ADN 405 - Maternal Child Health Care

1. Utilize critical thinking skills in each phase of the nursing process as applied to mothers and children with more complex conditions on the health-illness continuum.
2. Plan the adaptation of basic nursing skills to the ante-partal, intra-partal and postpartal woman and to children of various ages.
3. Prioritize basic human needs for the ante-partal, intra-partal and post-partal woman and to children of various ages.
4. Determine the values, attributes, behaviors, ethics, and legal obligations appropriate to the maternal-child practice setting
5. Expand the knowledge of nursing skills in planning care for the woman throughout a normal or complicated antepartum, intra-partum, or postpartum process.
6. Expand the knowledge of nursing skills in planning care for the neonate or child with common or more complex health concerns.
7. Expand the theory base of health-illness in planning nursing care of mothers,neonates and children having more complex problems along the health-illness continuum.
8. Expand knowledge of communication to select appropriate responses and teaching strategies in interacting with parents, neonates and children having common and more complex health situations.

Course Objectives:
Obstetrics

1. Apply the nursing process to the mother, child and family unit.
2. Plan discharge teaching for the maternity patient.
3. Demonstrate appropriate scrubbing and hand washing in caring for the newborn.
4. Determine appropriate assessments of the newborn, including physical assessment, gestational age, identification, and chemistix. (General Objective#6)
5. Plan daily nursing care of the newborn. Explain usual medications and tests for the newborn and their significance.
6. Identify abnormal assessments of the newborn which should be reported.
7. Determine appropriate teaching for mothers and family members concerning bathing, stools, voiding, temperature, circumcision care (for male), jaundice, safety, car seat use, and metabolic screening.Evaluate a newborn for approximate gestational age using the Dubowitz Scale.
8. Determine the calorie and fluid requirements of the newborn based on weight.
9. Plan appropriate assessment, interventions, teaching and evaluation in assisting mother and/or father with bottle feeding. Plan appropriate assessment, interventions, teaching and evaluation in assisting mother and/or father with breast eeding. Plan care for the newborn in the isolette, under the warmer, under the Bililite, or using other equipment as available. Determine priorities of care for the preterm, small for gestational age, large for gestation age, infant with a congenital anomaly and other high risk neonates.
10. Suggest possible resources to the family of a neonate with a congenital anomaly and/or compromised family situations. Determine risk factors which may affect the fetus during the antepartum period.
11.Determine appropriate assessments needed for the labor patient, including emotional state, frequency of vitals, timing contractions, assessing GHT’s and identifying labor stage.
12. Identify the role of the nurse in scrubbing for delivery or assisting with the labo rprocess.
13. Discuss reasons for a Cesarean delivery. 
14. Differentiate between the two usual types of Cesarean. Differentiate between the basic components of the FHM strip including rate, accelerations, decelerations,and variability.
15. Plan assessment for the post-partum patient and determine what to report asabnormal. (General Objective #1 & 7) (Graduate Outcome #1 & 3)
16. Establish priorities of care for the post-partum patient.
17. Communicate effectively with all post-partum patient and families, including theadolescent parent, parents of high risk infants, parents of stillbirths, and other high risk groups.
18. Identify effective means of communication that may be used in caring for families of various cultures.
19. Review frequently performed procedures
20. Plan appropriate discharge teaching for both mother and child.
21. Determine what to include in educating patients about self-breast examination.

Pediatrics

1. Evaluate weights and heights on growth charts. Determine nursing interventions which reduce stress in the hospitalized child based on the child’s developmental stage.
2. Choose the correct equipment and sequence in order to take accurate vitals on various aged children.
3. Recognize abnormal vital signs.
4. Select appropriate safety measures for hospitalized children.
5. Identify means of support for the child during treatments.
6. Plan pre-op teaching for a child having surgery. Select appropriate play materials in caring for various aged children.
7. Assess fluid and electrolyte balance in the pediatric patient.
8. Calculate fluid needs for 24 hours for a hospitalized child.
9. Calculate correct medication dosages and determine injection sites, needle gauge and length for various aged children. Determine safe parameters in administering IV fluids and medications to the child including saline loc, central lines, IV pumps, and TPN.
10. Plan care for children of various ages including infants, toddlers, preschoolers, school age children and adolescent. Provide anticipatory guidance to parents about common concerns related to the age of their children.
11. Determine appropriate assessments and recognize abnormalities and changes in condition which need to be reported. Select therapeutic responses in communicating with children and family members.
12. Identify adaptations of procedures for the pediatric patient.
13. Identify components of a nursing history. Integrate collected data with knowledge etiology, development, and prognosis for common and more complex health problems in caring for children of various ages.
14. Determine nursing diagnoses, formulate appropriate goals, and establish priorities of care for a child with more complex health problems.
15. Plan individualized care for children of various ages.
16. Analyze strengths and limitations of families in planning care of a child while hospitalized and in planning for discharge. 
17. Evaluate effectiveness of care given to the child. Analyze learning needs and plan discharge teaching for the family of the child who is going home.
18. Identify appropriate resources to meet learning needs and post hospital care.
19. Determine legal and ethical parameters pertinent to care of the child.