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General Information

Course ID (CB01A and CB01B)
NURS D093.
Course Title (CB02)
Reproductive Health Nursing
Course Credit Status
Credit - Degree Applicable
Effective Term
Fall 2021
Course Description
This course builds upon prior learning experiences to develop knowledge and skills used in management of nursing care of patients during pregnancy, birth, and postpartum, as well as general management of reproductive health. The course integrates the knowledge of pathophysiology, diagnostics, pharmacology, communication concepts, and therapeutic interventions in order to facilitate culturally congruent nursing care for patients seeking reproductive health services. Students will become increasingly competent in the application of nursing process, research, problem-solving and use of clinical judgment within the framework of safe patient-centered, evidence-based care. Both NURS 93 and NURS 93L must be taken and passed concurrently within the same quarter (failure of either component requires both courses to be retaken).
Faculty Requirements
Course Family
Not Applicable

Course Justification

This course is in a CTE program that was developed based on requirements from the California Board of Registered Nursing (BRN), and input from current/potential healthcare employers and current/future health needs of society. This course belongs on the A.S. degree in Nursing. This course is a BRN mandated component of the nursing program and exposes students to the theory of nursing the perinatal population. Successful completion of this course is required for students to be eligible for the national licensing exam.

Foothill Equivalency

Does the course have a Foothill equivalent?
No
Foothill Course ID

Course Philosophy

Formerly Statement

Formerly Statement
(Formerly NURS D083.)

Course Development Options

Basic Skill Status (CB08)
Course is not a basic skills course.
Grade Options
  • Letter Grade
  • Pass/No Pass
Repeat Limit
0

Transferability & Gen. Ed. Options

Transferability
Transferable to CSU only

Units and Hours

Summary

Minimum Credit Units
2.0
Maximum Credit Units
2.0

Weekly Student Hours

TypeIn ClassOut of Class
Lecture Hours2.04.0
Laboratory Hours0.00.0

Course Student Hours

Course Duration (Weeks)
12.0
Hours per unit divisor
36.0
Course In-Class (Contact) Hours
Lecture
24.0
Laboratory
0.0
Total
24.0
Course Out-of-Class Hours
Lecture
48.0
Laboratory
0.0
NA
0.0
Total
48.0

Prerequisite(s)

NURS D092., NURS D092L, and NURS D092P

Corequisite(s)

NURS D093L

Advisory(ies)

Limitation(s) on Enrollment

Entrance Skill(s)

General Course Statement(s)

Methods of Instruction

Discussion of assigned readings and case studies

Lecture and visual aids

In-class exploration of Internet sites

Review of NCLEX-style questions

Other: On-line accessible recorded lectures

Assignments

  1. Required reading assignments
  2. Advance preparation by viewing recorded lectures
  3. At-home case studies and quizzes

Methods of Evaluation

  1. At-home case study quizzes to evaluate comprehension and mastery of terms.
  2. Mid-course examination to evaluate comprehension of concepts and application to patient care situations.
  3. One final examination to evaluate comprehension of concepts and application to patient care situations.
  4. Question and answer period in class to evaluate student's integration, critical analysis and application of concepts from case studies and recorded lectures
  5. Successful completion of NURS 93L within the same quarter is required to pass NURS 93.

Essential Student Materials/Essential College Facilities

Essential Student Materials: 
  • None.
Essential College Facilities:
  • None.

Examples of Primary Texts and References

AuthorTitlePublisherDate/EditionISBN
*Ladewig, London & Davidson. "Contemporary Maternal-Newborn Nursing Care", 9th edition. 2017. Pearson.
Ignatavicius, Workman & Rebar. "Medical Surgical Nursing: Patient -Centered Collaborative Care", 9th ed. 2018. Elsevier.
Doenges, Moorhouse & Geissler-Murr. "Nursing Diagnosis Manual", 6th ed. 2019. F.A. Davis.
Van Leeuwen & Bladh. "Davis's Comprehensive Handbook of Laboratory and Diagnostic Tests with Nursing Implications", 7th ed. 2018. F.A. Davis.
Nursing 93 syllabi-on Canvas site

Examples of Supporting Texts and References

AuthorTitlePublisher
"Taber's Cyclopedic Medical Dictionary", 22nd ed. 2017. F.A. Davis.
Purnell. "Guide to Culturally Competent Health Care", 3rd edition. 2014. F.A. Davis.
Potter, Perry. Stockert & Hall. "Fundamentals of Nursing", 9th ed. 2017. Elsevier.
Vallerand & Sanoski. "Davis' Drug Guide for Nurses", 15th ed. 2018. F.A. Davis.
°®¶¹´«Ã½ College, Department of Nursing Student Handbook, on-line
Related videos/ DVDs in the Nursing Resource Lab
Relevant professional journals
www.medscape.com (and other professional internet resources)
Morris. "Calculate with Confidence", 6th ed. 2018. Elsevier.

Learning Outcomes and Objectives

Course Objectives

  • Evaluate disease, patient problems or needs and data trends necessary to accurately manage care for women during the perinatal period.
  • Examine the principles of communication with perinatal patients, families and colleagues fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes.
  • Use information and technology to facilitate communication, manage knowledge, mitigate errors and support decision making for newborn infants and perinatal patients.
  • Evaluate the role of the registered nursing in influencing the behavior of individuals or groups of individuals, including perinatal patients, within their environment in a way that facilitates the establishment and acquisition of shared goals.
  • Explore the role of interdisciplinary teams and shared decision making in the planning and delivery of care for newborn infants and perinatal patients.
  • Discuss how to identify, evaluate, and integrate the best current evidence with clinical expertise and consideration of patient preference, experience and values to make practice decisions for newborn infants and perinatal patients.
  • Discuss the use of data to monitor the outcomes of care, and examine approaches to improve the quality and safety of health care systems and individual performance, thus minimizing the risk of harm to newborn infants, perinatal patients and providers.
  • Examine accountability for and approaches to patient centered/ family centered care that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles.
  • Develop appreciation for the pregnant woman as the source of control and full partner when providing compassionate and coordinated care based on respect for patient preferences, needs and cultural values.

CSLOs

  • Apply the theoretical knowledge of pregnancy, birth physiology and perinatal care to specific patient-focused care situations.

Outline

  1. Evaluate disease, patient problems or needs and data trends necessary to accurately manage care for women during the perinatal period.
    1. Determine the care required to promote optimum health of women across mutliple healthcare settings, including primary and secondary prevention measures, with respect to cultural, sexual and personal preferences.
    2. Identify the normal physiological and psychosocial changes affecting women during the perinatal period.
    3. Describe the most frequent complications encountered by women during the perinatal period.
    4. Discuss the assessment of a prenatal patient, patient in labor, postpartum patient and neonate with emphasis on normal and abnormal assessment findings and lab values.
    5. Utilize clinical reasoning skills to create, implement and evaluate a comprehensive plan of care across a variety of healthcare settings.
    6. Discuss strategies for creating, implementing and evaluating a teaching plan focusing on cultural reference group, language used, ability to read and hear, mental status and health condition.
  2. Examine the principles of communication with perinatal patients, families and colleagues fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes.
    1. Develop appreciation for effective communication.
    2. Discuss the impact of communication errors on patient outcomes and use of standardized professional communication tools to minimize patient harm.
    3. Identify communication challenges and principles of therapeutic communication in the context of care of perinatal patients.
    4. Act consistently with integrity and respect for differing views.
  3. Use information and technology to facilitate communication, manage knowledge, mitigate errors and support decision making for newborn infants and perinatal patients.
    1. Utilize technology to locate scholarly and clinical resources.
    2. Describe the use of technologies to collect assessment data, best evidence and other relevant information to support clinical decision making.
    3. Discuss the impact of EMR on provision of nursing care.
  4. Evaluate the role of the registered nursing in influencing the behavior of individuals or groups of individuals, including perinatal patients, within their environment in a way that facilitates the establishment and acquisition of shared goals.
    1. Discuss the scope of practice of the registered nurse and other members of the health care team in the provision of care, with emphasis on delegation, standardized procedures and protocols.
    2. Reflect on own leadership and communication styles and identify own learning needs.
    3. Demonstrate effective teamwork and collaboration during group work.
    4. Demonstrate accountability and maintain professional integrity in all aspects of the learning process and nursing care.
  5. Explore the role of interdisciplinary teams and shared decision making in the planning and delivery of care for newborn infants and perinatal patients.
    1. Describe the unique contribution of nursing within the context of interdisciplinary care.
    2. Evaluate the impact of interdisciplinary focus and shared decision making on the outcomes of care.
  6. Discuss how to identify, evaluate, and integrate the best current evidence with clinical expertise and consideration of patient preference, experience and values to make practice decisions for newborn infants and perinatal patients.
    1. Begin to identify the levels of evidence and possible biases in medical information.
    2. Develop understanding of the role of evidence-based practice in the provision of care to perinatal patients.
    3. Discuss ways to identify, evaluate, and integrate the best current evidence along with clinical expertise and patient preferences, experiences and values when planning and implementing care.
  7. Discuss the use of data to monitor the outcomes of care, and examine approaches to improve the quality and safety of health care systems and individual performance, thus minimizing the risk of harm to newborn infants, perinatal patients and providers.
    1. Describe trends in the US perinatal care delivery system and goals for improvement.
    2. Examine strategies to promote safe care using QSEN principles with emphasis on the role of the RN.
    3. Develop understanding of potential iatrogenic complications in the context of care of perinatal patients.
    4. Develop awareness of quality improvement indicators national and state standards of care, and tools to improve patient safety.
  8. Examine accountability for and approaches to patient centered/ family centered care that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles.
    1. Explore the role of the registered nurse as patient advocate and care coordinator.
    2. Recognize variations in family structures as well as biological, economical, psychological and socio-cultural functions of the family and its impact on family health care.
    3. Examine selected technological, legal, ethical and psychosocial issues, which may create legal/ethical dilemmas influencing delivery of health care.
    4. Discuss evaluation and management of patient when suspecting intimate partner violence or sex trafficking.
  9. Develop appreciation for the pregnant woman as the source of control and full partner when providing compassionate and coordinated care based on respect for patient preferences, needs and cultural values.
    1. Develop, describe and demonstrate awareness of the impact of patient/ family preferences, experiences and values on planning and implementation of care.
    2. Recognize sexuality as an integral part of human experience and its impact on the life of an individual.
    3. Discuss prevalence of perinatal mood disorders, available screening tools and treatment approaches.
    4. Discuss legal and physical autonomy of the pregnant patient and potential conflicts of interest of the mother and fetus.
    5. Explore the role of the registered nurse in the delivery of patient and family centered care.
    6. Explore the concepts of pain and suffering for laboring and postpartum women.
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