Saint Francis Xavier University
School of Nursing
Nursing 355 – Perinatal Nursing
January – April 2012
N 355 is based on the philosophy and principles of family centered health care and the
promotion of self-care for childbearing families. Students will explore the childbearing
experience through the lens of the social determinants of health, social justice, diversity,
spirituality, and the physiological and psychological dimensions of pregnancy. The
course will concentrate upon the normal, healthy perinatal and neonatal experience,
with an introduction to a range of complications.
The course includes classroom instruction over 13 week period and 72 hours of clinical
nursing experience over a six week period. Students will have the opportunity to learn
about perinatal nursing through classroom lectures, interactive discussions, quizzes,
clinical experiences, and assignments. (Three credit course).
Marion Alex RN MN
Phone: (902) 867-5173
Office: M 101
Lara MacDonald RN BScN (Aberdeen Hospital)
Phone (902) 867-2461
Ann Marie Murdock, RN, BScN, IBCLC (Aberdeen Hospital)
Unit Phone: (902) 752-7600 Ext. 2530
Patricia MacKenzie, RN, BScN, HBCE, SANE (St. Martha’s Hospital)
Phone: (902) 867-4923
Unit Phone: (902) 867-4200
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2010). Maternal
child nursing care (4th Ed.). Maryland Heights, MI: Mosby Elsevier.
Supplementary resource for Canadian data
Canadian Perinatal Health Report. (2008).
Objectives for third year nursing. The student will
Demonstrate the ability to engage in evidence-informed professional nursing
practice that is directed towards health and wellness, preventing illness,
managing disease processes, restoring optimal function, and alleviating suffering
in clients across the lifespan in a variety of settings and in accordance with the
Standards of Nursing Practice (CRNNS, 2004), the Entry-Level Competencies
(CRNNS, 2009), and the CNA Code of Ethics (2008).
Demonstrate the ability to incorporate and promote the principles of primary
health care (accessibility, public participation, health protection, health
promotion, illness and injury prevention, appropriate use of technology,
intersectoral cooperation) and population health.
Demonstrate the ability to address the determinants of health throughout all
phases of the nursing process.
Demonstrate the increasing ability to apply professional, ethical/moral, and legal
standards in decision-making with respect to health and health care delivery.
Demonstrate increasing ability to act and interact in a caring and professional
Demonstrate accountability and responsibility in all nursing actions and
Demonstrate the ability to implement nursing practice models that promote the
principles of self-care and societal responsibility.
Demonstrate the ideals of social justice, inclusivity, and equity through
respectfulness, cultural safety, and cultural competence.
Demonstrate the ability to support interdisciplinary and multisectoral
collaborative participation in health care delivery and research.
Demonstrate the ability to use facilitative and deliberate interaction in client
Demonstrate the ability to employ leadership and advocacy skills to positively
impact on population health and health care policy.
Participate in activities that foster personal growth and continuing competence.
Demonstrate the ability to exemplify professional nursing practice that is
proactive and responsive to the changing health needs of society.
Demonstrate the application of critical thinking, flexibility, and creativity in
unpredictable and complex situations.
Classroom component Practicum component
Test #1 (February 1, 2012) 25% Pass/ Fail
Test #2 (February 29, 2012 ) 25%
Final exam (April 2012) 50%
Students must attain a minimum grade of 60% in the classroom component of the
course and a pass in the practicum component of the course to obtain a passing grade in
N355 and be eligible to continue in the BScN program.
Student behavior is governed by C N A (2008) Code of Ethics and CRNNS
Standards of Nursing Practice.
Academic integrity is expected. Plagiarism, impersonating others such as during
attendance checks, or other forms of fraud will be dealt with according to StFXU
university policy (see University Calendar, p. 13-14)
Attendance is mandatory; absences must be explained in writing (email) to the
All written work must be submitted within stated deadlines.
No electronic devices during class or practicum (without documented reason such
as perceptual disabilities and the like). See School of Nursing policy.
Absolutely no sharing of client data or related practicum experiences on email,
Facebook or other social media. Such is considered profoundly inappropriate
professional conduct and constitutes a breach of ethics.
Any information you share as a professional nurse must be based on the best
available science. In teaching childbearing women and their families, and in written
work, references must be current and peer-reviewed (e.g Journal of Obstetric,
Gynecologic, and Neonatal Nursing, dated 2007-2012).
Acceptable websites include those of regulated professional associations or
National/International government health authories such as
Centers for Disease Control Atlanta (CDC)
World Health Organization (WHO)
Society of Obstetricians and Gynecologists of Canada (SOGC)
Association of Women’s Health, Obstetric, and Neonatal Nursing (AWHONN)
Canadian Association of Midwives (CAM)
American College of Nurse Midwives (ACNM)
Please do NOT use non-refereed “advice” websites, popular magazines, and the like
Reference using APA format.
January 4, 2012. INTRODUCTION
Reading: Chapters 1, 2, and 5 of textbook
Review/know A&P of female and male reproductive systems (N251/252)
Introduction to course
Philosophy of family-centered care
Historical evolution of maternal/newborn/family care in context of culture
January 11, 2012. PRENGANCY AND FETAL DEVELOPMENT 1
Reading: Perry et al, Chapters 7, 8, and 12
Review maternal and newborn nutrition (HNU 261/263)
Conception and fertility
January 18, 2012 PREGNANCY AND FETAL DEVELOPMENT 2
Reading: Perry et al, Chapters 9, 10, and 11
Maternal psychophysiological changes in Pregnancy
Nursing care during pregnancy
January 25, 2012 PREGNANCY AND FETAL DEVELOPMENT 3
Reading: Perry et al, Chapters 13 and 14
Pregnancy at risk
February 1, 2012 2:15 - 3:30pm Test #1
February 1, 2012 4:00 – 5:00 LABOR AND BIRTH 1
Reading: Perry et al, Chapter 15
Anatomy & physiology of labor & birth
Stages of labor
February 8, 2012 LABOR AND BIRTH 2
Reading: Perry et al, Chapter 16, 17, 18
Romano, A.M., & Lothian, J.A. (2008). Promoting, protecting, and supporting normal
birth: A look at the evidence. Journal of Obstetric, Gynecologic, and Neonatal
Nursing, 37(1), 94-105.
Nursing care and support during normal labor and birth
February 15, 2012 LABOR AND BIRTH 3
Reading: Perry et al, Chapter 19
At-risk labor and birth
February 29, 2012. 2:15 – 3:30 Test #2
February 29, 2012. 4:00 – 5:00 POSTPARTUM/ NEWBORN CARE 1
Reading: Perry et al, Chapter 20
Maternal psychophysiological changes in the immediate postpartum
March 7, 2012 POSTPARTUM/NEWBORN CARE 2
Reading: Perry et al, Chapter 21
Assessment and care of healthy postpartum women and their families
March 14, 2012 POSTPARTUM/NEWBORN CARE 3
Reading: Perry et al, Chapter 23
March 21, 2012 POSTPARTUM/ NEWBORN CARE 4
Reading: Perry et al, Chapter 24 and 25
Henderson, A. (2011) Understanding the breast crawl: Implications for Nursing
Practice. Nursing for Women’s Health, 15(4), 296-307.
Neonatal transition to extrauterine life
Newborn assessment and care
March 28, 2012 POSTPARTUM/ NEWBORN CARE 5
Reading: Perry et al, Chapter 26
April 4, 2012 POSTPARTUM/ NEWBORN CARE 6
Reading: Perry et al, Chapter 27 and 28
Caring for preterm babies
Ill neonates (infections, trauma, effects of toxic exposures, anomalies)
Clinical Practicum (pass/fail)
To obtain a pass, students are required to:
Participate in all assigned practicum experiences. This includes full attendance
for six preparation days and six practicum days, active participation in all pre-
and post-clinical conferences, and completion of the following written
assignments: weekly assessment forms, weekly pre/post conferences, weekly
reflective journals, and one extensive assessment of a selected childbearing
family, and other assignments (e.g. review of medications, review of a clinical
issue) as described by clinical instructor as relevant to clinical situations and
Any time missed due to illness or other reasons must be made up at the
discretion of the relevant clinical instructor.
Demonstrate a knowledge base informed by theory and research findings
Demonstrate an enthusiasm for learning.
Demonstrate evidence of safety regarding medication administration, and
Demonstrate evidence of safety when caring for and working with infants,
mothers, and childbearing families.
Demonstrate nursing practice guided by the Canadian Nurses’ Association Code
Demonstrate preparedness for all clinical assignments.
Satisfactory completion of all assignments.
Written assessments and care plans
1. Each student will complete a “daily worksheet” for each clinical assignment to
be submitted to his/her clinical instructor
2. Each student will complete one “major assessment” (N355-specific form will be
provided) and one care plan, inclusive of references and inclusive of at least one
(included) peer-reviewed journal article, to be submitted to his/her clinical
Guidelines for Clinical Reflective Journals
Clinical learning journals are an opportunity for students to reflect on and
articulate the events that unfold in clinical practice. An entry is required for each
clinical practicum day. These may be handwritten as long as the writing is legible. The
journals are also an opportunity to state learning goals and reflect on the development
of learning and strengths as these evolve.
Your journals should be an account of the events that took place with the family
you were assigned to during the clinical day:
Background history of the mother
Background history of the infant
Significant others in the family
Assessments you made
Interactions engaged in with family
As you reflect, think about the following poem written by Suzanne Gordon: all to often
nurses cannot articulate what they have done to improve the health of those in our care.
In your journal, please describe what you did or could have done to positively influence
or affect the health of the family you were assigned.
Then write your reflective journal telling how you as ‘just a nurse’ could make a
difference in families’ lives.
Examining the issue of importance.
Examining your assumptions.
Examining your feelings
Describing how this experience affirmed or challenged your prior experiences
Describing how nursing practice met or needs to be changed in order to enable
childbearing aged people to live their life to the fullest.
Please submit a dated journal entry of about 3-4 pages in length to your clinical
instructor within three days of completing each practicum day.