Jordan University of Science & Technology



Jordan University of Science and Technology

Faculty of Nursing

Department of Maternal-Child Nursing

Semester 2006-07

Advanced Maternal-Newborn Nursing Theory (2) Course Syllabus

|Course Information |

|Course Title | Advanced Maternal-Newborn Nursing Theory (2) |

|Course Code |Nur. 743 |

|Prerequisites |Nur. 740 |

|Course Website |NA |

|Instructor |Lubna Abushaikha, RN, MSN, PhD |

| |Salwa Al-Obeisat, RN, MSN, DNSc |

|Office Location | |

|Office Phone # |23709 |

| |23720 |

|Office Hours |Wed 1-3pm |

|E-mail |lub2001@just.edu.jo |

| |Obeisat@ |

|Teaching Assistant(s) |NA |

|Course Description |

| This course builds on previous knowledge gained in Nur. 740 & 741 and focuses on advanced theory and knowledge base related to high-risk |

|women, newborns and their families. Health problems related to high-risk antenatal, intrapartal and postnatal periods will be discussed. |

|Advanced concepts and roles of the clinical nurse specialist pertaining to holistic care of high-risk women, newborns and their families |

|will be discussed. |

|Textbook |

|Title | Maternal-Newborn Nursing: theory and practice |

|Author(s) |Nichols, F. & Zwelling, E. |

|Publisher |W.B. Saunders |

|Year |1997 |

|Edition |- |

|Book Website |- |

|Other references |Lowdermilk, D. & Perry, S I. (2004). Maternity & women’s health care, (8th ed.). St. Louis: Mosby |

|Assessment |

|Assessment |Expected Due Date |Percentage |

|Term paper | |30% |

|Presentation | |20% |

|Final Exam | |30% |

|Participation | |20% |

|Course Objectives |Percentage |

| Analyze the effects of pathophysiological and psychological processes of high-risk pregnancy, labor and birth, |15% |

|postpartum and newborn on the utilization of innovative nursing care. | |

|Analyze the impact of ethical, political, social, and technological dimensions on the health of the high-risk women,|10% |

|newborns and their families. | |

|Design advanced nursing care strategies based on theoretical model and current research for high-risk women, |15% |

|newborns and their families. | |

| Utilize a family-centered approach when providing care for high-risk women, newborns and their families. |20% |

| Integrate critical thinking and problem-solving skills when dealing with high-risk women, newborns and their |10% |

|families... | |

| Critically discuss the assessment and decision-making skills that are required to make differential diagnosis |10% |

|pertaining to high-risk pregnancy, labor and birth, postpartum and newborns | |

|Discuss the effects of psychological and physiological changes of high-risk pregnancy, labor and birth, and the |10% |

|postpartum periods on the utilization of specific innovative nursing interventions. | |

|Discuss the indications for high-risk antenatal, labor and birth, postpartum, and newborn procedures and their |10% |

|impact on women. fetuses and newborns. | |

|Teaching & Learning Methods |

|Lecture discussion |

|Presentations |

|Audio-visual materials. |

|Useful Resources |

|Textbooks: |

| |

|Clements, S (1998) Psychological Perspectives on Pregnancy and Childbirth Churchill Livingstone. |

| |

|Jordan, B. (1993) Birth in four cultures: a cross cultural investigation of childbirth in Yuca, 4th Edition, Prospect Heights: Waveland Press. |

| |

|Palmer, A., Burns, S. & Bulman, C. (1994) Reflection in Nursing Blackwell Scientific Oxford |

| |

|Schott, J. & Henley, A. (1996) Culture, Religion and High-risk in a Multiracial Society Oxford Butterworth-Heinemann |

| |

|Tew, M. (1998) Safer Childbirth? A critical history of maternity care London: Free Association Books. |

| |

|WHO (1994). Maternal health and Safe Motherhood Mother -Baby Package: Implementing safe motherhood in countries. WHO: Geneva |

| |

| |

| |

| |

| |

|Articles: |

| |

|Davidson MR. Outcomes of high-risk women cared for by certified nurse-midwives. |

|J Midwifery Women’s Health. 2002, 47(1):46-9. |

| |

|Mottola CA, Murphy P. Antidote Dilemma--an activity to promote critical thinking. |

|J Contin Educ Nurs. 2001, 32(4):161-4. |

| |

|Beauman SS. Identifying high-risk pregnancies and deliveries. Neonatal Netw. 2000, 19(1):37, 42-3. |

| |

|Harrison MJ, Kushner KE, Benzies K, Kimak C, Jacobs P, Mitchell BF. In-home nursing care for women with high-risk pregnancies: outcomes and cost. |

|Obstet Gynecol. 2001,97(6): |

|982-7. |

| |

|Gupton A, Heaman M, Cheung LW. Complicated and uncomplicated pregnancies: women's perception of risk. J Obstet Gynecol Neonatal Nurs. 2001, |

|30(2): 192-201. |

| |

|James DC, Simpson KR, Knox GE. How do expert labor nurses view their role? J Obstet Gynecol Neonatal Nurs. 2003,32(6):814-23. |

| |

|Martin-Arafeh JM, Watson CL, Baird SM. Promoting family-centered care in high risk pregnancy. J Perinat Neonatal Nurs. 1999 13(1):27-42, quiz |

|94-5. |

| |

|Fleschler RG, Knight SA, Ray G. Severity and risk adjusting relating to obstetric outcomes, DRG assignment, and reimbursement. J Obstet Gynecol |

|Neonatal Nurs. 2001,30(1):98-109. |

| |

|Koniak-Griffin D, Turner-Pluta C. Health risks and psychosocial outcomes of early childbearing: a review of the literature. J Perinat Neonatal |

|Nurs. 2001,15(2):1-17. |

| |

|Chervenak FA, McCullough LB. Neglected ethical dimensions of the professional liability crisis. Am J Obstet Gynecol. 2004, 190(5):1198-200. |

| |

|Eisenberg VH, Schenker JG. Pregnancy in the older woman: scientific and ethical aspects. |

|Int J Gynaecol Obstet. 1997,56(2):163-9. |

| |

|Newberger DS. Down syndrome: prenatal risk assessment and diagnosis. Am Fam Physician. 2000 15,62(4):825-32, 837-8. |

| |

|Rosendorff J, Evan P. Amniocentesis--too dangerous and too late? S Afr Med J. 1999,89(11):1120. |

| |

|Kuppermann M, Goldberg JD, Nease RF Jr, Washington AE. Who should be offered prenatal diagnosis? The 35-year-old question. Am J Public Health. |

|1999,89(2):160-3. |

| |

|Lowe SW, Pruitt RH, Smart PT, Dooley RL. Routine use of ultrasound during pregnancy. Nurse Pract. 1998,23(10):60, 63-6, 71. |

| |

|Neumann M, Graf C. Pregnancy after age 35. Are these women at high risk? |

|AWHONN Lifelines. 2003, 7(5):422-30. |

| |

|Barber D. The extended role of the nurse: practical realities. Hum Fertil (Camb). 2002 , 5(1):13-6. |

| |

|Kidner MC, Flanders-Stepans MB. A model for the HELLP syndrome: the maternal experience. J Obstet Gynecol Neonatal Nurs. 2004,33(1):44-53. |

| |

|Bridges EJ, Womble S, Wallace M, McCartney J. Hemodynamic monitoring in high-risk obstetrics patients, II. Pregnancy-induced hypertension and |

|preeclampsia. Crit Care Nurse. 2003, 23(5):52-7. |

| |

|Smith S. The lost children. Contemp Nurse. 1999,8(1):245-51. |

| |

|Salvador A, Davies B, Fung KF, Clinch J, Coyle D, Sweetman A. Program evaluation of hospital-based antenatal home care for high-risk women. Hosp |

|Q. 2003,6(3):67-73, 4 |

| |

|Velez LL, Toal K, Goodwin SA. Two lives on the line: a case study in obstetric critical care. Crit Care Nurse. 2002, 22(6):20-6, quiz 27-8. |

| |

|Little M, Saul GD, Testa K, Gaziano C. Improving pregnancy outcome and reducing avoidable clinical resource utilization through telephonic |

|perinatal care coordination. Lippincotts Case Manag. 2002,7(3):103-12. |

| |

|Zampieri MF Experiencing the educational process in nursing with high risk pregnant women and their companions. Rev Gaucha Enferm. |

|2001,22(1):140-66. Portuguese. |

| |

|Scott L. First-rate care for women with problems in pregnancy. Nurs Times. 2001,97(24):38-9. |

| |

|Peters RM, Flack JM. Hypertensive disorders of pregnancy. J Obstet Gynecol Neonatal Nurs. 2004, 33(2):209-20 |

| |

|Beauman SS. Identifying high-risk pregnancies and deliveries. Neonatal Netw. 2000, 19(1):37, 42-3. |

| |

|Harrison MJ, Kushner KE, Benzies K, Kimak C, Jacobs P, Mitchell BF. In-home nursing care for women with high-risk pregnancies: outcomes and cost. |

|Obstet Gynecol. 2001,97(6):982-7. |

| |

|Annells MF. The role of the midwife when the pathology report states your pregnant client has bacterial vaginosis. Aust J Midwifery. |

|2001,14(2):18-20. |

| |

|Walsh AM. Management of a pregnant woman dependent on haemodialysis. EDTNA ERCA J. 2002,28(2):91-4. |

| |

|Miesnik SR, Stringer M. Technology in the birthing room. Nurs Clin North Am. 2002,37(4):781-93. |

| |

|Nystedt A, Edvardsson D, Willman A. Epidural analgesia for pain relief in labour and childbirth : a review with a systematic approach. J Clin |

|Nurs. 2004,13(4):455-66. |

| |

|Dauphinee JD. VBAC: safety for the patient and the nurse. J Obstet Gynecol Neonatal Nurs. 2004,33(1):105-15. |

| |

|Morrison JC, Chauhan SP. Current status of home uterine activity monitoring. Clin Perinatol. 2003,30(4):757-801. |

| |

|James DC, Simpson KR, Knox GE. How do expert labor nurses view their role? |

|J Obstet Gynecol Neonatal Nurs. 2003, 32(6):814-23. |

| |

|Simpson KR, Atterbury J. Trends and issues in labor induction in the United States: implications for clinical practice. J Obstet Gynecol Neonatal|

|Nurs. 2003,32(6):767-79. |

| |

|Moore ML. Preterm labor and birth: what have we learned in the past two decades ? J Obstet Gynecol Neonatal Nurs. 2003,32(5):638-49. |

| |

|Rana TG, Rajopadhyaya R, Bajracharya B, Karmacharya M, Osrin D. Comparison of midwifery-led and consultant-led maternity care for low risk |

|deliveries in Nepal. Health Policy Plan. 2003,18(3):330-7. |

| |

|Creedy DK, Shochet IM, Horsfall J. Childbirth and the development of acute trauma symptoms: incidence and contributing factors. Birth. |

|2000,27(2):104-11. |

| |

|Aikins Murphy P, Feinland JB. Perineal outcomes in a home birth setting. Birth, 1998, 25(4):226-34. |

| |

|Ellings JM, Newman RB, Bowers NA. Intrapartum care for women with multiple pregnancies. J Obstet Gynecol Neonatal Nurs. 1998, 27(4):466-72. |

| |

|Harrington LC, Miller DA, McClain CJ, Paul RH. Vaginal birth after cesarean in a hospital-based birth center staffed by certified nurse-midwives.|

|J Nurse Midwifery. 1997 ,42(4):304-7. |

| |

|Miesnik SR, Stringer M. Technology in the birthing room. Nurs Clin North Am. 2002,37(4):781-93. |

| |

|Nystedt A, Edvardsson D, Willman A. Epidural analgesia for pain relief in labour and childbirth : a review with a systematic approach. J Clin |

|Nurs. 2004,13(4):455-66. |

| |

|Dauphinee JD. VBAC: safety for the patient and the nurse. J Obstet Gynecol Neonatal Nurs. 2004,33(1):105-15. |

| |

|Morrison JC, Chauhan SP. Current status of home uterine activity monitoring. Clin Perinatol. 2003,30(4):757-801. |

| |

|James DC, Simpson KR, Knox GE. How do expert labor nurses view their role? |

|J Obstet Gynecol Neonatal Nurs. 2003, 32(6):814-23. |

| |

|Simpson KR, Atterbury J. Trends and issues in labor induction in the United States: implications for clinical practice. J Obstet Gynecol Neonatal|

|Nurs. 2003,32(6):767-79. |

| |

|Moore ML. Preterm labor and birth: what have we learned in the past two decades ? J Obstet Gynecol Neonatal Nurs. 2003,32(5):638-49. |

| |

|Rana TG, Rajopadhyaya R, Bajracharya B, Karmacharya M, Osrin D. Comparison of midwifery-led and consultant-led maternity care for low risk |

|deliveries in Nepal. Health Policy Plan. 2003,18(3):330-7. |

| |

|Creedy DK, Shochet IM, Horsfall J. Childbirth and the development of acute trauma symptoms: incidence and contributing factors. Birth. |

|2000,27(2):104-11. |

| |

|Aikins Murphy P, Feinland JB. Perineal outcomes in a home birth setting. Birth, 1998, 25(4):226-34. |

| |

|Ellings JM, Newman RB, Bowers NA. Intrapartum care for women with multiple pregnancies. J Obstet Gynecol Neonatal Nurs. 1998, 27(4):466-72. |

| |

|Harrington LC, Miller DA, McClain CJ, Paul RH. Vaginal birth after cesarean in a hospital-based birth center staffed by certified nurse-midwives.|

|J Nurse Midwifery. 1997 ,42(4):304-7. |

| |

|Wilder MA. Surfactant protein B deficiency in infants with respiratory failure. |

|J Perinat Neonatal Nurs. 2004,18(1):61-7. |

| |

|McMurray JL. The high-risk infant is going home: what now? Neonatal Netw. 2004, 23(1):43-7. |

| |

|Verklan MT. Malpractice and the neonatal intensive-care nurse. J Obstet Gynecol Neonatal Nurs. 2004, 33(1):116-23. |

| |

|Pinheiro JM, Clark DA, Benjamin KG. A critical analysis of the routine testing of newborn stools for occult blood and reducing substances. Adv |

|Neonatal Care. 2003,3(3):133-8. |

| |

|Docherty SL, Miles MS, Holditch-Davis D. Worry about child health in mothers of hospitalized medically fragile infants. Adv Neonatal Care. |

|2002,2(2):84-92. |

| |

|Schiffman RF, Omar MA, McKelvey LM. Mother-infant interaction in low-income and their families. MCN Am J Matern Child Nurs. 2003,28(4):246-51. |

| |

|Turrill S. A focus of care for neonatal nursing: the relationship between neonatal nursing practice and outcomes. Part 2. Paediatr Nurs. 2003, |

|15(5):30-4. |

| |

|Dulin JD, Akers MC. Pelvic inflammatory disease and sepsis. Crit Care Nurs Clin North Am. 2003,15(1):63-70. |

| |

|Freda MC, Devine KS, Semelsberger C. The lived experience of miscarriage after infertility. MCN Am J Matern Child Nurs. 2003, 28(1):16-23. |

| |

|Sidebotham M. Focus on infertility. RCM Midwives J. 2002,5(4):124-5. |

| |

|Amerine E. Getting ready for certification: male infertility. Urol Nurs. 2000,20(1):58. |

| |

|Markle ME. Polycystic ovary syndrome: implications for the advanced practice nurse in primary care. J Am Acad Nurse Pract. 2001 (4):160-3. |

| |

|Sherrod RA. Give me children or I'll die. Easing the spiritual pain of infertility. J Christ Nurs. 1999,16(3):30-3. |

| |

|Allan H. A 'good enough' nurse: supporting patients in a fertility unit. Nurs Inq. 2001,8(1):51-60. |

| |

|Busch S. Chasing a miracle: why infertile women continue to stay in treatment. |

|ABNF J. 2001,12(6):116-20. |

| |

|Allen D. Reading the signs. Nurs Older People. 2004,16(4):6. |

| |

|Wit K, Davis K. Nurses' knowledge and learning experiences in relation to the effects of domestic abuse on the mental health of children and |

|adolescents. Contemp Nurse. 2004,16(3):214-27. |

| |

|Protheroe L, Green J, Spiby H. An interview study of the impact of domestic violence training on midwives. Midwifery. 2004,20(1):94-103. |

| |

|Ryan BA. Do you suspect child abuse? RN. 2003,66(9):73-7. |

| |

|Williams GB, Dou M, Leal CC. Violence against pregnant women. These two screening tools may prove valuable in identifying women at risk. AWHONN |

|Lifelines. 2003 Aug-Sep, 7(4):348-54. |

| |

|Carney DM, McKibbin L. Screening for domestic violence. Nurs Manage. 2003 Sep,34(9):35-6. |

| |

|Lemmey D, Malecha A, McFarlane J, Willson P, Watson K, Gist JH, Fredland N, |

|Schultz P. Severity of violence against women correlates with behavioral problems in their children. Pediatr Nurs. 2001 May-Jun,27(3):265-70. |

| |

|Monsen RB. Drawing the pain. J Pediatr Nurs. 2003 Aug,18(4):284-5. |

| |

|Malecha A. Screening for and treating intimate partner violence in the workplace. |

|AAOHN J. 2003 Jul,51(7):310-6, quiz 317-8. |

| |

|Barron ML. Proactive management of menstrual cycle abnormalities in young women. J Perinat Neonatal Nurs. 2004 Apr-Jun,18(2):81-92. |

| |

|Church-Balin C. Miscarriage after infertility. MCN Am J Matern Child Nurs. 2003 Mar-Apr,28(2):125. |

| |

|Barber F. Contraceptive choices that work. Prof Nurse. 2004 Jan,19(5):255-6. |

| |

|Tufts KA, Chung C. Prescribing oral contraceptives. Focusing on each woman as an individual case. AWHONN Lifelines. 2003 Aug-Sep,7(4):332-8. |

| |

|Dearling R, Hudson P . The midwife and postnatal contraceptive advice. Pract Midwife. 2003 Apr,6(4):20-2. |

| |

|Hutti MH. New & emerging contraceptive methods. AWHONN Lifelines. 2003 Feb-Mar,7(1):32-9. |

| |

|Gould D. Contraception: the changing needs of women throughout the reproductive years. Nurs Stand. 2000 Jun 7-13, 14(38):37-43, quiz 44-5. |

| |

|Noone J. Cultural perspectives on contraception: a literature review. Clin Excell Nurse Pract. 2000 Nov,4(6):336-40. |

| |

|Kridli SA, Libbus K. Contraception in Jordan: a cultural and religious perspective. Int Nurs Rev. 2001 Sep,48(3):144-51. |

| |

|Kass-Wolff JH. Bone loss in adolescents using Depo-Provera. J Soc Pediatr Nurs. 2001 Jan-Mar,6(1):21-31. |

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|Course Content |

|Week |Topics |Chapter in Textbook (handouts) |

|W1 |Orientation to course syllabus and requirements | |

|W2 |Major concepts of high-risk maternal-newborn nursing |Assigned Reading |

| |Maternal psychological adaptation to high-risk pregnancy | |

| |Grief and loss in high risk pregnancy, labor and postpartum | |

| |Ethical considerations of high-risk pregnancy, labor and postpartum | |

| |Screening for high-risk pregnancy, labor and postpartum | |

| |National and International high-risk indicators | |

|W3 |Selected hemorrhagic disorders |Assigned Reading |

| |Anemia and nutritional abnormalities | |

| |Metabolic disorders | |

| |Hypertensive disorders | |

| |Gastrointestinal disorders | |

| W4 |Renal disorders |Assigned Reading |

| |Traumas | |

| |Infectious diseases | |

| |Multiple gestation | |

| |Maternal-fetal blood incompatibility | |

| |Intrauterine growth retardation (IUGR) | |

|W5 |Congenital anomalies of the fetus |Assigned Reading |

| |Abnormalities of the amniotic fluid | |

| |Postdate pregnancy | |

| |Contemporary research regarding the high-risk antenatal period | |

| |Advanced nursing roles in the high-risk antenatal period | |

|W6 |Dystocias of labor |Assigned Reading |

| |Cephalopelvic disproportions | |

| |Abnormal fetal presentation | |

| |Inductions/augmentations of labor | |

| |Analgesia/anesthesia for high-risk clients | |

| |Fetal distress | |

|W7 |Complications of delivery |Assigned Reading |

| |Preterm labor | |

| |Cesarean section | |

| |Advanced nursing roles in high-risk labor and birth | |

| |Contemporary research in high-risk labor and birth | |

|W8 |Mastitis; breast engorgement |Assigned Reading |

| |Postpartum depression | |

| |Advanced nursing roles in high-risk postpartum | |

| |Contemporary research in high-risk postpartum | |

|W9 |Preterm newborn |Assigned Reading |

| |Post term newborn | |

| |Small and large for gestational age | |

| |Special clinical concerns of the high-risk newborn such as jaundice, infant of | |

| |diabetic mother | |

| |Congenital abnormalities of the newborn | |

|W10 |Parenting and cultural influences of the high-risk newborn |Assigned Reading |

| |Advanced nursing roles related to the high-risk newborn | |

| |Contemporary research relating to the high-risk newborn | |

|W11 |Infertility |Assigned Reading |

| |Domestic violence | |

| |Contraceptive complications | |

|W12 |Neoplastic disorders |Assigned Reading |

| |Menstrual disorders | |

| |Menopause | |

|W13 |Rapping up and course evaluation | |

|Additional Notes |

|Participation and Growth (20%) |

|Students will be evaluated on this area based on the following criteria: |

|Attendance and time punctuality. |

|Discuss at least on current article related to the topic of the class (published within the past 5 years). |

|Extent of preparation as demonstrated in the class (knows basic case or reading facts, shows evidence of trying to interpret or analyze issues). |

|Extent of interpreting and analyzing reading materials (more than just facts) to class. |

|Use of appropriate ways of communication (clarity, fluency and conciseness). |

|Foster a positive learning climate, and is an effective team member (Extent of respect to class manners, does not cause any disruption to class |

|activities and discussions). |

|Usefulness of contributions (valuable suggestions, appropriate clarification, constructive criticism). |

|Use of appropriate logical interpretation of issues and critical thinking (focus on significant aspects of issue or problem). |

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|Evaluation criteria for term paper (30%) |

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|Discussion of the relevancy and significance of the topic 15 % |

|Review, critique and synthesize current and relevant literature. 25 % |

|Discuss the implications and applications to advance maternal |

|newborn nursing care in Jordan. 20 % |

|Clarity of thoughts and expressions 15 % |

|Ideas and concepts are logical and organized 15 % |

|Format, spelling, grammar and documentation according to |

|Vancouver guidelines. 10 % |

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|Presentations Guidelines: |

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|Each student will make one-hour presentation in the class including 15 minute for questions and answers session. |

|Objectives and suggested readings are to be handed to students one week |

|before the presentation date. |

|All students should participate in giving constructive feedback to each |

|presenter, so that students will have the opportunity to develop their |

|presentation skills as well as adding new prospective of the issue. |

|Evaluation of the presentation will be based on depth of insight, |

|creativity, originality, organization, comprehensiveness, and clarity of |

|thoughts. |

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|Evaluation criteria for oral presentations (20%) |

| |

|Demonstrates breadth of reading and depth of understanding of the topic 10% |

|Critiques and analyses, not just summarizes, ideas and arguments 10% |

|Presents background information for ideas  10% |

|Paces presentation appropriately 10% |

|Appears well-prepared 10% |

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|Speaks audibly and clearly 10% |

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|Encourages and involves class members’ thought and participation 10% |

|Summarizes main points at end of presentation/discussion 10% |

|Solicits and responds constructively to class members opinions 10% |

|Utilizes appropriate audiovisual material and teaching strategies. 10% |

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