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Faculty of Nursing
Maternal child Health Department
Course Title: Maternal and child Health Nursing (theory)
Course Number: 1001331
Credit Hours: Three Hours
Prerequisite: 1001222
Placement: Third year, Second semester
Faculty: Insaf Shaban, Doc. Midwifery, R.N, R.M.
Phone Number: office…..ext-2854
Office Hours: Mon.. 12-2
Thur. 12-1pm
Course Description:
This course focuses on the study of women during different cycles of child bearing and
childrearing periods concentration on family planning and the diseases of female
reproductive system from puberty until post menopausal period will be considered.
Demonstration of knowledge, attitude, and skills related to physical and psychological
concepts relevant to the health care of childbearing family. The application of nursing
process in the assessment and management of family including counseling strategies and
hazards that might face the mother and family during childbearing period.
Course Objectives:
At the end of this course, the student will be able to:
1. Develop the knowledge, attitude, and skills related to normal pregnancy (prenatal
period).
2. Know complications that occur during antenatal period in order to achieve best
care for the mother and family.
3. Recognize labour process and its management.
4. Understand knowledge, attitudes, and skills related to postnatal period and family
planning.
5. Recognize the importance of breast feeding and its benefits for the mother and her
infant.
6. Understand different methods of family planning to provide health education for
the women and families.
Unit One: Normal Pregnancy (Prenatal period) (Three weeks-from 20/2 to 8/3)
At the end of this unit, the student will be able to:
1. Identify the basic principles (four pillars of safe motherhood) that must be
delivered through primary health care.
2. Describe the anatomical of human reproductive system.
3. Identify the physiological and psychological changes that occur in the different
trimesters
4. Follow the right techniques of interviewing and assessment of pregnant women in
the initial and subsequent visits.
5. Explain for the pregnant and the family the important of good nutrition during
pregnancy.
6. Identify minor discomforts during different trimesters and provide care for each.
7. Provide health education program (general maintenance in pregnancy) for the
mother and the family related to antenatal exercise, hygiene and rest during that
period.
Contents:
1. Aims of antenatal care.
2. Principles of the four pillars of safe motherhood.
3. First antenatal visit
• Interview, history taking.
• Assessment of pregnant woman.
• Investigations done during.
4. Physiological and psychological changes during pregnancy.
5. Minor discomfort and health advice given for each.
6. Nutrition during pregnancy.
7. Factors that affect intrauterine growth of the fetus.
8. Exercises during antenatal period (Lamaze session).
Contents:
At the end of this unit, the student will able to:
1. High risk groups, such as age, socioeconomic and cultural factors.
2. Complications during pregnancy
• Bleeding during early pregnancy.
• Bleeding during late pregnancy (antepartum hemorrhage).
• Induced hypertension during pregnancy (preeclampsia).
3. Medical complications
• Cardiac disease with pregnancy.
• Diabetes with pregnancy
• Anemia with pregnancy.
4. Intervention pyramid used by the international collaboration of WHO and the
UNICEF.
Unit Three: Labour and delivery (Two weeks-from12/4 to 24/4):
At the end of this unit, the student will be able to:
1. Identify the physiological and psychological changes during labour.
2. Assist in conducting normal delivery.
3. Provide immediate nursing care for newborn.
4. Differentiate between normal and abnormal labour and physiological changes
during labour.
5. Nursing management during normal and abnormal labour, immediate care for
newborn.
Content:
1. Immediate care for the mother after delivery.
2. Immediate care for the newborn baby.
3. Physiological changes during puerperium.
4. Psychological changes during puerperium.
5. Special advice for the mother and the family about diet, hygiene, postnatal
exercise and follow up visits.
6. Complications during puerperium
• Postpartum hemorrhage
• Puerperal sepsis.
• Mastitis and breast complications.
• Postpartum blues (psychosis) and depression.
Contents:
1. Define of family planning.
2. Family planning in Jordan
3. Methods of family planning
• First choice non hormonal methods
1. LAM
2. Condoms
3. Diaphragms
4. Spermicides
5. I.U.D
6. Natural family planning
7. Vasectomy
8. Tubal ligation
• Second choice progestin-only methods
1. Mini pills
2. Injectables
3. Implants
Third choice methods containing Estrogen
1. Combined oral contraceptives
2. Combined injectables.
4. Mechanism and effectiveness of LAM
5. Advantages and disadvantages for LAM method.
6. Recommended breast-feeding behaviors for optimal child survival and
spacing.
Contents:
1. Definition of genetic and premarital counseling.
2. Aims of genetic counseling.
3. Screening for breast cancer (routine breast exam).
4. Pap smear (for cervical and uterine cancer).
5. Pre-marital screening.
6. Parenthood and gender issues.
Contents:
1. Disorders that occur during maternity cycle:
• Uterine prolapse
• Uterine fibroid.
• Ovarian cyst
• Infertility.
• Carcinoma of female reproductive system.
Teaching Strategies and Learning Resources
1. Interactive lectures
2. Group discussion
3. Handouts.
4. Audiovisual materials: data show, videotapes, overhead
projector, slides.
5. Pamphlets and relevant materials from WHO and UNICEF.
Student Activities
1. Case studies.
2. Application of health education projects in different clinical areas
Methods of Evaluation
1. First Exam 25% 13/3
2. Second Exam 25% 26/4
3. Final Exam 50% 5 or 7/6
References
1.Bobak, I. And Jensen, M.(1993), Maternity and Gynecologic care. The nurse
and the family, fifth edition, Mosby.