LOUDOUN COUNTY SCHOOL OF PRACTICAL NURSING

OBSTETRIC AND NEONATAL NURSING

SYLLABUS: 2012-2013

Instructor: Laurie Sanders 703.443.3906 (beeper)

Office appointments welcome by contacting instructor in person or paging her at 703-443-3906

Prerequisities: PN I

Unit Description: Obstetric and Neonatal nursing is a 70-hour theory class and a 32-hour clinical class during PN 2. There will also be OB Simulation. The theory classes are held at MTC (Monroe Technology Center). The clinical sites are Dr. Stokes office, Inova Loudoun Hospital Lactation, OB/GYN Hospitalists of Loudoun. This unit concerns itself with the mother and her care in various phases of childbearing, including prenatal care, labor and delivery, and postpartum care. Care of the newborn, complications, and the emotional aspects of the family are included. Techniques employed by the student in obstetrical and neonatal nursing will be utilized.

Concept Area: Applying the Nursing Process to Maternal and Newborn Client

Unit Competencies:

8359.074 Describe the normal course of pregnancy and the purpose of prenatal care.

8359.076 Describe fetal development.

8359.078 Describe fetal presentation and positions.

8359.077 Monitor the signs and stages of labor.

8358.066 Explain range and rationale for usage of CAM/HA in health care.

8359.079 Describe the normal physiological and emotional changes during puerperium.

8359.081 Describe care of the newborn.

8359.082 Differentiate between the appearance of a normal newborn and a premature newborn.

8359.083 Identify common congenital anomalies.

8359.075 Identify fetal and maternal complications that may occur during pregnancy.

8359.080 Describe common problems occurring during the puerperium, including symptoms, treatments and prevention.

8357.077 Identify signs and symptoms of diseases and disorders.

8357.079 Identify common treatment modalities.

8359.050 Identify characteristics of major drugs.

References/Textbooks:

Christensen, B.L. (2011). Foundations of nursing. St. Louis, MO: Mosby.

Timby, B.K. (2009). Lippincott's review for nclex-pn. Philadelphia, PA: Lippincott Williams & Wilkins.

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Quia Website:

Textbooks and Required Reading:

Christensen, B.L. (2011). Foundations of nursing. St. Louis, MO: Mosby.Chapter 25 p768-803, Chapter 26 p804-840, Chapter 27 p 841-881. Chapter 28 p 882-925.

Timby, B.K. (2009). Lippincott's review for nclex-pn. Philadelphia, PA: Lippincott Williams & Wilkins.

Required questions are listed under Outline of Unit at the end of this syllabus. Unit 2 The Nursing Care of the Childbearing Family. P. 277-334.Write out the numbers and answers on a separate sheet of paper with your name on it. If you got the question wrong, list the correct answer and why you got the question wrong (rationale). This counts towards 50 points of your final OB grade along with class participation.

Assigned articles

Grades:

Test 1: Prenatal / 190 points
Test 2: L&D / 190 points
Test 3: PostPartum / 190 points
Test 4: Newborn / 190 points
Test 5: OB Complications / 190 points
Class group work, NCLEX book questions / 50 points

A grade of 80% in theory is mandatory to successfully complete the unit. An average grade of 80% on all exams is required to pass the unit. Loudoun County Public School Grading Scale will be used for letter grades.

A+ 98-100 / C 73-76
A 93-97 / C - 70-72
A- 90-92 / D + 67-69
B + 87-89 / D 63-66
B 83-86 / D- 60-62
B- 80-82 / F 0-59
C + 77-79

Format and Expectations: Please refer to the student handbook for attendance policy. Classroom rules are posted. Classroom formats include: lecture, presentations, brainstorming, group work, games, computer lab work, Active inspire review game, QUIA, etc. Classroom participation is expected. Clinical format involves the care of clients at Inova Loudoun Hospital OB department and their OB Clinic.

Helpful Hints: Apply yourself and do the work. Show up to class. Hand in all projects on time. Study for tests. Do NCLEX questions for practice and the QUIA review games on your own time before exams.

Outline of Unit:

I. Health Promotion and Pregnancy (Foundations Ch 25 p 768-803)

  1. Prenatal and Labor and Delivery terminology and overview
  2. Maternal Physiology of Pregnancy
  3. Antepartal Assessment
  4. Determination of pregnancy
  5. Antepartal Care

F.Preparation of Childbirth

G Test 1 (Prenatal) NCLEX p 278 questions 1-69 due before test

II. Labor and Delivery (Foundations Ch 26 p 804-840)

A Labor and Delivery- Normal Labor

B Nursing Assessment and Intervention

C Medical Interventions

D Test 2 (L&D) NCLEX p 303 questions 1-61 due before test

II. Care of the Mother and Newborn (Foundations Ch 27 p 841-881)

  1. Overview of the anatomic and physiologic changes of the mother (postpartum)
  2. Transfer from the recovery area
  3. Nursing assessment of the interventions for the mother
  4. Maintenance of safety
  5. Psychosocial assessment
  6. Test 3 (Postpartum) NCLEX p 310 questions 66- 85 due before test
  7. Overview of anatomy and physiology of the normal newborn
  8. Nursing assessment of and interventions for the newborn
  9. Test 4 (Newborn) NCLEX p 312 question 86-128 due before test

III. Care of the High-Risk Mother, Newborn, and Family with Special Needs (Foundations Ch 28 p 882-925)

  1. Complications of pregnancy
  2. Bleeding disorders
  3. Complications related to infection
  4. Complications related to existing medical conditions
  5. Complications related to the cardiovascular system
  6. Complications related to age and adoption
  7. Complications related to the newborn
  8. Complications related to postpartum mental health disorders
  9. Test 5 (OB Complications) NCLEX p 285 questions 70-104 and p 310 questions 62-65 due before test

* NCLEX Questions: Write out the numbers and answers on a separate sheet of paper with your name on it and if you got the question wrong the rationale for the correct answer. This counts towards 50 points of your final grade along with class participation. Each section is due before the exam on that topic.