NURSING 222 SYLLABUS

MATERNITY NURSING

Spring 2018
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 TABLE OF CONTENTS

CONTENT PAGE
Title IX Information……………………….. ......................................................................................4
Course Description and Objectives ...................................................................................5
N225 Course Description and Objectives………………………………………………………………………….15
Skills Lab Supplies …………………………………………………………………………………………………….….18
Course Grading ……………………………………………………………………………………………………….…….19
Dates to Remember ………………………………………………………………………………………..……….....22
Clinical Schedules …………………….………………………………………………………….…………………..…..24
Skills Lab - Preclinical Content …………………………………………………………………………..……..26
Clinical Orientation ………………………………………………………………………………………………….…….27
Clinical Competencies ………………………………………………………………………………………….…..……28
Clinical Evaluation Tool ………………………………………………………………………………….…………....39
Clinical Checklist: Labor and Delivery ……………………………………………………………….……….30
Clinical Checklist: Postpartum ……………………………………………………………………….….………….31
Clinical Checklist: Nursery ………………………………………………………………………………...………….32
Sample Medication Administration Test ……………………………………………………..……...………33
Answers to Test ………………………………………………………………………………………………….…………35
Clinical Makeup …………………………………………………………………………………………………..……..…..36
Assignments …………………………………………………………………………………………………………..…………38
Medication Administration Cards …………………………………………………………………….……….…..39
Medication List ……………………………………………………………………………….……………………..……….40
Postpartum Teaching Presentation and Paper ………………………………………………..…………41
Guidelines for the Graded Teaching Presentation ……………………………………..…………….43
Neonatal Assessment Paper ……………………………………………………………………………….…………44
Labor and Delivery Paper ………………………………………………………………………………….…………47
Objectives for Ob/Gyn/Urology Clinic Experience ………………………………………..…………...49
Assignment for Prenatal Clinic …………………………………………………………………………………….50
Assignment for Gynecologic Clinic ………………………………………………………………….…………..50
Assignment for Urology Clinic………………………………………………………………………………………..….51
Assignment for Neonatal Intensive Care ………………………………………………….………………..52
Assignment for Lactation Education …………………………………………………………………..……….53
Perinatal Cultural Variations Discussion ……………………………………,,,,,,,,,,,,,,,,………………….54
Antepartum Testing and Gestational Diabetic Education …………………,,,,,,,,,,,……………55

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 TABLE OF CONTENTS CON’T

CONTENT PAGE
Clinical Reflections- A Critical-thinking Journal ………………………………………………………….……56
N222 Competency-Neonatal IM Injection ……………………………………………………………… ……...57
Checklist for Competency Evaluation …………………………………………………………….……………58
ATI Maternal Newborn Nursing Test ………………………………………………,,,,,,,,,,,,,,……………59
ATI Tips / Guidelines for Students the Day of the Test………………………………………………………60
Appendices …………………………………………………………………………………………….……,,,,,,,,,,,,,,,,…..61
LATCH Scoring for Breastfeeding………………………………………………………………………………………62
CSM PATIENT CARE WORKSHEET-PP………………………………………………………………………………..63
CSM PATIENT CARE WORKSHEET -Newborn……………………………………………………………………65

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 SMCCCD’s Title IX

The San Mateo County Community College District is committed to maintaining

safe and caring college environments at Cañada College, College of San Mateo
and Skyline College. The District has established policies and procedures
regarding Sexual Misconduct, Harassment, and Assault. A District website has
also been developed which provides you with important information about
sexual misconduct and sexual assault. http://smccd.edu/titleix/

To learn more about these issues and how you can help prevent them,
you are encouraged to view the Not Anymore videos, which can be
found on WebSMART under the Student Services link. Click on Not
Anymore Video

If you have any questions, please feel free to contact Eugene Whitlock, Vice
Chancellor of Human Resources or your campus Vice President of Student Services.

*You are also responsible for information covered both in

the CSM Student Handbook as well as the Nursing Student
Handbook.

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 College of San Mateo
Official Course Outline
1. COURSE ID: NURS 222 TITLE: Maternity Nursing
Semester Units/Hours: 4.5 units; a minimum of 40.0 lecture hours/semester; a minimum
of 96.0 lab hours/semester
Method of Grading: Letter Grade Only
Prerequisite: NURS 212
Corequisite: Concurrent enrollment in NURS 225

2. COURSE DESIGNATION:
Degree Credit
Transfer credit: CSU

3. COURSE DESCRIPTIONS:
Catalog Description:
Needs and problems of the family during the maternity cycle along with identifying needs
and problems of male and female reproduction. Supervised learning experiences
corresponding with classroom instruction in off-campus health care facilities. (Spring only.)

4. STUDENT LEARNING OUTCOME(S) (SLO'S):

Upon successful completion of this course, a student will meet the following outcomes:
A. Demonstrate competency in managing nursing care for one or several women and
neonates throughout the various phases of the childbearing cycle.
B. Assess educational needs of childbearing women and their families and communicate
effectively when relaying information regarding health promotion for women and neonates.
C. Utilize comprehensive theoretical knowledge as a basis for the nursing process when
caring for childbearing women and neonates.

5. SPECIFIC INSTRUCTIONAL OBJECTIVES:

Upon successful completion of this course, a student will be able to:
THEORY OBJECTIVES:
I. OPERATIONALIZES THE NURSING PROCESS TO PROMOTE HOMEOSTASIS
A. Describes the process of ovulation and fertilization.
B. Identifies major landmarks in fetal development.
C. List the anatomical and physiological changes that occur during pregnancy.
D. Describes placental function and list the major hormones produced by the placenta.
E. Assesses needs and states appropriate nursing interventions for the pregnant woman
(i.e., nutrition, hygiene, exercise, relaxation, emotional support, and learning).
F. Describes the routine prenatal visit.
G. Describes psychosocial factors which affect pregnancy.

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H. Identifies essential parenting functions.
I. Discusses effects of pregnancy on family members including grandparents.
J. Discusses cultural/ethical/religious diversity as it affects the pregnant woman/family,
including grandparents.
K. Identifies nursing interventions for women with minor discomforts/problems during
pregnancy.
L. Identifies causes of bleeding in pregnancy and in the prenatal period; identifies
nursing interventions.
M. Identifies hypertensive disorders in pregnancy and in the prenatal period; identifies
nursing interventions.
N. Identifies existing cardiovascular problems which might adversely affect pregnancy.
O. Describe how diabetes affects the pregnant woman and her fetus; identify nursing
interventions.
P. Discusses nursing interventions for women experiencing high risk pregnancies
including those with multiple gestations, blood disorders, infections, and psychosocial
problems such as abuse
Q. Discusses fetal assessment studies.
R. Identifies signs and possible causes of fetal intolerance of labor; list related nursing
interventions
S. Describes the normal pattern of labor, its various components and related nursing
care.
T. Recognizes factors that interfere with the normal progress of labor and state
appropriate nursing interventions.
U. Describes nursing interventions for the patient needing analgesic or anesthetic
support.
V. Lists and describes the normal anatomic, physiologic and emotional/psychological
changes that occur during the postpartum period.
W. Identifies nursing interventions that promote a normal recovery during the
postpartum period including those pertinent to home care.
X. Identifies complications of the postpartum period and states appropriate nursing
interventions.
Y. Discusses the use of medications used in perinatal and women's health care.
Z. Lists problems which may occur in the newborn during adaptation to extra-uterine
life.
AA. Explains six normal newborn reflexes and responses.
BB. Determines the fluid and nutrient requirements for the infant during the neonatal
period.
CC. Lists appropriate steps in prevention of infection when caring for the newborn.
DD. Compares the full term and preterm infant as to: characteristics of development,
temperature control, respiratory function, and nutritional requirements.
EE. Lists nursing interventions to meet the needs of the grieving
individual/family/extended family members.

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FF. Utilizes critical thinking skills when applying nursing process to actual and simulated
perinatal patient situations.
GG. Discusses alterations in homeostasis relative to women's health care and describes
pertinent nursing care.
HH. Lists signs and symptoms of common reproductive disorders for women and
men of all age groups.
II. Describes genetic factors/abnormalities which affect pregnancy.

II. ASSUMES ROLE AS A COMMUNICATOR

A. Identifies appropriate communication methods to utilize with family and
extended family members.
B. Identifies verbal and non-verbal behaviors that should be observed and
incorporated into the nursing care plan.

III. ASSUMES ROLE AS A TEACHER

A. Identifies learning needs of the woman/family throughout the maternity cycle.
B. Lists examples of family planning; compare their actions, effectiveness,
advantages and disadvantages.
C. Discusses advantages and disadvantages of different methods of infant feeding.
D. Teaches safety principles to the woman/extended family includinggrandparents for
care of the newborn.
E. Demonstrates methods of breast self-examination techniques.
F. Identifies early warning signs of cancer in the male/female reproductive systems.
G. Identifies and lists learning needs common to reproductive disorders for all patients
of all age groups.

IV. ASSUMES ROLE AS A LEADER/MANAGER

A. Cites one example of appropriate counseling resources in reference to reproductive
dysfunction.
B. Cites examples of available support groups for woman/family/and expectant or new
grandparents.
C. Describes various expanded roles for perinatal nurses.

V. ASSUMES ROLE AS A MEMBER WITHIN THE PROFESSION OF NURSING

A. Identifies essential qualities of a nurse caring for women experiencing
childbearing or reproductive disorders/cancers.
B. Lists community functions of the nurse caring for women experiencing
childbearing or reproductive disorders.
C. Identifies trends in maternity nursing.

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D. Identifies ethical and legal issues relating to perinatal nursing.
E. Describes role of patient advocate in perinatal setting.
F. Identifies essential qualities of a nurse caring for men experiencing
reproductive disorders/cancers.

CLINICAL OBJECTIVES
I. OPERATIONALIZES THE NURSING PROCESS TO PROMOTE HOMEOSTASIS
A. Utilizes the nursing process, with guidance, to provide safe nursing care of the
pregnant woman/family with common well-defined health needs.
Collects and organizes data from a variety of sources including data on
developmental levels to identify basic patient needs.
1. Collects data from a variety of sources to identify the woman's, newborn's and
family's needs including grandparents.
2. Prepares for patient assignment in each perinatal area.
3. Gathers pertinent data from the patient, family, medical record and report;
utilizes critical thinking skills to differentiate normal data from
abnormal.
4. Correlates patient data with nursing theory to prepare for patient assignment.
B. Assesses
1. Assesses the woman's recovery from the birth process with a thorough
postpartum assessment.
2. Evaluates maternal/infant bonding behaviors.
3. Assesses/describes the adaptation of the newborn to extra-uterine life and
identifies real/potential threats to homeostasis.
4. Determines the woman's ability to meet the biopsychosocial needs following
birth and identifies potential problems.
5. Identifies individualized nursing diagnoses and states related outcome criteria.
6. Applies theoretical data to nursing practice.
C. Plans and performs, with guidance, individualized nursing interventions designed to
assist the woman/family to meet needs and to promote homeostatic adaptive
mechanisms.
1. Identifies nursing interventions that will assist in meeting stated
goals/objectives.
2. Involves the woman/family including grandparents of newborn in the plan of
care.
3. Presents plan to instructor/resource person prior to care.
4. Applies critical thinking principles to a variety of clinical situations.
D. Consistently performs, with guidance, appropriate nursing interventions safely and
accurately.
1. Applies previously learned knowledge as well as perinatal concepts to provide
safe nursing care.
2. Demonstrates knowledge of medications.
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 3. Adjusts nursing care to meet the needs of the maternity patient and extended
family members.
4. Correctly performs treatments and administers medications.
5. Utilizes principles of asepsis and universal precautions.
6. Expands comfort measures to include those pertinent to the maternity
patient.
7. Follows accepted protocols for safe newborn care.
8. Identifies priorities when organizing care, utilizing principles of time
management.
E. Recognizes, with guidance, whether nursing interventions met identified needs.
1. Explains rationale for nursing interventions keeping in mind the specific needs
of the perinatal patient.
2. Assists in revising nursing care by evaluating whether objectives were met on
the daily care worksheet.
3. Modifies the nursing care as needed, keeping in mind the needs of the
perinatal patient.
4. Demonstrates competency performing a neonatal medication injection in
Open lab prior to caring for a neonate.

II. ASSUMES ROLE AS A COMMUNICATOR

A. Utilizes a variety of basic communication skills, with guidance to support the
woman/family, and to interact with other members of the health team.
1. Assesses maternal verbal and non-verbal behaviors.
2. Communicates data and questions, regarding the woman/family to
appropriate health care professionals.
3. Communicates results of care during report and conference.
4. Evaluates effectiveness of communication and identifies barriers to
communication.
5. Identifies own limitations when giving information.
B. Reports and records accurately, with guidance, significant occurrences and patient
assessments, interventions and their effectiveness.
1. Charts accurately in legible, pertinent, organized manner using acceptable
abbreviations, grammar and format with utilization of an electronic medical
record when applicable.
2. Uses Nursing Care Plan as a guide for charting.
3. Reports status of patient clearly and concisely.
4. Contributes in conferences.

III. ASSUMES ROLE AS A TEACHER

A. Recognizes the woman's/family's obvious needs for health teaching and either
conveys information or takes other appropriate action.

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 1. Gives instruction in health promotion that assists in meeting the needs of the
perinatal patient, extended family members and the newborn.
2. Initiates teaching as well as supports the teaching plan of others.
3. Uses teaching materials provided by the clinical facility.
4. Considers obvious factor(s) that may interfere with ability to learn.
5. Documents patient/family teaching.
6. Completes graded teaching presentation.

IV. ASSUMES ROLE AS A LEADER/MANAGER

A. Recognizes the patient's/family's needs for the services of other health team
members and/or agencies and discusses the need for appropriate referrals.
1. Assumes responsibility for managing care for assigned patient(s).
2. Identifies sociocultural differences and seeks help when necessary (i.e.
interpreter, dietitian, etc.)
3. Consults with health team members to meet needs that cannot be met by the
student.
B. Identifies priorities and provides care for designated patients within the assigned
clinical time.
1. Implements care in stressful situations.
2. Describes the RN role in a variety of perinatal care settings.

V. ASSUMES ROLE AS A MEMBER WITHIN THE PROFESSION OF NURSING

A. Practices within the ethical standards and legal framework with guidance.
1. Researches agency policies and procedures as needed.
2. Identifies ethical issues in the clinical area and discusses such with instructor
and at conference.
3. Describes the interventions used by a nurse functioning as a patient or family
advocate.
B. Identifies own learning needs and demonstrates initiative in obtaining specific
experiences.
1. Communicates learning goals to instructor in writing on last page of
evaluation.
2. Uses additional learning resources available.
C. Evaluates learning experiences and objectively assesses own progress regularly with
the instructor.
1. Completes self-evaluation and learning goals at end of course or as otherwise
indicated by instructor.
2. Modifies performance based on previous evaluation of clinical performance
and current feedback.
3. Takes corrective actions when in error and reports such to instructor and
follows through with appropriate written report.

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 D. Is accountable for his/her own professional behavior.
1. Is punctual for clinical. (Cannot be late more than two times).
2. Is punctual for post conference (Cannot be late more than two times without
prior agreement with instructor).
3. Is punctual in submitting written assignments.
4. Completes clinical make up assignments according to the policy.
5. Is punctual with medications and treatments.
6. Follows correct procedure for notifying agency regarding absence from clinical
areas.
7. Follows dress code as described in the Nursing Student Handbook.

6. COURSE CONTENT:
A. LECTURE CONTENT:
1. Introduction to Maternity Nursing
2. Normal Pregnancy-Antepartum
3. Fetal Assessment
4. Labor and Delivery-Intrapartum
5. Analgesia and Anesthesia
6. Postpartum
7. Normal Newborn
8. High Risk Neonate
9. Complications of Pregnancy
10. Complications of Labor and Delivery
11. Complications during the Postpartum Period
12. Disorders of the Female and Male Reproductive System
13. Infertility, Genetics, and Care of the Transgender Patient

B. LAB CONTENT:
1. Labor and Delivery observation: Paper due one week after experience
regarding either observing a vaginal or surgical delivery.
2. Providing nursing care for a mother and her newborn on the
Postpartum/Mother/Baby unit.
3. Neonatal Assessment: Paper due one week after completion of head to toe
physical/gestational-age assessment.
4. Formal teaching presentation to a new mother with paper due one week after
presentation.
5. Outpatient clinic observation (Ob/Gyn, Urology, Antepartum testing, and
Gestational Diabetic education): Paper due one week after experience.
6. Special Care (Level II) Nursery observation: Paper due one week after
experience.

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 7. Post conference: Opportunity to review, discuss, and analyze events that
were observed during the clinical day.
8. Cultural Variation presentation: Oral presentation at Post Conference

7. REPRESENTATIVE METHODS OF INSTRUCTION:

Typical methods of instruction may include:
A. Lecture
B. Lab
C. Activity
D. Discussion
E. Guest Speakers
F. Individualized Instruction
G. Observation and Demonstration
H. Other (Specify): Instruction includes classroom presentations, related discussion of
patient scenarios, focusing on critical thinking skills. Students view media or computer
related instruction to enhance classroom presentations or focus on other content.
The postconference setting in clinical provides an avenue for small group discussion
of the events of the day and reinforce the concurrent theory content.

8. REPRESENTATIVE READING ASSIGNMENTS:

Representative assignments in this course may include, but are not limited to the following:
A. Assigned Textbook
B. Nursing Journal articles are assigned per lecture. Copies of articles can be found in
the Library.
C. Additional information materials within the Syllabus.
All reading assignments are listed in the Study Guide of the syllabus.

9. REPRESENTATIVE METHODS OF EVALUATION:

Representative methods of evaluation may include:
A. Class Participation
B. Exams/Tests
1. Multiple choice theory examinations with "alternate question" format
2. Pop quizzes
C. Papers- reflect the use of the nursing process and related critical thinking skills.
1. Care of Laboring Woman
2. Newborn Assessment
3. Patient Educational Teach
4. Observational Experiences
D. Simulation
E. Clinical evaluation tool based on satisfactory completion of clinical objectives
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10. REPRESENTATIVE TEXT(S):
Required textbooks include:
A. Ackley, B., Ladwig, G., & Makic. Nursing Diagnosis Handbook. 11th ed. Philadelphia,
PA: Elsevier, 2017
B. Ignatavicius. D. & Workman, M. Medical-Surgical Nursing: Patient-Centered
Collaborative Care: Single Volume. 8th ed. Philadelphia, PA: Elsevier, 2016
C. London, M.L., Ladewig, P., Davidson, M., Ball, J., Bindler, R., & Cowan, K. Maternal and
Child Nursing Care, 5th ed. Hoboken, NJ: Pearson Education, Inc., 2017
D. Zerwekh, J. & Garneau, A. Nursing Today-Transitions & Trends. 9th ed. Philadelphia,
PA: Elsevier, 2017

Possible textbooks include:

E. Perry, Potter, and Ostendorf. Clinical Nursing Skills and Techniques, 9th ed.
Philadelphia, PA: Elsevier, 2017
F. Potter, P., Perry, A., Stockert, P., & Hall, A. Fundamentals of Nursing: Enhanced Multi-
Media Edition Package. 9th ed. Philadelphia, PA: Elsevier, 2017
G. Phillips, L. Manual of I.V. Therapeutics: Evidenced-based Practice for Infusion
Therapy. 6th ed. Philadelphia, PA: F.A. Davis, 2014

Origination Date: August 2010

Curriculum Committee Approval Date: November 2013
Effective Term: Fall 2014

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 College of San Mateo
Course Outline

New  Course
Update/No  change
Course  Revision  (Minor)
Course  Revision  (Major) Date:  ***
Department: Nursing Number:  225
Course  Title: Nursing  Skills  Lab  II Units: 0.5
Total  Semester  Hours Lecture: Lab:  24 Homework: By  Arrangement:

Length  of  Course Grading
Semester-long Letter

Short  course  (Number  of  weeks  __) Pass/No  Pass

Open  entry/Open  exit Grade  Option  (letter  or  Pass/No  Pass)

1. Prerequisite  (Attach  Enrollment  Limitation  Validation  Form.)
Nursing  212  or  equivalent

2. Corequisite  (Attach  Enrollment  Limitation  Validation  Form.)
Concurrent  enrollment  in  N221/N222  or  equivalent

3. Recommended  Preparation  (Attach  Enrollment  Validation  Form.)

4. Catalog  Description  (Include  prerequisites/corequisites/recommended  preparation.  For  format,
please  see  model  course  outline.)
(.5)  (Pass/No  Pass  grading.)  One  and  one-half  lab  hours  per  week.  Prerequisite:  NURS  212  or
equivalent  with  a  grade  of  C  or  higher.  Corequisite:  concurrent  enrollment  in  NURS  221  and  222.
This  course  is  an  adjunct  to  the  corequisite  nursing  courses  listed  above.  It  provides  individual
and  group  practice  of  nursing  skills  with  competency  evaluation  of  the  skills  identified  for  the
concurrent  nursing  courses.  (Spring  only.)  (AA)

5. Class  Schedule  Description  (Include  prerequisites/corequisites/recommended  preparation.  For
format,  please  see  model  course  outline.)
This  course  provides  for  nursing  skill  development  and  competency  testing  for  skills  identified 
for concurrent  nursing  courses.  Prerequisite:  Completion  of  Nurs  212.  Corequisite:  Concurrent
enrollment  in  Nurs  221  and  Nurs  222.

6. Student  Learning  Outcomes  (Identify  1-6  expected  learner  outcomes  using  active  verbs.)
14
 Upon  successful  completion  of  the  course,  the  student  will  be  able  to:
1.  Demonstrate  competency  in  skills  related  to  maternity  and  pediatric  nursing
a. Successfully perform one neonatal intramuscular injection following the guidelines
presented in Skills lab to pass Maternity clinical rotation.
2.  Demonstrate  competency  in  medication  calculation  for  maternity  and  pediatric  patients
3.  Apply  nursing  methods  to  the  care  of  maternity  and  pediatric  patients.

7. Course  Objectives  (Identify  specific  teaching  objectives  detailing  course  content  and  activities.
For  some  courses,  the  course  objectives  will  be  the  same  as  the  student  learning  out
comes.  In this   case,   “Same   as   Student   Learning   Outcomes”   is   appropriate   here.)
1.  Demonstrates  a  simulated  physical  assessment  of  a  neonate,  child,  and  childbearing
women.
2.  Demonstrates  a  simulated  teaching  session  for  new  parents  of  a  child  regarding
preventive  health  care
3.  Demonstrates  correct  calculation  and  administration  of  medications  in  pediatric  and
perinatal  settings.
4.  Demonstrates  a  simulated  developmental  assessment  of  a  child

8.. Course  Content  (Brief  but  complete  topical  outline  of  the  course  that  includes  major  subject
areas  [1-2  pages].  Should  reflect  all  course  objectives  listed  above.  In  addition,  a  sample
course  syllabus  with  timeline  may  be  attached.)

A.  Physical  and  gestational  age  assessment  of  the  normal  newborn.
B.  Physical  assessment  of  the  well  and  ill  child.
C.  Developmental  assssment  of  a  child
D. Teaching  in  maternity  and  pediatric  settings
E.  Math  calculation  skills  for  maternity  and  pediatric  patients
F.  Neonatal Resuscitation
G. Venipuncture and IV therapy
H. Medication  administration  in  maternity  and  pediatric  settings.
I. Critical Thinking exercises

9. Representative  Instructional  Methods  (Describe  instructor-initiated  teaching  strategies  that
will  assist  students  in  meeting  course  objectives.  Describe  out-of-class  assignments, required
reading  and  writing  assignments,  and  methods  for  teaching  critical  thinking  skills.  If  hours
by arrangement  are  required,  please  indicate  the  additional  instructional  activity  which  will 
be provided  during  these  hours,  where  the  activity  will  take  place,  and  how  the  activity 
will be supervised.)

Skill  demonstration,  discussion,  multimedia  instruction  and  skill  competency  practice.

10. Representative  Methods  of  Evaluation  (Describe  measurement  of  student  progress  toward
course  objectives.  Courses  with  required  writing  component  and/or  problem-solving  emphasis
must  reflect  critical  thinking  component.  If  skills  class,  then  applied  skills.)

Competency  evaluation  of  skills  identified  for  concurrent  nursing  courses
15
 Lab  attendance

11. Representative  Text  Materials  
A. Perry, Potter, and Ostendorf. Clinical Nursing Skills and Techniques, 9th ed.
Philadelphia, PA: Elsevier, 2017
B. London, M.L., Ladewig, P., Davidson, M., Ball, J., Bindler, R., & Cowan, K. Maternal and
Child Nursing Care, 5th ed. Hoboken, NJ: Pearson Education, Inc., 2017
C. Phillips, L. Manual of I.V. Therapeutics: Evidenced-based Practice for Infusion
Therapy. 6th ed. Philadelphia, PA: F.A. Davis, 2014

16
 N225 Skills Lab Supplies
Lab # 1- Bring lab bag for review of equipment
5-1ml syringes with 25 G 5/8 needle
Vial of normal saline
5 18 G needles
Alcohol preps
Gloves
2 X 2’s
Lab # 2- No supplies needed
Lab # 3- Alcohol preps
Gloves
IV start kits
Extra 2 X 2’s
Band aids
Vacutainers 23 G needles
Yellow vacutainer tubes
Vacutainer needles
3 each lavender/jungle top lab tubes
Lab # 4- Alcohol preps
Gloves
IV start kit
Additional 2 X 2’s
Band aids
Insyte catheters (24 and 22 G)
Saline locks
10 ml vial normal saline
Lab # 5- Regular IV tubing & Secondary tubing
Bags of normal saline (any size)
Medication labels/marking pens
Gloves
Lab # 6- No supplies needed
Lab # 7- Open lab-bring remaining items in Lab bag
Lab # 8- No supplies needed

17
 NURSING 222 – COURSE GRADING
1. Academic Grading Scale - A minimum grade of “C” is required to progress to the next
nursing course.
A = 90 -100%
B = 80 - 89%
C = 75 -79%

2. Theory Grading
2 Exams at 60 points each ………………………………………………………….120 points
Final/Challenge Cumulative exam at 100 points ………………..……………100 points
Pharmacology Test ……..………………………………………………………………..….10 points
ATI Maternal Newborn Nursing……………..………………………..…….……..……3 points
Postpartum Teaching Presentation & Paper ………………………. Comp/Not comp
Labor and Delivery Paper …………………………………………………..…........5 points
Newborn Assessment Paper ……………………………………………………….........5 points
Observational Experience Papers .............................................................CR/NC
Medication Administration Test* …………………………………………………….… CR/NC
*Calculators may used on Medication Administration Test only, not on Theory exams

TOTAL POINTS for exams only………..220 points

Required to attain 75% = 165 points
TOTAL POINTS including projects = 243 points

3. Course Rules and Regulations

A. In order to achieve a passing grade in N222, a student must score a minimum of 75%
on the three Theory tests. If the student has not achieved an average of 75% on the
three tests, the student will not progress to N231 and must repeat N222. After this
criteria is met, the written papers and other exams (ATI and Pharmacology) will be
averaged in to determine the overall grade for N222. A minimum grade of “C” is the
overall passing grade.

B. Failure to complete any of the above assignments for N222 will result in a grade of
“Incomplete” for the course. All clinical papers are due to the clinical instructor one
week after the clinical experience. For papers that are worth points, one point will be
deducted for each working day that the paper is late. A pattern of turning in papers
late will result in a grade of “NO PASS” on the clinical evaluation form in the section
dealing with professional role. 1 point will be deducted for every 5 misspellings,

18
 grammar and punctuation errors. Every project is to have a face sheet, use APA
format, and follow the Student Handbook Guidelines.

C. Clinical Lab Grading: Clinical performance is graded on a Pass/No Pass basis. 96% of
all starred criteria must be passed and 100% of those which are double starred. In
addition, all students must pass the section entitled “Clinical Nursing Competencies
Measured in All Aspects of Care” and the skills lab competency evaluation on
medication administration to a newborn. A student who receives a NO PASS as a final
clinical grade will not be permitted to progress to N231. A “No Pass” [NP] clinical
grade nullifies the final theory grade.

All students will participate in the performance-based Competency Assessment Day

as part of their clinical experience. This day may or may not fall on a regularly
scheduled clinical day.

D. Testing: A 5% penalty will be assessed to any student taking a test in this course
other than on the test date. The test makeup must be completed within one week of
the test date. The student is responsible for notifying the faculty that they will be
taking the test at another time and for rescheduling. Medication administration tests
are given per the policy outlines in the student handbook.

E. N225: Students are required to attend weekly skills lab. Students must call the
instructor if they will be absent to arrange for makeup.

F. N817 (Open Lab): Students are required to attend lab hours in order to receive course
credit. Students must sign in in order to receive credit for the hours attended. N817 is
a required course. In order to proceed to the next nursing course, students must
receive credit (pass) in N817. If you have Open Lab prior to your N225 section, you
MUST log out of N817 before the start of class.

G. Attendance
N222: May miss no more than 2 theory classes/8 weeks
N225: May miss no more than 2 skills lab sessions/16 weeks

H. Disability Policy Statement

If you have a documented disability and need accommodations for this class, please
see me as soon as possible or contact the Disabled Students Programs and Services
(DSPS) for assistance. The DSPS is located in Bldg. 10, Room 120. (650) 574-6438; TTY
(650) 574-6230.

19
I. Academic Integrity
Refer to the Prohibited Actions section under the Student Conduct section of the
Student Handbook of the College Catalog. Among the following actions which are
prohibited and may lead to appropriate disciplinary action is “16. Dishonesty such as
cheating, plagiarism or knowingly furnishing false information to the College and its
officials.” Refer also to the Academic Integrity Policy in the Nursing Student
Handbook.

20
 Nursing 222 Dates to Remember - 2018
First 8 weeks

January 18, 2018 Lecture #1

January 22, 2018 Medication Calculation Test

February 5, 2018 Test #1

February 26, 2018 Test #2

March 5, 2018 *Must complete Practice ATI* (3pm) and Pharmacology Tests (430p)
tests prior to Proctored test→
Maternal Newborn Online Practice 2016A&B

March 6, 2018 Competency Assessment

March 15, 2018 Final Exam

Variable due dates for projects/papers Postpartum Teaching Project (4/5 for comp)
Neonate Assessment Paper (5 points)
Labor and Delivery Paper (5 points)
Nursing 222 Dates to Remember - 2018
Second 8 weeks

March 19, 2018 Lecture #1

March 22, 2018 Medication Calculation Test

April 12, 2018 Test #1

April 30, 2018 Test #2

May 7, 2018 *Must complete Practice tests ATI* (3pm) and Pharmacology Tests (430p)
prior to Proctored test→
Maternal Newborn Online Practice A&B

May 8 2018 Competency Assessment

May 17, 2018 Final Exam

Variable due dates for projects/papers Postpartum Teaching Project (4/5 for comp)
Neonate Assessment Paper (5 points)
Labor and Delivery Paper (5 points)

21
 CLINICAL
INFORMATION

22
 CLINICAL SCHEDULE FOR NURSING 222 – 2018
First 8 weeks
Preclinical Skills Lab -Tuesday, January 16, 2018
DX Group Bring N222 Syllabus and Nurse Kit
Place: Nursing Skills Center
Time: 1400 – 2000
Irene Luciano, Instructor
Orientation -Wednesday, January 17, 2018
Bring N222 Syllabus and Nurse Kit
Wear uniform, CSM patch, and name tag
Meet at Kaiser Redwood City Hospital Lobby
Time: 0800 – 1400* Only orientation at this time
Irene Luciano, Instructor
EX Group Preclinical Skills Lab- Tuesday, January 16, 2018
Bring N222 Syllabus and Nurse Kit
Place: Nursing Skills Center
Time: 0800 – 1400
Irene Luciano, Instructor

Orientation- Wednesday, January 17, 2018

Bring N222 Syllabus and Nurse Kit
Wear uniform, CSM patch, and name tag Meet
at Kaiser Redwood City Hospital Lobby Time:
0800 – 1400 Irene
Luciano, Instructor
Second 8 weeks

AX Group Preclinical Skills Lab- Tuesday, March 20, 2018

Bring N222 Syllabus and Nurse Kit
Place: Nursing Skills Center
Time: 0800 – 1400
Lisa Rael, Instructor

Orientation- Wednesday, March 21, 2018

Bring N222 Syllabus and Nurse Kit
Wear uniform, CSM patch, and name tag Meet
at Kaiser Redwood City Hospital Lobby Time:
0800 – 1400 Lisa Rael,
Instructor

BX Group Preclinical Skills Lab- Friday, March 23, 2018

Bring N222 Syllabus and Nurse Kit
Place: Nursing Skills Center
Time: 0800 – 1300
Patty Wieser-Instructor

Orientation- Friday, March 23, 2018* Note Date

23
 Bring N222 Syllabus and Nurse Kit
Wear uniform, CSM patch, and name tag Meet
at Kaiser Redwood City Hospital Lobby Time:
1400 – 2000 Patty
Wieser -Instructor
Preclinical Skills Lab -Tuesday, March 20, 2018
CX Group Bring N222 Syllabus and Nurse Kit
Place: Nursing Skills Center
Time: 1400 – 2000
TBD, Instructor
Orientation -Wednesday, March 21, 2018
Bring N222 Syllabus and Nurse Kit
Wear uniform, CSM patch, and name tag
Meet at Kaiser Redwood City Hospital Lobby
Time: 1400 – 2000
TBD, Instructor

24
 Pre-clinical Skills Lab Content
(Readings: London, 5th edition, Chapters 23-25, and 28-29;
Perry & Potter, 8th edition, Chapter 33-pp. 815-827)
1. Check clinical schedule page for the date for your clinical group
A. There is only one preclinical skills lab in this course. The other clinical day during the first
week will be used for orientation to the clinical facility.
B. Bring Nurse kit and London textbook.

2. Skills Lab Focus

A. Common medications administered to women and neonates
B. IV maintenance, flow rates – primary and secondary
C. Assessment: postpartum patient and neonate
D. Interventions for postpartum patient related to perineal, hemorrhoidal pain,
comfort and hygiene
E. Foley insertion on antepartum and postpartum woman
F. Breastfeeding – supplies for breast and bottle feeding mothers

3. Activities
A. Review procedure for medication cards and highlight common medications
administered and rationale for administration
B. IV’s – practice priming, labeling and running primary and secondary bags for
gravity flow and pump
C. Discuss and practice how to set the IV pump for various rates
D. Postpartum Assessment
1. View video on postpartum assessment
2. Practice assessment on manikins-including urinary catheter insertion/care
3. Discuss common interventions for perineal, hemorrhoidal pain
4. Discuss perineal pads (assessment/removal)
5. Assess I & O from IV and Foley
E. Newborn Assessment
1. View videos – Assessment of the Newborn/Gestational Age Assessment
2. Practice assessment on manikins
3. Discuss hygiene and thermoregulation of newborn
F. Breastfeeding
1. Review supplies for breastfeeding and bottle feeding mothers
2. Each section will meet with their clinical facility’s Lactation staff to review
breastfeeding techniques, LATCH score, positioning, sore nipples and other potential
problems and interventions

25
 Clinical Orientation Guidelines

* Categories will vary with clinical agency

1. LDR ROOMS
A. Locate patients’ charts in EMR (electronic medical record) system and on-line
procedure manuals. Facility may still be using paper forms/binders.
B. Explore an empty room and locate fetal monitoring equipment, sterile supplies, and
neonatal supplies stored in the room.
C. Find the census board where patient’s names or initials and labor status are recorded.
D. Locate the operating rooms where surgical births take place.
E. Discover the mechanics of the birthing bed.
F. Identify the open radiant warmer and review its temperature and oxygen-regulating
features.

2. POSTPARTUM (MOTHER/BABY) EQUIPMENT OR AREA

A. Locate supplies commonly used, such as peripads, linens, breast pumps, panties, IV
tubing, fluids.
B. Search the medication area, Pyxis or cart and book. Identify the most commonly given
medications and how to document them.
C. Find the equipment used for vital signs and place to document.
D. Locate patients’ charts in EMR system and on-line procedure manuals. Facility may
still be using paper forms/binders.
E. Located teaching materials-including any audiovisuals or hands-on tools
F. Locate the unit refrigerator (and labels) where patients/families may store food.
Locate where used trays are stored for pick-up. Find out how meals are served.
G. Find out what the visitor policy is for fathers, siblings, and extended family members.

3. NURSERY (LEVEL II/SPECIAL CARE) AREA AND EQUIPMENT

A. Locate commonly used equipment, such as scales, thermometers, medications,
diapers, formula, linens, bottles, etc.
B. Identify the open radiant warmer and review its temperature and oxygen-regulating
features.
C. Find out where syringes, lancets, blood glucose monitors are kept.
D. Locate the board and equipment used for circumcision.
E. Locate resource materials on the unit and patients’ charts in EMR system and on-line
procedure manuals. Facility may still be using paper forms/binders.

26
 CLINICAL NURSING COMPETENCIES MEASURED IN ALL ASPECTS OF CARE

As you progress through the nursing program, each course builds on the knowledge, skills, and
abilities of the previous course. Therefore, you are expected to perform competently in the
information already learned as you satisfactorily progress from course to course.

There are five specific nursing competencies or critical elements for which you are responsible:
Asepsis, Emotional Well-being, Interpersonal Relations, Physical Well-being, and Professional
Behaviors. You are responsible to competently implement these specific critical elements. Any
violation of the following critical elements will result in a clinical failure. The areas listed below are
examples, but are not all inclusive.

1. ASEPSIS: The prevention of the introduction and/or transfer of organisms. Special

consideration should be given to handwashing/hand hygiene.
A. Washes hands or de-germs as appropriate.
B. Protects self from contamination.
C. Protects patient from contamination.
D. Disposes of contaminated material in designated containers.
E. Confines contaminated material to contaminated area.
F. Establishes a sterile field where required.

2. EMOTIONAL WELL-BEING: Any action or inaction on the part of the student which threatens the
emotional well-being of the patient or significant others places that person in emotional jeopardy.
This can occur through omission, imminent, or actual incorrect action by the student. Students must
promote emotional well-being.
A. Maintains or respects patient confidentiality, including HIPAA guidelines.
1. Uses only patient initials on CSM worksheets and assignments.
2. Does not discuss patient’s data with anyone except healthcare staff (this includes
patient’s family or significant other unless permission is given by patient).
3. Does not discuss patient data in public areas such as hallways, elevators, etc.
4. Does not discuss any info that could potentially identify patient specific scenario- ex:
combination of date/facility/room and MD/ RN names.
5. http://www.hhs.gov/hipaa/for-individuals/index.html

3. INTERPERSONAL RELATIONS: The patient-focused verbal and nonverbal interaction between

student nurse and patient and or significant other.
A. Establishes verbal communication with patient at beginning of implementation phase by
using at least one (1) of the following actions:
1. Introducing self.
2. Explaining nursing actions to be taken

27
 3. Using touch with the patient who is a nonverbal adult/child.
B. Interacts verbally with patient by using at least one (1) of the following methods:
1. Asking questions at least once to determine patient’s response to nursing care.
2. Asking questions at least once to determine patient’s comfort.
3. Directing the focus of communication toward patient-oriented interests.
4. Able to communicate with a nonverbal patient.
C. Uses language consistent with patient’s level of understanding.
D. Uses verbal expressions that are not excessively familiar, patronizing, demeaning, abusive, or
otherwise unacceptable.
E. Uses physical expressions that are not excessively familiar, patronizing, demeaning, abusive,
or otherwise unacceptable.

4. PHYSICAL WELL-BEING: Any action or inaction on the part of the student could threaten the
patient’s physical well-being. Students are accountable for the patient’s safety. Physical well-being
includes:
A. Maintaining the physical well-being of a patient such as reporting deterioration in the
patient’s clinical condition or imminent or actual incorrect action by the student.
B. Appropriate use of physical restraints.
C. Appropriate use of side rails.
D. Correct use of procedures as learned in skills lab and/or identified in the Clinical Procedure
Manual and/or facility policies and procedures posted online.

5. PROFESSIONAL BEHAVIORS: Maintains professional boundaries in all physical, written, and verbal
interpersonal encounters including but not limited to patients, significant others, staff, peers, and
faculty.

CoreCompetencies Rev2016.doc
Rev. 03/16

28
29
 CLINICAL CHECKLIST FOR LABOR AND DELIVERY OR LDRP ROOM

* “With supervision” indicates RN or instructor must be present.

OBJECTIVES/SKILLS DATE COMPLETED

1. Assess and document vital signs.

2. Monitor uterine contraction pattern.
3. Observe and assist with electronic fetal monitoring.
4. Begin to interpret monitoring patterns.
5. Assess patient’s pain level.
6. Assist patient with relaxation techniques for pain management.
7. Perform basic comfort and hygiene measures.
8. Observe a vaginal delivery.
9. Observe a cesarean delivery.
10. Give medications with supervision – IVPB, IM SC, PO routes. (not IV push)
11. Assist in setting up IV drip.
12. Start IV’s (after week 4) with supervision.
13. Perform urinary catheterization with supervision.
14. Follow the instructions of caregivers during a delivery.
15. Give neonatal medications with supervision.
16. Perform postpartum assessments and document in EMR.
17. Maintain confidentiality of patient and family.
18. Participate in the transfer of the patient to the postpartum unit
unless facility has LDRPs (labor/delivery/recovery/postpartum).

30
 CLINICAL CHECKLIST FOR POSTPARTUM OR LDRP ROOM

OBJECTIVES/SKILLS DATE COMPLETED

1. Admits a patient to the unit (differs with agencies).

2. Completes a physical and psychosocial assessment of a vaginal

delivery patient.

3. Completes a physical and psychosocial assessment of a cesarean

birth patient.

4. Monitors vital signs according to agency protocol.

5. Assists with breastfeeding and refers to Lactation Consultant as

necessary.

6. Instructs patient in self-care measures.

7. Administers routine and prn medications with supervision.

8. Monitors and documents IV therapy.

9. Completes appropriate documentation in EMR.

10. Participates in discharge instructions.

11. Maintains confidentiality of patient and family.

12. Reviews and updates care plan as needed.

31
 CLINICAL CHECKLIST FOR NEWBORN CARE

OBJECTIVES/SKILLS DATE COMPLETED

1. Completes a newborn admission assessment (varies with agency)

with supervision.

2. Completes a physical assessment/gestational assessment with supervision.

3. Assesses maternal/neonate attachment.

4. Performs a neonatal bath (varies with agency).

5. Performs circumcision care as needed.

6. Performs cord care.

7. Performs a neonatal heel-stick for glucose (varies with agency).

8. Assists with feeding.

9. Completes appropriate documentation in EMR.

10. Administers newborn medication with supervision.

11. Participates in discharge instruction.

12. Participates in teaching normal newborn care.

13. Maintains patient and newborn confidentiality.

14. Maintain and educate mother/parents regarding newborn safety in crib, during transport,
positioning, and accurate identification.

15. Follows agency protocol for neonate abduction prevention.

32
 Nursing 222 Maternity Nursing Sample Math Test

1. The IV order is to infuse 1 Liter D5LR over the next 8 hours. After 4 hours, 250 mLs are
remaining in the IV bag. How many hours AHEAD is the IV running? _________

2. The order reads: Loading dose of Magnesium Sulfate 4 g IV to be administered over a 20

minute period. On hand is a premixed bag of 20 g of magnesium sulfate in 500 mLs of H2O.
Set the rate and volume to be infused on the pump.
Rate __________
Volume ________

3. The order reads: Maintenance dose of Magnesium Sulfate 2 g per hour IV. Continue this
order using the same premixed bag of 20 g of magnesium sulfate in 500 mLs of H2O that you
used in #2.
Set the rate and volume to be infused on the pump.
Rate __________
Volume ________

4. Calculate the rate and volume to be infused for an order reading Penicillin 5 million units
mixed in 250 mLs of NS to be administered over 2 hours.
Set the rate and volume to be infused on the pump.
Rate __________
Volume ________

5. Cefazolin (Ancef) 1.5 g is ordered for a labor patient with a temperature of 39°C. To
reconstitute the drug, the directions indicate to add 10 mLs of solvent to a 5 g powered vial
for a dosage of 5 g= 10mLs. Once reconstituted, how many mLs would you add to a
secondary bag for a dosage of 1.5 g to be given NOW? _________

33
6. Morphine sulfate is ordered for a neonate weighing 3.2 kg for pain. The range for neonates
is 0.02 mg/kg to 0.05 mg/kg every 3-4 hours. Calculate the correct MAXIMUM dosage for
this neonate. _________

7. Terbutaline 250 mcg sc is ordered for a preterm labor patient. Available is 1mg/ml.
Calculate the correct amount to be given. _________

8. Methergine 200 mcg is ordered for a postpartum patient who is experiencing postpartum
hemorrhage. Calculate the correct amount to be given with available amount of 0.4 mg/ml.
_________

9. Pitocin 20 units in 1000 mLs LR is ordered to run at 150 mLs per hour. Using a drop factor of
10 gtts/mL, calculate the drop rate. _________

10. Celestone Soluspan (betamethasone) has an available dosage of 6 mg/ml. Prepare a 4mg
injection. _________

34
Answers:
1. 2 hours
2. 300mL/hr, 100mLs
3. 50mL/hr, 400mLs
4. 125mL/hr, 250mLs
5. 3mLs
6. 0.16 mg
7. 0.25 mL
8. 0.5 mL
9. 25 drops per minute
10. 0.67mLs

35
 CLINICAL
MAKE-UP
ASSIGNMENT

36
 CHILDBIRTH PREPARATION CLASS
(Assignment or clinical makeup)

1. At the completion of this experience, the student will be able to:

A. Compare and contrast three different methods of childbirth education.
B. Demonstrate one relaxation exercise observed during the class.
C. Demonstrate one breathing technique used for labor purposes.
D. Identify two concerns about the labor and delivery process expressed by the
participants in the class.
E. Describe the teaching style used by the instructor.

2. Assignment -Type the answers to the following questions and submit to your clinical
instructor one week after the experience.
A. Summarize the similarities and differences among three methods of childbirth
education.
B. Describe one breathing technique that you saw demonstrated in the class.
C. Describe one relaxation exercise that was practiced in the class.
D. List two concerns about labor and delivery that were expressed by class participants.
E. Describe one effective teaching technique used by the instructor.

37
ASSIGNMENTS

38
 MEDICATION ADMINISTRATION CARDS

1. Overview: The purpose of this assignment is to assist in the preparation of

common medication during the maternity rotation. Since the patient stay is so short,
preparation in advance is not practical or possible. A list of commonly ordered
medications from the clinical facilities has been compiled to facilitate your
preparation prior to administration.

2. See the next page for the list: You are required to prepare a medication card
for each medication listed. Bring the cards to clinical each day. A preprinted card
will be accepted, provided that the required information is highlighted. Include or
highlight the following information on each card:

A. Name (trade and generic)

B. Usual dosage
C. Routes of administration
D. Classification
E. Action-This needs to be specific to the maternity or neonatal patient. May
need to write in specific information on preprinted card.
F. Common side effects
G. Nursing considerations

*In addition to using the drug handbook, be sure to use the textbook for any maternity or neonatal
considerations.

39
 Medication List
The following is a list of commonly prescribed medications used in the perinatal
areas. See directions on the previous page of the syllabus.
NEONATE
Erythromycin Ointment Vitamin K Bacitracin
Hepatitis B Vaccine Naloxone (Narcan)
EMLA Lidocaine
POSTPARTUM PATIENT
Acetaminophen (Tylenol, Ofirmev)
LABOR PATIENT Ampicillin
Acetaminophen (Tylenol, Ofirmev) Betamethasone
Ampicillin Bisacodyl (Dulcolax)
Betamethasone Carboprost Tromethamine (Hemabate)
Bupivacaine (Marcaine) Cefazolin (Ancef, Kefzol)
Cefazolin (Ancef, Kefzol) Cefotetan (Cefotan)
Cephalexin (Keflex) Cephalexin (Keflex)
Clindamycin (Cleocin) Clindamycin
Diphenhydramine (Benadryl) Diphenhydramine (Benadryl)
Fentanyl (Sublimaze) Docusate (Colace)
Gentamicin Fentanyl (Sublimaze)
Hydralazine (Apresoline) Ferrous Sulfate
Hydroxyzine (Vistaril, Atarax) Gentamicin
Lidocaine Hydrocodone w/ Acetaminophen (Norco)
Labetalol Ibuprofen (Motrin, Advil)
Magnesium Sulfate Ketorolac (Toradol)
Metoclopramide (Reglan) Labetalol
Misoprostol (Cytotec) Magnesium Sulfate
Nalbuphine Hydrochloride (Nubain) Meperidine (Demerol)
Nifedipine (Procardia) Metoclopramide (Reglan)
Ondansetron (Zofran) Misoprostol (Cytotec)
Oxytocin (Pitocin) Naproxen (Naprosyn, Aleve)
Penicillin Oxycodone (Oxicontin, Roxicodone)
Prostaglandin (Cervidil, Prostin E2) Oxycodone w/ Acetaminophen (Percocet)
Sodium citrate (Bicitra) Promethazine (Phenergan)
Terbutaline (Brethine) RhoGAM
Vancomycin (Vancocin) Rubella Vaccine
TDAP Vaccine
Venofer (iron sucrose)

40
 THE POSTPARTUM TEACHING PRESENTATION
Grade: Competent/Not competent

1. Goal: The postpartum or mother/baby experience provides the best opportunity for
teaching the family. Teaching may be provided for a new mother and any
other family members present. The postpartum mother/family will be able
verbalize or demonstrate back the topic presented by the student.
2. Directions: The student will be responsible for one formal teaching presentation, which
will be graded by the instructor. While the student and clinical instructor will
agree on a date and topic, the student should consider asking the patient
and/or family what topics they are interested in learning about or skills they
need assistance with when choosing their presentation. The student will
show the instructor a brief outline, notes, and objectives prior to doing the
presentation. Following the presentation, the student will type the formal
paper to be submitted one week after the teaching session.

Total points: 5 points

Need 80% of total (4/5 pts) to pass competency requirement

I. DATA COLLECTION (0.5 points)

A. Patient Initials, Room Number, Age
B. Date and Time of Delivery
C. Gravida and Para
D. Maternal Complications: labor, delivery, postpartum
E. Neonatal Complications:

II. LEARNING NEEDS ASSESSMENT (0.5 points)

A. State here the subjective and objective evidence for learning needs.
(Example: patient statements, questions indicating knowledge deficit)

III. SUMMARY OF PLAN AND TYPE OF PRESENTATION (0.5 points)

A. Indicate topic presented and type of presentation
(Example: baby bath – demonstration and discussion of normal newborn
deviations, reflexes and needs.)

IV. OUTLINE OF CONTENT TO BE PRESENTED (0.5 points)

A. Summarize in a brief outline form the content of the presentation.
B. Include/attach a copy of any types of materials given to the patient.

41
V. OBJECTIVES (0.5 points)
A. List at least THREE objectives which you hope you have accomplished by the end
of the presentation.
B. Objectives must be stated in measurable form. (Example: By the end of this
presentation, the patient will be able to demonstrate the correct technique for
bathing a baby)

VI. EVALUATION (0.5 points)

A. State to what the extent the objectives were accomplished
(Example: The patient was able to demonstrate the correct technique for bathing the
baby, but needs more practice.)
B. Describe here how you might change your presentation the next time to better
accomplish the objectives

SEE NEXT PAGE FOR TEACHING PRESENTATION GUIDELINES

42
 TEACHING PRESENTATION GUIDELINES
GRADING CRITERIA FOR THE PRESENTATION

STUDENT: _______________________________________ DATE: _______________

TOPIC: __________________________________________________________
(POINTS POSSIBLE FOR PRESENTATION: 2 points)

Competent Not Competent

1. Topic is appropriate for this 0.5

patient. Content is current,
accurate, and well prepared.

2. Presentation is clear, organized, 0.5

is well paced, notes can be
to, but not read. Audiovisual
aids are used.

3. Presentation is summarized by 0.5

briefly repeating key terms or
asking the patient key questions.

4. Presentation is completed within 0.5

10-15 minutes. (Time limit within
instructor’s discretion, considering
topic)

PRESENTATION SECTION (2 points possible) _____

PAPER SECTION (3 points possible) _____

TOTAL STUDENT’S SCORE _____

(Competency requirement achieved at 4 points or higher)

43
 Neonatal Assessment
5 Points

DIRECTIONS: After completing a head-to-toe physical & gestational age assessment on a

normal newborn:
1. Document your assessment: Including the required information regarding the
infant’s mother and delivery information. Use gestational age form
(Dubowitz/Ballard) to record gestational age assessment- Newborn Patient
Worksheet Assessment
2. Complete the Maternal-Newborn Attachment Tool.
3. Type the remaining information required below.
4. Submit Newborn Patient Worksheet Assessment-along with the Maternal-Newborn
Attachment Tool, the Gestational age form, and this paper to your clinical instructor
ONE WEEK after completing the newborn assessment.

The due date will vary with your clinical schedule.

Section A Data Collection

1. Complete a cover page, stating your name and date of assessment
2. Newborn’s date of birth
3. Newborn’s age at time of assessment (in hours or days)
4. Type of delivery (vaginal vs surgical)
5. Apgar Score
6. List any complications if applicable-paper
(Section A point value=0.5 points)

Section B Growth and Development

1. Weigh, measure, and assess the estimated gestational age using your clinical
agency’s growth chart and gestational age form (Dubowitz/Ballard).
2. State the length, head circumference, chest circumference, and weight
3. State if normal or abnormal according to the norms of the textbook.
4. Compare the weight you obtained to the birth weight and explain any
differences.
5. Attach the completed gestational age assessment form to this section. State
whether the neonate is AGA, SGA, or LGA and whether the neonate is
term, preterm, or post-term.
(Section B point value=1 point)

44
Section C Physical Assessment and Vital Signs
1. List the vital signs for this neonate and state whether the vitals are within
normal limits for this neonate.
2. Complete head-to-toe assessment-use Newborn Patient Worksheet
Assessment.
(Section C point value=2 points)

Section D Psychosocial Adaptation

1. Using the standard assessment tool on the next page, assess maternal
neonate bonding of this neonate and mother. Attach the completed
tool to this paper and discuss your observations in a separate typed
paragraph. Ex: the score was 7 because…which causes some
concerns, etc.-MATERNAL/NEWBORN ATTACHMENT TOOL
(Section D point value=0.5 points)

Section E Medications
1. State the purpose of giving Erythromycin eye ointment to the neonate.
2. Describe the nursing implications, including dosage, routes, and any potential
side effects.
3. State the purpose of giving Vitamin K to the neonate.
4. Describe the nursing implications, including the dosage, route, and any side
effects.
(Section E point value=1 point)

45
 MATERNAL‐NEWBORN ATTACHMENT TOOL
*This tool is to be scored and attached to the newborn paper. Include an explanation
of your score and your impressions of the interaction.

1 point for each YES answer.

10 points maximum.
8‐10 = positive interaction
5‐7 = continue to observe
0‐4 = refer to health care provider

YES NO
MATERNAL BEHAVIORS

1. Appropriate touch‐fingertip‐palming‐
enfolding
2. Holds neonate in “enface” position + eye
contact
3. Refers to neonate by name (initially “it”,
but quickly a name)
4. Responds consistently to neonate cues or
signals
5. Expresses satisfaction with feeding
method (breast or formula)

NEONATE BEHAVIORS

1. + eye contact – mutual gazing

2. “Tracks” face with eye movement
3. Grasps finger and holds on
4. Moves with synchronized movement in
response to parent’s voice
5. Comforted by parent’s voice or touch

46
 LABOR AND DELIVERY PAPER
(Point Value = 5 points)

DIRECTIONS: Observe a birth, whether vaginal or surgical, collect the following data
and answer questions regarding the experience. Type the answers to
the following questions and submit to your clinical instructor one
week after the experience.
PAGE NUMBER: 3‐5 pages

PART I DATA COLLECTION (O.5 points)

Date:
Student Name:
Patient Initials:
Marital Status:
Age:
Ethnic Background:
Gravida, Para:
Length of Labor:
Complications: (ex: long labor, premature membrane rupture, extensive
lacerations, etc.)

PART II THE BIRTH EXPERIENCE (3.0 points)

Describe the experience in terms of the following:
1. Location of birth, type of birth attendants and support persons
present
(0.25 points)
2. Interaction of the laboring woman and her partner/coach with each
other and with the nursing/medical staff attending the birth. Discuss
any cultural implications and their significance to the birth. If not
apparent implications, state this here.
(0.25 points)
3. a. The type of and effectiveness of analgesia/anesthesia and
bearing down efforts used (vaginal birth) OR
b. The type of and effectiveness of analgesia/anesthesia used for
a surgical delivery (Cesarean birth)
(0.5 points)

47
 4. Immediate care the delivered woman for the first 2 hours following
the birth. Immediate assessments, interventions, and their
effectiveness. Be sure to include SPECIFIC assessments and
interventions on YOUR patient. This includes the various
postpartum checks which are routinely made on each patient.
(1 point)
5. Immediate care of the newborn for the first 2 hours following the
birth. Include assessments and interventions following the
birth. Include SPECIFIC assessments and interventions on
YOUR neonate.
(1 point)

PART III MATERNAL MEDICATIONS (1 point)

1. List ALL maternal medications used during the labor and delivery
process. Include analgesics, anesthetics, labor induction
agents, and any other medications.
2. List the following information for each medication:
a. Name
b. Classification
c. Action
d. Dosage
e. Route
f. Nursing interventions
Be SPECIFIC to your patient’s situation.

PART IV SUMMARY (0.5 points)

In one paragraph, describe:
a. How was this birth unique?
b. How was care individualized based on this patient’s unique
situation?

AMBULATORY OB/GYN OR UROLOGY CLINIC EXPERIENCE

48
1. OBJECTIVES FOR OB/GYN OBSERVATION:
At the completion of this experience, the student will be able to:
A. Summarize the essential components of a prenatal/gynecological history.
B. Define common terminology used in the history taking process.
C. Describe physiological changes expected to occur in the various trimesters.
D. Observe teaching taking place during the visit, whether prenatal,
postpartum, or gynecological visit.
E. Identify laboratory or screening tests performed and list the significance of
abnormal results.
F. Observe a prenatal, postpartum, or gynecological checkup.
G. Review a typical prenatal, postpartum, or gynecological chart.
H. Describe the risk screening process for prenatal patients.
I. Identify the process for a typical gynecological checkup visit.
J. If contraceptive method prescribed/administered/inserted, describe method
used including (when applicable) dosing, route, and side effects.
K. List any medications prescribed for patient (name, classification, action,
dosage, route, and side effects)
L. List any immunizations given including route, why vaccine given, and side
effects.
M. Observe typical information given by the advice RN.

2. OBJECTIVES FOR UROLOGY OBSERVATION:

At the completion of this experience, the student will be able to:
A. Provide a brief description of one patient encounter, including patient age,
procedure performed and rationale for testing/procedure
B. List any laboratory tests performed on this patient. Explain the significance
of any abnormal values
C. Describe the role of the RN/MA during this patient’s encounter
D. Describe any patient learning needs and how the staff addressed them
during the procedure
E. Describe any follow-up instructions or needs anticipated for this patient
following the procedure
F. Describe the differences between a diagnostic vs. therapeutic procedure
performed in this department

3. ASSIGNMENT

49
 A. Complete the paper which BEST pertains to your observation in the
outpatient setting. (OB vs GYN vs Urology)
B. Type the answers to the questions and submit to your instructor one week
after the experience.

4. PRENATAL PATIENT ASSIGNMENT

Choose one patient observed as a model for your answers.
A. Identify your patient’s age, trimester of pregnancy, gravida and para.
B. List five factors which may affect the course of pregnancy. Identify any
factors which may affect the course of THIS pregnancy as identified by the
patient’s caregiver.
C. Define the following terms: primigravida, multigravida, primipara, and
multipara.
Identify which of these terms apply to your patient.
D. Describe typical physiological changes observed in your patient. Include in
your description if these changes are appropriate for your patient’s trimester
of pregnancy.
E. Describe any teaching needs observed during the visit and explain how you
would meet these needs.
F. List any laboratory tests performed on this patient and explain the
significance of any abnormal values.
G. List any medications prescribed for patient (name, classification, action,
dosage, route, and side effects)
H. List any immunizations given including route, why vaccine given, and side
effects.
I. If the opportunity arose to listen to advice given over the telephone, describe
one caller’s question and the advice given.

5. GYNECOLOGICAL VISIT ASSIGNMENT

If your patient’s visit was primarily gynecological in nature (ex: checkup, postpartum
visit, gynecological problem), complete this assignment INSTEAD of the prenatal
one.
Choose one patient observed as a model for your answers
A. Identify your patient’s age, reason for visit, chief complaint, if applicable.
B. Define your patient’s medical diagnosis OR attach pertinent internet
printout.
C. List risk factors for this medical diagnosis and identify those which apply to
your patient.
D. Describe signs and symptoms displayed by your patient.

50
 E. If the visit is a routine checkup, describe any testing completed and explain
the rationale for the tests completed.
F. Describe teaching observed during the visit and explain how you would meet
these needs.
G. List any laboratory tests performed on this patient. Explain the significance of
any abnormal values.
H. Describe the treatment prescribed for this patient, if applicable, and explain
its rationale in this case.

6. UROLOGY VISIT ASSIGNMENT

Choose one patient observed as a model for your answers.
A. Identify your patient’s age, reason for visit, chief complaint, if applicable.
B. Define your patient’s medical diagnosis OR attach pertinent internet
printout.
C. List risk factors for this medical diagnosis and identify those which apply to
your patient.
D. Describe signs and symptoms displayed by your patient.
E. If the visit is a routine checkup, describe any testing completed and explain
the rationale for the tests completed.
F. Describe teaching observed during the visit and explain how you would meet
these needs.
G. List any laboratory tests performed on this patient. Explain the significance of
any abnormal values.
H. Describe the treatment prescribed for this patient, if applicable, and explain
its rationale in this case.

NEONATAL LEVEL II/SPECIAL CARE NURSERY OBSERVATIONAL EXPERIENCE

51
1. OBJECTIVES
After completing the observational experience, the student will be able to:
A. Compare and contrast the role of the registered nurse in the Level I nursery
with the role of the registered nurse in the Level II/Special Care Nursery.
B. Define the medical diagnosis of one patient observed as well as the
treatment that the newborn received for that medical diagnosis.
C. Describe one piece of equipment that was used in the Level II/Special Care
Nursery that is not routinely used in the Level I nursery.
D. Discuss the care of the newborn who is being fed by alternate means than
breast or bottle. From your research, identify appropriate laboratory studies
and other nursing interventions needed to ensure that the newborn is
receiving adequate nutrition.
E. Describe the reaction of one newborn who was observed during a painful
experience. Identify several nursing interventions which were utilized as
comfort measures.

2. ASSIGNMENT
A. During your assigned visit, focus your observations on the objectives as much
as possible.
B. Type your answers to the above objectives and submit to your clinical
instructor one week after the experience.

Lactation Education Experience

1. OBJECTIVES

52
 A. Identify common concerns of lactating women.
B. List appropriate interventions for common breastfeeding problems.
C. Describe assessment techniques used by the nurse when assisting lactating
women.
D. Discuss the purpose and services provided by the lactation education center.

2. ASSIGNMENT
After observing rounds with the lactation educator and observing activities in the
lactation education center, type the answers to the following questions.
A. Describe the three most common concerns expressed by lactating women
while on rounds with the lactation educator.
B. Using one lactating woman as an example, describe the assessment and
intervention techniques utilized by the lactation educator. List any questions
asked by the woman and any problems discovered during the interaction.
C. Using printed patient teaching materials from the lactation center, list and
define three lactation problems which should be reported to the health care
provider.
D. Briefly describe the services provided by the lactation center. Focus on client
needs, community needs, and the benefits for lactating women and their
newborn.

Type and submit to the clinical instructor one week after the experience.
Attach any pertinent patient teaching materials.

PERINATAL CULTURAL VARIATIONS

POST CONFERENCE ASSIGNMENT AND DISCUSSION

53
1. PURPOSE: The purpose of this assignment is to explore various cultural
variations of the perinatal experience and to share this information
with students in your clinical group in a postconference setting.

2. DUE DATE: To be determined by the clinical instructor.

3. ASSIGNMENT:
A. Choose a culture, either your own or one that particularly interests you.
B. Sign up with your clinical instructor to avoid duplication of culture.
C. Use the internet to access information regarding perinatal aspects of this
culture.
D. On the assigned date, be prepared to discuss the following variations of the
culture, as applicable:
1. Prenatal care
2. Preparation for childbirth
3. Labor and birth
4. Postpartum self‐care
5. Nutrition ‐ prenatal, lactation
6. Role of grandparents and other extended family members
7. Breastfeeding
8. Circumcision
9. Other variations?
E. Submit your notes and internet printout to instructor on the assigned date.

ANTEPARTUM TESTING – OBSERVATIONAL EXPERIENCE

(Mills-Peninsula Health Services only) NOT in 2018

54
1. OBJECTIVES:
A. Describe the role of the RN and the Perinatologist in the Antepartum Testing
Unit.
B. List and describe three tests utilized in the antepartum testing unit to help
assess fetal well-being.
C. Provide a brief description of one patient encounter, include the patient’s
age, gravida, para, gestational age and the rationale for testing.
D. Describe any patient learning needs and how the staff addressed them
during the visit.

2. PAPER-Submit the typed answers to the above objectives one week after the visit to
your clinical instructor.

GESTATIONAL DIABETIC EDUCATION OBSERVATIONAL EXPERIENCE

(Mills-Peninsula Health Services only)- NOT in 2018

1. OBJECTIVES:
A. Define gestational diabetes.
B. List the population groups considered to be at high risk for gestational
diabetes.
C. Describe the testing criteria utilized for pregnant patients.
D. Describe the current treatments prescribed for pregnant patients.
E. Identify the primary learning needs of the newly diagnosed gestational
diabetic patient. Prioritize these needs and describe how you would teach
this type of patient.

2. PAPER-Provide typed answers to these objectives to your clinical instructor one

week following the experience.

Clinical Reflections-A Critical-thinking Journal

1. Purpose/Objective:

55
 Critical thinking is a process or way of thinking that enables the nurse to give
his/her clients the very best individualized care. It involves the use of the mind in
forming conclusions, making decisions, drawing inferences and reflecting. (Gordon, 1995).
The purpose of this assignment is to develop your critical thinking skills in the area of
reflection. Reflection is defined as the process of thinking back or recalling an event to
discover the meaning and purpose of that event. (Miller and Babcock, 1996). As a
student nurse, reflecting back on a clinical experience or an interaction with a professional
colleague can help you to understand how the concepts from the theory class apply
to the lab or the hospital experience. It also helps you to evaluate yourself and to think
about how you might have handled the situation differently to achieve a more
satisfying outcome.
Keeping a clinical reflections journal is a way to develop your critical thinking skills in
the area of reflection. The journal should reflect your attitudes, feelings and actual learning
experiences as you enter the clinical setting of this course for the first time. As you progress
in this semester of the nursing program, this journal will be a resource for you to look back
at significant experiences and gain insight into your own professional development as
a critical thinker. You will be able to see the transition now from your novice beginnings in
N211 through the specialty areas of pediatric and maternity nursing.

2. Assignment:
At the end of each week of clinical, starting with the first week of preclinical
lab and orientation, select an experience from either clinical day that stimulated your
thinking. This experience could be an interaction with a client, a family, a fellow student, or
a teacher. For each entry, cover the following four aspects:
1. Describe as completely as possible what happened and what you did.
2. Describe what you were thinking at the time, why you decided to do what
you did or say what you said.
3. Describe what you would do differently the next time when encountering a
similar incident or experience.
4. Describe your strengths and weaknesses in dealing with this particular
situation. What were you feeling?

→Your clinical teacher will provide time at the end of the postconference for you to make
your entries. The completed journal will be due to the clinical teacher on the last day of
clinical. It is the teacher’s option to review the journal each week or at the end of the
eight weeks.
3. Grading: This is a required credit/no credit assignment for completion of N222.
N222 Competency-Neonatal IM Injection

1. Purpose:

56
 Competency has been integrated into the curriculum to set standards for student
achievement. Nursing students need to be prepared to perform at an entry level of
practice. We are attempting to simulate different evaluation situations and conditions that
are similar to those which you will encounter as a professional nurse. The purpose of the
evaluation session is to evaluate your performance of a situationally based skill under
testing conditions at a competent level. Competency is defined as the correct
performance, in the designated order the behaviors from memory within a set time
period.

2. Learning Objective:
At the completion of the evaluation session, the student will correctly administer a
medication using the intramuscular route to a neonate under testing conditions.

3. Skill: Administration of an intramuscular injection of a neonate.

4. Time Period: 15 minutes

5. Procedure:
You must pass the medication administration test and the evaluation session before
administering an intramuscular injection to a neonate. You will need to be determined
competent in this section no later than the end of the third week of class. Initial skill
practice will take place during the first 225 lab. Additional practice time is available during
open lab hours. Sign up for a time slot with your skills lab instructor.

6. Competency:
Competency will be determined by a checklist (which will be distributed to all
students) and completion within the timeframe. You will have more than one opportunity
to achieve competency. If you have questions regarding the skill, be sure to clarify with the
clinical or skills lab instructor.

Name: ___________________________ Date:_____________ Time allotted: 15

minutes
rtner Check Off

rtner Check Off

rtner Check Off

rtner Check Off

rtner Check Off

rtner Check Off

N222 COMPETENCY
SKILLS CHECKLIST: Administration of an
intramuscular injection to an infant.
57
 States I am
finished and accesses instructor.
1. Checks doctor’s orders. Release order, see MAR
2. Obtains equipment-alcohol swabs, 1 mL syringe with needle
medication, 2x2 gauze, and gloves.
3. Pull medication from Pyxis and check-name, dosage, and
expiration date-1st check.
4. Washes hands.
5. Performs 2nd medication check and wipes top of medication vial
with alcohol.
6. Injects dosage amount of air into the vial.
7. Inverts vial and withdraws correct amount of dosage.
8. Expels any air bubbles.
9. Checks dosage for accuracy. Verbalizes correct dosage.
10. Takes all equipment to the crib side.
11. Identifies neonate by checking ID band. Perform 3rd med check.
12. Applies gloves and identifies correct site.
13. Grasps leg with non-dominant hand and simulates bunching of
muscle.
14. Cleanse the site with alcohol or facility-preferred agent.
15. Verbalizes correct angle of injection
16. Applies pressure with 2x2 gauze pad until no further bleeding.
17. Disposes of syringe in sharps container.
18. Rewraps neonate snugly.
19. Removes all equipment and gloves.
20. Washes hands.
21. Documents correctly using present time and date
Competent _________________________ Not yet competent ___________________
N222SkillsChecklist.doc-2018

ATI Maternal Newborn Nursing Test

58
 You will take a proctored ATI online exam near the end of your Maternity section of
the Nursing Program. The ATI exam will be administered in the Business Lab (Building 14,
Room 105). The date can be found in the N222 syllabus under “Dates to Remember”.

Any students registered with the Learning Disability department will be provided
with reasonable time accommodation to take the exam in the DSPS (Building 10, room 120).

This 60+‐item test offers an assessment of the student’s basic comprehension and
mastery of maternal‐newborn nursing content. Reference: ATI Maternal Newborn Nursing.
(2016) RN Edition 10.

To be able to take the proctored ATI exam, you must have completed no less than 2
practice ATI exams (RN Maternal Newborn Online Practice 2016 A/B) and have passed one
version with a score of > 80%. You can take the practice ATI exams as many times as you
need to reach the mandatory score. You have until the Sunday night PRIOR to your Monday
exam date to complete the requirement so do not wait until the last minute to complete
your practice exams.

ATI Contact Information: Where Questions Get Answered

For sales inquiries: sales@atitesting.com
For general inquiries: comments@atitesting.com
Phone: 1.800-667-7531
Fax: 913-661-6245

Address: 11161 Overbrook Road, Leawood, Kansas 66211

Standard Office Hours

7:00 am to 7:00 pm (Central), Monday – Friday

Seasonal Office Hours (August 1 – September 30)

7:00 am to 9:00 pm (Central), Monday – Friday
8:00 am to 12:00 pm (Central), Saturday
For after-hours operational issues please send an email to helpdesk@atitesting.com. All
emails will be returned the following business day.

ATI Tips / Guidelines for Students the Day of the Test

1. All N222 course, nursing program and college testing policies apply to ATI testing.

59
2. Do not arrive late. Get to class with plenty of time to spare before the test begin.
Arrive by 1445 and wait outside Business Lab in Building 14, Rm 105. Test begins at
1500.
3. No pens, paper, coffee/drinks, or backpacks/purses at your computer station. Please
turn off cell phones and place inside backpacks.
4. Pace yourself so you are able to complete the test within the allotted time. If you
cannot decide, make an educated guess. Trust your knowledge.
5. Avoid reading into the question. Deal only with the information in the test question.
6. Earplugs may be of help. Students may leave quietly when the completed the test.
7. Sign on to ATI testing site (atitesting.com). Use your password you created when you
registered on the site.
8. There’s a “drop down” calculator for math problems but be careful not to use it “too
fast” – it won’t work.
9. When using the cursor for the test, do not move outside your “page.” It will indicate
to the proctor that you are “cheating.”
10. If you need to take a break, there is a “pause” button at the top of the screen. It will
pause your time for 5 minutes only, then your test clock starts to tick again.
11. Please log off when done.
12. There is no printing available at the computer lab.
13. The course points for the ATI Fundamental Predictor test will be allocated by the
following percentage points:

Percentage Points
0‐54 0
55‐65 1
66‐79 2
80‐100 3

60
APPENDICES

61
LATCH Scoring for Breastfeeding

62
 CSM PATIENT CARE WORKSHEET
N222 - Postpartum Patient

Student: ________________________________ Date: ___________________________

Patient’s Initials: ___________ RM#: _________ Age: ________ Religion: ________________________

Admission Date: ___________ Family Role: __________________ Occupation: ______________________

Type of Delivery: ____________________________Complications: _____________________________

Newborn Gestational Age: ____________________
Gravida/Para: _______________________________ Newborn Sex: ______________________________
Priority Identified Teaching Needs: Newborn Apgar Score:

Patient Teaching Plan & Goal: Ethnic/Cultural Implications:

Referrals: Safety Issues (Mom/Newborn):

IV Fluids: Type: ______________ IV Balance: _________ ________ Rate of Flow: ________ ________
(Beginning) (Ending) (cc/hr) (gtts/min)
Epidural Catheter in place:_______ IV Medications: ___________________________
IV Site Assessment: ____________________________ Protocols in Progress: _______________________
Allergies:
Treatments/Therapy Significant Diagnostic Data
Time
(lab, radiology, special procedures, etc.)

MOM
Date Test Results Significance
Order Medications Stop
Date Time Date

NEWBORN
Date Test Results Significance

LABOR HISTORY:

N222PTWRKSH.DOC
63
 MOM
ASSESSMENT CRITERIA ASSESSMENTS/OBSERVATIONS

INTEG: color, temp, moisture,

turgor, integrity, episiotomy,
laceration, c/s incision
NEURO: A&O x 4, PERRLA, T=
symmetry, facial expressions, EOMs,
fine/gross motor fxn, MAE, grips,
sensation, speech, strength
*RESP: rate rhythm, depth, effort, R=
breath sounds, incentive spirometry,
m. membranes
*CV: pulses, capillary refill, edema, B/P=
CSM, Homan's sign

*GU: amount, urine characteristics,

bladder distention, lochia, breasts,
nipples, fundus
GI: intake, appetite, BM, bowel
sounds, distention, hemorrhoids

*MS: ROM, spine, MAE, Strength

EENT: vision, glasses

EMOT/PSYCH: affect, mood,

cooperation, family support systems,
bonding
PAIN: location, intensity,
characteristics, pharmacological and
nonpharmacological interventions
*Include any accessory equipment used on patient (monitor, 0 2, foley)

TIME MANAGEMENT PLAN *If “couplet” care include Mom & Baby
Primary Patient Goal:
TIME PLAN ANALYSIS OF DAY

N222PtWrksh.doc

64
 CSM PATIENT CARE WORKSHEET
N222 - Newborn Patient

Student: ___________________________________ Date: ______________________________

Newborn Initials: ______________ Sex: ____ Date & Time of Birth: __________________
Type of Birth: _____________________________ Apgar Score: ________________________
Complications: _____________________________ Birth Weight: ________________________
Type of Feeding: ___________________________ Gestational Age: _____________________
Safety Issues: _____________________________ Referrals: ___________________________

ASSESSMENT CRITERIA ASSESSMENTS/OBSERVATIONS

INTEG: color, temp, turgor, integrity, rashes,
lanugo, vernix, lesions, cord, birthmarks, , other
variations
NEURO: symmetry, cry, MAE, reflexes (list), T=
fontanels

RESP: rate, rhythm, depth, effort, breath sounds, O2 R=

sat, mucous membranes

CV: apical pulse, murmur, peripheral pulses, AP=

capillary refill, CSM

GU: number of voids, color, discharge, external

genitalia, circumcision site, meatus
placement
GI: intake, feeding reflexes, BM, bowel sounds,
patent anus, cord vessels/status

MS: MAE, spine, symmetry, posture, extremities

EENT: discharge, nares, response to sounds, red

reflex, palate, ears

EMOT/PSYCH: bonding, response to touch, eye

contact, parental support

PAIN: cry, vital sign changes, consolability,

interventions

5/00
N222PtWrksh.doc

65