Module Developed for Online ADN Program

Maternal Child Health Nursing – Online ADN Program

Module 10
Care of the Patient During Labor and Delivery.

Objectives:
1. Demonstrate knowledge of the labor and delivery process.
2. Describe the signs of true labor.
3. Differentiate between true and false labor.
4. Demonstrate knowledge of infant presentation and its effect on the labor and delivery process.
5. Identify the nurse’s role in the labor and delivery process.

Readings:
Chapters 21 and 22 in textbook

Videos:
View the following videos:
http://pregnancy.about.com/gi/dynamic/offsite.htm?site=http://www.lamaze.org/video/institute.cfm
http://www.geocities.com/4birthing/childbirth_videos.html - view all three videos on this site.

The videos are short and may need to be viewed several times.

Assignment:
1. After viewing the videos, comment on nurse’s role. What is the nurse doing and why?
What is your reaction to the births on the videos? Are they similar to what you have experienced in your clinical setting? What is the same and what is different?

2. Case Study: A woman is in the L&D unit and is in labor. The infant is in a frank breech presentation. The patient has a birth plan and wants her entire family present which includes her mother, father, siblings, husband and her five year old child.

Answer the following questions:
How do you know the patient is in labor?
Name three ways that determine the infant’s presentation.
In delivering a breech infant, what types of problems may the infant encounter both during delivery and after delivery? Why?
What types of problems may the mother encounter and why?
What is a birth plan and what is the nurse’s role regarding this plan?
How would you, the nurse, handle the presence of the family and 5 year old child?

Answer the above questions for Assignment 1 and 2 and post in the digital drop box. You have one week to compete this. Cite all references using APA style.

Discussion Board:

What labor experience(s) have you seen during your clinical time in the hospital that were different from what you expected before you started this class? What was your reaction and feelings regarding the experience(s)?



I chose to use a video clip for this module because it allows the student to view the videos several times so that they may see the details regarding the nurse’s role during the labor and delivery process. Sometimes in a clinical situation there is so much activity (such as a birth!), that the student may not be paying close attention to what the nurse is doing. It allows the student to spend time analyzing and taking apart the minute details and then deducing the rational behind the actions. I believe it is important for the nursing student to understand what the nurse is doing and why the nurse is doing it. This exercise will help the student to develop critical thinking skills. I also developed a problem-based learning case study that will also promote and develop critical thinking skills. (Young & Paterson, 2007) The student will need to use their past knowledge and the new knowledge acquired from their readings to complete this module.

I also asked the students questions regarding their reactions and their beliefs. This will help promote self-reflection and also brings in the human element often missing from online courses. It also helps to promote independent thinking and discussion among the group. (Shovein, Huston, Fox & Damazo, 2005) Cultural diversity can also be explored during this discussion.

Sharing experiences and knowledge among educators regarding online education encourages collaboration among peers not only within the college, but within the profession itself. It also helps foster a mentorship. Many educators struggle with inventing an online course, where others who have already experienced it can provide useful suggestions and information to help alleviate some mistakes and frustration. (Ryan, Carlton, & Ali, 2004) This collaboration can only help to uplift the nursing profession and its educational process.


References:

Ryan, M., Carlton, K.H., Ali, A.S. (2004). Reflections on the role of faculty in distance learning and changing pedagogies. Nursing Education Perspectives, 25(2), 73-80.

Shovein, J., Huston, C., Fox, S., & Damazo, B. (2005) Challenging traditional teaching and learning paradigms: Online learning and emancipatory teaching. Nursing Education Perspectives, 26(6), 340-343.

Young, L, & Paterson, B. (2007). Teaching Nursing. Philadelphia: Lippincott, Williams and Wilkins.