Summer Sessions 2019 Course Syllabus Course: VNSG-1230- Section: 01 Maternal-Neonatal Nursing

Instructor Information
Instructor	Electra Guidry
E-mail	guidryek@lamarpa.edu
Phone	(409) 984-6369
Office	Location: Allied Health - Room: 114 Hours: Office Hours: 0800-1500 As posted and by appointment
Department	Allied Health Chair: Shirley MacNeill E-mail: macneisb@lamarpa.edu Phone: (409) 984-6365
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 1409 Nursing in Health and Illness II VNSG 1234 Pediatrics VNSG 1462 Level II Clinicals To graduate from the VN program it is required that you must complete either Microcomputers (COSC 1301) or Introduction to Computers (ITSC 1401) within 5 years from point of graduation. Students must have a minimum 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 1330 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 9.    Identify, discuss and implement a plan of care for selected womens health issues. (PSLO 1; PSLO 2; PSLO 3) Measured by: careplan activities; clinical case studies; clinical observations and assisting in womens specialty unit while providing care within VN scope of practice; unit exams 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 patients 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
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 Alpha: Reading Skills Demonstrates comprehension of content-area reading materials. PSLO 1.     Function within the legal, ethical and regulatory standards of the nursing profession. PSLO 2.     Use a systematic problem-solving process in the care of multiple patients who have predictable health care needs to provide safe, individualized, goal directed nursing care. PSLO 3.     Adopt an approach to nursing practice that promotes safety for patients, significant others, self, and members of the healthcare team. PSLO 4.     Cooperate with members of the interdisciplinary health care team to provide optimum, evidence-based, safe, care to patients.
Textbooks	deWitt, C. (2017). Medical-surgical Nursing Concepts and Practice (3nd ed.). St. Louis: Saunders Elsevier. Leifer, G. (2019). Introduction to Maternity & Pediatric Nursing (8th ed.). St. Louis: Saunders Elsevier.
Lecture Topics Outline	Week 1 Syllabus and Newborn Week 2 Postpartum Week 3 Exam I Week 4 Antepartum Week 5Anterpartum Week 6STD's Week 7 Exam II Week 8 Male/Female reproductive Week 9 Intrapartum Week 10 Exam III Week 11 FinalExam . 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 Topic: Strategies used by the Vocational Nurse in caring for patients of various cultural and ethnic groups who have sexually transmitted diseases 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. 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 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. 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 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
Major Assignments Schedule	06/21/2019-Exam I Time: 08:00 07/19/2019- Exam II Time: 08:00 08/09/2019-Exam III Time: 0800 08/14/2019-Final Exam Time: 0800
Final Exam Date	August 14, 2019 - 8:00 AM
Grading Scale	90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 60 = F
Determination of Final Grade	Examinations are based on course objectives.     Course content from the prerequisite courses will be included on exams as appropriate.     Students are strongly encouraged to take exams as scheduled. 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. No make-up unit exams are given. The numerical grade attained on the Comprehensive Final exam is substituted for any missed unit exam(s).      No questions may be asked during the exams. No hats/caps/hoodies/smart watches/personal possessions other than keys, earbuds, and a pencil may be brought in to the exam. Students who arrive after the exam starts, but before it ends, may take the exam without penalty. No additional time is provided for late arrivals and student should come in quietly taking the first available seat. Once the exam period ends from the scheduled start time the student who arrived late must exit the exam. Questions unanswered will be counted wrong.    A specified amount of time will be set for testing. 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.     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 the credit for the item. If a students answer differs from the one originally keyed, the student is credited for the nullified item. In other words, everyone gets credit for the item and no one loses credit.     Test grades will not be available for a minimum of 24 hours post-test.     If a student scores less than 75% on a unit examination, it is highly recommended that the student make an appointment within one week with one of the course faculty. During the conference the student and instructor will review the examination and, with the assistance of the instructor, identify factors that may have contributed to the student's poor performance and identify strategies to improve performance on future examinations.     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. During the exam review there should be no discussions with faculty or other students.     Any assignment or exam submitted without a students name will not receive credit.     Assignments such as Passpoint and Hesi Case Studies will not be accepted past the appointed deadline. Determination of 1230 Grade Exam I 18.33% Exam II 18.33% Exam III 18.33% Prep U assignments 5% Final Exam 40%
Course Policies
Instructor Policies
Attendance Policy	Attendance at all scheduled classes and clinical experiences is expected. Research has shown that consistent class and clinical attendance contributes to successful completion of not only the Vocational Nursing Program, but also passing the NCLEX-VN. Regular attendance is an essential function of any job in nursing. Students who regularly miss class or clinical clearly demonstrate their refusal to be accountable to report to work regularly.     It is the students responsibility to notify the instructor prior to any absence. If the student is missing a clinical, classroom or lab day, s/he must notify the faculty.     Late arrival to class is disruptive. Students who consistently arrive after the scheduled starting time of class (2 or more times) will be counseled and a plan of action determined. Class will begin promptly at the scheduled time. Students who arrive ten (10) minutes after the beginning of class should not enter the classroom and should wait until break to enter. Repetitive tardiness will result in a 5 point deduction on next exam grade.     A student who is absent from course activities for three (3) days or more, without notification to faculty, may be withdrawn from the program by the program director.     Students on campus but not in class are considered absent.     It is the students 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.     It is the students 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.     Clinical uniforms are to be worn at all times while in the skills lab.     The program coordinator has the right to initiate the administrative withdrawal of any student whose attendance, conduct, scholastic abilities, attitude or lack of aptitude for vocational nursing makes it inadvisable for that student to continue in the program.
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.
MyLamarPA	Be sure to check your campus E-mail and Course Homepage using MyLamarPA 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 MyLamarPA.
Other
HB 2504	This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.