Nursing Care of the Childbearing Family

Course Details

Course Number
Nurs 4013
Section Number
Nurs 4013
Spring 2018
Bridwell Hall
Classroom Number
Days & Times

Nursing 4013: Nursing Care of the Childbearing Family

College Health Sciences and Human Services

NURS 4013 Section x 01

Spring 2018


Contact Information


Instructor: Dr. Lauren Jansen RN, PhD

Office:  #322  Bridwell Hall Office: 9403974547 cell: 9407826462

Office hours: M-F, 10-6

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Course Description


This course applies concepts used by the nurse to assist childbearing families achieve their maximum potential. A focus on patient/family education is integrated throughout the course. Lifestyle and cultural diversity within individual, families, and communities is emphasized. Reliable information drawn from a variety of sources including nursing research assists the student to develop an evidence-based practice. Reproductive processes and women’s health issues within the context of a variety of healthcare settings are explored through use of the nursing process, critical thinking and problem solving.       


Course Content

1.   Health promotion with childbearing families.

2.   Nutrition with childbearing families.

3.   Elimination and exchange with childbearing families.

4.   Activity and rest with childbearing families.

5.   Perception and cognition with childbearing families

6.   Self-perception with childbearing families.

7.   Role relationships within childbearing families.

8.   Sexuality within childbearing families.

9.   Coping and stress tolerance within childbearing families.

10.   Life principles applied to childbearing.

11.   Safety and protection of childbearing families.

12.   Comfort with childbearing families.

13.   Growth and development within childbearing.

Student Learning Outcomes:


1.   Graduates will demonstrate knowledge of caring for childbearing families. (Assessment method: 90% of the students will score at least a 74% on the Maternal/Child final exam).

2.   The students will participate in a neonatal mock code.

Textbook & Instructional Materials

Required Textbook

Murray, S. & McKinney, Em, (2014). Foundations of Maternal-Newborn and Women’s Health Nursing. 6th Ed. St. Louis, MO: Elsevier.


Recommended Textbook:

Holloway, B., Moredich, C., & Aduddell, K. (2008). OB/Peds/Women’s Health Notes.

Student Handbook


Refer to: Student Handbook 2017-18 for infractions and codes of professional conduct.


Academic Misconduct Policy & Procedures


Academic Dishonesty: Cheating, collusion, and plagiarism (the act of using source material of other persons, either published or unpublished, without following the accepted techniques of crediting, or the submission for credit of work not the individual’s to whom credit is given). Additional guidelines on procedures in these matters may be found in the Office of Student Conduct.




A: 90-100  B: 80-89  C: 74-79   D: 70-73  F: 69 and below.


Students MUST have an average of 74% on exams in order to pass the course.  GRADES WILL NOT BE ROUNDED. Students must meet all course and clinical requirements; failure in either the didactic or the clinical component will constitute failure of the course.




Exams(4 at 15% each)


Case Study


Pass Point


Mock Code




Total Points



American Association of Colleges of Nursing (*AACN) Essentials: For further information regarding the AACN Essentials identified for each course objective, refer to the BSN Handbook.


Differentiated Entry Level Competencies (*DELC):  For further information regarding the competencies identified for each course objective, refer to the BSN Handbook.


Exams Instructions


All exams will be computerized. Notes on technology use can be found on D2L. Please bring your laptop to class on exam day. We will be using a lockdown version issued by the university that will be available to you on exam day at a specified time. In the event a backup plan is needed, we will use the paper version.

1.   Exam Soft requires loading softest application for taking course exams (Exam Soft must be purchased on-line at the start of every semester). See Exam Soft tab on course D2L Course Content site for hyperlink.

2.   Laptop computer which meets Wilson SON system requirements (refer to handout entitled “Technology Requirements” on course D2L site, Course Content section, Exam Soft tab) for computer testing. Must have battery use for at least 1.5 hours when testing (extra charged battery; portable battery charger; etc.).  Suggest power cord and extension cords/power strips, but please understand that electrical outlets in the classroom are scarce.


3.   Each unit exam will be comprised of __50____ questions and will be worth 100 points. Seventy-five minutes will be allowed for each exam.


4.   All exams will be administered using Exam Soft and Softest on students’ personal laptop computers.  Exam Soft will provide students with user IDs, initial passwords, and instructions on how to load Softest. Students must maintain ready access to user IDs and passwords on exam days. If these access codes are not available for use, the student runs the risk of not taking an exam and earning the grade of “0.” On exam day, please follow the following rules:


Ø  Turn all cell phones and pagers OFF. Place in back packs at back of room.

Ø  Leave everything in the back of the room. This includes coats, hats, scarves, and gloves.

Ø  No food or drink allowed during exams.

Ø  When you are finished, upload your exam, and leave the room quietly by the side entrances.

Ø  We will NOT discuss the answers until the item analysis is completed and all exams have been taken.


Classroom Courtesy


  1. Be on time. The doors will be closed at the beginning of class. If you are late and the doors are closed, you must wait until the break to come into class. This rule is at the request of previous classmates who find it distracting to have people coming in late. The same is true of returning from a break.  You will be given a specific timeframe for break. If returning, you find the door closed, you must wait until the end of class to retrieve your belongings.
  2.  Attend class. If you are going to be absent, please email one of your instructors. Attendance will be taken each class. It is imperative that class attendance is maintained. Excessive absences will result in automatic withdrawal from class.


  1. Please bring your computers to class each day. We have are trying to conserve the use of paper and will no longer be providing copies of power points. We encourage you to make notes using your computer.


  1. When in class, once the lecture has begun, please keep noise to a minimum as we are a large class and whispering or talking may prevent a classmate from hearing important material. However, discussion to questions posed by the instructor or another student is encouraged.


Missed Exam


Students are expected to take exams on the day they are scheduled. If you are ill or cannot take the exam on the scheduled day, please notify course instructor 2 hours before the scheduled exam to arrange an exam make-up on the allotted day. All make-up exams must be taken prior to the next scheduled exam. This must be scheduled with instructor prior to this date.


Presentation Case Studies


The presentation will be given at the end of the semester. Topics will be given at the first of the semester and will be developed over the course of the semester. This is group work. The groups will consist of four people and you will choose your own group. This is a study in creativity, critical thinking and application of knowledge learned in class. More information will be given at the first of the semester.


Communication with instructors


D2L e-mail is the preferred method of communication with instructors. This is preferred because 1) with D2L e-mail there is a record of all communications; and 2) instructors can retrieve and answer the e-mails from off campus if they are out of the office.  In the subject, line of the e-mail please put the instructor’s name and the topic (e.g. Jansen, exam grade, or Bowles, breastfeeding assignment). Please be sure any attachment has your name on it.


Technical issues should be discussed with Crystal Boyle  these issues should NOT be posted on the discussion board. Often the problem involves having pop-up blockers enabled.


Please refer to a resource regarding online “netiquette.” Two that I recommend are at Online Netiquette or Netiquette by Virginia Shea.


Clinical Learning Objectives



  • Review conception and fetal development.
  • Identify variances in the antepartum period.
  • Plan evidence-based intervention for identified variances.
  • Provide pharmacological interventions for identified variances
  • Promote optimal hydration and elimination in the antepartum period.
  • Provide psychosocial interventions to assist the antepartum patient at risk.
  • Provide evidence-based nursing care to promote fetal wellbeing during the antepartum period.
  • Provide patient/family education to optimize self-care in the antepartum patient.


Labor and Delivery:

  • Identify variances in the expected progression of labor, delivery, and recovery through the four stages of labor.
  • Plan evidence-based interventions for identified variances.
  • Provide non- pharmacologic interventions pain management. 
  • Promote optimal hydration and elimination in the intrapartum patient.
  • Provide psychosocial interventions to assist intrapartum patient at risk.
  • Provide evidence-based nursing care to promote fetal wellbeing.
  • Provide patient/family education to optimize self-care in the intrapartum patient.



  • Identify variances from normal physiologic adjustment / involution in the puerperium.
  • Plan evidence-based interventions for identified variances. 
  • Provide pharmacologic interventions based on lab results.
  • Promote optimal nutrition and elimination in the postpartum mother.
  • Provide psychosocial interventions to promote role transition and family/infant attachment.
  • Provide evidence-based nursing care to promote successful breastfeeding.
  • Provide patient / family education to optimize self-care and infant care.


Newborn Nursery:

  • Prepare the clinical setting for receiving a newly born infant.

·       Recognize immediate life-threatening events in the newly born infant.

·        Provide appropriate nursing interventions in immediate life-threatening events in the newly born infant

·       Provide evidence-based nursing care for the newly born infant.

·       Recognize signs and symptoms of normal and variations from normal in growth, development, and behavior of the neonate.

  • Provide evidence-based nursing care that supports normal growth, development, and behavior.
  • Provide evidence-based interventions in deviations from normal growth, development, and behavior.
  • Assess and meet education needs of the family with a newborn.
  • Facilitate holistic integration of the neonate and family.


Women’s Health:

  • Identify variances in women’s health.
  • Plan evidence-based interventions for identified variances.
  • Provide non- pharmacologic interventions for variances identified. 
  • Promote optimal hydration and elimination in the surgical patient.
  • Provide psychosocial interventions to assist the patient at risk.
  • Provide evidence-based nursing care to promote women’s health.
  • Provide patient/family education to optimize self-care in women’s health.




Desire-to-Learn (D2L)


Extensive use of the MSU D2L program is a part of this course. Each student is expected to be familiar with this program as it provides a primary source of communication regarding assignments, examination materials, and general course information. You can log into D2L through the MSU Homepage. If you have trouble, please contact the technicians listed for the program or contact your instructor.


Clinical Dress Code


The student is expected to follow the Uniform Guidelines in the BSN Student Handbook as well as the clinical facility guidelines. This includes jewelry, piercings, and headpieces such as bows or flowers. Only a plain headband will be acceptable. In addition, small stud earrings and plain band wedding rings may be worn. Rings with a setting can tear gloves and be a source of infection to your patient. You also risk losing a setting during patient transfers, etc. You may either wear a white, grey, or black long sleeve shirt under your scrub top. Please bring a stethoscope and your OB/Peds/Women’s Health Notes to each clinical.


Professional Behavior


Remember that you are representing Midwestern State University when you are either in class, SIMs or on a clinical unit. Please show the staff respect by allowing them to sit for report and while charting on their patients. Do not congregate in the conference room or around the front desk. Do not take cell phones or backpacks on the unit. If you must make an emergency call, notify your preceptor and step off the unit. Do not use the computer while on the unit unless instructed to download information.


You will be given a parking badge, which will allow you to park in the employee lot east of the main building. You will also receive a proximity badge, which will allow you to access most staff areas of Bridwell Tower. Both parking and proximity badges will be checked out to each student at the beginning of the semester and must be returned by the end of the semester. Failure to return either of the badges will result in a clinical failure, which will prevent you from passing the course. Loss of either badge MUST be reported immediately to security at United Regional Health Care System. You will also be required to pay for the lost badge(s).


You will be allowed to chart on the computer on Postpartum, Nursery, and Antepartum, but will not chart in triage or Labor and Delivery. You may only access information related to your assigned patient.




Clinical Failures


The clinical instructors evaluate level of performance in the clinical component of this course using the preceptor evaluation form, your self-evaluation, and observations. The preceptor’s evaluation will be returned to the instructor after the completion of each clinical. Students will evaluate the course and clinical experience at the end of the semester. These evaluations will be anonymous and will used to improve content presentation and application. If a problem should arise during your clinical experience in reference to a preceptor or instruction, please notify one of your clinical instructors immediately. Please do not wait until the end of the semester to notify us of problems.



Clinical Failure Policy


The faculty recognizes that the issues of patient safety and professional standards cannot be compromised: therefore, any student who does not meet these standards will be immediately counseled. (Please review Student Handbook for Policy for Professional Behavior.)


Services for Students with Disabilities


In accordance with Section 504 of the Federal Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, Midwestern State University endeavors to make reasonable accommodations to ensure equal opportunity for qualified persons with disabilities to participate in all educational, social, and recreational programs and activities. After notification of acceptance, students requiring accommodations should make application for such assistance through Disability Support Services, located in the Clark Student Center, Room 168, (940) 397-4140. Current documentation of a disability will be required in order to provide appropriate services, and each request will be individually reviewed. For more details, please go to the MSU webpage.


Immunizations and Insurance


All students must present documentation that they are in compliance with state and program mandated immunization requirements.  Failure to do so will prevent the student from attending clinical laboratory experience until they are in compliance.

All students must show documentation of current liability insurance prior to attending clinical laboratory experience. Please speak with the Clinical Coordinator with any questions you may have in this regard.



Concealed Handgun Act


College policy strictly prohibits the use of tobacco products in any building owned or operated by WATC. Adult students may smoke only in the outside designated-smoking areas at each location.


Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at”



Concealed Carry in Laboratories:


Participation in nursing laboratory classes often requires students to wear “scrubs” which are thin garments, which may make concealed carry of a firearm difficult if not impossible. In addition, students are often required to palpate other students while simulating medical examinations or procedures. This required physical contact may also make concealment of a firearm difficult.  While concealed carry is not prohibited in any nursing laboratory, students are reminded that intentional display of a firearm may result in criminal and/or civil penalties and unintentional display of a firearm is a violation of university policies and may result in disciplinary actions up to and including expulsion from the program and university. Students should factor the above in their decision as to whether or not to conceal carry in nursing laboratories.


Concealed Carry at Clinical/Affiliate Sites:


Students must follow any rules or policies established at the clinical/affiliate site they attend.  If the clinical/affiliate site does not prohibit the concealed carry of firearms, the university and Nursing does not prohibit concealed carry at the clinical/affiliate site.  However, students are reminded that at their clinical/affiliate sites the students are often required to wear “scrubs” which are thin garments, which may make concealed carry of a firearm difficult if not impossible. Students may have to engage in activities such as moving patients or performing examinations, which may make the concealment of a firearm difficult.  Students are also reminded that intentional display of a firearm may result in criminal and/or civil penalties and unintentional display of a firearm is a violation of university policies and may result in disciplinary actions up to and including expulsion from the program and university. Students should factor the above in their decision as to whether or not to conceal carry at clinical/affiliate sites if those sites do not prohibit concealed carry.




Grade Appeal Process


Update as needed. Students who wish to appeal a grade should consult the Midwestern State University Undergraduate Catalog


Changes in the course syllabus, procedure, assignments, and schedule may be made at the discretion of the instructor.


Research and Creative Activity Opportunities at MSU


Enhancing Undergraduate Research Endeavors and Creative Activities (EURECA) is a program that provides opportunities for undergraduates to engage in high-quality research and creative activities with faculty. EURECA provides incentives and funding through a system that supports faculty and students in a cooperative research process. For more information contact the Office of Undergraduate Research, (940) 397-6275 or by sending a message to or better yet stops by the UGR office located in the atrium of the Clark Student Center, room 161. Information and resources are available at


Council on Undergraduate Research (Cur)


To support undergraduate research and creative activities, Midwestern State University holds an enhanced institutional membership with the Council on Undergraduate Research (CUR). This institutional membership includes unlimited memberships for any interested faculty, staff, and students. Students may find information on benefits and resources at and may sign up online. The CUR Undergraduate Resources Webpage contains:


•     Research Opportunities;

•     Presentation Opportunities;

•     Undergraduate Research Journals;

•     CUR-Sponsored Student Events;

•     The Registry of Undergraduate Researchers;

•     And more!

Dr. Lauren Jansen (view Profile)

Course Attachments


Submission Format Policy

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism Policy

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

Safe Zones Statement

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor

All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Writing Proficiency Requirement

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.

Campus Carry

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at