NU321-MN :

Department

Academic Program

Type

Compulsory

Credits

Prerequisite

Overview

This course covers theories and concepts that will enable students to critically analyze the health needs and concerns of the individual, family and community with regards to clients experiencing high risk pregnancies and complicated deliveries. Classroom and related learning experiences will enable the students to develop skills, knowledge and proper attitude and values on health promotion and identification and management of risk factors that contributed to high risk pregnancies. It also deals with concepts, principles and theories of human behavior in the care of high risk women and unborn babies in relation to problems contributing to the development of high risk pregnancies.

Intended learning outcomes

Knowledge and understanding:

1.Identify the risk factors contributing to high-risk pregnancy .

2 .Enumerate specific clinical manifestations of each disorders, diagnostic evaluation and the related nursing responsibilities.

3 .Discuss the causes, signs and symptoms, diagnostics, nursing problems and care and management of each disorders during pregnancy with emphasis on prevention.

4 . Discuss the different categories of abortion and its care and management.

Mental skills:

1. Define Midwifery and enumerate the identified the role and function of a midwife.

2. Describe high-risk pregnancy including factors that contribute to its development.

3. Describe illnesses such as STD, hematologic disorders, renal/urinary disorders, respiratory disorders, cardiovascular disorders, gastrointestinal disorders, neurologic disorders, endocrine disorders, and other disorders that can result in complications when they exist with pregnancy.

4. Plan nursing care for a woman with an illness during pregnancy.

Scientific and professional skills:

1. Create nursing care plan related to the disorder/disease discussed in the course particularly considering ethics involved in the care of clients.

2. Demonstrate correct procedures in dealing with clients with the specified disorders.

3. Apply principles of nursing process in the care and management of clients.

4. Perform different nursing procedures needed by the patient with disorders discussed in the course.

General skills

1. Modifies if needed the treatment and management of disorders of women during pregnancy with the collaboration of the client, family and community.

2. Accept professional responsibility in the care of high-risk pregnant women with disorders of the body systems.

3. Apply essential skills for assessment of the progress of labor while communicating effectively in a variety of settings with different range of individuals and cultural groups.

4. Collaborate with other members of the health care team or participate actively in the plan of care with other members of the health care team.

Teaching and learning methods

1. Classroom lectures and discussions

2. Utilization of library materials and/ film showing

3. Case study/Nursing Care Plan for each disorders

4. Seatwork/end of lecture seatwork/homework

5. Actual demonstration of skills learned/hospital duty exposure

Methods of assessments

Midterm exam 32%.

Class participation /Oral and written quizzes /Assignments 18%

Final exam 50%.

Course Outline

Definition of Midwife

1. Code of ethics

2. Roles and functions of a midwife during:

2.1 Ante partum

2.2 Intrapartum

2.3 Postpartum

2.4 Neonate and infant

3. Legal aspects of a midwife

Nursing Skills:

Breast self-examination
Nagele’s rule/EDC computation
Handwashing, medical and surgical

II. High-Risk Pregnancy

1. Sexually Transmitted Diseases (STD) and Pregnancy

1.1 Candidiasis

1.2 Trichomoniasis

1.3 Bacterial Vaginosis

1.4 Chlamydia

1.5 Syphilis

1.6 Herpes Simplex Virus (Type 2 infection)

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skill: Perineal Care

1.7 Gonorrhea

1.8 Human Papillomavirus Infection

1.9 Group B Streptococcal Infection

1.10 Hepatitis B and C

1.11 HIV Infection

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skill: Pelvic examination and Pap smear

2. Hematologic Disorders and Pregnancy

2.1 Iron Deficiency Anemia

2.2 Folic Acid Deficiency Anemia

2.3 Sickle Cell Anemia

2.4 Coagulation disorders

3. Renal and Urinary Disorders and Pregnancy

3.1 Urinary Tract Infection (UTI)

3.2 Chronic Renal Disease

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skills:

Obtaining clean catch urine
Straight and Foley catheter insertion

Respiratory Disorders and Pregnancy

4.1 Acute Nasopharyngitis

4.2 Influenza

4.3 Pneumonia

4.4 Asthma

4.5 Tuberculosis

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skills:

Leopolds maneuver
Return demonstration of BSE, Perineal care, Pelvic and Pap smear examination, Obtaining clean catch urine, and Straight and Folley catheter insertion

5. Rheumatic Disorders and Pregnancy

5.1 Juvenile Rheumatoid Arthritis

6. Gastrointestinal Disorders and Pregnancy

6.1 Appendicitis

6.2 Gastroesophageal Reflux

6.3 Cholecystitis/Cholelithiasis

6.4 Inflammatory Bowel Disease

7. Neurologic Disorder and Pregnancy

7.1 Seizure Disorder

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skill: Review of the Fundic height measurement

8. Musculo-skeletal Disorder and Pregnancy

8.1 Scoliosis

9. Cardiovascular Disorders and Pregnancy

9.1 Left-sided Heart Failure

9.2 Right –sided Heart Failure

9.3 Peri-partal Heart Disease

9.4 Fetal assessment

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skill: Assisting in the administration of Epidural anesthesia

9.5 NCP on pregnant woman with heart disease

9.6 Nursing Interventions during labor and birth

9.7 Postpartal Nursing Interventions

9.8 Artificial Valve Prosthesis

9.9 Chronic Hypertensive Vascular Disease

9.10 Thromboembolic Disease

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skill:

Return demonstration on Assisting in the administration of Epidural anesthesia

10. Endocrine Disorders and Pregnancy

10.1 Hypothyroidism

10.2 Hyperthyroidism

10.3 Diabetes Mellitus

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skill: Hemoglucotest

11. Cancer and Pregnancy

11.1 Cervical

11.2 Breast

11.3 Ovarian

11.4 Uterus

12. Mental Illness and Pregnancy

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skill: Return demonstration of Hemogluco Test

13. Trauma and Pregnancy

13. 1 Open wound (lacerations; puncture wounds)

13.2 Blunt Abdominal Trauma

13.3 Gunshot wound

13.4 Poisoning

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skill: PPE and Universal precautions

13.5 Choking

13.6 Orthopedic Injuries

13.7 Burns

13. 8 Postmortem Cesarean Birth

13.9 Physical abuse

· Etiology/causes, clinical manifestations, diagnostic examinations/investigations and treatment as to medical, surgical if needed and nursing.

Nursing Skill: Return demonstration of PPE donning and doffing and principles of Universal precaution

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