Master Resource Outline

 

Course Title: NRSG 641 Midwifery Care During the Antepartum

Credits: 2 (didactic)
Semesters Offered: Summer
Prerequisites: NRSG 640
Degree: DNP
AACN Core Competencies for Advanced-level Nursing Education: 1, 2, 4, 5, 6, 8, 9
MRJCON DNP Program Learning Outcome: 1, 2, 4, 5, 6, 8, 9
MRJCON NM Option Learning Outcomes: 1, 2, 3, 4, 5, 7

 

Course Description:

This graduate level nursing course focuses on students developing the critical thinking skills to be able to translate theoretical knowledge and research relevant to the discipline of midwifery into a safe, evidence-based plan of care during the antepartum period. The use of educational strategies, emotional support, anticipatory guidance, health screenings, and therapeutics that promote normal pregnancy is emphasized. The process of assessing fetal
well-being based on fetal risk factors and knowledge of placental physiology, embryology, and fetal development is learned. Knowledge gained in foundational courses on the safe use of pharmacologic agents including pharmacokinetics and pharmacotherapeutics will be applied to the use of drugs during pregnancy. Students learn to anticipate and identify deviations from the normal antepartum, complications, and emergencies and how to intervene appropriately. 

Catalog Description:

This graduate nursing course focuses on providing safe, evidence-based midwifery care during pregnancy. Strategies that promote normal pregnancy are examined and the assessment of fetal status is emphasized. Students learn how to intervene when complications arise.

 

Course Learning Outcomes: Upon completing this course the student will be able to: 

1. Integrate professional standards and foundational knowledge when learning to manage normal pregnancies, unplanned or undesired pregnancies, and spontaneous abortions.
2. Demonstrate skill and abilities with the use of information technology and midwifery theoretical knowledge when developing a plan of care in partnership with the client.
3. Explain the significance and impact of the social determinants of health on the pregnant person’s health status.
4. Use evidence-based methods when confirming and dating a pregnancy.
5. Describe educational content used when managing the common discomforts of pregnancy.
6. Identify content to be included when providing anticipatory guidance, education, and therapeutics related to emotional and sexual changes during pregnancy, nutrition, physical activity, birth, lactation and infant feeding, parenthood, and change in family/household constellation.
7. Describe the use of nationally defined health screening tools relevant in the antepartum including those that assess for intimate partner violence, infections, mental health disorders, and substance use or dependency.
8. Utilize knowledge of fetal risk factors, placental physiology, embryology, and fetal development when describing the process of assessing fetal well-being.
9. Synthesize evidence-based clinical approaches needed to anticipate, identify, and manage deviations from the normal antepartum, complications, and emergencies.

Exemplars of Course Learning Outcomes:

1. Design an evidence-based teaching plan that focuses on managing the common discomforts of pregnancy for a person who identifies as transgender non-conforming (TGNC) or a representative from a different ethnic group. [CLO1, CLO2, CLO3, CLO4, CLO5, CLO6]
2. Develop a presentation with a classmate to be delivered to the class on an assigned complication of pregnancy such as gestational diabetes, preterm labor, preterm premature rupture of membranes, hypertensive disorders and/or preeclampsia/eclampsia that includes all steps of the midwifery management process. Include indicated
pharmacologic intervention. [CLO1, CLO2, CLO3, CLO6, CLO7, CLO8].

 

American College of Nursing Midwives Core Competencies for Basic Midwifery Practice

Includes the fundamental knowledge, skills, and abilities expected of new midwives certified by
the American Midwifery Certification Board (AMCB).

I. Hallmarks of Midwifery – The art and science of midwifery are characterized by the
following hallmarks: 

F. Facilitation of healthy family and interpersonal relationships

III. Components of Midwifery Care: Midwifery Management Process – The midwifery
process guides all areas of clinical care. When engaging in the management process, the
midwife:

C. Anticipates potential problems or diagnoses that may be expected based on the identified risk factors 

E. . Develops a comprehensive evidence-based plan of care in partnership with the client that is supported by a valid rational and includes therapeutics as indicated 

V. Components of Midwifery Care - While each person’s life is a continuum, midwifery care can be divided into primary, preconception, gynecologic/reproductive/sexual health, antepartum intrapartum and post-pregnancy care: 

D-1. Confirms and dates pregnancy using evidenced-based methods
D-2,3. Manages unplanned and undesired pregnancies and spontaneous abortions
D-4. Uses management strategies and therapeutics to promote normal pregnancy as indicated
D-5. Utilizes nationally defined screening tools and diagnostics as indicated
D-8. Screens for health risks, including but not limited to intimate partner gender-based violence, infections, and substance use and/or dependency
D-9. Provides support and education regarding emotional, psychological, social, and sexual changes during pregnancy
D-10. Provides anticipatory guidance related to birth, lactation and infant feeding, parenthood, and change in family constellation
D-11. Identifies deviations from normal and institutes appropriate interventions,including management of complications and emergencies
D-12. Applies knowledge of placental physiology, embryology, fetal development, and indicators of fetal well-being

American College of Nurse Midwives Competencies for Practice Doctorate in Midwifery:

1. Translate expert clinical knowledge and research relevant to midwifery into best practice models
3. Interpret and apply research related to the national and international distribution and determinants of health and disease of women and newborns
6. Analyze theories relevant to the discipline of midwifery, and apply these theories to inform and evaluate the health care of women and newborns

American College of Nurse Midwives Core Values

  1. Excellence
  2. Evidence-based care
  3. Inclusiveness
  4. Women-centered care
  5. Primary care
  6. Partnership
  7. Advocacy

 

Recommended Content

  • Midwifery management process during the antepartum
  • Confirmation and dating of pregnancy
  • Management strategies to support and promote a normal pregnancy
  • Use of screening tools to identify and reduce risk
  • Anticipatory guidance related to birth, infant care and feeding, parenthood
  • Management of unplanned and undesired pregnancies
  • Management of spontaneous abortion
  • Anticipation, identification, and intervention when deviations from normal, complications, and emergencies arise
  • Assessment of fetal well-being applying knowledge of fetal risk factors, placental
    physiology, embryology, and fetal development

 

Approved by GAAC: 9/9/2022
Approved by Faculty: 9/12/22