Download Attached course outline written by: Diane Hughes Date: 2/1/07

Metropolitan Community College
COURSE OUTLINE FORM
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Course Title: Family Nursing II
Course Prefix & No.: NURS 2410
LEC: LAB: Clinical
3
2
Credit Hours: 5
COURSE DESCRIPTION:
This course will expand on content taught in NURS 2410 to focus on the complex health/wellness
needs of individuals/families throughout the life span. The course will explore the needs of the high
risk obstetric client, neonate, acutely ill child, as well as the client in the perioperative experience,
and the nurse’s role in each area. The political/economic and ethical/legal issues as a provider of care
and manager of clients will be discussed. The learner will use skills in communication, caring,
computer literacy and the nursing process to facilitate the attainment of individual and family health
and wellness. Pathophysiology and nutrition will be integrated into the course. Clinical experiences
will be provided in acute healthcare facilities and community-based settings with pediatric and adult
clients/families.
COURSE PREREQUISITE (S): Satisfactory completion of LPN program and admission to
Associate Degree program
CO-REQUISITE (S): NURS 2210 and NURS 2520
RATIONALE:
This course is a continuation of Family Nursing I. Students will learn concepts as they relate to RN.
REQUIRED TEXTBOOK (S) and/or MATERIALS:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Nursing Diagnosis Handbook: A Guide to Planning Care: 9th ed Ackley ISBN: 9780232071503
Laboratory and diagnostic tests, 8th ed, Corbett ISBN: 0132373327
Davis’s Drug Guide for Nurses, 13th ED 2013, Vallerand, FA Davis ISBN:9780803628373
Math for Nurses: Stassi, M; Kaplan publishing, 2nd ed ISBN: 9781607140474
Mosby’s Dictionary of Medicine, Nursing and Health Professions. Mosby 2007, 8th ed ISBN: 978032304975
2013 Intravenous Medications. Gahart, B. Mosby ISBN: 9780323084819
Pearson package 0133095940 Kozier + MNL 9th edition text with 9th ed MNL
Ball, Bindler (2010) Child Health Nursing 2nd ed.; Pearson/Prenhall – with My Nursing Lab
Davidson, (2010), Olds Maternity, Newborn Nursing 9th ed., Pearson/Prenhall with My Nursing Lab
Attached course outline written by: Diane Hughes
Date: 2/1/07
Reviewed/Revised by: Nancy Pares
Date: 01/13
Effective quarter of course outline: Spring 07
Date: 3/20/07
Academic Dean:
Date: 3/20/07
Stacey Ocander
Course Objectives, Topical Unit Outlines, and Unit Objectives must be attached to this form.
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COURSE OUTLINE FORM
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COURSE OBJECTIVES/TOPICAL UNIT OUTLINE/UNIT OBJECTIVES
TITLE Family Nursing II
COURSE OBJECTIVES:
PREFIX/NO: NURS 2410
At the completion of NURS 2410, the student will:
1. Demonstrate the role of the nurse in adult/child nursing.
2. Demonstrate therapeutic communication with healthcare professionals/teams
within diverse healthcare settings.
3. Integrate caring behaviors into the holistic nursing care of individuals, families,
and groups throughout the lifespan.
4. Integrate knowledge from nursing and related disciplines when applying the
nursing process in the provision of holistic nursing care and health
promotion/wellness education to families experiencing health alterations in the
reproductive and childbearing periods.
5. Integrate knowledge from nursing and related disciplines when applying the nursing
process in the provision of holistic nursing care and health promotion/wellness education
to families experiencing health alterations in the childrearing period.
6. Integrate knowledge from nursing and related disciplines when applying the nursing
process in the provision of holistic nursing care and health promotion/wellness education
to families in the adult stages of life.
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TOPICAL UNIT OUTLINE/UNIT OBJECTIVES:
Unit 1: Families in the Childbearing Period with High Risk Pregnancy
Unit Objectives:
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3.
4.
5.
6.
7.
8.
9.
10.
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12.
13.
Apply basic knowledge of healthy maternal newborn care.
Describe ethical/legal issues of maternal newborn nursing, current legislation and community resources available.
Demonstrate appropriate therapeutic communication and assessment of the high risk pregnancy.
Identify the vulnerable periods during which malformations of various organs may occur and describe resulting
anomalies.
Describe the function and structure of the placenta during intrauterine life.
Demonstrate appropriate medication administration to the maternal newborn clients.
Identify tests used to detect abnormalities, fetal well being and infertility management.
Discuss age related considerations of pregnancy.
Explain the nursing process as it relates to maternal fetal medical conditions.
Identify the maternal fetal effects of the TORCH (toxoplasmosis, other, rubella, cytomegalovirus, herpes)group of
infections and the corresponding nursing interventions.
Discuss pathophysiology, treatment and nursing interventions for pregnant women with:
a. Cardiac Disease
b. Chorioamnionitits
c. Gestational trophoblastic disease
d. Diabetes
e. Rh sensitivity
f. Pregnacy induced hypertension (PIH) and HELLP syndrome
g. Human Immunodeficiency Virus (HIV)
h. Incompetent cervix
i. Hyperemesis gravidarium
Demonstrate mastery of mathematical calculations.
Effectively use appropriate terminology and abbreviations in nursing care plans of the maternal child family unit.
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Unit 2: Families in the Childbearing Period with a High Risk Labor
Unit Objectives:
1. Identify the pathophysiology and nursing process of various high risk labor factors in the intrapartal period.
2. Review types of bleeding disorders and associated nursing interventions
a. Spontaneous abortion
b. Ectopic pregnancy
c. Umbilical cord abnormalities
d. Placenta previa
e. Abruption placentae
f. Disseminated intravascular coagulation
3. Describe the pathophysiology and nursing process of abnormal labor patterns or fetal malpositioning.
a. Dysfunctional labor
i. Hypertonic
ii. Hypotonic
iii. Prolonged
iv. precipitous
4. Discuss the nursing process associated with high risk labor conditions.
a. Preterm premature rupture of membranes (PPROM)
b. Preterm labor( PTL)
c. Prolapsed cord
d. Electronic Fetal Monitoring (EFM)
e. Multiple gestation
f. Cephalopelvic disproportion (CPD)
g. Fetal malposition
h. Amniotic fluid complications
i. Oligohydramnios
ii. Polyhydramnios
iii. Embolism
i. Vaginal birth after cesarean (VBAC)
j. Induction
k. Incompetent cervix
5. Summarize indications, complications and nursing interventions for birth related procedures.
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Unit 3: Families in the Childbearing Period with a High Risk Post Partum Condition.
Unit Objectives:
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2.
3.
4.
Relate pathophysiology and nursing process specific to post partum.
Identify specific post partum complications and nursing management
a. Retained placenta
b. Placenta acreta
c. Uterine atony
d. Uterine inversion
e. Hematoma.lacerations
Identify nursing process for post partum psycho-social disorders.
a. Post partum blues
b. Postpartum psychosis
c. Postpartum depression
d. Family in crisis
Review nursing interventions associated with the following:
a. DVT , hematoma, hemorrhoids
b. Endometritis, wound infections, urinary infections
c. Sexually transmitted diseases
Unit 4: Families in the Childbearing Period with a High Risk Newborn
Unit Objectives:
1.
Discuss pathophysiology and appropriate nursing process for the high risk newborn with the following :
A.
B.
C.
D.
E.
2.
Respiratory disorders
i. Transient tachypnea of the newborn
ii. Pulmonary hyperplasia
iii. Respiratory Distress Syndrome
iv. Meconium Aspiration
Genetic disorders and sexually transmitted diseases (review)
Care of the Preterm Infant
IUGR, SGA, LGA, post term infant
Newborn with jaundice
Explain the assessment and nursing interventions associated with birth injuries.
3. Explain the assessment and nursing interventions associated with birth injuries.
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Unit 5 Families in the Newborn through Adolescent Lifespan: Nursing Process
Unit Objectives:
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Discuss the ethical, legal issues related to the childhood period.
Discuss age appropriate assessment and therapeutic communication in the care of the child.
Apply the nursing process to the care of the pediatric patient in various acute care settings.
a. Acute Care Hospitalization
b. Isolation
c. Emergency department
d. Intensive care
Describe the nursing interventions and stages of grief associated with the chronically ill or dying child.
Demonstrate medication mathematical calculations specific to the pediatric population.
Unit 6: Families in the Newborn through Adolescent Lifespan: Sensory/Neurologic, Cognitive, Psychosocial and
Musculoskeletal Disorders and Inflammatory conditions.
Unit Objectives:
1. Identify the pathophysiology and nursing process of selected sensory/neurological system alterations.
a. Visual and hearing
b. Retinoblastoma
c. hydrocephalus
d. Cerebral Palsy
e. Spina bifida
f. Muscular dystrophy
g. Spinal cord injury
h. Systemic lupus
2.
3.
4.
5.
Explain the pathophysiology and nursing process of congenital defects of the musculoskeletal system.
a. Cranial malformations
b. Club foot
c. Kyphosis/scoliosis
d. Hip dysplasia
e. Bone Tumors
i. Osteogenic sarcoma
ii. Ewing’s sarcoma
iii. Rhabdosarcoma
Describe pathophysiology and nursing process of the inflammatory diseases of childhood.
a. Meningitis
b. Reyes Syndrome
c. Tetanus
d. Kawasaki disease
Discuss the psychopathology and nursing process of alterations in the psycho-social functions of the childrearing period.
a. Learning disabilities
b. ADHD
Analyze the sensory/neurological, cognitive, psychosocial and musculoskeletal disorders of childhood on the family unit.
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Unit 7: Families in the Newborn through Adolescent Lifespan: Hematologic and Oncology Disorders.
Unit Objectives:
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3.
4.
Discuss the pathophysiology and nursing process associated with blood dyscrasias.
a. Sickle Cell Anemia
b. Iron deficiency anemia
c. Aplastic anemia
d. Von willenbrand disease
e. Beta thalassemia
Describe the nursing process and procedure for the pediatric client undergoing blood transfusions.
Discuss the pathophysiology and nursing process of pediatric oncology.
a. Leukemia
b. Hodgkin’s disease
c. Wilm’s Tumor
Apply the nursing process to the care of the pediatric client experiencing cardiovascular, hematological and oncological
problems.
Unit 8 Families in the Newborn through Adolescent Lifespan: Respiratory Disorders and Cardiovascular Disorders
Unit Objectives:
1.
2.
3.
4.
Recall the pathophysiology and nursing process of congenital heart defects.
a. Defects with increased pulmonary blood flow
i. Atrial septal defect
ii. Ventricular septal defect
iii. Patent ductus arteriosis
b. Obstructive defects
i. Aortic stenosis
ii. Coartation of the aorta
iii. Pulmonary stenosis
c. Defects with decreased pulmonary blood flow
i. Tetralogy of Fallot
ii. Tricuspic atresia
d. Mixed defects
i. Hypoplastic left heart
ii. Transposition of the great vessels
iii. Trunctus arteriosis
Discuss/review the pathophysiology and nursing management of the pediatric
client with specified pulmonary conditions, including, but not limited to:
Upper and lower airway obstruction (review of NURS 1400 content)
Pneumococcal, staphylococcal, and viral pneumonia (NURS 1400)
Respiratory syncytial virus
Asthma
Cystic fibrosis
Broncho pulmonary dysplasias
Discuss nutritional concepts applicable to pediatric clients with pulmonary disorders.
Apply nursing process to the care of the pediatric client with respiratory disorders
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Unit 9: Families in the Newborn through Adolescent Lifespan: Gastrointestinal Disorders
Unit Objectives:
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2.
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4.
5.
Describe pathophysiology and nursing management of the pediatric client
with anatomic defects of the gastrointestinal system.
a. Structural
i. Cleft palate/cleft lip
ii. Esophageal atresia
iii. Hernia
b. Obstructive
i. Hypertonic pyloric stenosis
ii. intusseption
Explain the pathophysiology and nursing process for the pediatric client with physiologic disorders of the
gastrointestinal tract.
a. Gastroesophageal reflux
b. Hypertrophic pyloric stenosis
c. Lactose intolerance
d. Hirshsprung’s disease
Identify pathophysiology and nursing process for the pediatric client with hepatic disorders.
a. Bilary atresia
b. Acute hepatitis
Analyze the nutritional concepts applicable to the pediatric client with gastrointestinal disorders.
a. Celiac disease
b. Short gut syndrome
Apply the nursing process to the care of the pediatric client experiencing gastrointestinal disorders.
Unit 10: Families in the Newborn through Adolescent Lifespan: Genitourinary Disorders:
Unit Objectives:
1.
Discuss pathophysiology and nursing process for the pediatric client
with alterations in the genitourinary system.
a. glomerulonephritis
b. nephrotic syndrome
2.Discuss pathophysiology and nursing process associated with the pediatric client with structural defects of the genitourinary system
a. enuresis
b. epspadias/hypospadius
c. bladder extrophy
3.Discuss nutritional concepts applicable to the pediatric client experiencing genitourinary disorders
4.Apply the nursing process to the care of the pediatric client experiencing genitourinary disorders.
Unit 11: Families in the Newborn through Adolescent Lifespan: Endocrine and Integumentary System Disorders.
Unit Objectives:
1.
2.
3.
4.
Recall the pathophysiology and nursing process for the pediatric client with thyroid adrenal and pituitary disorders.
Discuss the pathophysiology and nursing process of the pediatric client with diabetes mellitus.
Explain the pathophysiology and nursing process of the pediatric client with burns
Review pathophysiology and nursing process of atopic dermatitis and impetigo.
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COURSE REQUIREMENTS/EVALUATION:
1.
Types of Assessment/Assignments
Theory
a. Student progress is evaluated using a variety of methods including written examination/quizzes, observation of client care
and assessment of skills in a clinical setting, client centered concept maps/care plans, patient documentation/charting and
other written assignments appropriate to the clinical setting.
Clinical:
Faculty observations of students' completion of skills and ability to respond to questions are the primary methods of
evaluating students in a clinical setting. If a student's clinical performance is evaluated as unsatisfactory, the student must
meet with the faculty.
b. Students are expected to participate in all theory and clinical classes. Assigned readings, study guides, etc are to be
completed prior to attending the class/clinical session scheduled for the specific topic.
c. Examinations/quizzes may include multiple choice completion, true-false or short essay type items. Exams and quizzes will
begin on time. Students may not enter the classroom after the exam/quiz has begun.
d.
Make up procedures: If it is necessary to be absent during an assigned test period, the student must make up the exam
prior to the next scheduled class date. Failure to do so will result in a zero for the exam. The student may miss one exam
without penalty, as long as the test is made up within the specified time period. If the student misses more than one exam,
the exam may be made up, but the maximum score allowed is 80% for the second missed exam, 50% for all others missed.
The final examination must be taken on the scheduled date and at the scheduled time.
The final exam must be taken on the scheduled date and at the scheduled time. If the student is not in the classroom when
tests are being distributed the student must follow the provision for the make up test procedures. When necessary to make
up an examination, it will be placed in the testing center. It is the student's responsibility to make an appointment and take
the test with the specified period of time. Exceptions to these guidelines may be considered, but only if the student consults
with the instructor in advance.
2.
e.
Late assignments: Assignments are expected to be completed and turned in by the dates stipulated on the course calendar
and the individual instructor due dates. It is the responsibility of the student to notify the clinical course instructor BEFORE
any delay in meeting the stated written deadlines. Lateness in handing in assigned work may contribute to course failure.
f.
Course calendar/outline is attached.
Grading Policy
a. A student's theory course grade will be determined as follows:
Eight Unit quizzes (four OB and four Pediatrics) (70%)
Study Guides for each Unit from mynursinglab assignments (5%)
Peds Group Teaching Project and EFM Packet (5%)
Final comprehensive exam (20%)
Unit exams are averaged at the end of the course. The unit exams are equal to 70% of
the final grade. Group teaching projects are equal to 5% of the final course grade. Final
exam is equal to 20% of course grade. Study guides are equal to 5% of the final grade.
b.
Clinical is graded on a satisfactory/unsatisfactory basis. Students must obtain satisfactory on all assignments, quizzes
(including pharmacology, written skills, math, etc) and skills performances to obtain a satisfactory evaluation for clinical.
Students should keep these handouts and refer to them as necessary throughout the quarter.
Students are expected to come to clinical prepared to give care to their clients. Being prepared includes such things as
looking up medications, knowing the diagnosis of the clients, being prepared to do procedures, treatments, having data
related to previous assessments completed before clinical and having a written plan of care. Faculty will provide students
with clinical expectations the day of orientation. Students that do not come prepared will be sent home and will be counted
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as missed clinical hours. IF A STUDENT'S CLINICAL PERFORMANCE IS EVALUATED AS UNSATISFACTORY,
THE STUDENT MUST MEET WITH THE FACULTY.
c.
Written assignments, theory, and clinical assignments must be completed by specified dates. Due dates for clinical
assignments will be given with clinical information from the clinical instructor.
d.
A math exam will be given at the beginning of the clinical quarter. The student must obtain a 100% on the math exam to
pass the clinical portion of the class. The student will have 3 attempts to attain the 100% on a math exam.
e.
Final course grades are based on the following:
1.
Theory is graded on the following letter scale and will not be rounded up.
93-100= A
84-92= B
78-83= C
70-77=D
Below 70= F
2.
There will be no rounding of grades.
3.
The student must maintain a 78% to pass the course. The student must also maintain a passing grade in clinical
practicum to pass the course. To satisfactorily complete a nursing course, the student must receive a 'C' (78%) or
above in theory and a satisfactory in clinical. Failure by a student in either theory or clinical will necessitate
repeating the complete course (both theory and clinical components).
4.
Students will take ATI proctored exams for Pediatrics and Maternal Newborn at the end of the quarter. If the
student achieves a level 2 or greater on the exam, 2 points will be added to the lowest unit test grade for that
content…ie 2 points possible for Pediatric content and 2 points possible for Maternity content. No points will be
awarded for less than Level 2 achievement. Total points
possible = 4. Student must have course grade of 78% overall to get ATI points.
Practice exams must be submitted prior to proctored exams. See course calendar for due dates.
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