Student Name______
OAKTON COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
Level I / Semester 2
NUR 106 – 2005
Care of the Expanding Family
Note: This evaluation is made up of two parts - the weekly evaluation and the final
evaluation. Comments on the weekly and the final evaluation are based on the
outcomes listed in the final evaluation tool, which incorporates the course
objectives below.
Objectives:
Upon completion of NUR 106 the student is prepared to:
1. Practice the role of the nurse related to promotion of health during the childbearing years.
2. Discuss principles of nursing care related to the basic needs of the newly expanding family.
3. Utilize the nursing process in implementing the concepts of care of the expanding family.
4. Utilize therapeutic communication skills to establish a caring nurse-client relationship recognizing cultural differences.
5. Demonstrate appropriate skills and technology related to the newly expanding family according to established criteria.
6. Practice teaching/learning principles related to the care of the newly expanding family.
7. Discuss selected legal issues related to reproductive health and its implication on nursing care.
8. Identify ethical principles in clinical situations and case studies related to the expanding family.
9. Apply the concepts of pain management in the care of the expanding family.
10. Relate community resources appropriate for the expanding family’s needs.
Student Name______
OAKTON COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING
Level I / Semester 2 NUR 106 - 2004
Final Clinical Evaluation
OUTCOMES / S / US = Satisfactory U = Unsatisfactory
* SIGNIFIES CRITICAL BEHAVIORS THAT MUST BE MET TO
RECEIVE A PASSING GRADE
I. PROVIDER OF CARE
A. Assessment
*1. Reviews the prenatal and L/D history of assigned mother and newborn:
*2. Analyze the laboratory findings of mother and newborn i.e. Hgb, Hct, Rh
factor, Blood type, Rubella titer, infant blood glucose, bilirubin, other
3. Assess mother in labor
a. assess strength, duration, and frequency of uterine contractions
b. determines position and presentation of fetus
*4. Completes the 8 point post partum check according to the guidelines
5. Accurately assesses condition of mother according to Maslow:
a. oxygenation
b. nutrition/ elimination/ safety
c. rest/comfort
d. love/belonging
e. self-esteem, coping
f. self actualization
6. Assess for the factors that increase risk for infection:
a. immobility
b. repeated catheterization
c. C-section
d. RBOW greater than 24 hours
e. anemia
7. Assess for early signs of bleeding following delivery
8. Assess fetal response to labor by interpreting fetal monitor information
*9. Accurately assesses physical condition of newborn:
oxygenation/ nutrition/ elimination/ safety/ temperature regulation
10. Assess newborn for commonly occurring alterations
*11. Assess gestational age using Ballard assessment guide
12. Assess family’s adjustment to pregnancy and delivery
*13. Assess knowledge
a. maternal self-care
b. care of newborn
14. Assess cultural background of client identifying practices affecting
pregnancy, delivery, and care of the newborn.
OUTCOMES / S / U
B. Nursing Diagnosis
*1. Identifies the nursing diagnosis specific to assessed needs and
considering cultural background.
C. Planning
1. Establishes goals and outcome criteria based on actual and potential
alteration in basic needs of the expanding family
2. Plans teaching interventions related to maternal care and newborn care
3. Demonstrates knowledge of ways the client’s cultural background
influences how nursing care is provided
D. Implementation
1. Maintains the safety of the mother and newborn in the health care setting
2. Practices the role of the nurse in an organized manner
3. Offer appropriate support measures during labor – reassurance, warm
blankets, information of progress, explanation of fetal monitor, etc.
4. Utilizes established criteria in performance of nursing skills/procedures
*a. practices universal precautions
* b. surgical scrub
*c. medical asepsis in care of mother and newborn
*d. cord care with diaper change
e. circumcision care
f. catheterization
* g. intravenous fluids and/or medications to mothers/newborns
5. Provides care to mother and newborn during each stage of labor
*6. Assists mother with feeding newborn – breast/bottle
*7. Applies the concept of comfort and pain management for all mothers
during and following NSVD and/or C-section delivery
8. Apply specific technology used in the care of the child bearing family
i.e. fetal monitor, tocometer, phototherapy light, breast pump, etc.
9. Utilizes therapeutic communication to promote effective family coping
*10. Interacts with the family in a caring manner being
sensitive to cultural diversity and individual needs
*11. Provides discharge teaching instructions with assigned family about
maternal/infant care incorporating agencies written guidelines/procedures
12. Recommends appropriate community resources to assist family with
individual needs
D. Evaluation
1. Provides each assigned family the opportunity to do a return
demonstration of self-care and newborn care prior to discharge
2. Makes follow-up phone call to one assigned family to determine current
adjustment and concerns related to mother and newborn care.
3. Demonstrates ability to evaluate and modify plan of care
OUTCOMES / S / U
II. MANAGER OF CARE
*A. Document all care accurately and completely according to agency policy
*B. Report to primary nurse and instructor all significant changes in condition
of mother or baby.
C. Establishes priorities according to needs of assigned clients
D. Demonstrates ability to care for classmates clients during assigned breaks
*E. Communicates in a respectful manner with peers and members
of the health care team
*F. Receives report upon entry and gives report when leaving the unit
III. MEMBER WITHIN THE DISCIPLINE OF NURSING
*A. Follows course policies re: uniform, assignments, absences
B. Maintains ethical and legal standards as reflected in ANA Code of Nursing
and the Nurse Practice Act
*C. Actively contributes to group learning in conference discussions
D. Recognizes situations involving ethical dilemmas and discuss possible
approaches
E. Discusses end of life care in terms of maternity nursing as it applies
to facility
*F. Seeks assistance of instructor when having difficulty with any aspect of care
G. Takes responsibility for reviewing skills not recently practiced
H. Demonstrates the ability to identify own strengths and weaknesses
*I. Maintains privacy of family
*J. Maintains confidentiality of client/family and medical records
*K. Turns in written assignments on time
*L. Reports to clinical on time
Clinical Evaluation Summary:
Date(s) absent:______Make-up Clinical required:______
Service Learning hours during this course:______Total to date:______
Final Clinical Grade: Pass______Fail______
Faculty Comments:
Student Comments:
Student Signature______Date______
Faculty Signature______Date______