NU682 Unit 7 Newborn Transition Teaching Plan Example

Reviewed by Elspeth Marlowe, MSN, RN Childbearing Family Purdue University Global Free custom sample in 24 to 48h

Skin-to-skin contact during a planned cesarean is taught in this NU682 Unit 7 newborn transition teaching plan, prepared for a composite 34-year-old kindergarten teacher with a breech baby and her wife, both first-time parents. The mother assumes a cesarean means her son goes straight to a warmer. The plan sets learning goals, then presents Moore and colleagues' Cochrane review on breastfeeding outcomes and Hung and Berg's hospital project showing operating room contact can become routine. It walks through lead placement, the first minute under the warmer, contact during closure and the recovery room feed. Safety steps follow the American Academy of Pediatrics guidance on observation and positioning, and the parents learn the same warning signs as staff. In Purdue Global NU 682, newborn care is taught to the family within the MSN Women's Health NP track. Evaluation uses a doll demonstration.

CourseNU682 Childbearing Family
UnitUnit 7
Paper typeNewborn transition teaching plan
LengthAbout 930 words, 6 pages double-spaced
FormatAPA 7 student paper
SchoolPurdue University Global
ProgramMSN
UpdatedOctober 2026

Free sample paper for NU682 Unit 7

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Skin to Skin Behind the Drape: A Unit 7 Newborn Transition Teaching Plan for the First Hour After a Planned Cesarean

[Student Name]

Purdue University Global

NU682: Childbearing Family

Unit 7 Newborn Transition Teaching Plan

[Instructor Name]

[Date]

The family and setting are composite and illustrative; the sources cited are real.

What this part is doingStarting from the mother's assumption shows the teaching plan is designed to change an expectation, not only to inform.
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Learners and Goals

The learners are Ms. Abernathy and her wife, Ms. Price, who will be in the operating room. Both are first-time parents. Ms. Abernathy plans to breastfeed. The teaching takes place at the 36-week visit, with a follow-up conversation at the preoperative visit two days before surgery.

By the end of the teaching, the couple will be able to describe what will happen in the first hour after birth, explain why skin-to-skin contact is offered, state the safety checks that go with it, and know when it would be paused.

What the Evidence Says

In skin-to-skin contact the newborn, dried and wearing only a diaper and hat, is placed on the mother's bare chest and covered with a warm blanket. Pooling 46 randomized trials, Cochrane reviewers reported that babies held this way soon after birth were more often still nursing at one to four months, and probably more often fed only breast milk when they went home; the reviewers rated the trials as small and imperfect (Moore et al., 2016). Eight of those trials included cesarean births.

Contact after a cesarean is often skipped because of the drape, the cold room and the monitoring leads. A hospital quality project showed it can be done routinely. After the team changed its practice, the share of healthy babies born by cesarean who had early skin-to-skin contact rose from 20 to 68 percent in three months, and babies who had contact in the operating room received formula in the hospital less often than those who did not (Hung & Berg, 2011).

A cesarean changes where the first hour happens, not whether the baby belongs on his mother's chest.

What this part is doingPresenting both the trial evidence and a hospital's experience answers the family's two questions: does it help, and is it possible here.
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The Teaching Content

Before surgery. The couple will be told that the anesthesia team places the heart monitor leads on her back or side, so her chest stays free, and that her gown will be loosened at the top. The room will be warmed. Ms. Price will sit at the head of the table next to her wife.

At birth. After delivery the pediatric nurse dries the baby and checks breathing, heart rate and tone under the warmer for about a minute. If he is breathing well, he is brought around the drape and placed on Ms. Abernathy's chest, his head turned to one side, with a warm blanket over both of them and a hat on his head.

During the surgery. Contact continues while the surgeons close, usually about 30 to 45 minutes. Ms. Price helps hold the baby securely because her wife's arms may be restricted by the IV and blood pressure cuff. A nurse stays with the baby the whole time.

In recovery. Contact continues in the recovery room, and the baby is supported to find the breast, usually within the first hour. Weighing, the bath and other routine care can wait. Vitamin K and eye ointment can also be given later in the first hour.

Safety Steps

The American Academy of Pediatrics supports skin-to-skin contact for healthy term newborns and describes how to make it safe, because rare episodes of sudden unexpected postnatal collapse have occurred during early contact, often when a baby's face was covered or the parent was asleep or distracted (Feldman-Winter et al., 2016). The plan includes the steps that guidance describes. The baby's face must be visible, his nose and mouth uncovered, his neck straight and his head turned to the side, and his chest rising and falling. A nurse observes continuously in the operating room and recovery, checking color, breathing and position at set intervals. If Ms. Abernathy becomes drowsy from medication, the baby is moved to Ms. Price's chest or to the bassinet.

The couple is taught these signs too, because they are the people watching most closely: a baby who is pale or blue, limp or not breathing is moved at once and the nurse alerted.

What this part is doingTeaching the parents the same safety signs the staff watch for makes them part of the monitoring rather than passive recipients.
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When Contact Would Be Paused

Contact would wait if the baby needs help breathing, if Ms. Abernathy is unwell or bleeding heavily, or if she feels too nauseated or uncomfortable. In that case Ms. Price can hold the baby skin to skin, and contact with Ms. Abernathy resumes as soon as possible. The couple is told this in advance so a pause does not feel like failure.

Teaching Methods

The teaching uses a short conversation, a photo sequence of skin-to-skin contact in the hospital's own operating room and a doll to practice positioning, including turning the head and checking the nose and mouth. The couple receives a one-page summary to bring to the hospital.

Evaluation

At the preoperative visit the couple is asked to describe the sequence in their own words and to demonstrate safe positioning with the doll. Teaching is complete when both can name three safety checks and two reasons contact might be paused.

Documentation

The birth plan in the chart notes the request for skin-to-skin contact during the operation, the anesthesia note about lead placement and the nursing plan for continuous observation.

Conclusion

A planned cesarean does not have to separate a mother and baby in the first hour. Teaching the couple what will happen, why it helps breastfeeding and how to keep the baby safe prepares them to take part, and gives the team a shared plan.

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References

Feldman-Winter, L., Goldsmith, J. P., Committee on Fetus and Newborn, & Task Force on Sudden Infant Death Syndrome. (2016). Safe sleep and skin-to-skin care in the neonatal period for healthy term newborns. Pediatrics, 138(3), e20161889. https://doi.org/10.1542/peds.2016-1889

Hung, K. J., & Berg, O. (2011). Early skin-to-skin after cesarean to improve breastfeeding. MCN: The American Journal of Maternal/Child Nursing, 36(5), 318-324. https://doi.org/10.1097/NMC.0b013e3182266314

Moore, E. R., Bergman, N., Anderson, G. C., & Medley, N. (2016). Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews, 2016(11), Article CD003519. https://doi.org/10.1002/14651858.CD003519.pub4

Reading the NU 682 Unit 7 instructions

Unit 7 usually asks for a teaching plan about newborn care in the first hours or days, written for parents or for staff. Prompts commonly require learner assessment, measurable objectives, content with its evidence, teaching methods, safety considerations and an evaluation of learning. Instructors expect pediatric sources for newborn topics and reward plans that anticipate the setting, such as an operating room, where the usual approach needs changes. Teaching the family what to watch for, not only what will happen, is often a criterion. The plan should also say when the activity would be paused and who takes over. Plans of a few headed APA pages are common. Sources usually include a systematic review of the intervention, a professional statement on safety and an implementation report showing the practice is feasible in a real unit.

How this NU682 Unit 7 example is built

The plan names the learners, their experience and the timing of teaching at 36 weeks and before surgery, then sets four objectives the couple should meet. The evidence section summarizes the Cochrane review's breastfeeding findings with their limits and Hung and Berg's change in operating room practice, under a highlighted line about where the first hour happens, and a margin note marks how the two sources answer the family's questions. Teaching content runs in time order from monitor leads to recovery, including Ms. Price's role in holding the baby. The safety section draws on Feldman-Winter and colleagues for positioning and observation, and a second margin note explains why the parents learn the warning signs too. A section on pauses prepares the couple for contact moving to the other parent. Teaching uses photos and a doll, and evaluation asks for three safety checks.

Where the points sit in the NU682 Unit 7 rubric

Teaching plans in this unit earn marks for learner assessment, objectives that can be measured, accurate content, safety planning, appropriate methods and evaluation. Assessment credit requires describing the learners' prior knowledge and expectations, here a mother who expects separation. Objectives should state what the learners will do, so that evaluation can check them. Content accuracy is judged against pediatric and nursing evidence, with the limits of the evidence acknowledged. Safety planning is heavily weighted for newborn topics; graders look for positioning, continuous observation and a plan for a drowsy parent. Methods should suit adult learners and the setting, and a return demonstration is a strong evaluation. Plans that coordinate with anesthesia and pediatrics show systems awareness. Documentation of the family's wishes in the chart, clear headings and APA references to the review and professional statement complete the criteria.

NU682 Unit 7 help: mistakes that cost points

Teaching plans most often lose marks for objectives that cannot be measured, such as "understand skin-to-skin," and evaluations that only ask whether the family has questions. Another common gap is skipping safety: early contact without positioning and observation guidance is a serious omission. Some plans assume skin-to-skin is impossible after cesarean and stop there, or describe it without the team steps that make it work. Others teach only the mother when the partner will be the one holding the baby in the operating room. Leaving out when contact would pause can make a pause feel like failure to the family. Begin by writing what the parents expect, then list each step of the first hour and one safety check for each. Send your scenario, setting and the prompt, and a teaching plan can be organized around that first hour.

Get an NU682 Unit 7 example written to your instructions

Send the scenario, the birth details and the teaching plan instructions with the rubric. A custom plan explains each step of the first hour, the evidence for it and how staff and family keep the baby safe. It comes back within 24-48h, and the first is free. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.

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NU682 Unit 7 questions, answered

Is skin-to-skin contact possible after a cesarean?

Often, yes, in the operating room or recovery if mother and baby are stable. It requires staff to plan positioning and observation in advance.

What safety steps go with early skin-to-skin contact?

Continuous observation, correct positioning with the baby's face visible and airway clear, and attention to a drowsy parent. Pediatric guidance describes these steps.

Who is the audience for a teaching plan?

Usually the family, sometimes the staff. Your prompt will say; the language and level of detail should fit that audience.

Where can I find a free NU682 Unit 7 sample paper?

The complete NU682 Unit 7 newborn transition teaching plan is on this page. It prepares a composite couple for skin-to-skin contact during a planned cesarean, with the evidence, step-by-step content, safety checks and a doll-based evaluation.

How does the NU682 Unit 7 plan keep the newborn safe during skin-to-skin contact?

A nurse observes continuously, the baby's face stays visible with the nose and mouth clear and the head turned, and the baby moves to the other parent or a bassinet if the mother becomes drowsy. The parents learn the same warning signs.