NURS 2156 - Complications of Childbearing Nursing

Credit Hours: 2.00

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.

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.

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

WOMEN’S HEALTH

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

UNIT 2

COMPLICATIONS OF CHILDBEARING

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

UNIT 3

­­­­ NEWBORN COMPLICATIONS

1. Genetics and genetic disorders
2. 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
3. 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
4. Ethical, Social, and Legal Issues
   1. Ethics and bioethics
   2. Social
   3. Legal