Fall 2021 Course Syllabus Course: VNSG-1230- Section: 1 Maternal-Neonatal Nursing

Instructor Information
Instructor	Yecenia Rangel
E-mail	munguiavargasy@lamarpa.edu
Phone	(409) 984-6375
Office	Location: Allied Health - Room: 107-4 Hours: Office Hours: As posted and by appointment Building: Allied Health Room #: Lawson- AH 128; Perry- AH 107-III; Reyes- AH 111; Rangel AH-107-IV
COVID 19 Information	The Lamar State College Port Arthur (LSCPA) Student Code of Conduct COVID 19 Policy requires students who have been exposed to COVID 19 or diagnosed with COVID 19 to report their condition on the COVID 19 Notification Form (available via a link on the Student Code of Conduct COVID19 webpage). This information will be provided to the Dean of Student Services. In addition, this policy requires all students to wear face coverings in compliance with the criteria included in the policy. For more information please refer to the COVID 19 link on the LSCPA website.
Course Information
Description	A study of the biological, psychological, and sociological concepts applicable to basic needs of the family including childbearing and neonatal care. Utilization of the nursing process in the assessment and management of the childbearing family. Topics include physiological changes related to pregnancy, fetal development, and nursing care of the family during labor and delivery and the puerperium.
Prerequisites	VNSG 1204 Foundations of Nursing VNSG 1234 Pediatrics VNSG 1261 Clinical LVN VNSG 1400 Nursing in Health & Illness I VNSG 1409 Nursing in Health & Illness II VNSG 1462 Clinical LVN To graduate from the VN program, it is required that you must complete either Microcomputers (BCIS1305) or Introduction to Computers (ITSC 1401) prior to graduation. Students must have a minimum grade of C or better in every course that applies to the Vocational Nursing Certificate plan to graduate.
Learning Outcomes	In accordance with the mission of LSC-PA, VNSG 1230 assists the student to develop the particular skills, knowledge, and attitudes necessary for success as a vocational nurse. Upon successful completion of Maternal Child Nursing, the student should be able to: 1. Discuss the bio-psycho-socio-cultural needs of the childbearing family. (PSLO Alpha; PSLO 1; PSLO 2; PSLO 3) Measured by: discussions based on assigned readings; clinical case studies; clinical simulations; clinical observations of patient and family interactions 2. Discuss human reproduction and fetal development as related to the normal aspects of childbearing. (PSLO Alpha) Measured by: discussions based on assigned readings; exams; clinical objectives 3. Utilize the nursing process to assist in planning the care of the childbearing family. PSLO Alpha; PSLO 1; PSLO 2; PSLO 4) Measured by: care plans; class and clinical discussions; clinical interactions; case studies 4. Compare and contrast normal physiology of reproductive systems to pathologic variations in the patient with common reproductive/sexual health problems. PSLO Alpha; PSLO 1; PSLO 2) Measured by: discussions, clinical case studies; exams; clinical interactions following VN scope of practice 5. Compare and contrast diagnostic evaluation and treatment of the patient with common reproductive/sexual health problems. (PSLO Alpha; PSLO 2) Measured by: clinical case studies; reading-based discussions; exams 6. Identify common complications of the mother and newborn during prenatal, antenatal, and postnatal periods. (PSLO Alpha; PSLO 2; PSLO 3) Measured by: clinical case studies; classroom discussions and exams based on readings 7. Discuss and implement a plan of care for the patient requiring pain management during the intrapartum period. (PSLO Alpha; PSLO 1; PSLO 2) Measured by: care plan assignments in clinical setting with instructor observations and evaluations; exams based on readings and discussions 8. Relate characteristics of the normal newborn and associated nursing interventions to meet identified health care needs utilizing the nursing process. (PSLO Alpha; PSLO 1; PSLO 2; PSLO 3) Measured by: classroom and clinical discussions based on assigned readings; clinical objectives; clinical rotations and observations in nursery unit Identify, discuss and implement a plan of care for selected women’s health issues. (PSLO 1; PSLO 2; PSLO 3) Measured by: care plan activities; clinical case studies; clinical observations and assisting in women’s specialty unit while providing care within VN scope of practice; unit exams 9. Demonstrate satisfactory performance of selected nursing skills using principles of safety and asepsis. (PSLO Alpha; PSLO 1; PSLO 3) Measured by: applications of theories of asepsis and infection control in clinical lab and facility settings; clinical evaluation of skills utilizing principles of safety 10. Demonstrate satisfactory performance of selected nursing skills using principles of safety and asepsis. (PSLO Alpha; PSLO 1; PSLO 3) Measured by: applications of theories of asepsis and infection control in clinical lab and facility settings; clinical evaluation of skills utilizing principles of safety 11. Demonstrate competency in medication administration and dosage calculations. (PSLO 1; PSLO 3) Measured by: medication competency exam; observed medication administration in skills lab and clinical; discussions 12. Identify priorities of care according to patient’s condition. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: class and clinical case study discussions; prioritization exercises and exams; care plan activities; clinical simulations 13. Demonstrate an understanding of the legal, ethical, and professional responsibilities inherent in the role of the vocational nurse (PSLO Alpha; PSLO 1; PSLO 3; PSLO 4) Measured by: discussions and exams over readings of Nurse Practice Act; current literature application; interactions in clinical setting
Core Objectives	Reading: Demonstrates the ability to analyze and interpret a variety of printed materials. Writing: Produces clear, correct, and coherent prose adapted to purpose, occasion, and audience. Speaking: Communicates orally in clear, coherent, and persuasive language appropriate to purpose, occasion, and audience. Listening: Demonstrates the ability to analyze and interpret various forms of spoken language. Critical Thinking 1: Applies qualitative and/or quantitative skills analytically and creatively to subject matter. Critical Thinking 2: Demonstrates the ability to evaluate arguments and construct alternative strategies. Computer Literacy 1: Uses computer-based technology to communicate, solve problems, and acquire information. Computer Literacy 2: Demonstrates an understanding of the limits, problems, and possibilities associated with the use of technology. Intercultural Competence 1: Demonstrates awareness of similarities and differences between cultural groups. Intercultural Competence 2: Demonstrates the ability to recognize global interconnectedness. Intercultural Competence 3: Demonstrates a general knowledge of cultural evolution
Program Student Learning Outcomes	Upon completion of the Vocational Nursing Program graduates will, under the supervision of a professional licensed nurse and/or licensed physician, function in non-complex settings and should be able to: PSLO 1. Functions within the Scope of Practice for a Vocational Nurse. PSLO 2. Demonstrates safe, direct patient care with individuals who have predictable health care needs. PSLO 3. Exhibits professional nursing behaviors. PSLO 4. Cooperates with members of the interdisciplinary health care team to provide evidence-based care.
Textbooks	Textbook Purchasing Statement: A student attending Lamar State College Port Arthur is not under any obligation to purchase a textbook from the college-affiliated bookstore. The same textbook may also be available from an independent retailer, including an online retailer. Textbook Purchasing Statement: A student attending Lamar State College Port Arthur is not under any obligation to purchase a textbook from the college-affiliated bookstore. The same textbook may also be available from an independent retailer, including an online retailer. Williams, Linda, Hopper, Paula, (2019) Understanding Medical-Surgical Nursing (6th ed.). Philadelphia: F.A. Davis ISBN # 9780803668980 Hopper, Paula, Williams, Linda, (2019) Study Guide for Understanding Medical-Surgical Nursing (6th ed.). Philadelphia: F.A. Davis ISBN #978080366900 Burton, M., Smith, D. Ludwig, L. (2019). Fundamentals of Nursing Care, Concepts, Connections and Skills for Nursing (3rd ed.). Philadelphia: F.A. Davis ISBN # 9780803669062 Burton, M., Smith, D. Ludwig, L. (2019). Study Guide for Fundamentals of Nursing Care, Concepts, Connections and Skills for Nursing (3rd ed.). Philadelphia: F.A. Davis ISBN #9780803669079 Linnard-Palmer, Luanne. Coats, Gloria, (2021). Safe Maternity and Pediatric Nursing Care (2nd ed.). Philadelphia: F. A. Davis ISBN #9780803697348 Linnard-Palmer, Luanne. Coats, Gloria, (2021). Study Guide for Safe Maternity and Pediatric Nursing Care (2nd ed.). Philadelphia: F. A. Davis ISBN #9780803697362 Doenges, Marilyn E., Moorhouse, Mary Frances, Murr, Alice C., (2019).Nurse’s Pocket Guide-Diagnoses, Prioritized Interventions, and Rationales (15th ed.). Philadelphia: F.A. Davis ISBN #9780803676442 Van Leeuwen, Anne M., Bladh, Mickey Lynn, (2019). Comprehensive Manual of Laboratory and Diagnostic Tests (8thed.). Philadelphia: F.A. Davis Vallerand, April Hazard, Sanoski, Cynthia A., (2019). Davis’s Drug Guide for Nurses (16th ed.). Philadelphia: F.A. Davis Online HESI Case Studies: Complete PN Collection (2 Year Version) • Course ID: 161333_edavis103_1005 Swiftriver Online-Purchase information to follow NCLEX® PN Pass Point: Please note: No other NCLEX® PN Review will be accepted. You must use the NCLEX® PN Pass Point access code provided to you for this class. Pass Point access code for this VNSG 1409 class: 3F4E6873 VNSG 1230 class: B06D53AC Please Note! Any Computer program must be accessed using your Lamar email unless otherwise instructed. It is the student’s responsibility to ensure they are enrolled in the proper courses for PassPoint, Evolve HESI, and SwiftRiver. Instructors will not allow submissions to be turned in from a previous course. Topics covered prior to each exam will be opened until the morning of that exam. NOTE: Repeating Students must meet Mastery Level of 8
Lecture Topics Outline	Week 1: Syllabus/Pretest/Newborn 1 Week 2: Newborn 2 Week 3: OB Exam #1 Passpoint Due 1130PM Week 4: Postpartum #1 Week 5: Postpartum #2 Week 6: Female/Male Health Week 7: OB Exam #2 Passpoint Due 1130PM/Antepartum #1 Week 8: Antepartum #2 Week 9: STI’s Week 10: OB Exam #3 Passpoint Due 1130PM Week 11: Labor & Intrapartum #1 Week 12: Labor & Intrapartum #2 Week 13: OB Exam #4 Passpoint Due 1159PM/ Professionalism/Resume/HURST REVIEW Week 14: REACH PRACTICE HESI (2410) Week 15: Final Skills Check-Off Week 16: OB Final Exam Schedule subject to change at the discretion of the Program Coordinator
Major Assignments Schedule	Date: 09/07/21 Exam I Time: 0800 Date: 10/05/21Exam II Time: 0800 Date: 10/26/21 Exam III Time: 0800 Date: 11/16/21 Exam IV Time: 0800 Date: 12/08/21 Final Exam Time: 1200
Final Exam Date	December 8, 2021 - 12:00 PM   Through  December 8, 2021 - 3:00 PM
Grading Scale	90-100 = A 80-89 = B 75-79 = C 74-60 = D 59 or Below = F
Determination of Final Grade	1. Examinations are based on course objectives. 2. Course content from the pre-requisite courses will be included on exams, as appropriate. 3. Students are strongly encouraged to take exams as scheduled. NO questions may be asked during exams. No hats/caps/hoodies/smart phones/personal possessions other than keys, earbuds, and a pencil may be brought into the exam room. No Smart watches may be worn during the exam 4. If a student must miss an exam, the student must contact the instructor prior to the exam or within twenty-four (24) hours of the exam to schedule a make-up. A “no call/no show” for an exam will result in a grade of “0”. 5. Students who arrive after the exam starts, but before it ends, may take the exam without penalty, however, they will not be allowed additional time and should come in quietly taking the first available seat. 6. No make-up unit exams will be administered. The numerical grade attained on the comprehensive Final exam will be substituted for any missed unit exam(s). 7. Test times for exams will be set up for 80 seconds per question. At the end of the allotted time, the computer will not record any further answers. 8. Test grades will not be available for a minimum of 24 hour posttest. 9. If a student scores less than “75" on a unit examination, the student is required to make an appointment with an instructor prior to the next exam. At that time the student will review the examination and, with the assistance of the instructor, identify strategies to improve performance on subsequent examinations. Failure to complete a formal test review with an instructor prior to the next exam may result in five points off of the next exam. 10. After each exam, the faculty uses psychometric principles to evaluate the examination. Items missed by 50% or more of the class are reviewed. If an item is found to be flawed, the faculty may give credit for more than one answer or nullify the item. When an item is nullified, the key is changed so that all answers are credited as correct. That is, if a student answered the item as originally keyed, the student will retain credit for the item. If a student’s answer differs from the one originally keyed, the student is credited for the nullified item. In other words, every gets credit for the item and no one loses credit. 11. Any challenge to exam questions must be presented on provided form within 48 hours of the review of the exam. Disputed exam items must be submitted by the student along with proposed answer supported by documentation from the current textbook, handouts, and/or lecture reference material. 12. Assignments or exams submitted without a student’s name or student’s own work will not receive credit. 13. Late assignment submissions will incur a late point penalty. In most courses the late penalty will be a deduction of ten points if turned in within the first 24 hours after the assignment due date. If the assignment is turned in between 24 and 48 hours late a 25 point penalty will be deducted. Any assignment submitted after 48 hours will be assigned a zero for the assignment. Previous arrangements between the student and instructor for late work may allow for a reduced late point penalty, but all late submissions will have a late penalty deducted. Refer to the individual course syllabus for any variations from the late penalty deductions. 14. The following method will be used to determine each student’s grade in the course: Exam I 15% Grade Exam II 15% Grade Exam III 15% Grade Exam IV 15% Grade Computer/Classroom Average 5% Grade Final Exam 35% Grade The 5% will only be figured in if exam average is 75% or greater. 15. A minimum average of 75%, independent of all other requirements, is necessary to pass the course. Students who fail VNSG 1409 Nursing in Health and Illness II and/or VNSG 1234 Pediatric Nursing and repeat the Course(s) may also be required to repeat the clinical co-requisite course.
Course Policies
Instructor Policies	• Students attending classroom, lab or clinical sessions virtually should exhibit appropriate etiquette to include at a minimum: Adhere to the same standards of behavior online that you follow in real life; Respect faculty and peers time by being on time to scheduled exams, sessions and activities; and Present yourself in a professional manner. • Required assignments and specific dates for work to be turned in must be met by the student. Unless turned in by the deadline there will be a drop in grade for lateness. Previous arrangements between the student and instructor for late work may allow for a reduced late point penalty. Grammar and sentence structure, spelling, legibility, neatness and following directions as to organization are related to acceptable quality in both written and oral assignments. Written work is expected to follow the most current American Psychological Association (APA) format. • Student should respect the instructor’s office hours of 0800-1500 (unless an emergency arises) and understand that cell phones are used to contact the instructor during clinical hours only for clinical purposes. All other means of communication will be through the Lamar email system. • Should I be unable to maintain these expectations or stated program requirements, dismissal from the program may occur. • Syllabus subject to change
Attendance Policy	This class may be a hybrid class and will consist of online & in facility skills, labs, and assignments. Research has shown a cause and effect relationship between attendance and college success. Policies for this course are described below: 1. Because poor attendance is a leading reason for termination from a job in all areas of employment, attendance at all scheduled classes is expected. 2. A student who is absent from course activities for more than three (3) days without notification to faculty may be dropped from the program by the Program Director. 3. Late arrival to class is disruptive. Students who consistently arrive after the beginning of the class (2 or more times) will be counseled and a plan of corrective action determined. Class will begin promptly at the scheduled time. Students who arrive fifteen (15) minutes after the beginning of class should not enter the classroom and should wait until break to enter. 4. It is the student’s responsibility to submit a completed ‘student excuse form’ upon return to class following an absence, tardy, or leaving class early. Failure to do so will result in a declaration of ‘no call, no show’ and may result in the student being dismissed from the program. 5. It is the student’s responsibility to notify the instructor of any absence. If the student is unable to contact the instructor(s), the student should call 409-984-6356 or 1-800-477-5872 ext. 6356. The student should also email the faculty or call the faculty office and leave a voicemail. 6. Lab jackets are to be worn at all times while in the skills lab. 7. Simulation/Computer Lab Assignments are mandatory. Failure to attend will result in a Zero for that assignment.
Academic Honesty	Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty.
Facility Policies	No food or tobacco products are allowed in the classroom. Only students enrolled in the course are allowed in the classroom, except by special instructor permission. Use of electronic devices is prohibited.
Important Information
ADA Considerations	The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the the Office for Disability Services Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.
MyLSCPA	Be sure to check your campus E-mail and Course Homepage using MyLSCPA campus web portal (My.LamarPA.edu). When you've logged in, click the email icon in the upper right-hand corner to check email, or click on the "My Courses" tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLSCPA.
Other	VNSG 1230 Course Objectives 1. Topic: Orientation to the Vocational Nursing Program Didactic Objectives: Upon completion of this learning experience, the student should be able to: a. List sources of college and program policies. b. Discuss content of the course syllabus. c. Seek opportunities to ask questions concerning class content, and/or assignments. d. Distinguish how the Philosophy of the Lamar State College-Port Arthur Vocational Nursing Program addresses beliefs regarding individuals, health, society, and nursing. Unit Topic and Objectives 2. Topic: Strategies used by the Vocational Nurse in caring for patients of various cultural and ethnic groups in the postpartum period and assisting in the care of the newborn. Objectives: Upon completion of this learning experience the student should be able to: a. Describe the pathophysiology and clinical manifestations of a postpartum patient in the hospital. b. Compare and contrast the care of patients of various cultural and ethnic groups in the postpartum period. c. Differentiate the medical and nursing management of postpartum women and the newborn. d. Describe nursing care to promote optimal nutrition of both the newborn and the lactating/postpartum mother. e. Identify goals for discharge planning and teaching of postpartum women and her infant. f. Describe the pathophysiology of the newborn at birth. g. Explain collaborative interventions of patients experiencing postpartum complications, including pharmacology, blood transfusions and emergency surgery in patients of various cultures and ethnic groups. h. Describe normal reflexes of the neonate, including the approximate age of their disappearance. i. Identify assessment techniques of the newborn. j. Describe the pathophysiology and manifestations of the normal newborn. k. Summarize methods of preventing infection in newborn infants. l. Compare and contrast the difference between the pre-term and the low birth-weight newborn and the post-term and large for gestational age infant or the infant of a diabetic mother. m. Apply the nursing process as a framework for providing individualized care to postpartum patients of various culture and ethnic groups including maternal-infant bonding. n. Describe the pathophysiology and nursing care of commonly occurring congenital malformations. o. Identify diagnostic tests used to diagnose commonly occurring congenital malformations. Differentiated Essential Competencies (DEC): I-A, B; II-A,B,C ,D, E,G, H; III-A,B,C,D,E,F; IV-A, B,C D, E 3. Topic: Strategies used by the Vocational Nurse in caring for patients of various cultural and ethnic groups who have sexually transmitted infections or other diseases of the male/female reproductive tract. Objectives: Upon completion of this learning experience, the student should be able to: a. Describe puberty, specifically the development of secondary sexual characteristics in male and female adolescents. b. Identify the major structures of the reproductive systems of men and women and techniques of physical assessment of the systems. c. Summarize the pathophysiology and clinical manifestations of patients of various cultures and ethnic backgrounds with a disease of the reproductive tract. d. Summarize recommended screening procedures including lab, procedures and physical assessment used to diagnose disorders of the female and male reproductive system. e. Discuss use of the nursing process to assess needs, plan, implement individualized care, and evaluate responses for patients with disorders of the male and female reproductive system. f. Categorize the classifications, actions, side effects and nursing responsibilities of pharmacological agents used in the treatment of patients diagnosed with a disease of the reproductive tract. g. Identify goals for discharge planning, education, and rehabilitation of patients diagnosed with a disease of the reproductive tract. h. Relate nursing education strategies for patient and families of various cultures and ethnic groups on ways to prevent sexually transmitted diseases. i. Follow policies in place for reporting communicable diseases DEC: I-A, B; II-A,B,C ,D, E,G, H; III-A,B,C,D,E,F; IV-A, B,C D, E 4. Topic: Strategies used by the Vocational Nurse in assisting in the care of patients of various cultural and ethnic groups while in labor. Objectives: Upon completion of this learning experience the student should be able to: a. Summarize the normal process of childbirth: premonitory signs, mechanisms of birth, and the stages and phases of labor. b. Compare the effects and care of the patients of various cultural and ethnic backgrounds for the intrapartum patient. c. Summarize factors that influence a woman’s comfort during labor. d. Discuss common types of childbirth preparation classes offered to childbearing families and the nursing role in each. e. Identify nonpharmacologic methods of pain management for labor, including the nursing role for each. f. Categorize the classifications, actions, side effects, and nursing responsibilities of pharmacological agents used in the treatment of patients in the intrapartum period. g. Explain collaborative interventions for patients experiencing intrapartum complications of women of various cultures and ethnic groups. h. Summarize each stage of labor and the nursing management of each stage. DEC: I-A, B; II-A,B,C ,D, E,G, H; III-A,B,C,D,E,F; IV-A, B,C D, E 5. Topic: Strategies used by the Vocational Nurse in assisting in the care of patients of various cultural and ethnic groups and their families during pregnancy. Objectives: Upon completion of this learning experience, the student should be able to: a. Describe the mechanics of human fertilization and implantation; embryonic development; fetal development and maturation of the body systems; development of the placenta and the umbilical cord. b. Compare and contrast fetal circulation during the prenatal life to circulation post-delivery. c. Differentiate between subjective (presumptive) vs objective (probable) signs of pregnancy. d. Summarize the nursing management and prenatal care of patients with uncomplicated pregnancy including nutrition, discomforts, and emotions to proceed to a noncomplicated delivery of a healthy fetus. e. Compare and contrast the two types of twins and identify goals for assisting in the nursing care of the patient expecting multiples. f. Describe the nursing management of the family of the expectant patient. g. Assist with fetal heart monitoring for the antepartum client. DEC: I-A, B; II-A,B,C ,D, E,G, H; III-A,B,C,D,E,F; IV-A, B,C D, E Revised and Reviewed August 11, 2021
HB 2504	This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.
Department	Allied Health Chair: Shirley MacNeill E-mail: macneisb@lamarpa.edu Phone: (409) 984-6365 If you have a grievance, complaint, or concern about this course that has not been resolved through discussion with the Instructor, please consult the Department Chair.