Family and Reproductive Health Nursing (Theory)
Course No.:
BSN 23
Placement:
Second Year
Total Hours:
100 Hours
Total Marks:
100 Marks
Also Read: Child Health Nursing (BSN 21) – IOM, TU
Course Description
This course, Family and Reproductive Health Nursing, is designed to provide theoretical knowledge for the provision of holistic care to the family including mothers, newborn and children. This course also deals with the concept of reproductive health services and family planning.
Course Objectives
Upon the completion of the course the students will be able to:
- Explain the concept of family health.
- Describe the role of nurse in family health nursing.
- Discuss the use of nursing process in family health care.
- Describe the components of reproductive health.
- Discuss the reproductive health care strategies for improving the health of mother and children.
- Discuss the situation of maternal and neonatal health in Nepal.
- Explain the concept of “Safe Motherhood” and “Saving Newborn Lives Program”.
- Describe the care of pregnant women, women in labour and care of postnatal mothers and newborn at different levels of health care facilities.
- Describe the essential obstetric care at different levels of health care facilities.
- State the objective, purpose and activities of MCH clinic.
- Explain the use of road to health card in monitoring the growth of children under the age of five.
- Explain the way of promoting nurse-client relationship.
- Describe the different methods and media that can be used in providing health education.
- Explain the concept of IMCI in management childhood illness.
- Define the terms related to risk approach to maternal and child health.
- Identify the common maternal newborn and childhood risk factors.
- Describe the role of nurse in screening and dealing with risk factors.
- State the indicators of vital and health statistics including their signification and measurement.
- State the various sources of statistical data in the country.
- Explain the concept of expanded programme of immunization (EPI).
- Describe the immunization given to mothers and children including their preparation, administration, side effects, indications and contraindications.
- State the different types of FP methods and their actions, precautions, side effects, advantages and disadvantages.
- Describe the role and responsibilities of the nurse in family planning clinic.
- Explain the process of counseling clients on family planning using “ABHIBADAN” technique.
- State the importance and use of community resources in solving community health problems.
- Identify the local, national and international community resources and their activities.
Syllabus Table of Contents
Quickly navigate to any unit in the Family and Reproductive Health Nursing Syllabus using the links below.
Course Content Details
Unit 1: Family Health Nursing 8 hrs
- Definition, types and functions of family
- Concept of family health nursing
- Typology of family health problems: Health threat, health deficit, foreseeable crisis situations
- Family coping index
- Roles and functions of nurse in family health nursing
- Nurse-family contacts: Types (home visit, clinic visit and group conference), purpose and principles
- Concept of holistic care
- Use of nursing process in family health care
Unit 2: Reproductive Health (RH) Programmes 6 hrs
- Concept of reproductive health
- Components of reproductive health:
- Family planning
- Care of new born
- Safe motherhood
- Prevention and management of abortion
- Adolescent reproductive health
- STD and HIV/AIDS
- Management of infertility
- Health of women of reproductive age and elderly
- Reproductive health care strategies
Unit 3: Maternal and Newborn Care at Different Levels 12 hrs
- Concept of “Safe Motherhood” and Saving Newborn Lives” program (review)
- Maternal and neonatal health situation in Nepal
- Objectives, targets and strategies of maternal and newborn care
- Maternal and neonate health care at different service levels
- Home and community level
- Primary health care level
- First referral level (District hospital)
- Rapid assessment and management (RAM)
- Essential obstetric care at different levels
- Primary maternal care
- Basic emergency obstetric care
- Comprehensive obstetric care
- Antenatal care
- Objectives and importance
- Antenatal assessment
- Teaching counseling on antenatal care
- Preparation of child birth
- Intranatal care
- Objectives and importance
- Care during birth
- Safe delivery: Six cleans
- Refers
- Postnatal care management
- Objectives
- Postnatal care components
- Teaching and counseling on care during normal and complicated conditions
- Newborn care management
- Objectives and importance
- Immediate care
- Immediate and subsequent care
- Care of the newborn
- Breast feeding
- Danger signs of mothers new born
- Concept of BCC, IEC, HMIS
- Management of maternal and newborn care at the community level.
- Referrals
Unit 4: Child Health Services 10 hrs
- MCH clinic: Objectives, purposes and functions
- Growth and development of under five children (review)
- Growth monitoring (road-to-health card); Concept, use, plotting and interpretation
- Client-nurse relationship
- Health education:
- Purpose and principles
- Methods including advantages, disadvantages and process: Individual, group and mass
- Media including advantages, disadvantages and process: Audio, visual and audio-visual
- Integrated management of childhood illnesses
- Concept
- Classification of childhood illnesses and their management
Unit 5: Risk Approach to Maternal and Child Health 8 hrs
- Terminology used in risk approach
- Risk factors
- Population at risk
- Relative risk
- Common maternal risk factors in Nepal
- Common newborn and childhood risk factors in Nepal
- Relationship between risk factors and outcome
- Assessment of risk factors at various level (individual family group)
- Role of nurse in dealing with the risk factors at various levels
Unit 6: Vital and Health Indicators 10 hrs
- Vital indicators
- Birth rate
- Death rate
- Population growth rate
- Life expectancy
- Health indicators (calculation, interpretation and uses)
- Morbidity
- Mortality
- Fertility
- Statistical sources
- Bureau of statistics
- National Census
- National registration of vital events
- Population sample survey
- Disease registration
- Ministry of health
- Public Health Division
- Epidemiological Section
- Records of hospitals, clinics and health posts
- Population record section in village development committee (VDC)
- Bureau of statistics
Unit 7: Immunization 12 hrs
- Immunity (review)
- Concept of EPI
- Recommended immunizations for mother and children
- Indication and contraindication of vaccines
- Preparation and administration of vaccines
- Maintenance and storage of vaccines
- Side effects of vaccines and their management
- Health teaching on immunization
Unit 8: Family Planning 12 hrs
- Concept of family planning contraception
- Need for child spacing and fertility control
- Objectives, targets and strategies of family planning including their action, indicator, contra indicators and benefit others
- FP methods
- Temporary methods: Behavioral, chemical, mechanical and physiological
- Permanent methods: Male and female
- Emergency Contraception
- Contraception for adolescent
- Contraception for women over 35
- Post abortion Contraception
- Roles and responsibilities of a nurse in management of FP services
- Preparation of family planning clinic set up
- Client assessment
- Counseling of clients using “ABHIBADAN” process and audio visual aids
- Informed choices
- Referral of clients
- Preparation of client for operate procedure
- Assists in FP operated
- Infection prevention measuring FP
- FP education at family and community level
- National and international organization for FP services
Unit 9: Nutrition of Family and Community 8 hrs
- Factors affecting family and nutrition
- Weaning and supplementary feeding of infant
- Anthropometrical parameters of nutritional status
- Nutritional problems in mothers and children (PEM, IDD, vitamin A deficiency and anemia) and their prevention and management (review)
- Nutrition supplementation (review)
- Vitamin A programme
- Iodized salt programme
- Distribution of iron tablet
- Promotion of breast feeding/exclusive breast feeding
- Deworming
- National targets, indicators and strategies for reduction of nutritional deficiencies diseases.
Unit 10: School Health Programme 6 hrs
- Introduction, concept, objectives and activities of school health programme
- Identification of common health problems of school age children
- High-risk school children and counseling of parents programme
- Child-to-child programme
- Planning implementation and evaluation of school health programme
Unit 11: Community Resources 10 hrs
- Community resources: Concepts and importance
- Local community resources and their functions
- ТВА
- FCHV
- Traditional healer
- Mother’s group
- National Non-Governmental organization and their functions
- FPAN
- Mother club (Aamaa Milan Kendra)
- Nepal CRS Company
- Nepal Red Cross society
- SOS village
- MIRA
- International Non-Governmental organizations and their functions
- UNFPA
- SCF (US)
- US AID
- JICCA
- CARE
- BNMT
- Role of nurse in promotion of intersectional collaboration for MCH services.
Teaching and Evaluation
- Teaching/Learning Activities: Lecture and discussion, Brain storming, Group work and presentation, Role play, Demonstration, Video show.
- Internal Assessment Methods: Written examination, presentation.
- Final examination: Written test.
References
- Adhikari, R.K., & Krants, M. (1997). Child Nutrition and Health. Kathmandu: HLMC.
- Allender, J. (2001) Community Health Nursing Concept and Practice. (5th edition). Lippincot.
- Bailon, S. and Maglaya, A.S. (1978). Family Health Nursing. The process, Philippines: College of Public Health.
- Beck, D., Ganges, F., Goldman, S., & Long, P. (2004). Care of the Newborn, Washington: Save the Children Federation.
- FHD. (1996). National Maternity Care Guidelines. Kathmandu: Author.
- Jacob, A. (2005). A Comprehensive Text Book of Midwifery. New Delhi: Jaypee Brothers Medical Publishers.
- King Maurice et.al. (1992). Primary Health Care Book I. Bombay: Oxford University press.
- Kotwal, N.S., (1982) A Public Health Manual. New Delhi:.TNAI.
- MOH, (2004). National Neonatal Health Strategy. Kathmandu: The author.
- MOH. (2001). Birth Preparedness Package. Kathmandu: Author.
- FHD. (2001). National Medical Standard for Reproductive Health. Vol 1: Contraceptive Services. Kathmandu: Author.
- Park. J.E. & Park, K. (1982). Textbook of Community Health for Nurses. (4th ed.). Jabalpur: Asrani Publishing Co.
- Park, K. (2005). Textbook of Preventive and Social Medicine. (18th edition)., Jabalpur: Banarsidas Bhanot.
- Rao, K. S. (2004). An Introduction to community Health Nursing. Madras: B.R Publications.
- SCF, US. (2004). Care of the Newborn Reference Manual. Kathmandu: Author.
- Shakya, S. (2003). Garvabastha Ra Sutkeri. Kathmandu: Educational Publishing House.
- Srilakshmi, B. (2004). Nutrition Science. New Delhi: New Age International (P) Ltd.
- WHO. (2004). Medical Eligibility Criteria for Contraceptive Use. Geneva: The author.
- WHO. E PI Modules, EPI/PHW/84/4: Vaccines and when to give, Syringe needles and sterilization, How to give vaccines, Preparing for an immunization session, Preventing neonatal tetanus.