during theantenatal periodB. Critical factors affecting labor & deliveryC. Signs of laborD. Stages of laborE. Pain during labor & analgesia useF. Review of fetal MonitoringG. Alternate settings for labor & delivery1.5
V.Complications of the intrapartum periodA. Application of Orem’s Self-Care Theory & the nursing process to women withcomplications during labor & deliveryB. Psychological disordersC. Dysfunctional laborD. Post-term pregnancyE. Multiple gestationsF. Umbilical cord problemsG. Amniotic fluid complicationsH. AnmiotomyI. Induction of laborJ. EpisiotomyK. Forcep & vacuum-assisted birthL. Cesarean birthVI.Normal newbornA. Application of Orem’s Self-Care Theory & the nursing process to the normalnewbornB. Newborn reflexesC. APGAR scoringD. Biological adaptations of the newbornE. Physical & neurological characteristicsF. Heat lossG. Care of the newbornVII.High risk infantA. Application of Orem’s Self-Care Theory & the nursing process to the high riskinfantB. Identification of gestational age & sizeC. Complications of pre-term deliveryD. Sepsis in the neonateE. Complications of post-term deliveryVIII.Postpartum periodA. Application of Orem’s Self-Care Theory & the nursing process to women in thepostpartum periodB. Postpartum assessmentC. Psychological adjustmentsD. Parent-infant attachmentE. Nutritional needsF. Discharge needsG. MedicationsIX.Postpartum complicationsA. Application of Orem’s Self-Care Theory & the nursing process to women withpostpartum complicationsB. InfectionsC. Uterine abnormalitiesD. Hemorrhage1.6
X.Gynecological health deviationsA. Application of Orem’s Self-Care Theory & the nursing process women withgynecological disordersB. Pre-menstrual syndromeC. MenopauseD. RapeE. Hormonal therapyF. Endometritis & endometriosisG. Pelvic inflammatory diseaseH. Uterine displacementI. Tumors (benign and malignant)J. SurgeriesK. ChemotherapyXI.Perinatal LossA. Application of Orem’s Self-Care Theory & the nursing process to familiesexperiencing perinatal lossB. ClassificationsC. Stages of grief and grievingD. Cultural aspectsE. Nursing managementF. Resources1.7
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 235A – Maternal/Newborn NursingConceptual Framework: Curriculum ImplementationSELF CARE MODELThe Universal Self CareRequisites are common to allpersons regardless of healthstatus.THEORYIMPLEMENTATIONThe Universal Self CareRequisites serve as an outlinefor learning. Those UniversalSelf Care Requisites dealingwith promotion of normalcyare highlighted throughout thecourse.Health Deviation Self CareRequisites are needs generatedby illness and the medicaldiagnostic procedures andtreatments associated withdisease.The concept of HealthDeviation Self Care Requisitesis discussed as it relates toWomen’s Health duringnormal and high-riskpregnancy; the intrapartalperiod; and gynecologicalconditions.Developmental Self CareRequisites are needsassociated with developmentthroughout the life cycle.The promotion ofDevelopmental Self CareRequisites and patientteaching are also highlightedthroughout the course.1.8CLINICALIMPLEMENTATIONStudents continue to apply allpreviously learned skills to theclinical setting to theUniversal Self CareRequisites.During campus lab, studentsobserve, practice anddemonstrate competence in awide variety of old as well asnew skills related to caring fornormal newborns, high-riskAntepartum, intrapartal, postpartum, gynecological andoncology patients. Studentsutilize the nursing process(assess, plan, set goals,intervene, and evaluate) todevelop plans of care based onpatient needs. This plan canprovide individualized nursingcare in the wholly, partiallycompensatory and educativesupportive mode.
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 235A Maternal/Newborn NursingCourse RequirementsDuring this course the student will:1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.Apply expectations from previous courses and be able to integrate.Examine the syllabus, highlighting important dates.Review and be able to demonstrate proficiency in previously learned aswell as new skills learned as the need arises.Analyze the need to be able to demonstrate second level functioning (ie.Increased responsibility, self-direction, confidence building, showinginitiative, setting priorities, thinking critically, and making clinicaldecisions as it relates to the administration of safe care).Demonstrate the responsibility for meeting the objectives for:a. Feto-pelvic Relationships Submoduleb. Computer ProgramsExplain the rationale for taking the computerized ATI Maternal NewbornExam.Initial the attendance roster to demonstrate attendance at lecture; otherwise thestudent will be considered absent.Come to class on time. Do not walk into class late.Achieve 75% overall on all scored materials at the completion of the course.Complete all required assignments.Take exams when scheduled. The exam booklet number and the student’sidentification (ID) number must be written on each Scranton. Scores will be postedon the course website using the students ID number. If you miss a scheduled test, seethe ADN Student Handbook under “Evaluation, Tests”. Please TELEPHONE theLead Teacher and leave a message that you will miss the scheduled test.TELEPHONE the Lead Teacher and leave a message of your absence for allTheory and campus laboratory absencesActively participate in class health deviation discussions. You will be askedquestions in class, so come prepared.Assume responsibility for meeting the behavioral objectives when absentfrom class.Satisfactorily complete the third semester math exam as outlined on theweekly schedule and in the Student Handbook.1.9
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 235A Maternal/Newborn NursingLearning OutcomesUpon satisfactory completion of the course, the student will be able to demonstrate thefollowing learning outcomes:Professional Role Prepare to interact with members of the health care team in a professional manner.Communication Utilize therapeutic communication skills when interacting with patients, family andthe healthcare team. Communicate relevant, accurate and complete information in a concise and clearmanner by utilizing channels of communication and information technology toachieve positive patient outcomes.Orem’s Self Care Theory as it relates to the Nursing Process Synthesize Orem’s Self-Care Theory with the women’s health patient and theneonate. Synthesize the nursing process with the women’s health patient and the neonate. Compare and contrast normalcy for the women’s health patient and the neonate. Differentiate between potential health hazards in women’s health patient and theneonate. Differentiate between the self care demands and deficits requiring interventions in thewomen’s health patient and the neonate. Distinguish how the nursing process is used in differentiating plans of care that reflectthe developmental level and developmental self care requisites of the women’s healthpatient and the neonate.Critical Thinking Develop critical thinking in the application of learned theory to patient scenarios forthe women’s health patient and the neonate.Safety Recognize unsafe practices and alleviate potential health hazards. Synthesize knowledge from this course and previous courses to assimilate safenursing practice.Teaching and Learning Prepare to teach the patient and family about the health deviations identified in thiscourse.Collaborative Management of Care Prioritize and evaluate all aspects of patient care in a cost efficient manner utilizingavailable resources.1.10
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 235AL Maternal/Newborn NursingADN 235A Challenge Option-Credit by Examination1.2.3.4.5.6.7.8.9.10.11.The challenge option for each course consists of three parts:1st: Theory portion2nd: Campus lab content3rd: Clinical contentAn announcement regarding the challenge option will be made on thefirst day of class.The student must have evidence on file in their Cumulative Folder offormal instruction regarding course content.Formal instruction in the content of the course being challenged musthave taken place within 3 years previous to the challenge request.A student interested in challenging must let the lead teacher know by thelast day of the first week of the class. The form must be completed. Anappointment will be made to take the theory test in the Learning Centerat the beginning of the second week of the class.A 150 point comprehensive multiple choice test will be given.The student must pass the theory exam with a score of 75% to continuewith the challenge.The score earned on this test becomes the theory grade.The student must take and pass the third semester math exam by thedeadlines outlined in the Student Handbook.The components of the challenge are to be completed by the end of thefourth week of the class.For details, refer to the LBCC Catalog Statement of Policies for Credit byExamination.1.11
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramAPPLICATION FOR CHALLENGE BY EXAMINATIONADN 235A – Maternal/Newborn NursingStudent ----------------------Student complete section A below:A. Justification of this request:Student -----------------------Teaching team complete section B below:B. Decision:yesNoIf yes, write contract below.If no, state reason for ---------------------C. ContractWritten test completed ----------------Signatures:Lead ------
LONG BEACH CITY COLLEGE School of Health and Science Associate Degree Nursing Program ADN 235A/AL Maternal/Newborn Nursing FALL 2012 EDITED BY: Maricela Arnaud, RN, MSN, FNP Brenda McCane Harrell, RN, MSN, Ed.D Ronda Wood, RN-BC, MN, Ed.D 2012 Long Bea
