An-Najah National University

Faculty of Medicine & Health Sciences

Department of Nursing &Midwifery

Maternal Health Nursing / Clinical

First Semester 2022 – 2023

 Course Credit Hours: 3

 Course Code: 7405304
 Prerequisite: Maternal Health Nursing
 Course Category: Department Requirement

INSTRUCTORS

Shurouq Ghalib Qadous, BSN,MSN, PhD Candidate

Mobile: +970 598170233
Office: +970 92342902 extension:2100

Email: sh_qadose@najah.edu
Revised: 15/8/2022

Course Description

This course integrates knowledge from previous course and the basic sciences to attain high competency
level of reproductive health and safe motherhood practices. Students will apply the nursing process, the
psychomotor skills, and the problem solving technique to determine and deal with the physical, emotional,
social and ethical nursing problems in the areas of reproductive health, safe motherhood and
gynecology. Experience will be provided in maternity hospitals, antenatal clinics, mother child clinics and
women’s health clinics. Students will be given opportunities to develop basic skills in the care of women
during the various stages of the life cycle including phases such as menarche, menopause, etc.

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Intended Learning Outcomes and Competences;

A- Knowledge and Understanding

a1.List main nursing process to administer care for the maternity and/or newborn patients.
a2.Identify risk factors related to major complication during pregnancy.
a3.Recognize signs of labor.
a4.Identify specific nursing interventions related to major acute and chronic disorders during pregnancy,
labor and post partum.
a5.Describe the major physiologic and behavior changes that occur as the newborn adapts to the
extrauterine environment.

B- Intellectual Skills.
b1. Demonstrate proper therapeutic communication techniques in delivering nursing care with pregnant
women and her family.
b2. Interpret testing techniques required for diagnosis of pregnancy
b3. Demonstrate the gravidity and parity by using the five – and two – digit systems (giving example).
b4. Demonstrate the estimation date of birth (expected date of delivery).
b5. Design a nursing diagnosis for each actual or potential problem which has been identified from the
patient's health assessment.
b6. Organize nursing skills in a safe and competent manner in accordance with the standards of care.

C. Professional and practical skills

c1. Apply professional standards regarding honest, ethical, moral, and legal issues which guide clinical
practice for maternal, newborn, and women’s health nursing.
c2. Use effective communication skills, which establish and maintain collaborative relationships with
childbearing families and members of the health care team.
c3.Practice to interpret the partogram during labor.
c4. Practice Leopold maneuvers on pregnant woman on admission
c5. Use knowledge to interpret the CTG monitoring.
c6. Carry out the documentation of the monitoring process necessary during labor
c7. Practice Apgar score assessment on newborn baby in labor.

D- General and transferable skills

d.1. Independently learning.
d.2. Health education( e.g., oral presentation) infront the mothers in the postnatal ward.
d.3. Work in a team spirit with colleagues
d4. Search internet data base for updating articles.

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Teaching and Learning Methods

Tool Purpose ILOs

 Case Assignment - To strength the communication d1, d4,
(presentation) skill for the student through
presentation.
 Health Education - To encourage the students to be c2, b1
creative through doing education
infront the postpartum women
 Data Sheet To provide thorough analysis of b1,b2,b3,b4,b5,b6
case this might reveal interesting
information
 Clinical - To evaluate the student and a1, a2, a3, a4, a5, b1,b2,b3,b4,b5,b6,
Evaluation discussed the strength point and the
c1,c2,c3,c4,c5,c6,c7,
 Clinical Exam weakness point for each student

Evaluation Criteria

Midterm Exam

First Week + Second Week + Third Week / Forth Week + Fifth Week + Six Week

- Data Sheet (Antenatal or Intra partum or Postnatal) 40%

- Case Oral Exam Presentation 20 %
- Clinical evaluation tool 40%

Total = 100 /2

Note: The male students who are not able to train in the Labor or Post natal they should fill Medical
Surgical Data sheet and other requirement from cases in the medical or surgical ward.

Final Exam
Depends on the rotation of each group and the evaluation include the following

- Data Sheet (Antenatal or Intra partum or Postnatal) 30%

- Health Education 20%
- Clinical evaluation tool 50 %

Total = 100 /2
Note: The male students who are not able to train in the Labor or Post natal they should fill Medical
Surgical Data sheet and other requirement from cases in the medical or surgical ward.

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Assignment Criteria (Clinical)

Activity Percent (%)

 Midterm exam 50
 Final exam 50
Total 100

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 An – Najah National University
Medical &Health Sciences College
Nursing &Midwifery Department
Maternal Health Nursing / Clinical
Course 7405304
2022 / 2023

Ante-Natal Data Sheet

Mark: ………............................ Student Name: Date:

Clinical Instructor: Clinical Area

Demographic Data: (1 marks)

Clinical initial Address Age
Education Occupation
Marital Status Year of Marriage

Past Medical History or Operations: (3 marks)

Over counter medication

Smoking
Allergies

Family History: (1 mark)

Menstrual History: (3 marks)

Menarche Duration Frequency

Menstrual Disorder …………………………………………… Medication Used......................................

Contraceptive History: (3 marks)

Method Time of Time of Reason for Stopping
Starting Stopping

Previous Obstetric History: (5 marks)

GTPAL(gravidity, term, preterm, abortion, living children) ...........................................................................

Year Gestational Sex Alive, Sick, Place of Type of Birth B.F Complications
Age Died Birth

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Present Obstetric History: (5 marks)

Booked Number of Visits Antenatal care done by

LMP ………………….. EDD ………………………. GPA ………………… GA ………….
Blood group and Rh Complication in this pregnancy

Treated by

Fetal testing and results:

AFP assays
Amniocentesis
US
NST

Physical Examination: (15 marks)

Vital signs:
Bp Pulse Temperature Resp. rate Weight
Weight gain Height

General Appearance

Cardiovascular System

Chest Exam

Abdominal Exam: Inspection

Palpation (Leopold maneuver)

Auscultation of FHS
(CTG) interpretation

Neuromuscular System

Lower Extremities
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Vaginal Examination

Nutritional Assessment

Psychological adaption to pregnancy

Lab Result: (2 marks)

Date Test Name Result Normal value Nursing implication

Nursing Care Plan(12 marks) Note: write 3 main nursing diagnosis

Nursing diagnosis Nursing Rational Evaluation

with long- and short- interventions
term goals

7
 An – Najah National University
Medical &Health Sciences College
Nursing &Midwifery Department
Maternal Health Nursing / Clinical
Course 7405304
2022 / 2023

Intra partum Data Sheet

Student Name: Date: ……......... Mark: ……………

Clinical Instructor: Clinical Area:

Demographic Data: (1 mark)

Clinical initial Address Age

Education Occupation
Marital Status Year of Marriage

Past Medical History or Operations: (2 mark)

Over counter medication

Smoking
Allergies

Family History (1 mark)

Previous Obstetric History: (5 marks)

GTPAL (gravidity, term, preterm, abortion, living children) ...........................................................................

Year G.A Sex Alive Sick Place of Type of Birth B.F Complications
Died Birth

Present Obstetric History: (4 marks)

LMP ………………………….. EDD ……………………….. GPA ………… GA ……………..

Booked Number of Visits Antenatal care done by
Blood group and Rh Complication in this pregnancy
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Treated by

Reason for admission:

In Labor: Yes □ No □ if yes: time and onset of pain
……………………………………………………
Membranes ruptured: Yes □ No □ if yes: time and date of rupture
…………………………………………
Color of amniotic fluid …..........................
Other reasons for admission
………………………………………………………..........................................

Physical Examination: (14 marks)

Vital signs:
Bp Pulse Temperature Resp. rate Weight
Weight gain Height

General Appearance

Cardiovascular System

Chest Exam

Abdominal Exam: Inspection

Palpation (Leopold maneuver)

Fetal Movement felt Yes □ No □ if No time and date of absence

…………………………......................
Comments
………………………………………………………………………………………………………..

(CTG) interpretation

Vaginal Examination on admission

Lower Extremities
………………………………………………………………………………………………
…………………………………………………………………………………………………………………

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Elimination
……………………………………………………………………………………………………...
…………………………………………………………………………………………………………………
Psychological adaption to pregnancy

Labor and delivery: (8 marks)

Date Time
Membranes Ruptured
Onset of labor
Fully dilation of the cervix
Fetus born
Delivery of the Placenta and its membranes

Duration of labor
First stage: ………hours ……… minutes
Second stage: ……hours …….. minutes
Third stage: …… hours …….. minutes

Type of delivery: ……………………. If Cesarean section or instrumental delivery clarifies the indication of
it ………………………………………………………………………………………………..
Type of delivery of the placenta:
………………………………………………………………………………
Condition of the placenta and membranes: …………………………………………………………………..
Estimated blood loss ………………………………………………………………………………………….
Perineal trauma ………………………………………… Repaired…………………………………………

New born: (5 marks)

Sex ………… alive/dead ……………. Birth weight …………… Congenital abnormalities ………………
Asphyxia …………………………
Newborn is beside mother □ transfer to NICU □ Why ……………………………………..

APGAR SCORE (4 marks)

Signs 0 1 2 Score after Score after

one minute 5minutes
Heart Rate Absent < 100/min >100/min
Respiratory effort Absent Weak , Strong, regular
irregular
Muscle tone Limp Some flexion Active
movement
Reflex responses None Weak Cry
movement

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Color Blue/ Body pink Completely
pale Extremities pink
blue
Total

Lab Result: (2 marks)

Date Test Name Result Normal value Nursing implication

Medication used: (2 marks)

Drug name Dosage Route/ Indication Side effect Nursing implication

frequency

11
 An – Najah National University
Medical &Health Sciences College
Nursing &Midwifery Department
Maternal Health Nursing / Clinical
Course 7405304
2022 / 2023

Post- partum Data Sheet

Student name: …………………. Date: --------------------- Mark: …………………..

Clinical instructor: ------------------------------------- clinical area: -------------------

Demographic data: (1 mark)

Clients initial: --------------------------------- address----------------------age-----------

Education: ----------------------------------- occupation----------------------
Marital status --------------------------------- years of marriage ----------------------------

Past medical history or operations: (1 mark) -------------------------------------------------------------------------

-----------------------------------------------------------------------------
over counter medication ---------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------
Smoking -------------------------------------------------------------------------------------------
Allergies -------------------------------------------------------------------------------------------

Family history:(1 mark) ---------------------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------------------------------

Contraceptive history: (1 mark)

Method Time of starting Time of stopping Reason for stopping

Previous obstetric history: (5 marks)

Year G.A Sex Alive Place of Type of B.F Complications
Sick birth birth
Died

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Present obstetric history: (11 marks)

LMP----------------------- EDD ------------------------ GPA ………………GA ------------

Booked -------------------number of visits ------------------- antenatal care done by --------------------------------
- blood group and Rh -----------------complications in this pregnancy -----------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
Treated by -------------------------------------------------------------------------------------------------------------------

Intrapartum Data:
Onset of contraction ------------------------Date of delivery …………… Time …….
Membranes ruptured: spontaneously artificially time and date of rupture -----------------------------------
----------- color of amniotic fluid --------------------------------------
Any labor abnormalities ---------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------
Medication during labor: Anesthesia/ Analgesia ---------------------------------------------
Time of last administration ----------------------------------------------------------------------
Estimated blood loss: ------------------------------
Type of delivery --------------------- number of babies delivered----------------------------
direct coomb's test ----------------------------------------

Baby condition:
Apgar score ---------------------- alive/dead --------------- Sex ---------- birth weight ----Any congenital
abnormalities -----------------------------------------------------------------
Asphyxia ------------------------------- treated by ------------------
New born is beside mother transfer to neonatal unit
Reason for transfer --------------------------------------------------------------------------------

Post-Partum Maternal Assessment: (10 marks)

Vital signs:
Bp ------------- pulse ------------------ temperature ---------------------- Resp. rate ---------
Weight ------------------------ weight gain ------------------------------------------------------
General appearance --------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------
Cardiovascular system -----------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
Chest exam ------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------

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Breasts assessment ---------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
Uterus Assessment:---------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------

Lochia ------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
Perenium ---------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
Abdominal incision --------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------
Urinary elimination --------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------
Fecal elimination -----------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
Lower extremities ----------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
Sleep --------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
Activity ----------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------
Support sources -------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------
Psychological assessment -------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------
Family adaptation ----------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------

Contraceptive need assessment: (3 marks) (desire birth control, method, advantage, disadvantage)
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………

Nutritional assessment: (2 marks) ……………………………………………………………..

………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………...

Maternal educational assessment: (5 marks) …………………………………………………......................................

………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………

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………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………

Lab result: (2 marks)

Date Test Name Result Normal value Nursing implication

Medications used: (2 marks)

Drug Dosage Route / Indications Side Safety during Nursing

name frequency effect lactation implication

Nursing Care plan: (6 marks) Note: write 3 main nursing diagnosis

Nursing diagnosis Nursing Rational Evaluation

with long- and short- interventions
term goals

15
 An – Najah National University
Medical &Health Sciences College
Nursing &Midwifery Department
Maternal Health Nursing / Clinical
Course 7405304
2022 / 2023

3. Case Oral Exam Presentation

Student Name: ______________ Diagnosis of the Case: _______________

Evaluator: _______________ Date: _________________

Key: 5 = Excellent, 4= V. Good, 3= Good, 2= Weak, 1 = Very Poor, 0 = Not available

Items Marks
1 Able to collect necessary data
2 Able to transfer information and convey ideas
3 Discuss the case in the scientific way ( Appropriate Nursing Diagnosis,
Nursing Intervention)
4 Convey and interpret data
5 Analyze and interpret laboratory test in the file
6 Explain the client medication (action, side effects, calculation dose)
7 Full oral report about the case
8 Provide feedback for colleges
9 Eye contact with the audience
10 Effective use of time
11 Speech audibly and clearly
12 Show ability to control the discussion
13 Use of supported material
14 The presented material is comprehensive, covers the case in summary, and
well organized.
15 Share college in discussion
16 Respect and appreciate participants of others
17 Submit a summary handwriting paper about the case
18 Right spelling
19 Answer all questions related to the case
20 Acknowledge error or accept criticism

Total score: ……………….

Instructor Comments:
…………………………………………………………………………………………………………………
……………………………………………………………………………………………

Instructors Signature: ……………………………………………………………………………

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 An – Najah National University
Medical &Health Sciences College
Nursing &Midwifery Department
Maternal Health Nursing / Clinical
Course 7405304
2022 / 2023

Clinical Evaluation
St. Name: ____________________ Date: _____________________
Clinical Instructor:__________________________ Clinical setting:__________________
Key: 0: Not followed 1: Not acceptable 2: Below average 3: Average 4: Above average

Items 0 1 2 3 4
Interventions
1. Identifies nursing interventions that are realistic for client and correlate with stated outcomes
2. Uses etiology in diagnostic statement to identify appropriate interventions
3. Describes nursing actions with descriptive qualifiers
4. Includes a variety of approaches to achieve stated outcomes
5. Modifies standard measures to individualize for client
6. Provides specific parameters for implementation
7. States rationale for actions that demonstrate theoretical/scientific principles
8. Provides holistic nursing care to patients
9. Demonstrates correct techniques for health assessment
10. Relates pathophysiology of disease(s) to patients’ assessment findings, medications, laboratory and diagnostic test
results, and medical and nursing information
Caring
1. Establishes and maintains therapeutic relationships with clients and families.
2. Incorporates client and family diversity into the plan of care.
3. Communication therapeutically with patient& family.
4. Demonstrates caring behaviors while recognizing the uniqueness of the individual when providing care.
Collaboration
1. Contributes to group/team activities
2. Identifie & reports pertinent client information.
3. Protects and advocates for patient rights (privacy, autonomy, confidentiality)
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4. Complies with hospital policies and regulations
Critical Thinking 0 1 2 3 4
1. Uses physical assessment techniques to evaluate the client on an ongoing basis.
2. Uses client data to correctly identify prioritized client problem list.
3. Develops appropriate plan of care.
4. Provides scientific rationale for nursing interventions.
5. Evaluates achievement of client outcomes.
6. Modifies patient nursing care as indicated by the evaluation outcomes
7. Recognizes own limitations
Maintains Professional Student Nurse Role(s)
1. Uses safety measures in the delivery of care.
2. Accepts and reacts appropriately to constructive feedback
3. Documents in a neat and accurate manner.
4. Carries all delegated responsibilities
5. Actively seeks opportunities for learning
6. Accepts responsibility & accountability for own actions.
7. Adheres to professional dress code including hair, white shoes, white hijab, nails cut, no accessories, name tag
8. Demonstrates professional, ethical, and legal standards of nursing practice.
9. Prepared with pen, notebook, hand watch, Stethoscope
10. Control emotions despite stressful situations
11. Attend and leave on time (no unexcused absences)
Perform Safe Practice
1. Uses universal/standard precautions (washing hands, wearing appropriate personal protective equipment, avoiding
needle sticks)
2. Describes drug action, use, side effects, dosage ranges, contraindications, and interactions as it relates to the
individual client.
Performance Criteria
1. Documents accurate, complete, and pertinent information in a timely manner according to hospitals guidelines
(format, timing, abbreviations, etc..) by using information technology.
2. Handles assigned paperwork on time
Total Points: 40 Score / 30: ...............
Clinical Instructor Comments: ____________________________________________________________________________________________

18
 An – Najah National University
Medical &Health Sciences College
Nursing &Midwifery Department
Maternal Health Nursing / Clinical
Course 7405304
2022 / 2023

Health Education Form

St. Name: _________________________ Date: _____________________

Clinical Instructor: ____________________ Clinical setting: _____________

 Audience Who: ____________________________________________________________

 Number of Audience: ________________________________________________________
 Subject: ___________________________________________________________________
 Objectives from this session: The audience will be able to, (Filled by student) (2 marks)
1) __________________________________________________________________________
2) __________________________________________________________________________
3) __________________________________________________________________________
4) __________________________________________________________________________
 Introduction about the subject, (Filled by Student) (2 marks)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_____________________________________________________
 Materials that Used (pamphlet, video, ect.), (Filled by Instructor) (1 mark)

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

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 References (Filled by Student…. Should be from the book not only websites) (1 mark)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

 Strong Point during Session, (Filled by Instructor) (1marks)

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

 Weak point during Session (Filled by Instructor) (1marks)

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

 The student should submit a summary and organized handwriting paper regarding to the
subject at the end of the health education session. (2 marks)
__________________________________________________________________________

Clinical Signature: ________________ Marks: ________________

20
 An Najah National University
Faculty of Medicine and Health Sciences
Department of Nursing and Midwifery
Maternal Health Nursing / Clinical
Course 7405304

Instructor Name: ___________________________ Assessment: Midterm Date: _____________________

Hospital: _________________________________ Department: ________________

Student Name and ID # Total 100 % Total 50 %

21
 An Najah National University
Faculty of Medicine and Health Sciences
Department of Nursing and Midwifery
Maternal Health Nursing / Clinical
Course 7405304

Instructor Name: ___________________________ Assessment: Final Date: ____________________

Hospital: _________________________________ Department: _________________

Student Name and ID # Total 100 % Total 50 %

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