General Goal:

Creating the ability in students to identify physical, mental, and social needs, concerns, and complications of family members, who are expecting a child, particularly mothers and infants, who are exposed to danger, and acquiring knowledge about the importance of education in preventing complications in case of vulnerability of mother and child.

Behavioral Goals (Learning)

At the end of the program, students must be able to:

1.     Describe abnormal cases or vulnerability of mothers during pregnancy, in labor and delivery and puerperium.

2.     Define hyperemesis gravidarum and its causes, as well as nursing measures and necessary educations.

3.     Define and classify blood pressure disorders in pregnancy.

4.     Explain nursing cares and preeclampsia and eclampsia treatments.

5.     Classify various types of bleeding during pregnancy and explain their causes.

6.     Elaborate on various types of miscarriage based on clinical signs and symptoms, and explain the relevant nursing cares and treatment procedures.

7.     Define hydatidiform mole, as well as its symptoms and signs.

8.     Describe differential diagnoses, therapeutic and nursing procedures of mole.

9.     Define placenta previa and name its various types.

10.  Express diagnosis, treatment, and nursing care procedures of placenta previa.

11.  Define placenta abruption, and mention its symptoms and signs.

12.  Explain the difference between placenta previa and placental abruption.

13.  Define ectopic pregnancy and describe its signs and symptoms.

14.  Explain diagnosis, treatment, and nursing care procedures of ectopic pregnancy.

15.  Name various amniotic fluid disorders.

16.  Name signs and symptoms of polyhydramnios and explain its treatment and nursing procedures.

17.  Name signs and symptoms of oligohydramnios and explain treatment and nursing procedures.

18.  Define disseminated intravascular coagulation and hypofibrinogenemia, and express the causes, diagnosis signs, treatment, and nursing procedures.

19.  Express diagnostic criteria for diabetes during pregnancy.

20.  Express the classification of pregnancy diabetes and treatment procedures.

21.  Explain the effect of diabetes on pregnancy (risks and complications).

22.  Describe method of diabetes screening in pregnancy.

23.  Categorize thyroid dysfunction according to symptoms and laboratory findings.

24.  Elaborate on the effects of thyroid dysfunction (hyperthyroidism and hypothyroidism) on pregnancy.

25.  Explain different types of anemia based on causes, laboratory findings, and their treatments.

26.  Express cardiovascular diseases in pregnancy based on the categorization of the New York Heart Association.

27.  Elaborate on the management of heart diseases in pregnancy and during childbirth.

28.  Define asymptomatic bacteriuria in pregnancy and express its importance and treatment.

29.  Name signs and symptoms of cystitis and urethritis and their treatments.

30.  List clinical findings of acute pyelonephritis and explain its treatment.

31.  Explain pathophysiology of asthma in pregnancy and the effects of pregnancy on asthma.

32.  Explain pregnancy outcomes in women suffering from asthma.

33.   Express the management of acute asthma in pregnancy along with cautions during childbirth.

34.  Explain diagnosis and treatment of tuberculosis (TB) in pregnancy and TB in pregnancy outcomes.

35.  Explain toxoplasmosis infections of mother and fetus, its management, treatment, and prevention methods.

36.   Express the importance of rubella during pregnancy and its prevention methods.

37.  Explain the congenital rubella syndrome.

38.  Describe the congenital cytomegalovirus infection and its contamination, management, and prevention.

39.  Elaborate on syphilis screens, diagnosis, treatment, and follow-ups.

40.  Explain gonorrhea screening in pregnancy and its effects on pregnancy and treatments.

41.  Explain the clinical course of herpes simplex in pregnancy and its treatment before and during childbirth.

42.  Explain the management of acquired immune deficiency syndrome (AIDS) in pregnancy.

43.  Explain methods to prevent the transmission of HIV to fetus during pregnancy, childbirth, and breastfeeding.

44.   Describe the types of viral hepatitis along with infection transmission path of each disease.

45.  Name various types of twin pregnancy and their effective factors.

46.  Explain diagnostic methods of multiple pregnancy and effects of pregnancy outcomes in multiple pregnancy.

47.  Elaborate on management of multiple pregnancy before and during childbirth.

48.  Explain blood incompatibility and its types and causes.

49.  Explain ABO incompatibility, and main criteria of newborn hemolytic diagnosis result from ABO incompatibility.

50.  Define fetal distress and intrauterine fetal demise.

51.  Name the signs and symptoms of intrauterine fetal demise.

52.  Define fast delivery and name its causes and complications.

53.  Describe nursing cares and treatments in fast delivery.

54.  Explain obstructed labor and its causes and symptoms.

55.  Explain nursing cares and management in obstructed labors.

56.  Define premature birth and name its reasons and causes.

57.  Explain diagnosis criteria of premature birth and its management.

58.  Define premature rupture of membranes and describe its diagnosis methods.

59.  Explain nursing cares and management of premature rupture of membranes.

60.  Define prolonged pregnancy and its facilitating factors.

61.  Elaborate on prolonged pregnancy management and its complications.

62.   Define labor induction and its applications.

63.  Explain methods of labor induction and nursing cares during this procedure.

64.  Define caesarean section, and explain pre-op and post-op cares.

65.  Define forceps delivery and vacuum extraction and name their indications.

66.  Define postpartum bleeding and elaborate on its categorizations and causes.

67.  Name the facilitating factors for postpartum bleeding.

68.  Elaborate on inversion of uterus and its facilitating factors.

69.  Define various types of birth canal trauma and uterus rupture.

70.  Define amniotic fluid embolism.

71.   Express facilitating factors for thromboembolic disorders.

72.  Describe clinical presentation of deep venous thrombosis and its diagnosis and treatment.

73.  Explain clinical symptoms of pulmonary embolism and its management.

74.  Define postpartum infection and elaborate on its risk factors, treatment, and prevention.

75.  Define mastitis and explain its symptoms, signs, treatment, and nursing cares.

76.  Define breast abscess and explain its causes and nursing cares.

77.  Define infertility and describe its types and categorizations.

78.  Explain diagnosis techniques, treatment procedures, and nursing cares in infertility cases.

Content and Its Order of Presentation:

 

 Teaching Methods

·         Lecture

·         Question and answer

·         Conference presentation by students

·         Group discussion and roll playing

 

Responsibilities of Students:

·         Presenting conference

·         Studying course subjects

·         Answering the questions

Assessment of Students:

20% developmental evaluation

60% final exam

10% regular and active attendance in class

10% answering the questions in classes (oral exam) and presenting conferences

References:

1.     Leifer, Gloria. “Maternity Nursing: An Introductory Text”. Translated by Shoghi, Mahnza. Sanjari, Mahnaz. Tehran: Salemi Pub, 2009.

2.     Ebrahimi Adib, Mahnaz. Abstract of William’s Pregnancy and Childbirth, 2010. Asaresobhan Pub. 1^st Ed. 2010.

3.     Iran Guide for Midwifery and Delivery Services in Mother Friendly Hospitals, Tehran: The Ministry of Health and Medical Education, 1^st Ed. 2006.

4.     Dona L.Wong,Shannon E. Perry, Marilyn J, Hockenberry. Maternal Child Nursing CARE.3thed.Mosby.2005.