Carroll University Nursing Program NRS 312 Family Centered

Carroll University Nursing ProgramNRS 312 Family Centered Obstetric Care

FALL 2013

Course Number, Title, Section, Time and Location:Family Centered Obstetric Nursing Care - NRS312 (UG11)

Tuesday, 2:00 PM - 3:50 PM (1/19/2012 - 5/9/2012) Location: 1111 Sentry Dr 200 - Classroom

Number of Credits: 2

Placement /prerequisites/co-requisites: Nursing major, CHE 208, NRS 232, 234, and 236, and HSC 300.

Faculty:Faculty Name: JoAnn Browne MSN, RN, FNP-C, VA-BCOffice: # 262-352-5604Faculty email address: [email protected] hours: Tuesdays from 9am-1pm and by appointment Course Description:The course focuses on the specialized health care needs of the childbearing family. The health responses of the family unit are emphasized as essential to the promotion and maintenance of health of mother and child. Students develop the necessary knowledge base and learn the importance of collaboration with others of the health care delivery team to provide care and teaching for pregnancy, delivery and newborn nursing.

Course Objectives: At the end of this course the student will have demonstrated the ability to:

1. Demonstrate an understanding of complementary and alternative modalities and their role in caring for the childbearing family. (Essential IX. 17).

2. Conduct a health history including physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments identifying conditions and characteristics that increase health risks of the childbearing family. (Essential IX. 1).

3. Develop an awareness of patients as well as healthcare professionals’ spiritual beliefs and values and how those beliefs and values impact the childbearing process. (Essential VII.3, VIII.9, IX.18).

4. Demonstrate an appreciation of the history and contemporary issues in maternity nursing and their impact on current nursing practice. (Essential IX.5).Demonstrate written, verbal, non-verbal, and emerging technology methods to communicate effectively. (Essential I.4).

5. Integrate understanding of multiple dimensions of patient centered care and the child bearing family. (Essential VIII. 9, IX.8).

6. Utilize critical thinking skills to identify the needs of childbearing and the childrearing family utilizing the nursing process. (Essential IX.13).

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7. Verbalize and demonstrate understanding of the anatomy, physiology, and pathophysiology regarding healthcare of the female, unborn, and newborn patient as it relates to this course.

8. Demonstrate understanding of the basic nursing care of the childbearing woman, her family, and her newborn via simulation and written testing.

Required/recommended Textbooks and necessary materials:

Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). Study guide for maternal child

nursing care (4th ed.). Maryland Heights, MO: Mosby-Elsevier.

Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). Maternal child nursing care

(4th ed.). Maryland Heights, MO: Mosby-Elsevier.

Head set with microphone for online lectures and virtual classroom activities - required

Suggested Materials and Texts:

American Psychological Association. (2010). Publication manual of the American Psychological

Association (6th ed.). Washington, D.C.: Author.

Edelman, C. & Mandle, C. (2010). Health promotion throughout the lifespan (7th ed.). St. Louis:

Mosby.

Elsevier. (2010). Evolve case studies: Complete RN 2010.

Lippincott's nursing 2010 drug handbook (30th ed.). (2010). Philadelphia: Lippincott, Williams &

Wilkins.

Pagana & Pagana. (2010). Mosby's manual of diagnostic and laboratory tests (4th ed.). St. Louis:

Mosby

ATI 10th edition modules

In addition, all previously required nursing texts may be utilized.

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The following Nursing Concepts are the focus of NRS 312:

· Family-Centered Nursing Care· Ethical issues related to childbearing· Contraception, conception, and infertility· Fetal development· Physical and psychological changes during pregnancy· Prenatal testing· Labor and delivery· Postpartum care· Healthy newborn· At risk newborn· Newborn resuscitation· Pregnancy loss/loss of an infant· Postpartum care of the newborn · Breastfeeding

Methods of Evaluation Any or all such measures of student learning may be administered in the classroom, computer or clinical nursing laboratory or in the clinical setting at faculty discretion. If the student is not successful in meeting the required quiz/exam mean score, there will be no consideration of any successfully completed coursework in determining final course grade and the student may earn a maximum final course grade of "C". Unsuccessful completion of course work will always be considered when determining final course grade. There will be no rounding up of quiz or exam grades. No extra credit assignment points may be used to earn back points for quizzes or exam scores. At no time will extra credit points be used in determining student achievement of required quiz/exam mean score.Determination of final course grade: If the student meets the required 78% quiz/exam mean score, and assuming the student meets all other course requirements, the final course grade will be determined according to the percent of total points accrued for exams, quizzes, and course assignments according to the grading scale below:

Grades will be determined using the following grading scale: A 93-100% BC 78-82%AB 88-92% C 72-77%B 83-87% D 68-72% F 67% and belowNote: Students must achieve a grade of BC in NRS course 312 to progress in the nursing program.

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Assignments:

It is the student's responsibility to follow all directions, both verbal and written, in order to successfully complete assignments. Related course documents are posted on LMS.

Questions:

Each class session will begin with a brief opportunity for students to ask questions about materials, quizzes, upcoming assignments or general clarification as needed. Students should take advantage of this opportunity by preparing questions for discussion prior to class time so that all students can benefit from discussions and clarifications.

Classroom participation/lab simulation:

There will be several classroom opportunities with hands-on deep learning activities that will require active participation in order to prepare for simulation skills checkoff by each student. Each student will be graded by the instructor or student worker as to their level of participation and preparation for class that day as indicated by the requirements of the syllabus for each of the activity days listed. This grade is pass/fail. The rubric for participation is posted on the LMS. Please refer to the attendance and professional conduct portion of this syllabus for further details. A student that receives a fail at midterm will be placed on a learning contract that must be successfully completed by the end of the semester evaluation. Failure to successfully complete the learning contract for participation will result in an unsuccessful grade in this course. Students that miss lab simulation days will be unable to make up these days and will result in an unsuccessful for that day. 1 unsuccessful lab simulation will result in the initiation of a learning contract. 2 unsuccessful’s at any time during the semester will result in an unsuccessful in the course.

Pearls of the week, study guide materials, and SoftChalk:Each week will have an assigned/recommended Pearls of the week, study guide material, and/or SoftChalk study guide that will reflect the content of that week’s topic or content. These study tools will include general information, to include pathophysiology, pharmacology, links, videos, and other resources to enhance learning. There will also be interactive learning opportunities that will aid you in preparing for class each week. Although these activities and study pages are not required, they are strongly recommended. Failure to come to class prepared for interactive learning/discussions/simulations will result in losing participation points.

Written assignment: The Cultural Birthing Care Plan Group Experience Paper

The student team will create a birthing care plan for an identified simulated patient based on basic information given and then determine a culturally sensitive course of care for her labor and delivery experience per the rubric guidelines. The paper will be written as a group to include the criteria of the assignment rubric. The final paper must be submitted to LMS by EACH student member of the team to include a cover page with all team members listed and a copied grading rubric pasted into the last page of the document. The cover page and rubric page are not included in the page count.

Each team will give an overall presentation summary of their work in class by the assigned date to allow all students to benefit from your cultural competence learning.

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Group Healthy Pregnancy Poster Presentation:

Students will be divided into groups, based on the number of students in the course, and assigned a form of contraception or healthy baby topic to discuss, review, and develop an infomercial for. Students will be provided some time in class to collaborate, organize, and plan this presentation, but this project will require some out of class time to prepare, collaborate, and develop a professional presentation.

1. The group assignments will include but is not limited to the following:2. The best case scenario - how to plan and have a healthy pregnancy3. Hypertension in pregnancy4. Diabetes and obesity in pregnancy5. Breast versus bottle - choosing what is best for you and your baby6. Teen pregnancy - how to have the best outcomes for an unplanned pregnancy7. Molar pregnancy, miscarriage, and elective abortion8. Bleeding in pregnancy - what causes it and what you should know9. What to expect when you are delivering and beyond - the birth experience and getting back to you

Groups and assignments will be divided up based on how many students are currently enrolled in the course and topics will be assigned and posted on the LMS site under “Group assignments”

All sources must be appropriately cited on the outline. APA format applies for the entire presentation. (verbally cite resources as indicated in presentation. Ie. “According to the CDC...”

*Each student will submit a copy of the outline to the file exchange as a WORD document by the assignment due date*

This assignment will be presented at our Fall 2013 Specialty Nursing Conference by each group as a poster presentation. Details TBA.

Group prenatal test Fact Sheet:

Each group will choose a form of contraception to research, using scholarly resources, and create a professional teaching tool for adolescents and young adults that is age appropriate, informative, accurate, and offers rationale, pros, cons, risks, benefits, and pertinent statistics per the assignment rubric posted on LMS. This tool will be used as a study guide for testing and quizzes.

Each student will individually submit 2 multiple choice questions with answers and rationale for their assigned topic along with their group evaluation, cover page, fact sheet, and reference list.

Prenatal testing topics include:

1. Chorionic villus sampling

2. Amniocentesis

3. Ultrasound - to include transabdominal/vaginal, and 3 D

4. Alphafetoprotein testing and TORCH testing

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5. Biophysical profile and cord flow studies

6. Contraction stress testing, non-stress testing, and fetal kick counting

7. Glucose tolerance testing (1 and 3 hour)

8. Routine labs for pregnancy (UA, CBC, RPR, Rh testing/Coomb’s, CMP)

9. Fetal heart tones, fundal height assessments, and weight gain in pregnancy

These may be re-divided based on the number of students in the class.

Labor & Delivery management skills checkoff:

Each student will be required to independently manage a basic labor and delivery that may or may not include one complication. The student must be able to complete necessary assessments, make basic nursing decisions based on their findings, and safely deliver a newborn using the skills that they have learned throughout the semester that promote a hemodynamically stable mom/baby and a successful delivery without additional trauma or complication. Students will be provided with a skills checkoff list during the practice deliveries. Each student must sign up for their checkoff during assigned testing times with a teaching assistant or BSN or request an appointment during the last 3 weeks of lecture. See the rubric at the end of the syllabus.

Quizzes:

There will be 8 quizzes to be completed on LMS prior to class the week that they are assigned. They will be based on the reading assignments and may also contain info from the assigned ATI assignment. Quizzes will focus on the general knowledge, especially anatomy, physiology, and pharmacology of the content for each week. Students may use the book or notes for the quizzes. Students MAY NOT use other resources for quizzes to include peers, faculty, friends, co-workers, etc. Quizzes will be reviewed for similar times of testing. It is recommended that you do not take the quiz in a group of friends to avoid concern of a collaborative effort. Quizzes will not be timed to allow students to use their resources to their advantage and facilitate learning. Failure to complete an assigned quick PRIOR to class that week will result in a zero for simulation.

There may be one additional and optional quiz. If this is offered, it will be in lieu of the lowest quiz grade that you received and if this score is higher than any of the previous 8 quizzes, it will replace that lowest score. This will not replace the scores of the “additional quizzes” mentioned below.

Two additional topic-specific quizzes will be given to finish out the semester with weekly quiz assignments. Each of these quizzes may be completed at any time during the semester, but must be completed no later than 10pm on the day that they are due. These two quizzes will test information specific to their topic as it has been presented and discussed throughout the semester. These quizzes are also open note/book/resource. They are not to be done as a group. They are intended to help the student prepare for the pediatric ATI assessment.

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Exams:

There will be 3 exams for this course to include Exam 1, Exam 2, and a cumulative final exam during finals week. Exam 1 and Exam 2 will reflect the content of their section and will focus on the nursing care of the OB patient as it relates to the specified content. Both of these exams will be online consisting of 50 questions, open-book/note, and timed (75 minutes), to be taken as scheduled per this course schedule. Due to the nature of this course and the limited time allowed for in-class learning, Exam 1 and/or Exam 2 may be scheduled outside the regularly scheduled classroom hours. It is the student’s responsibility to be available during these testing times. Only athletes with Carroll University athletic conflicts will be excused and most notify the instructor at the beginning of the course to schedule these exams at another time. No work conflicts or social conflicts will be acceptable as excuses for rescheduling these exams if scheduled outside of the class time. Any reports of collaboration or cheating will result in an investigation and offenders will receive a zero on the exam - no exceptions. A brief post-test review will be scheduled with course tutors. Grades will be posted immediately after test submission. Individual questions may be posed to the instructor via email or by appointment. Tests will be available for review during the tutor review session or with the instructor only.

Please make sure to login allowing for adequate time to complete the test before the test closes. Exceptions will not be made without prior approval by the instructor. Failure to complete an exam prior to the scheduled close of the exam will result in a zero. Please review the quiz/exam policies listed in this syllabus.

Special needs for exams: If you feel that you cannot be successful taking an on-line exam you may request to take a proctored paper version with the instructor or at the Walter Young Center. This must be arranged at least 7 days prior to the exam date.

Special requests for exam testing times/extensions: If you have an issue (planned or unexpected) and are unable to take an exam at the scheduled time you MUST submit a request, via email (text if sudden) and request approval for an alternate testing time PRIOR to the closure of the exam. Failure to do so will result in the inability to reschedule the exam and a zero on that exam.

All exams will be related to the general nursing care related to the following topics:

Exam 1 content:

· Family-Centered Nursing Care· Ethical issues related to childbearing· Women’s reproductive health review

omenstrual cycleoSTD’sopreventative health care

· Contraception, conception, and infertility· Early pregnancy complications/termination· Fetal development· Physical and psychological changes during pregnancy· Prenatal testing· Pregnancy complications/health concerns

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Exam 2 content:

· Labor and delivery· Postpartum care· Healthy newborn/ Newborn resuscitation· Complications of labor and delivery/C-section delivery

Cumulative exam will include all of the above as well as:

· At risk newborn· Pregnancy loss/loss of an infant· Postpartum care of the newborn · Breastfeeding

Final exam:

The final exam will be cumulative, and potentially cover all the course content from the semester. This exam will cover knowledge from any of the course objectives listed above. Students will have the ability to review previous exams during scheduled study sessions with course tutors or by appointment with the course instructor. This exam will be a proctored, online exam with the ability to review all answers and rationale at the end of the exam submission. The final exam will not be offered in a paper format to assist the student to prepare for the computerized NCLEX experience unless the instructor receives a written request from the Walter Young Center - no exceptions.

ATI Non-proctored practice assessments:

Each student will prepare for the ATI assessments by completing the weekly ATI homework assignments and review assignment. The non-proctored assessments will be taken individually, are not timed, are open book (use ATI, not the text, to avoid conflicts in information), and are intended to encourage learning by utilizing your ATI resources. No collaboration amongst students is allowed. Do not take these assessments in groups to avoid concerns regarding academic integrity. The first grade earned will be recorded according to the points scale but each student must re-take the non-proctored assessments until they reach at least an 85% in order to challenge the next scheduled ATI assessment. For example, if you earn a 72% on your first attempt, you will have a 72% recorded as your grade for your first ATI. You must then retake this assessment until you receive at least an 90% on it in order to be eligible to take the second ATI practice assessment. If you receive better than an 90% on your first attempt on either ATI practice assessment you do not have to retake it. You MUST take BOTH practice ATI assessments and retake them both until you earn at least an 90% on EACH of them by the due dates listed. Grading will be reflected out of 50 points for each non-proctored assessment based on the earned percentage score. You MUST achieve an 90% on each ATI non-proctored NO LATER than the due date of the next assessment in order to earn credit for the next assessment. Failure to do so will result in a zero on the following assessment, regardless of the score earned.

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ATI proctored exam:

All students are required to take this ATI test. Students will receive their adjusted score on this assessment per the guidelines that will be posted in an addendum to this syllabus as it is released. There will be no rounding of results in determining if the student has achieved a level 2 score. The student must have successfully completed the non-proctored practice assessments as required in order to receive points for the proctored assessment. NOTE: Failure to complete the non-proctored practice assessments as required will result in zero points on this assessment regardless of the score achieved. Failure to take the ATI proctored exam will result in an incomplete in the course.

ATI proctored testing does not accommodate special testing concerns. All students will be expected to take this test on the assigned day, with the group.

Extra credit:

Extra credit will be only be offered at the discretion of the instructor if a particular beneficial opportunity arises during the semester that will facilitate learning but was not previously built in to the syllabus. No other extra credit opportunities will be offered for any other circumstances. Extra credit points are not available for use toward exam/quiz grades and may only be applied toward the total grade score if a 78% or better was earned on exam/quiz grades.

Grading is as follows:Exams and Quizzes:

Evaluation Method Points Available Points Achieved Quizzes (7 worth 5 points each) 35Additional topic-specific exams1. prenatal testing (10)2. Nutrition, labs and medications (15)

25

Medication Math Mania Midterm 4Medication Math Mania Final 8Exam 1 50Exam 2 50Skills checkoff 40ATI Proctored Test 30Final Cumulative Exam 100Total Points 340

All students must achieve a mean score of 78% on all exams and quizzes in order to pass the course.

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Written Assignments

Evaluation Method Points Available Points Achieved The Group Cultural Birthing Care Plan Experience Paper

60

Group Healthy Pregnancy Poster Presentation

50

Group prenatal testing fact sheet 10

Medication Math Mania worksheets

8 sheets: 1-6 are worth 1pt each

7-8 are worth 2pts each

10

Class/lab participation

pass/fail

Non proctored assessment 1 50Non proctored assessment 2 50Total Points 230

Total Course Points Combined

Evaluation Methods Combined Points Points Achieved Exams and Quizzes Points (60%) 340Written Assignments, ATI, etc.(40%) 230Total Points Combined (100%) 570

Faculty Policies: Cell Phones: Phones are not permitted at clinical or in laboratory. Cell phones are not to be used during class time. Texting/emailing is not permitted during class time. All students in this course are expected to adhere to Nursing Department and University professional standards. In addition, there will be no use of cell phones, texting, or emailing during class time. Failure to comply will result in the student(s) being asked to leave the class. This will result in zero participation points for that classroom activity, the loss of opportunity to participate in that day’s learning exercise, and may result in a learning contract. If a student is confronted on more than one occasion, a learning contract will be initiated. Failure to change unprofessional behavior after two warnings will result in an unsuccessful completion in this course.

Attendance: Attendance is expected in all nursing courses. Any anticipated absences should be communicated to the faculty via email prior to the expected absence. Any missed material is the responsibility of the student and will be considered incomplete (a zero) unless other arrangements are made with the instructor prior to the assignment due date. (See the “late assignment section”). Students are expected to read the assigned content in the textbook, prepare for class, and participate actively in discussions and group work in order to receive participation credit. Students are expected to participate, positively contribute to learning, and refrain from disrupting the class or other students in the class. Failure to attend class will result in a forfeiture

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of participation points for that day’s activities without the opportunity for makeup. Make up opportunities for extreme circumstances will be made at the discretion of the instructor.

Missed quizzes and exams: Failure to take a quiz or exam during the assigned period or unexcused absences from a scheduled exam will result in a grade of zero on that quiz/exam. No exceptions. If a student quiz/test is interrupted by a connectivity issue during an on-line assessment and the student is unable to resume their test, the student must contact the instructor immediately to have their test reset. Failure to do so will result in a zero.Late assignments: Late assignments will not be accepted unless arrangements are made before hand with the instructor and will result in a grade of zero for that assignment. If the student requires an extension for an assignment, communication with the instructor MUST occur before the assignment is due. Each student may only receive one extension during the course and will be granted at the discretion of the instructor. Exceptions for extreme circumstances will be made at the discretion of the instructor.

Unsuccessful Student Progress and Completion of Student Learning Contracts: Students who are unsuccessful at mid-term (or any other point in semester per faculty determination) will be required to collaborate with faculty to develop a student learning contract as a means to plan learning strategies that can promote and support student success. Learning activities, objectives, explicit measures and due dates will be identified and documented on the student learning contract. Students must successfully complete their learning contract by the listed date assigned in that learning contract in order to successfully complete the course. Failure to do so will result in an unsuccessful completion of this course.

Professional Conduct of the Student:

1. Attendance – Attendance is mandatory for all classroom/clinical/skills days sessions. Absence(s) must be approved. Absence(s) may result in the forfeit of an alternative experience, an extra project (and/or presentation), and/or a make-up clinical day at the students expense (time and financial).2. Attentiveness – The students is alert, attentive and asks appropriate questions.3. Authority – A student shows appropriate respect for those placed in authority over him/her both within the College and in society.4. Communication – The student demonstrated an ability to communicate effectively verbally, nonverbally, and in writing with peers, teachers, patients, and others.5. Cooperation – The student demonstrates his/her ability to work effectively in large and small groups with other members of the health team, giving and accepting freely the interchange of information.6. Demeanor – The student has a positive, open attitude towards peers, teachers, and others during the course of nursing studies. The student maintains a professional bearing in interpersonal relations. The student functions in a supportive and constructive fashion in group situations and makes good use of feedback and evaluations.7. Ethics – The student conducts self in compliance with the ANA Code of Ethics.8. Inquisitiveness – The student acquires an interest in his/her courses and curricular subjects, demonstrating individual pursuit of further knowledge.9. Judgment – The student shows ability to think critically regarding options, reflecting his/her ability to make intelligent decisions in his/her personal and academic life.10. Maturity – The student functions as a responsible, ethical, law-abiding adult.11. Moral Standards – The student respects the rights and privacy of other individuals and does not violate the laws of our society.12. Personal Appearance – The student’s personal hygiene and dress reflect the high standards expected of a professional nurse.13. Professional Role – The student conducts self as a professional role model at all times and in compliance with ANA Standards of Practice and the Wisconsin State Board of Nursing Rules and

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Regulations regarding professional conduct. The student demonstrates the personal, intellectual, and motivational qualifications of a professional nurse.14. Responsibility – The student has nursing school performance as his/her primary commitment. Student – student and student-faculty academic interchanges are carried out in a reliable and trustworthy manner.15. Safety - Safety in practice is basic to the delivery of nursing care. Therefore, to pass this course a student must consistently demonstrate safe practice. If a student’s performance indicates poor judgment and/or unsafe behaviors, the student will not pass the class, regardless of the level of achievement in other areas being evaluated.

Campus Information: Writing Assistants at Carroll UniversityThe Carroll University Writing Center, located in the library Learning Commons is open from 10-6, Monday through Friday, and from 4-8 on Sundays. Writing assistants are available to help you through all stages of your writing assignments, from developing a thesis to citing your paper correctly. You may call (262) 524-7313 to make an appointment, or walk in during our open hours. All Writing Center services are offered free of charge to any member of the Carroll community.

Statement on Academic Integrity:The Carroll University Academic Integrity Policy is located in your student handbook. I encourage you to familiarize yourself with it. If a student violates this policy in any way, I reserve the right to impose a sanction of failure on the assignment/assessment or failure in the course. If you have questions about appropriate citations, please ask. On-line quizzes and exams are not to be taken as a collaborative student effort. Additional resources are are permitted during quizzes or exams only as indicated in this syllabus. If any changes are made, the students will be notified via written announcement/email. Violation of this policy may result in the above mentioned sanctions.

Accommodation for Disabilities:Students with documented disabilities who may need accommodations, or any student considering obtaining documentation, should make an appointment with Ms. Martha Bledsoe, the Carroll University disabilities coordinator, no later than the first week of class. Mrs. Bledsoe may be reached by calling 524-7335 or contacting her via e-mail – [email protected].

Modifications to the syllabus: The instructor and the University reserve the right to modify, amend, or change the syllabus (schedule, course requirements, grading policy, etc.) as the curriculum and/or program require(s). In the event of a change, all students enrolled in the course will receive an email notification and the change will be posted to the LMS course calendar within 24 hours.

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NRS 312: Course Schedule

Week or Date

Content Preparation for Class Assignments and Quizzes/Exams

Week 1 Sept 10

Orientation to Course/Requirements

Class: Orientation to Course/syllabus review-review team/group assignments(30 mins)

Lecture: (60 minutes)Family-Centered Nursing Care Break (10 mins)

Ethical issues related to childbearing

Trends and M&M’sEthical issues r/t childbearing

Questions: (10 minutes)

Print out syllabus and course calendar

Read Perry Chapters: 1-3

Pearls of the week/SoftChalkComplete drag and drop exerciseRecommended review:-Women’s Health concerns in family centered nursing-Women’s periodicity schedule-Review of a female physical assessment

ATI Chapters: 4

Orientation quiz on line – complete prior to coming to class. Retake until 100% is achieved.

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Week 2Sept 17

Questions: (10 mins)

Lecture: Women’s Health:-visit schedule-concerns-common health issues and screening

Menstrual cycle as it relates to fertility – What the patient needs to know

Contraception teaching

Assessment for risk factorsInfertility nursing care

Read Perry Chapters:4-7

Pearls of the week/SoftChalk ContraceptionThe birthing care planSTI’s and mom/babyTeratogens in pregnancy

ATI chapters: 1, 2

Online Quiz 1 due before class

Week 3Sept 24


Lecture: Conception

Fetal Development

Abortion

Anatomy of pregnancy

Care of the pregnant patient and family

Discomforts of pregnancy

Physical and psychological changes during pregnancy


Pearls of the week/SoftChalkAnatomical changes of pregnancy-Discomforts of pregnancy: What is normal?-Psychosocial adaption and assessment

ATI chapters: 3, 4, 5, 6


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Week 4Oct 1


Lecture:Adaptation to pregnancy

Antepartal testing

Complications of pregnancy- ectopic pregnancy

Fetal assessment

Fetal monitoring


Pearls of the week/SoftChalk Antepartal/fetal well-being testing-ectopic pregnancy-The complicated/high-risk pregnancy:

- pre eclampsia - HTN- UTI- DM- Rh neg- Heart disease- HIV

Fetal monitoring

ATI Chapters: 7, 8, 9 , 10


Week 5Oct 8

Exam 1Medication Math Mania Midterm


Exam 1

Medication math mania midterm

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Week 6Oct 15


Lecture: - Delivery video

LaborPain Management

Delivery and nursing care

Postpartum care

Care of the c-section patient

Labor Complications and nursing care


Pearls of the week/SoftChalk Stages of labor-Assessing station, dilation, and effacement

-Pain management for labor and delivery

The complicated labor:- Eclampsia- Abruption- Placenta previa- trauma- meconium- HELLP syndrome

-Post-partum assessment

-C-sections

-Post-partum complications

- PPH- Embolism- Infection- Depression

ATI chapters: 11, 12, 13, 14, 15

Group prenatal testing fact sheet - Due before class

Nutrition Quiz due before class

Week 7Oct 22

Fall Break Enjoy!


ATI chapters: 16, 17, 18, 19, 20, 21, 22

Be safe!

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Week 8Oct 29


Lecture:Newborn resuscitationHealthy newborn Newborn Complications

Breast feedingTransition to parenthood

Care and assessment of the newborn

circumcision video


Pearls of the week/SoftChalk AGPARS-Newborn complications-Normal newborn assessment

-Becoming a parent-Breastfeeding basics

-How to care for the newborn-Discharge teaching for Mom/baby

ATI chapters: 16, 17, 18, 19, 20, 21, 22


Prenatal testing quiz due before class

Week 9Nov 5


Lecture: At risk newborn Pregnancy loss/loss of an infant

Poster Presentations

Read Perry Chapters:28

Pearls of the week/SoftChalk -Risk factors for children – when to be concerned-Loss of a pregnancy/newborn/mother

ATI chapters: 23, 24,25, 26, 27


Group Poster Presentations - presented in class this week

Week 10Nov 12

Simulation and scenarios Online Quiz 7 due before class

ATI practice assessment 1 due before class

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Week 11Nov 19

Simulation and scenarios

Optional Online Quiz 8 due before class

Labs and medications quiz due before class

Week 11Nov 26

Simulation and scenarios HappyThanksgiving!

ATI practice assessment 2 due before class

Cultural birthing paper due no later than 10pm Sunday, Dec 1st to be submitted via the file exchange per the rubric guidelines - each student must submit

Week 12Dec 3

Exam 2 and Medication Math Mania Final

Skills checkoff as scheduled

Exam 2

Medication Math Mania Final test

Week 13Dec 10

Skills checkoff as scheduled

Proctored ATI

Proctored ATI Final Exam - Cumulative in Tech CenterRoom TBA

Skills checkoff

Week 14 Finals week Dec 12th through Dec 19th

Skills checkoff remediation by appointment with instructor ONLY

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Cultural OB Delivery Experience Group Paper Rubric:

Determine a birthing care plan and adapt it to a culturally diverse client, following that client through a labor and delivery: Points

Based on your cultural assumptions, as a group, complete a birthing care plan based on an assigned patient scenario (demographic).(done early in semester in class) - to be submitted via the file exchange that week by the due date

/5(This will be done in class

and handed in at the end of

class)Write a scholarly paper incorporating your OB nursing knowledge, cultural knowledge, best practice (EBP), and at least three pertinent research or scholarly articles addressing cultural content pertinent to the care of your assigned patient to include the following criteria:

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Discuss how you must tailor your nursing care to meet the following while providing culturally sensitive care: (may not be applicable and is not limited to)1. Family participation/roles2. Preferred Provider3. Patient adaptation to labor4. Stages of labor- patient response- role of father- role of other family5. Pain management- medications- herbs- techniques- positioning6. Delivery method- positioning- special cares- assistive measures 7. Restrictions/limitations/Extreme considerations-complications-c-sections8. Post partum care- diet- bathing- visitors- rituals- restrictions- follow up care9. Care of the newborn- umbilical cord/cord blood- bathing- medications- holding- feeding- photos10.Teaching-sleeping arrangements-car seats-bathing-oils-immunizations-follow up care-special considerations11.Special considerations /30

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Identify items in the care plan that required change after further cultural assessment and education for your client (EBP and scholarly sources)- What would you have done differently?- What is the most important cultural tool that you learned from this assignment that

you would share with someone planning to go into OB nursing who may care for this population? /5

Write a statement reflection of your thoughts and feelings regarding your initial birthing care plan and its strengths and weaknesses- Do you think you were culturally prepared to care for this patient prior to this assignment? (This portion of the paper should be done individually) /2.51. APA format/spelling/grammar2. Do not exceed 8 pages, excluding the cover and reference page3. Minimum of 5 scholarly references (3 must be research or journal articles). They

must be no more than 5 years old. /2.5Classroom presentation 10

TOTAL POINTS /60

Each student member MUST submit their copy of the work to the LMS in a WORD document to include a copied and pasted grading rubric and the following questions with answers:

1. Did each member of the team contribute equally to complete this assignment? Explain as needed.

2. Did any team member not meet expectations in work load or quality of work? Explain as needed.

Grading Rubric for Group Prenatal Testing Fact Sheet

Groups and assignments will be divided up based on how many students are currently enrolled in the course and topics will be assigned and posted on the LMS site under “Group assignments

Required content Points

Define the test and provide any necessary information about the testing that will help the patient understand the need for this test or procedure

2

Describe what the test is used for, what is detects/rules out/diagnoses 4

List any necessary preparation or instruction 2

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Required content Points

Describe what the patient can expect from check-in to discharge, describing the actual testing experience/procedure in detail from the patient experience perspective

4

List any discharge instruction, potential complications, and when to call the doctor

3

Include what to wear, NPO/limitation/activity restrictions and provide information on who to contact if they have further questions/concerns

2

Each student will include 2 independently written multiple choice questions with answers, rationale, and references at the end of their independent submission. These questions must be challenging, with 4 potential answers, and must be intended for peer learning

1

Use proper APA, grammar, and at least 3 scholarly referencesEach student must submit the group evaluation questions to their independent submission to the LMSThis paper must be turned in by each student, to the LMS file exchange, as a WORD document with cover page to include all team member names, a copy of the grading rubric, answers to the group evaluation questions, and your 2 independent questions.

2

Total Points available/earned: 20




Individual multiple choice questions with answers, rationale, and references:

1.

2.

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Group Healthy Pregnancy Poster Presentation:

The grading rubric is as follows:

Points Criteria10 Description of the topic and include who it applies to (demographics, genetics,

risk factors, etc)- Briefly describe pathophysiology, potential outcomes, and reason that

patients should be aware/interested in this topic- additional pertinent information as indicated

4 Identify warning signs or signs and symptoms of condition10 Discuss prevention and management3 Include special information to include:

- special directions- specific education - special considerations- specific warnings or precautions

3 Written outline submitted in WORD format by each student to include:1. Cover page with all team mates listed 2. Reference list3. Group evaluation questions4. The presentation and paper must include the following:

- Scholarly writing, including grammar, spelling and APA format - for all assignment components

- post to the file exchange no later than the assigned due date- Use at least 4 scholarly resources (1 may be your text book)

20 Poster presentation- organization- presentation- professionalism- teamwork- creativity (interviews, etc)

50 Total points available

Each student group should plan to discuss their topic and assignment with the instructor as they begin to prepare their work. Due to the variety of topics for this assignment, criteria and requirements may change from group to group. It is the student’s responsibility to make sure that their topic is appropriately covered prior to submission.




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OB Lab/skills participation Rubric:

Unsuccessful warning Successful

1. unprofessional behavior - see professional behaviors section of syllabus

2. no effort3. asked to leave class/

disruptive behavior4. Failed to complete quiz

as assigned5. Absent

1. minimal effort2. minimal/poor

participation - not engaged in learning

3. requiring frequent redirection

4. failure to prepare for class

5. Late (more than 5 minutes)

1. participates as indicated2. comes prepared to

participate in lab3. participates in groups 4. Is directable and responds

positively to coaching5. completes assigned tasks6. Is engaged in learning

1 unsuccessful will result in a learning contract. Failure to successfully complete your learning contract by the end of the semester will result in a maximum grade of “C” in this course.

1 warnings will = 1 unsuccessful

2 or more unsuccessfuls will result in a maximum grade of “C” in this course.

Missed days or poor performances are not eligible for makeup. Grading for this requirement is soley at the discretion of the instructor based on feedback from faculty assistants and observation. The grading of this portion is NOT negotiable, so please plan to actively engage and participate in the lab simulation portion of this course.

OB skills checkoff:

OB skills checkoff sign up list will be posted on SignUpGenius.com. You will receive an invitation to sign up in the first few weeks of class. Sign up in pairs. Plan to come 20 mins ahead of time, prepared with your basic prep. You may bring 1 single sheet of paper for documention and notes. Skill list and preparation will be reviewed in class. I strongly recommend attending one of the instructor-facilitated practice sessions WITH your partner prior to testing, as this is a heavily weighted exam/quiz grade. The PDF is listed separately on LMS site. Please review the PDF for specifics of requirements for each section.

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General points guideline for Rubric:

Points Criteria

/2 Professionalism- introduction- handwashing- ensuring privacy

/5 Hx taking - use of information Asking appropriate additional questions

/5 AssessmentABCDE’sReviewing assessments after each intervention

/5 Prioritization of care:Addressing all assessment findings in the appropriate priority of need

/3 Proper utilization of necessary and appropriate equipment

/20 Successful management of scenario

/40 Total points achieved

Sign up in pairs. Plan to come 20 mins ahead of time, prepared with your basic OB prep. You may bring 1 single sheet of paper for documention and notes. Skill list and preparation will be reviewed in class.

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Documents

Carroll University Nursing Program NRS 312 Family Centered