Nursing of the Childbearing Family

Course Details

Course Number
Nurs 4013
Section Number
Nurs 4013
Spring 2014
Bridwell Hall
Classroom Number
Days & Times

Midwestern State University

Wilson School of Nursing


NURS 4013  Nursing the Childbearing Family


Syllabus – Spring, 2014


Faculty:                                              Office                          Cell


Betty Bowles PhD, RNC                  397-4048                     940-781-8705

Lauren Jansen PhD, RN                  397-4547                     940-782-6462

Daria Close, MSN, RN                     397-4390                     940-867-1134


Prerequisites: NURS 3406 (Mental Health), 3407 (Family Health Nursing I)

Course Description


This course applies theories and 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.


Credit Hours:    Four (4) credit hours—3 (3) lecture hours and six (6) clinical hours per week


Placement:     Senior year, 2nd  Semester (BSN)


Required Textbook

Durham, R. & Chapman, L.  (2014). Maternal-Newborn Nursing: The Critical Components of Nursing Care, 2nd ed.


Recommended Textbook:

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






Exams (5 unit exams @ 15% each)






Case Studies (4)




Clinical Log:

  1. Preceptor Signature Page (1)
  2. Clinical l Worksheets
  3. Preceptor Evaluation (4)







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




Course Objectives:







Upon completion of this course, the student should be able to:


1.  Explore selected nursing roles  relevant to the nursing care of

     childbearing families.




2.   Integrate patient/family education into the plan of care.




3.   Apply findings from current professional literature in planning nursing care for childbearing families.






4.    Integrate understanding of variations in lifestyle and culture in providing health care to members of childbearing families.





5.    Provide nursing care that assists childbearing families achieve optimal health.






6.    Practice critical thinking and problem-solving skills in caring for childbearing families






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.


  1.  Attend class. If you are going to be absent please email one of your instructors.  Attendance will be taken each class.


  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.


  1. Exam Instructions:


  • The first scantron will be provided. Please bring all other scantrons with you on exam day.
  • Turn all cell phones and pagers OFF. Place in back packs at back of room.
  • Leave everything EXCEPT a #2 pencil, Student ID card, and scantron in the back of the room. This includes coats, hats, scarves, and gloves.
  • No food or drink allowed during exams.
  • Complete the scantron sheet with LAST NAME ONLY and your student ID number. Be sure to bubble in all of the characters. 
  • Keep your paper and answer sheet ON THE DESK and COVERED at all times.  If the instructor can see your answers, she will assume you are sharing answers with others and will collect your paper.
  • When you are finished, turn in the booklet and scantron, and leave the room quietly by the side entrances.
  • We will NOT discuss the answers until the item analysis is completed and all exams have been taken.


Class Assignments


  • Missed exam(s):


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 Mother/Baby HESI exam. This must be scheduled with instructor prior to this date.




  • Module/Quizzes:

Quizzes must be completed by due date. All quizzes will be online. open book. You may take each one 2 times. The average of the 2 grades will be recorded as

            your grade. Due dates can be found on class calendar on D2L.


  • Presentations:


A PowerPoint presentation will be given by designated groups. The presentation will cover ethical/legal issues concerning maternal/newborn topics. A grading rubric for this presentation will be posted on D2L. Group selection will be made by instructor.

            Due dates can be found of class calendar on D2L.


  • Case Studies


             Case studies will be developed in groups selected by the instructor. There will be four

             case studies which will include low risk pregnancies, high risk pregnancies, low risk

             newborn, and high risk newborn. A proposed plan of care will be developed for each

             category. Due dates can be found on class calendar on D2L.



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 or .



Absence Policy


Students are expected to attend all classroom, clinical, and SIMs experiences. Roll will be taken each class. A seating chart will be used in order to better get to know each of you. Students who must be absent from class or clinical due to unforeseen circumstances are responsible for notifying the instructor of their absence.  Notification must be prior to the scheduled time of the class or clinical experiences stated in the BSN Student Handbook. All absences in clinical and SIMS must be made up. Failure to do so will result in clinical failure. Please refer to Student Handbook for explanation of Clinical failure.


Consistent with the university policy to allow each faculty member the freedom and responsibility to create a quality learning environment for all students, the faculty member may dismiss a student from class for either disruption of the learning process, excessive tardiness and excessive absences, or lack of reasonable effort.  A student dismissed for such reasons will be given a course grade of “F”.


Cheating Policy


The BSN Program does not condone cheating in any form and considers it a serious offense.    Cheating includes, but is not limited to, (1) use of any unauthorized assistance in taking quizzes, s, or examinations; (2) dependence upon the aid of sources beyond those authorized by the instructor in writing papers, preparing reports, solving problems, or completing other assignments; or (3) the acquisition of s or other academic materials belonging to the university faculty or staff without permission.

Plagiarism is further defined as “the act of using source materials 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.”  (MSU Student Handbook, Standards of Conduct, Item 10.)  Offending material that may constitute plagiarism includes, but is not limited to, the following: bibliography cards, formal papers, book reports, written nursing care plans, etc.


By enrolling in this course, the student expressly grants MSU a “limited right” in all intellectual property created by the student for the purpose of this course.  The “limited right” shall include but shall not be limited to the right to reproduce the student’s work product in order to verify originality, and educational purposes. For further information regarding cheating and any subsequent actions to be taken please refer to the policy statement in the BSN Student Handbook.



Failure Policy


The faculty reserves the right to recommend to the Program Coordinator and Chairperson of Wilson School of Nursing withdrawal of a student from the nursing program for health, legal, professional, or academic reasons, particularly if patient care is jeopardized.  In addition, the student must perform within the ANA Standards of Practice and Code of Ethics.


Students must maintain a grade of C or above.  (Lower limit scores are: A=90%; B=80%; C=74%)


2.         Students MUST have an average of 74% on all work in order to pass the course.    GRADES WILL NOT BE ROUNDED.


3.         Students must meet all course and clinical requirements; failure in either the didactic or

      clinical component will constitute failure of the course.


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.


Clinical Assignments


1.  Pre-clinical assignments

  • Due to rapid fluctuations in patient census, the student WILL NOT receive patient assignment prior to the clinical day.
  • All pre-clinical assignments for SIMs MUST be downloaded and completed BEFORE the SIMs experience. These will be posted on WebCT.

2.  Clinical area forms must be addressed and/or signed each clinical and kept in a folder to be turned in once all clinical have been completed. These forms will be found in D2L under “clinical forms”. All forms must be turned in to clinical instructor as soon as all clinical experiences have been completed.


  • Clinical Worksheets
  • Preceptor signature page (1)
  • Preceptor Agreements (if you have any)
  • Self-Evaluation (only one is required and will be included in clinical paperwork at the end of the semester).


A form will be provided so that at the completion of each clinical, you will give to the preceptor. This will assist them in tracking clinically precepted time for their clinical files. This form will also be posted under “clinical forms”.



3. Clinical hours will total 100 hours and include the following:



  • 24 clinical hours required (2-12 hour precepted shift)



  • 12 clinical hours required (1-12 hour precepted shift)


             Post Partum

  • 24 clinical hours required (2-12 hour precepted shift)



  • 24 clinical hours required (2-12 hour precepted shift)


 4.  Additional Clinical Assignments :                     


  • SIMS Pre-clinical -- 8 hours (Due prior to attending SIMS)
  • Simulations Lab –  8 hours (2 two-hour labs and 1 four- hour lab)


  1. Absence from Clinical


Students are expected to attend all clinical experiences. If a student must be late for clinical, he/she must notify the clinical unit immediately.  If a clinical must be missed, the student is responsible for notifying their instructor via D2L email. Or phone.  Using email is for your protection. It is verification of your notification; however,   notification must be prior to the scheduled time of the clinical experience. Any absence from clinical will necessitate rescheduling the clinical day.  The faculty member or preceptor has the right to request the student to leave if that a student is not prepared for clinical. If a student is sent home for cause, this will constitute a clinical failure, which will result in failure of the course. Once you have scheduled a clinical, you are expected to follow the schedule. Numerous schedule changes will not be allowed. Certainly, if you are ill or an emergency has occurred you will be given consideration.

  1. 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, headpieces such as bows or flowers. Only a plain headband will be acceptable. Also, 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 wear either 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.



  1. 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.


  1. Clinical Evaluations:


Level of performance in the clinical component of this course is evaluated using the preceptor evaluation form, your self-evaluation, and observations by the clinical instructors. 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.


  1. 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.)


  1. 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.



Americans With Disabilities Act


Midwestern State University does not discriminate on the basis of an individual’s disability and complies with Section 504 and the Americans with Disabilities Act in its admission, accessibility, and employment of individuals in programs and activities.  MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic employment requirements.  For Assistance call (940) 397-4618 or 397-4515.  Please see the instructor outside of class to make arrangements involving special accommodations.


It is the student’s responsibility to declare any disabilities.  After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required.







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