Full Title:The Complex Newborn
Language of Instruction:English
Module Code:NURS N8177
Credits: 5
Valid From:Semester 1 - 2015/16 ( September 2015 )
Module Delivered in 2 programme(s)
Module Description:This module will provide the student with the knowledge and skills to assess, plan, implement and evaluate care for the sick or preterm baby in partnership with their parents and other health care professionals.
Learning Outcomes:
On successful completion of this module the learner should be able to
  1. Evaluate factors that may inhibit normal growth and development of the fetus. Critique methods of fetal assessment.
  2. Critique care principles for a baby compromised at birth and recognise and discuss deviations from normal neonatal progress and refer appropriately.
  3. Plan the midwifery assessment and care of the preterm baby.
  4. Evaluate how the midwife can promote a parent-infant relationship when a baby is in the SCBU/NICU and separated from its mother/ family.
  5. Critically appraise national and international neonatal mortality rates and causes.

Module Content & Assessment

Indicative Content
Role of the midwife within the neonatal health care team.
Discuss the role and responsibilities of the midwife within the NICU/SCBU and within the multidisciplinary team.
Promotion of parent-infant relationship
Discuss the role of the midwife and the multidisciplinary team in caring for the mother and baby. Evaluate the support required for parents when their baby is being cared for in the SCBU/NICU
Specialised assessment of fetal well-being. Maternal Biochemical Markers : Triple test/AFP
Invasive methods of fetal assessment- Chorionic Villus sampling/Amniocentesis. Other methods of fetal assessment -Ultrasound/Biophysical profile/Doppler studies/Anomaly Scan/IUGR assessment. Cord pH values and interpretation of blood gases/acid base balance/metabolic acidosis/respiratory acidosis/buffers
Birth trauma Birth asphyxia. The compromised baby
Discuss methods to preserve brain development eg The Cool cap /matress. Follow up care of the compromised baby
The low birth weight baby: Preterm Baby/ Intrauterine growth restriction
Anatomy, physiology, epidemiology, aetiology, pathophysiology and pathology. Presenting features, investigations and diagnosis. Holistic care interventions, the role of the midwife, ethical and legal considerations
Pathological Jaundice
Rhesus incompatibility. Discuss administration of Anti-D Immunoglobulin for Rhesus D prophylaxis. ABO incompatibility, infection in the baby, obstructive jaundice, metabolic disorders as a cause of jaundice, breast milk jaundice. Develop a plan of care for the baby with pathological jaundice
Pain and the neonate.
Discuss the assessment of pain in the neonate. Pharmacological and nonpharmacological methods of pain relief. Critique pain assessment tools
Congenital abnormalities/Conditions. Birth defects
Discuss the recognition and care advised with the most common congenital abnormalities/ birth defects and the parental support required
Maternal infection, medical disorders, drug/ alcohol misuse and their effects on the newborn baby.
Group B strep, HIV/hepatitis/Syphilis/ TORCH infections/Rubella/Maternal Diabetes/ Drug /Alcohol misuse.
Neonatal and infant mortality. Sudden infant death syndrome
Critically appraise national and international neonatal mortality rates and causes. Critiically appraise the Irish figures and trends on SIDS and consider the advice necessary for parents in its prevention
Assessment Breakdown%
Course Work100.00%

Full Time

Course Work
Assessment Type Assessment Description Outcome addressed % of total Marks Out Of Pass Marks Assessment Date Duration
Continuous Assessment The students will be required to complete a workbook with a series of short answer questions. The students will be required to successfully complete the K2 online module on acid-base and fetal physiology 1,2,3,4,5 100.00 0 0 n/a 0
No Project
No Practical
No End of Module Formal Examination
Reassessment Requirement
No repeat examination
Reassessment of this module will be offered solely on the basis of coursework and a repeat examination will not be offered.
Reassessment Description
The students will be required to pass all elements of the assessment separately in order to pass the module.

DKIT reserves the right to alter the nature and timings of assessment


Module Workload & Resources

Workload: Full Time
Workload Type Workload Description Hours Frequency Average Weekly Learner Workload
Lecture Lecture and practical skills. This module is normally delivered over 12 weeks. 3.00 Every Week 3.00
Tutorial Journal club 1.00 Every Week 1.00
Independent Study No Description 50.00 Once per semester 3.33
Directed Reading No Description 27.00 Once per semester 1.80
Total Weekly Learner Workload 9.13
Total Weekly Contact Hours 4.00
This course has no Part Time workload.
Recommended Book Resources
  • Boxwell, G. 2010, Neonatal Intensive Care Nursing, 2nd Ed Ed., Routledge Publications New York
  • Hey, E. 2011, Neonatal Formulary, 6th ed Ed., BMJ Books London
  • Kenner, C., Lott,J. 2008, Comprehensive Neonatal Nursing. A Physiologic Perspective, 3rd ed Ed., W.B. Saunders Philadelphia
  • Klause, M., & Fanaroff, A. (Eds) 2013, Care of the High Risk Neonate, 6th ed Ed., WB Saunders Philadelphia
  • Mc Guire,W., Fowlie, P. 2005, ABC of Preterm Birth, BMJ London
  • Sunil, S., Miall, L., Jardine, L 2012, Essential Neonatal Medicine, 5th ed Ed., Wiley Blackwell UK
  • Rennie, J. 2012, Rennie & Roberton's Textbook of Neonatology, 4th ed Ed., Churchill Livingston London
  • Rennie, J., Kendall,G. 2013, A Manual of Neonatal Intensive Care, 5th ed Ed., Hodder Arnold UK
This module does not have any article/paper resources
Other Resources

Module Delivered in

Programme Code Programme Semester Delivery
DK_NMWIF_8 Bachelor of Science (Honours) in Midwifery 6 Mandatory
nocode24 Bachelor of Science in Health Studies (Midwifery) Exit Award 6 Mandatory