NURS 2156 - Complications of Childbearing Nursing

Prerequisite: Admission into the Nursing program and NURS-2146 with grade C or better.

Corequisite: NURS-2175

II. The graduate can demonstrate how to think competently.
V. The graduate is sensitive to issues relating to a diverse, global society.

Program Outcome/Student Learning Outcome:

1. The student can analyze and apply the critical components of evidence-based nursing practice.

Course Outcome:

1. The student can apply evidence-based practice for women experiencing a high risk pregnancy, high risk newborns, and patients with gynecologic problems.

Course Objectives:

1. The student will apply evidence-based nursing interventions for patients with pregnancy induced hypertension, gestational diabetes, and preterm labor.
2. The student will apply evidence-based nursing interventions for patients with gynecologic problems.
3. The student will apply evidence-based nursing interventions for high risk newborns.

MCC Common Degree Outcomes:

I. The graduate can integrate the knowledge and technological skills necessary to be a successful learner.
II. The graduate can demonstrate how to think competently.

Program Outcome/Student Learning Outcome:

2. The student can recognize quality improvement strategies as an integral component of nursing practice.

Course Outcome:

2. The student can explain national patient safety goals and quality indicators for high risk maternity, high risk newborn, and gynecologic patients.

Course Objectives:

1. The student will describe national patient safety goals and quality indicators for the pregnant patient with diabetes.
2. The student will describe national patient safety goals and quality indicators related to women experiencing breast cancer.
3. The student will describe national patient safety goals and quality indicators for the newborn experiencing hyperbilirubinemia.

COMPLICATIONS OF CHILDBEARING

1. Hypertensive Disorders of Pregnancy
   1. Chronic hypertension
   2. Preeclampsia
   3. Eclampsia
   4. HELLP syndrome
   5. Pharmacology: Antihypertensives, anticonvulsants
2. Complications of Pregnancy
   1. Hemorrhagic conditions
   2. Ectopic pregnancy
   3. Placenta previa/Abruptio placenta
   4. Abortion
   5. Premature rupture of membranes
   6. Pharmacology: Oxytocics
3. Intrapartum Complications
   1. Shoulder dystocia
   2. Prolapsed cord
   3. Uterine rupture
   4. Uterine inversion
4. Endocrine and Metabolic Disorders
   1. Diabetes
   2. Hyperemesis gravidarum
   3. Pharmacology: Insulins
5. Antepartal Fetal Assessment
   1. Ultrasonography
   2. Blood tests
   3. Chorionic villus sampling
   4. Amniocentesis
   5. Fetal surveillance
6. Complications of Pregnancy
   1. Cardiovascular disorders
   2. Anemias
   3. Trauma
   4. Infections
   5. Rh incompatibility
   6. Pharmacology: Immunoglobulins, antianemics
7. Childbearing Family with Special Needs
   1. Adolescent pregnancy
   2. Delayed pregnancy
   3. Substance abuse
   4. Loss and grief
   5. Violence against women
8. Labor and Birth at Risk
   1. Dysfunctional labor
   2. Premature rupture of membranes
   3. Preterm labor
   4. Prolonged pregnancy
   5. Intrapartum emergencies
   6. Pharmacology: Oxytocic, prostaglandins
9. Postpartum Complications
   1. Postpartum hemorrhage
   2. Thromboembolic disease
   3. Postpartum infections
   4. Postpartum depression
   5. Pharmacology: Oxytocic, antibiotics, prostaglandins

UNIT 2

NEWBORN COMPLICATIONS

1. Genetics and genetic disorders
2. Ethical, Social, and Legal Issues
   1. Ethics and bioethics
   2. Social
   3. Legal
3. Gestational Age and Birth Weight
   1. Preterm infant
   2. Postdate and post mature infants
   3. Small for gestational age infant
   4. Large for gestational age infant
4. Acquired and Congenital Problems of the Neonate
   1. Acquired and congenital respiratory complications
   2. Hyperbilirubinemia
   3. Neonatal infections
   4. Infants of diabetic mothers
   5. Prenatal drug exposure
   6. Phenylketonuria
   7. Cardiac defects
   8. Gastrointestinal defects
   9. Central nervous system defects

UNIT 3

WOMEN’S HEALTH

1. Infertility
   1. Factors contributing to infertility
   2. Evaluation of infertility
   3. Responses to infertility
   4. Outcomes after infertility therapy
   5. Pharmacology: fertility drugs
2. Health Assessment, Screening, and Prevention
3. Problems of the Breast
   1. Benign conditions of the breast
   2. Malignant conditions of the breast
   3. Pharmacology: antiestrogen
4. Experiences and Disorders of the Menstrual Cycle
   1. Common menstrual disorders
   2. Menopause
   3. Pharmacology: Hormones
5. Disorders and Neoplasms of the Reproductive Tract
   1. Structural disorders
   2. Benign neoplasms
   3. Sexually transmitted diseases
   4. Endometriosis
   5. Osteoporosis
   6. Premenstrual syndrome
   7. Malignant neoplasms of the endometrium, cervix, and ovary
   8. Pharmacology: antiestrogens, antibiotics, hormones