Вы находитесь на странице: 1из 51

NUR 220: Family-Centered Nursing Course Outline

Unit I Nursing 220 Class time = 1 hr Objectives The student will be able to: 1. Define the terms: WIC, statistics, mortality, morbidity, antepartum, intrapartum, postpartum, ethical dilemma, cesarean birth, fetus, culture, fatalism, discipline, advocacy, family, ethnicity, egocentric. 2. Discuss the evolution of obstetrical and child health care in the U.S. and trends. Describe the roles of the maternal-child nurse in promoting health care of families. Describe ethical issues that affect maternal & child nursing. Relate how major social issues affect maternalchild nursing. Explain the importance of family when caring for maternity and pediatric clients. Describe various parenting styles, disciplinary patterns, and communication skills of families. 4. Content 1. Evolution of Maternal and Child Health Care A. Current Trends B. Statistics on Maternal, Infant, and Child Health Care C. Ethical Perspectives D. Social Issues E. Legal Issues 2. Nurses Role in Maternity and Pediatric Nursing A. Roles, Implications of Changing Roles B. Advanced Preparation C. Complementary and Alternative Medicine FamilyCentered Influences and Care A. Key Elements B. Types of Families C. Family Functioning (Healthy vs. Dysfunctional) Cultural Influences on Maternity & Pediatric Nursing A. Implications B. Cross-Cultural Health Beliefs C. Cultural Assessment Parenting A. Styles B. Parent-Child Relationships Learning Activities Method of Instruction 1. Lecture 2. Discussion/Group activities 3. Study Guide activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments: 3. Evaluation 1. Written exam/Quizzes 2. Participation in class and group activities 3. Homework assignments

3.

4.

5.

6.

5.

7.

Unit II Nursing 220 Developmental Influences on the Developing Child Class time= 1 hr

Objectives The student will be able to: 1. Define the terms: growth, development, play (dramatic, therapeutic, symbolic), growth spurts, cephalocaudal, proximodistal, learning, regression, developmental age, chronological age. Describe the major trends in growth and development of the pediatric client. Differentiate between the major theories of personality development for childhood. Apply the role of play in growth and development of the pediatric client. Explain the significance of health promotion and safety to the developing child.

2.

Content I. Foundations of Growth and Development A. Patterns 1. Cephalocaudal 2. Proximodistal 3. Critical Periods B. Stages of Growth and Development C. Factors Influencing Growth and Development 1. External Proportions 2. Skeletal Growth 3. Neurological 4. Lymphoid Tissues II. Theories of Growth & Development A. Cognitive (Piaget) B. Psychosexual (Freud) C. Psychosocial (Erikson) D. Moral (Kohlberg) III. Developmental Assessment IV. Role of Play A. Classifications of Play B. Social Character of Play C. Types and Functions of Play V. Health Promotion A. Immunizations B. Nutrition & Dietary Guidelines C. Physical Activity D. Safety

Learning Activities Method of Instruction 1.Lecture 2. Discussion/Group activities 3. Study Guide activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizzes 2. Participation in class/group activities 3. Homework assignments

3.

4.

5.

Unit III Nursing 220 Health Promotion of the Infant Class time = 1 hrs

Objectives The student will be able to: 1. Define the terms: parentinfant attachment, stranger anxiety, developmental milestones, object permanence, trust vs. mistrust, sensorimotor stage, pincer grasp. 2. Describe the physiologic changes that occur during infancy. Summarize the growth & development of the infant and his developmental milestones. Discuss common problems of infancy. Utilize the appropriate anticipatory guidance. Including safety, in teaching the family. Discuss nutrition, feedings, and the introduction of solids. List health maintenance expectations, including immunizations.

Content I. Growth and Development during Infancy A. Physical B. Motor C. Cognitive D. Sensory E. Language F. Psychosocial II. Health Promotion Activities for Infant and Family A. Immunizations B. Feeding and Nutrition C. Dental Care D. Sleep and Comfort E. Crying and Colic F. Safety G. Play

Learning Activities Method of Instruction 1. Student Presentations 2. Role Playing 3. Class Discussions 4. Group Work 5. Study Guide activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizzes 2. Participation in class/group activities 3. Homework assignments

3.

4. 5.

6.

7.

Unit IV Nursing 220 Health Promotion during Early Childhood Class time = 1 hrs.

Objectives The student will be able to: 1. Define terms: Play (cooperative, parallel, symbolic, associative), ritualism, dysfluency, regression, transductive reasoning, negativism.

Content I. Growth and Development with Developmental Milestones during Early Childhood A. Physical B. Motor C. Cognitive D. Language E. Psychosocial

Learning Activities Method of Instruction 1. Student Presentations 2. Role Playing 3. Class Discussions 4. Group Work 5. Study Guide activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray,Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizzes 2. Participation in class/group activities 3. Homework assignments

2.

3.

4.

5.

II. Health Promotion Activities for Toddlers & Describe the physiologic Preschoolers, and their Families changes and the motor, A. Immunizations cognitive, language, and B. Feeding and Nutrition psychosocial development in C. Discipline toddler & preschooler. D. Sleep and Rest E. Safety Provide families with F. Play anticipatory guidance for early childhood children. III. Common Issues in Early Childhood Discuss the causes of and A. Toilet Training identify interventions for B. Temper Tantrums, Negativism common toddler behaviors C. Sibling Rilvalry (temper tantrums, D. Stuttering negativism, & ritualism. E. Ritualism F. School Readiness Identify strategies to alleviate a preschool childs fears and sleep problems. Discuss discipline of the toddler and preschooler. Describe signs of a toddlers readiness for toilet training & offer guidelines to the family. Offer suggestions to promote school readiness in the preschool child.

6. 7.

8.

Unit V Nursing 220 Health Promotion of School-Age Children Class time = 1 hr.

Objectives The student will be able to: 1. Define Terms: menarche, malocclusion, caries, conservation, self-care child (latch-key). Describe the school-age childs normal growth & development, and assess for developmental milestones. Discuss the maturational changes that take place in the school-age child and implications for health care. Identify effective parenting strategies when dealing with moral development. Discuss the effect school has on the childs development & implications. Discuss anticipatory guidance as related to health, safety, and stress issues.

Content 1. Growth and Development with Developmental Milestones during the School-Age Period A. Physical B. Motor C. Cognitive D. Language E. Psychosocial 2. Health Promotion Activities for Toddlers & Preschoolers, and their Families A. Immunizations B. Feeding and Nutrition C. Discipline D. Sleep and Rest E. Safety Common Issues during School-Age A. School Adjustment B. Peer, Teacher, and Parent Roles & Influence C. Self-Care School-Agers D. Stress E. Media Influence

Learning Activities Method of Instruction 1. Student Presentations 2. Study Guide activities 3. Discussion 4. Group Work 5. Role Playing Required reading assignment: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizzes 2. Participation in class/group activities 3. Homework assignments

2.

3.

3.

4.

5.

6.

Unit VI Nursing 220 Health Promotion in Adolescence Class time = 1 hr.

Objectives The student will be able to: 1. Define Terms: puberty, adolescence, pubescence, identity formation, primary sexual characteristics, secondary sexual characteristics, reproductive maturity, risk-taking behaviors, and autonomy. adolescents normal growth & development, and developmental tasks. 3. Discuss the sexual maturational changes that take place in the adolescent and implications for health care. Identify anticipatory guidance for adolescents & families with respect to risktaking behaviors, nutrition, sexuality, stress, and safety. Discuss the prevalence of adolescent violence and strategies to deal with aggressive behavior.

Content I. Growth and Development with Developmental Milestones In Adolescence A. Physical B. Sexual C. Motor D. Cognitive E. Language F. Psychosocial II. Health Promotion Activities for Adolescents A. Nutrition B. Hygiene C. Dental Care D. Sleep and Rest E. Exercise and Activity F. Safety III. Common Issues during Adolescence A. Body Piercing, Tattoos B. Sports C. School Drop-out D. Parent Roles & Influence E. Violence, Suicide F. Stress G. Peers, Gangs H. Sexual Activity

Learning Activities Method of Instruction 1. Student Presentations 2. Study Guide activities 3. Discussion 4. Group Work 5. Role Playing Required reading assignment: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizzes 2. Participation in class/group activities 3. Homework assignments

2. Describe the

4.

5.

Unit VII NUR 220 Hereditary and Environmental Influences on Development Class time = hour

Objectives The student will be able to: 1. Define Terms: genetic, congenital, birth defect, autosome, allele, gamete, sex chromosome, heterozygous, trisomy, homozygous, karyotype, genotype, diploid, haploid, translocation, teratogen, mutation. Describe the structure and function of normal human genes and chromosomes. Explain the transmission of single gene traits from parent to child. Define characteristics of birth defects, including multifactorial. Identify environmental factors that can interfere with prenatal development, and explain how their effects can be avoided or reduced. Explain genetic counseling and the role of the nurse in caring for individual or families with concerns about birth defects.

Content I. Hereditary Influences II. Structure of Genes and Chromosomes A. DNA B. Genes C. Chromosomes

Learning Activities Method of Instruction 1. Self-Review of Biology A & P 2. Dicussion 3. class/group work 4. Study Guide activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

2.

III. Patterns of Inheritance A. Single Gene B. Autosomal 1. Dominant 2. Recessive C. Chromosomal Abnormalities D. Multifactorial Disorders IV. Environmental Influences V. Genetic Counseling and Nursing Care of Families with Birth Defects

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

3.

4.

5.

6.

Unit VIII NUR 220 Fertility and Infertility; Reproductive Anatomy & Physiology; Conception and Fetal Development Class time = 3 hours

Objectives The student will be able to: 1. Define Terms: refer to the definitions listed in your textbook. Describe the role of the nurse in helping couples choose contraception. Explain why informed consent is important. Compare and contrast contraceptive methods in terms of safety, effectiveness, convenience, education needed, interference with spontaneity, availability, expense, and preference. Explain factors that can impair a couples ability to conceive or can cause repeated pregnancy losses. Describe the use of procedures and treatments that may aid in a couples ability to conceive and carry the fetus to viability. Explain female and male sexual development. Describe the anatomy of the female and male reproductive systems and how each functions. Explain the normal structure and function of the female breast. Describe the formation of the female and male gametes.

Content I. Role of the Nurse II. Advantages and Disadvantages of Common Contraceptive Methods A. Sterilization B. Hormonal C. Intrauterine Devices D. Barrier E. Natural Family Planning F. Abstinence III. Adolescent Needs and Knowledge IV. Evaluation of Infertility V. Therapies to Facilitate Pregnancy VI. Responses to Infertility VII. Sexual Development VIII. Female Reproductive Anatomy and Function IX. Male Reproductive Anatomy and Function X. Gametogenesis XI. Conception and Pre-embryonic Period XII. Embryonic Period XIII. XIV. XVI. Fetal Period Placenta, Fetal Membranes, & Amniotic Fluid Twinning

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group work Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

2.

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

3.

4.

5.

6. 7.

XV. Fetal Circulation

8. 9.

10. Relate normal prenatal

development from conception through birth, including when important structures are developed and become functional. 11. Explain the structure and function of the placenta, umbilical cord, and fetal membranes. 12. Describe how common deviations from usual conception and prenatal development occur. 13. Explain prenatal circulation and the circulatory changes after birth. 14. 13. Describe twinning and how it can occur.

VIII page 1

VIII page 2

Unit IX NUR 220 Physiologic Adaptation To Pregnancy Class time = 1.5 hours

Objectives The student will be able to: 1. Define Terms: Understand words in the Definitions section of textbook. Describe the physiological changes that occur during pregnancy. Differentiate presumptive, probable and positive signs of pregnancy. Compute gravida, para, and estimated date of delivery (birth) based on the womans last menstrual period. Explain initial and follow-up antepartum assessments in terms of history, physical examination, and risk assessment. Discuss maternal adaptations to twinning. Describe the common discomforts of pregnancy in terms of causes, and describe measures to prevent or relieve them.

2.

3.

Content I. Body Changes during Pregnancy A. Uterus B. Cardiovascular C. Respiratory D. GI E. Urinary F. Skin G. Musculoskeletal H. Endocrine II. Confirmation of Pregnancy A. Presumptive B. Probable C. Positive III. Antepartum Assessment IV. Common Discomforts of Pregnancy V. Multi-fetal Pregnancy

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group work Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

4.

5.

6. 7.

10

Unit X NUR 220 Psychosocial and Nutritional Adaptations in Pregnancy Class time = 1.5 hours

Objectives The student will be able to: 1. Define Terms: Be familiar with those words in definitions in textbook. Describe the psychological responses of the expectant mother to her pregnancy. Identify the process of role transition. Explain the maternal tasks of pregnancy and the responses of prospective grandparents and siblings. Discuss various factors and cultural influences on pregnancy. Describe education needed for childbearing families. Explain the importance of adequate nutrition and weight gain during pregnancy. Compare the nutritional needs of the pregnant and non-pregnant woman. Discuss nutritional needs of the breastfeeding mother.

Content I. Maternal Responses to Pregnancy A. First Trimester B. Second Trimester C. Third Trimester II. Maternal Role Transition & Body Image During A. Pregnancy III. Maternal Tasks of Pregnancy IV. Family Adaptation A. Paternal B. Grandparents C. Siblings V. Factors that Influence Psychosocial Adaptations A. Age B. Multiparity C. Social Support D. Socioeconomic E. No Partner VI. Vi. Cultural Influences on Childbearing A. Differences within Culture B. Culturally Competent Care VII. Perinatal Education

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

2.

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

3. 4.

5.

6.

7.

VIII.

Nutritional Needs during Pregnancy

IX. Factors that Influence Nutrition X. Nutritional Risk Factors in Pregnancy and Postpartum A. Adolescence B. Vegetarianism C. Lactose Intolerance D. N & V E. Eating Disorders F. Substance Abuse

8.

9.

11

Unit XI NUR 220 Prenatal Diagnostic Tests Class time = 1 hour

Objectives The student will be able to: 1. Be familiar with Terms under Definitions in Textbook. Identify indications for fetal diagnostic procedures. Discuss the purpose, procedure, advantages, and risks of each diagnostic procedure. Provide appropriate information in response to common questions parents have about procedures.

Content I. Indications for Fetal Diagnostic Procedures II. Types of Diagnostics A. Ultrasonography B. Doppler Blood Flow C. Color Doppler D. Alpha-Fetoprotein Screening E. Triple-Marker Screening F. Chorionic Villus Sampling G. Amniocentesis III. Fetal Surveillance Antepartum A. Non-Stress Test B. Contraction Stress Test C. Biophysical Profile D. Amniotic Fluid Index E. Percutaneous Umbilical Blood Sampling F. Maternal Assessment of Fetal Movement

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

2.

3.

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

4.

12

Unit XII NUR 220 Normal Labor & Giving Birth; Fetal Surveillance Class time = 3.5 hours

Objectives The student will be able to: 1. 2. Define Terms in textbook under Definitions. Describe maternal and fetal normal responses to labor. Relate the mechanisms of labor to the process of vaginal birth. Explain premonitory signs of labor. Compare true labor with false labor. Note common differences in the labors of nulliparous and parous women. Compare the stages of labor and the phases within the first stage. Describe continuing intrapartum nursing assessments, identifying priorities in care. Assist in giving birth under normal & emergency conditions.

Content I. Physiologic Effects of the Birth Process A. Maternal Response B. Fetal Response II. Components of the Birth Process A. Powers B. Passage C. Passenger D. Psyche III. Normal Labor A. Premonitory Signs B. True vs. False Labor C. Mechanisms D. Stages & Phases 1. First Stage a. Latent, Active, Transition Phases 2. Second Stage 3. Third Stage 4. Fourth Stage E. Nursing Care & Interventions During Labor 1. Maternal Assessments 2. Fetal Assessments 3. Labor Progression Assessments 4. Level of Discomfort Assessments IV. Nursing Responsibilities During Birth V. Nursing Responsibilities Immediately after Birth VI. Uteroplacental Fetal Oxygenation A. Normal B. Pathological C. Risk Factors for Fetal Compromise VII. Auscultation and Palpation VIII. A. B. C. Electronic Fetal Monitoring Equipment External Internal

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 3rd edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

3.

Evaluation 1. Written exam/Quizz es 2. Description of nursing care for the laboring patient. 3. Participation in group activities 4. Homework assignments

4. 5. 6.

7.

8.

9.

10. Identify the purposes of fetal surveillance during labor & birth.

XII page 1

13

11. Explain the normal and pathologic mechanisms that influence the fetal heart rate. 12. Demonstrate auscultation and electronic fetal monitoring. 13. Describe the interpretation of electronic fetal monitoring. 14. Describe appropriate responses to nonreassuring fetal heart rate patterns. 15. Utilize the Nursing Process for a woman in labor and who gives birth. Include the use of electronic fetal monitoring.

IX. Evaluating Electronic Fetal Monitoring Strips A. Baseline Fetal Heart Rate (FHR) B. Variability C. Reassuring Patterns D. Nonreassuring Patterns 1. Interventions 2. 2. Fetal Compromise

XII page 2

14

Unit XIII NUR 220 Pain Management; Obstetric Procedures Class time = 2.5 hours

Objectives The student will be able to: 1. 2. 3. Define and be familiar with terms listed in the textbook. Compare childbirth pain with other types of pain. Describe how excessive pain can affect the laboring woman, her psyche, and her fetus. Explain the use of nonpharmacologic pain management techniques in labor. Describe how medications may affect the pregnant woman and her fetus. Identify the benefits and risks of specific pharmacologic pain control methods. Explain indications, risks, precautions, & contraindications for specific obstetric procedures. Compare nursing care with each obstetric procedure. Identify methods to provide emotional support to the woman having an obstetrical procedure.

Content I. Nature of Childbirth Pain A. Adverse Effects B. Variables 1. Physical Factors 2. Psychosocial Factors II. Nonpharmacologic Pain Management A. Relaxation B. Water Therapy C. Cutaneous Stimulation D. Mental Stimulation E. Breathing III. Pharmacologic Pain Management A. Regional Techniques B. Systemic Drugs C. Vaginal Birth Anesthesia D. General anesthtesia IV. Various Obstetric Procedures: Nursing Care, A. Techniques, Risks, and Benefits B. Amniotomy C. Induction and Augmentation of Labor D. Version E. Operative Vaginal Birth F. Cesarean Birth

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

4.

5.

6.

7.

8. 9.

10. Apply the Nursing Process to plan care for the woman having a cesarean birth.

15

Unit XIV NUR 220 Normal Postpartum Class time = 2 hours

Objectives The student will be able to: 1. 2. Define Terms in textbook. Explain the physiologic changes that occur during the postpartum period. Describe nursing assessments and nursing care during postpartum. Discuss the role of the nurse in health teaching for the new family during postpartum. Explain the process of bonding and attachment, including maternal touch. Describe the progressive phases of adaptation to the maternal role. Discuss cultural influences on family adaptation. Explain the cause, symptoms, and interventions for postpartum blues.

3.

Content I. Physiologic Changes in the Postpartum Woman A. Uterine B. Cardiovascular C. GI D. Urinary E. Musculoskeletal F. Neurological G. Skin H. Endocrine II. Postpartum Assessments A. Fundus B. Perineum C. Bladder D. BUBBLE HE E. REEDA F. Differences with Cesarean Birth 1. Respiratory 2. Pain 3. Mobility III. Teaching after Birth IV. Psychosocial Adaption A. Bonding, Attachment, Touch Behaviors B. Maternal Role Adaptation C. Postpartum Blues D. Assessment of new Mom V. Family Adaptation to the Birth of a Child A. Factors Affecting Adaptation B. Cultural Influences C. Home Care Issues

Learning Activities Method of Instruction 1. Discussion 2. Class/group activities 3. Study Guide activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

4.

5.

6.

7.

8.

16

Unit XV NUR 220 The Newborn: Adaptations to Birth; Nursing Care; Nutrition Class time = 2 hours

Objectives The student will be able to: 1. 2. Understand the Definitions section in textbook. Explain the physiological changes that occur during the transition from fetal to neonatal life. Describe thermoregulation in the newborn. Explain the causes and effects of hypoglycemia. Describe the steps in normal bilirubin excretion and the development of physiologic, pathologic, and breast milk jaundice. Identify the functioning of the newborns kidneys. Describe the periods of reactivity and behavioral states of the newborn. Describe nursing assessments of the newborn, differentiating with the components of the gestational age assessment. Describe the purpose of routine prophylactic medications for the normal newborn.

3. 4. 5.

Content I. Normal Adaptations at Birth A. Initiation of Respirations B. Cardiovascular 1. Ductus Arteriosus 2. Foramen Ovale 3. Ductus Venosus C. Neurologic 1. Thermoregulation a. Non-Shivering Thermogenesis b. Cold Stress D. Hematologic E. GastroIntestinal F. Hepatic 1. Blood Glucose 2. Bilirubin Conjugation a. Physiologic b. Pathologic G. Urinary H. Immune II. Psychosocial Adaptation A. Periods of Reactivity B. Behavioral States III. Early Assessments A. Anomaly Assessment B. Body System Assessment C. Gestational Age Assessment D. Behavioral Assessment IV. Early Care of the Normal Newborn A. Administer Medications B. Evaluate Cardiorespiratory Status 1. Bulb Syringe PRN 2. Norma pulse and respiratory rate. C. Thermoregulation 1. Prevent Heat Loss 2. Restore thermoregulation PRN D. Hepatic Function 1. Glucose levels 2. Bilirubin levels

Learning Activities Method of Instruction 1. Discussion 2. Lab Skills 3Class/group activities 4. Study Guide Activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizzes 2. Demonstration of Lab Skills 3. Participation in class/group activities 4. Homework assignments

6. 7.

8.

9.

10. Explain the nursing responsibilities in cardiorespiratory and thermoregulatory care.

XV page 1

17

11. Discuss parent teaching with proper ID, newborn screening tests, jaundice, circumcision, newborn safety. 12. Describe collaborative interventions for hypoglycemia. 13. Explain circumcision risks and benefits, as well as the care of both circumcised and uncircumcised male infants. 14. Describe methods to prevent infections in newborns, and family teaching that will enhance this. 15. Describe post-discharge nursing care included in home and clinic visits. 16. Identify the nutritional and fluid needs of the newborn. 17. Compare the composition of breast milk and formula, and the advantages of choosing either method. 18. Explain the physiology of lactation. 19. Describe nursing management of initial and continued breastfeeding. 20. Describe interventions for common problems in breastfeeding. 21. Describe interventions for common problems in formula feeding.

E. Skin Care 1. Bathing 2. Cord Care 3. Diaper area Care F. Positioning G. Protection from Harm 1. Abductions 2. Infections H. Circumcision 1. Rain Relief 2. Techniques 3. Care I. Immunizations J. Newborn Screening Tests V. Newborn Discharge and Follow-up Care VI. Nutritional Needs of Newborn VII. Breast Milk vs. Formula Feeding A. Composition B. Advantages & Disadvantages C. Factors Influencing Choice VIII. A. B. C. D. E. F. Normal Breastfeeding Milk Production Hormonal Changes Breast Preparation Proper Feeding Techniques Breastfeeding Concerns Evaluation of Feeding

IX. Formula Feeding A. Types of Formula B. Proper Feeding Techniques C. Evaluation of Feeding

XV page 2

18

Unit XVI NUR 220 The Special Needs Family Class time = 1 hour

Objectives The student will be able to: 1. Understand the Terms under Definitions in the textbook. Identify the factors that contribute to teenage pregnancy. Discuss the effects of pregnancy on the adolescent mother, her infant, and the family. Relate the implications of delayed pregnancy (age) on the mother and fetus. Describe the effects of substance abuse on the mother and her infant. Identify nursing interventions to reduce or minimize the effects of substance abuse in antepartum, intrapartum, and postpartum periods. Discuss parent responses and helpful nursing interventions with: a. a newborn with congenital anomalies b. pregnancy loss c. giving baby up for adoption

2.

Content I. Adolescent Pregnancy A. Incidence B. Factors C. Options D. Implications for Mother and Fetus E. Impact on Parenting both mother and father II. Delayed Pregnancy A. Implications B. Advantages and Disadvantages III. Pregnancy and Substance Abuse A. Incidence B. Maternal and Fetal Effects C. Nursing Implications and Care IV. Pregnancy Loss / Fetal Death

Learning Activities Method of Instruction 1. Discussions 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

3.

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

4.

5.

6.

7.

19

Unit XVII NUR 220 Antepartal Complications Class time = 2 hours

Objectives The student will be able to: 1. Be able to define terms on pages 616-617, Definitions. Describe the hemorrhagic conditions of early and late pregnancy. Explain the disorders of the placenta. Discuss the effects and management of hyperemesis gravidarum. Describe the development and management of hypertensive disorders of pregnancy. Compare Rh and ABO imcompatibility. Describe the effects of pregnancy on glucose metabolism. Discuss the effects and management of gestational diabetes. Explain the effects of heart disease on the pregnant woman.

2.

3. 4.

Content I. Hemorrhagic Conditions of Early Pregnancy A. Spontaneous Abortion 1. Threatened 2. Inevitable 3. Incomplete 4. Complete 5. Missed a. Therapeutic Management b. Disseminated Intravascular Coagulation (DIC) B. Ectopic Pregnancy C. C.Gestational Trophoblastic Disease D. Nursing Care II. Hemorrhagic Conditions of Late Pregnancy A. Placenta Previa B. Abruptio Placentae C. Nursing Care III. Hyperemesis Gravidarum IV. Hypertention During Pregnancy A. Assessment B. Influence on the Mother and Fetus C. Assessments D. Interventions and Teaching E. HELLP Syndrome V. Blood Incompatibility A. Rh Incompatibility B. ABO Incompatibility VI. Concurrent Disorders During Pregnancy A. Diabetes Mellitus B. Gestational Diabetes C. Hypertension D. Cardiac Disease E. Anemias 1. Iron Deficiency 2. Folic Acid Deficiency 3. Sickle Cell Anemia

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

5.

6. 7.

8.

9.

10. Identify the major causes of trauma during pregnancy. 11. Discuss the maternal, fetal, and neonatal effects of the most common infections that may occur during pregnancy.

20

F. G. H. I.

Systemic Lupus Erythematosus Epilepsy Trauma Infections 1. Viral a. Rubella b. Chickenpox c. Genital Herpes d. Hepatitis B e. HIV f. f. Group B Streptococcus Infection

XVII page 1

XVII page 2

21

Unit XVIII NUR 220 Intrapartal Complications Class time = 1 hours

Objectives The student will be able to: 1. Identify the terms under Definitions listed in textbook. Explain abnormalities that my result in dysfunctional labor. Describe maternal and fetal risks associated with premature rupture of membranes (PROM). Analyze factors that increase a womans risk for preterm labor. Explain maternal and fetal problems that may occur in pregnancy persists beyond 42 weeks. Describe common intrapartum emergencies and the therapeutic management for each. Apply the Nursing Process to care of women with intrapartum complications and to their families.

2.

Content I. Dysfunctional Labor A. Ineffective Contractions B. Ineffective Maternal Pushing C. Fetal Size / Dystocia D. Abnormal Presentation or Position of Fetus E. Multifetal Pregnancy F. Pelvis Size G. Psyche H. Prolonged Labor I. Precipitate Labor II. Premature Rupture of Membranes III. Preterm Labor A. Risks B. Management C. Drugs Used 1. Terbutaline 2. Magnesium sulfate 3. Indomethacin or Sulindac 4. Nifedipine or nicardipine D. Assessing for Fetal Maturity IV. Prolonged Pregnancy V. Intrapartum Emergencies A. Placental Abnormalities B. Prolapsed Umbilical Cord C. Uterine Rupture D. Uterine Inversion E. Amniotic Fluid Embolism (Anaphylactoid syndrome) VI. Trauma

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

3.

4.

5.

6.

7.

22

Unit XIX NUR 220 Postpartum Complications Class time = 1 hour

Objectives The student will be able to: 1. Understand the words listed on page 702 under Definitions. Describe the predisposing factors, manifestations, and therapeutic management of postpartum hemorrhage. Explain the major causes, manifestations, and therapeutic management of subinvolution. Describe the major thromoboembolic disorders, their predisposing factors, manifestations, and therapeutic management. Discuss the location, causes, manifestations and therapeutic management of puerperal infection. Describe postpartum depressions and psychosis. 7. Explain the role of the nurse in the management of women with postpartum complications.

2.

Content I. Postpartum Hemorrhage A. Early B. Late C. Drugs Utilized 1. Oxytocin - PITOCIN 2. Carboprost Tromethamine PROSTIN, HEMABATE 3. Misoprostol - CYTOTEC II. Uterine Subinvolution III. Thromoembolic Disorders A. Superficial venous thrombosis B. Deep Venous Thrombosis C. Pulmonary Embolism IV. Puerperal Infection A. Metritis B. Wound Infection C. Urinary Tract Infectins D. Mastitis E. Septic Pelvic Thrombophlebitis V. Postpartum Depression vs. Postpartum Psychosis

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guid assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

3.

4.

5.

6.

7.

23

Unit XX NUR 220 The High Risk Newborn Class time = 2 hours

Objectives The student will be able to: 1. Use the Definitions listed in textbook correctly. Explain the special problems and the nursing care of the preterm infant. Describe the complications that may result from premature birth. Describe the characteristics and problems of the infant with postmaturity syndrome. Explain the effects of intrauterine growth restriction. Compare the problems of the large-for-gestationalage infant with those of the small-for- gestationalage infant. Describe Neonatal Resuscitation. Explain the common respiratory problems in the newborn. Discuss the significance and causes of pathologic jaundice.

2.

3.

4.

Content I. Preterm Infants A. Characteristics B. Assessment and Care of Common Problems 1. Respirations 2. Thermoregulation 3. Fluid & Electrolyte Balance 4. Skin Integrity 5. Infection 6. Pain 7. Nutrition Feedings 8. Parenting C. Additional Complications of Preterm Infants 1. Respiratory Distress Syndrome 2. BronchoPulmonary Dysplacia 3. Ventricular Brain Hemorrhage 4. Retinopathy of Prematurity 5. NEC to be discussed in Chapter 43 II. Postterm Infants III. Small-for-Gestational-Age Infants IV. Large-for-Gestational-Age Infants V. Respiratory Complications A. Asphyxia B. Transient Tachypnea of the Newborn (TTN) C. Meconium Aspiration Syndrome D. Persistent Pulmonary Hypertension of the Newborn VI. Hyperbilirubinemia VII. Infection VIII. Infant of a Diabetic Mother

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/group 2. Participation in class/group activities 3. Homework assignments

5.

6.

7. 8.

9.

10. Describe causes of neonatal infections and nursing care of infants with these infections.

IX. Prenatal Drug Exposure X. Polycythemia XX page 1

24

11. Explain the effect of maternal diabetes on the newborn and the nursing care required. 12. Describe the effect of maternal substance abuse on the newborn.

XX page 2

25

Unit XXI NUR 220 Womens Health Care Class time = 1 hour

Objectives The student will be able to: 1. Be able to correctly use the terms under Definitions in textbook. Explain examinations and various screening procedures recommended to maintain the health of women. Compare benign disorders of the breast to breast cancer. Discuss the most common menstrual cycle disorders. Describe physical and psychological changes associated with menopause, and options to alleviate the discomfort. Describe the care of women with infectious disorders of the reproductive tract.

Content I. Womens Health Screenings A. Breast B. Vulvar C. Pelvic II. Breast Disorders and Tumors III. Menstrual Cycle Disorders A. Amenorrhea B. Abnormal Uterine Bleeding C. Pain D. Premenstrual Syndrome IV. Abortion V. Menopause VI. Pelvic Floor Dysfunction VII. Disorders of the Reproductive Tract A. Benign Disorders 1. Cervical Polyps 2. Uterine Leiomyomas 3. Ovarian Cysts B. Malignant Disorders C. Infectious Disorders 1. Candidiasis 2. Sexually Transmitted Diseases 3. Pelvic Inflammatory Disease 4. Toxic Shock Syndrome

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

2.

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignments

3.

4. 5.

6.

26

Unit XXII NUR 220 Communicating with Children and Families 1 hour

Objectives The student will be able to: . Upon completion of this session, the student will be able to: 1. List guidelines for establishing a setting for therapeutic communication. Describe four methods of obtaining assessment data from parents of a pediatric patient. Identify communication techniques unique to the pediatric population. Demonstrate communication strategies for children (based on development level) and their parents.

Content I

2.

Learning Activities Methods of Instruction 1.Communication Lab Interaction 2.Class/Group Activities 3.Dicussion Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

1. 2. 3.

Evaluation Written exam/Quizzes Participation in class/group activities Homework assignments

3.

4.

27

Unit XXIII NUR 220 Physical Assessment of Children Class time = 1 hour Lab time = 4 hours

Objectives The student will be able to: 1. Define Terms listed under Definitions in textbook. Apply principles of anatomy & physiology to the physical assessment of the child. Identify the principal techniques for doing the physical examination. Demonstrate a systemic and developmentally appropriate approach for examining each age group of children. Describe the normal physical examination findings. Document the physical assessment findings in a head-to-toe format. Discuss assessment of the developmental level of the pediatric client based on the Denver Developmental Test II.

I.

Content General Approaches to Physical Assessment

2.

II. Techniques for the Physical Examination A. Inspection B. Palpation C. Percussion D. Auscultation E. Smell III. Sequence of Physical Exam A. History B. Vital Signs C. Anthropometric Measurement D. Growth Charts E. Skin, Hair, Nails F. Lymph Nodes G. Head, Neck, Face H. Nose, Mouth, Throat I. Eyes J. Ears K. Thorax, Lungs L. Heart M. Peripheral Vascular N. Breast O. Abdomen P. Genitalia Q. Musculoskeletal R. Neurologic IV. Denver Developmental Test II (DDST II)

Learning Activities Method of Instruction 1. Discussion 2. Demonstration 3. Study Guide Activities 4. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation Written Exam/Quizes 2. Return Demos 3. Participation in class/group activities 1. Homework assignments 1.

3.

4.

5.

6.

7.

28

Unit XXIV NUR 220 Emergency Care of the Child; & The Hospitalized Child Class time = 2 hours

Objectives The student will be able to: 1. Compare the ABCs anatomy of a child with that of an adult. List the development issues that are significant when caring for infants, toddlers and children. List nursing interventions relevant to pediatric assessment in the ER. Describe the effects of lead poisoning on children. Describe effects of hospitalization of children across the growth span. List nursing interventions utilized with the hospitalized child, parents & siblings. Discuss primary and secondary assessment.

Content I. Communicating with Children

Learning Activities Method of Instruction 1. Discussion 2. Study Guide activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. 2. Written exam/Quizz es Participatio n in class/group activities Homework assignments

II. Growth and development impact in ER III. Anatomical Differences and nursing Implications A. Airway B. Breathing C. Circulation D. Disability IV. Lead poisoning V. Common Injuries A. Overdoses B. Near drownings VI. Effects of hospitalization on A. Infants/Toddlers B. Preschoolers C. School Age D. Adolescents VII. Interventions A. child (patient) B. siblings C. parents

2.

3.

3.

4.

5.

6.

7.

29

Unit XXV NUR 220 The Chronically or Terminally Ill Child Class time = 1 hour

Objectives The student will be able to: 1. Identify the major reactions of and effects on the family with a child with a special need. Define the stages of adjustment to a diagnosis of a chronic condition. Recognize the impact of illness or disability on the developmental stages of childhood. Develop a plan of interventions to support the family at the time of death

I.

Content Impact of Chronic Illness or Disability A. Parental Roles B. Siblings C. Extended Family D. Coping Mechanisms E. Reactions

Learning Activities Method of Instruction 1. Discussion 2. Class/Group Activities 3. Study Guide Activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

2.

3.

4.

II. Impact of Chronic Illness on Developmental Aspects A. Infant B. Toddler C. Preschooler D. School-age Child E. Adolescent F. Coping Mechanisms G. Response to Parental Behaviors III. Nursing Care Considerations for the Special Child A. Support at time of Diagnosis B. Acceptance of Emotions C. Support for Coping Mechanisms D. Education & General Health Care E. Promote Normal Development IV. Care at the End of Life A. Principles of Palliative Care B. Ethical Considerations C. Decision Making D. Pain Management E. Education of Family F. Grief and Mourning

Evaluation Written exam/Quizze s 2. Participation in class/group activities 3. Homework assignments 1.

30

Unit XXVI NUR 220 Pediatric Care Procedures and Skills Class time = 1 hour

Objectives The student will be able to: 1. 2. Define Terms identified in textbook. Describe how to prepare children and families for selected procedures. Compare anatomic and physiologic differences in children and adults as they apply to selected procedures. Identify psychosocial considerations unique to children undergoing selected procedures. Describe techniques useful for eliciting cooperation from the child undergoing selected procedures. Describer step-by-step nursing actions and the reasons for performing selected procedures.

Content I. Preparation of Children for Procedures II. Restraining Children III. Activities of Daily Living A. Bathing B. Oral Care C. Feeding IV. Assessing Vital Signs V. Fever-Reducing Measures VI. Specimen Collection VII. Gavage and Gastrostomy VIII. Oxygenation IX. Chest Physiotherapy X. Tracheostomy Care XI. Surgical Procedure Nursing Care & Teaching

Learning Activities Method of Instruction 1. Discussion 2. Class/Group Activities 3. Study Guide Activities Required reading assignments: Maternal-Child Nursing,4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

3. Lab time = 3 hours

Evaluation Written exam/Quizz es 2. Participatio n in class/group activities 3. Homework assignments 1.

4.

5.

6.

31

Unit XXVII NUR 220 Medicating Infants and Children Lab time = 3 hours

Objectives The student will be able to: 1. 2. Define the Terms listed in textbook. Describe different methods of administering medications to children. List advantages and disadvantages of each route of medication administration. Describe the physiologic differences between children and adults that affect medicating a child. Describe psychosocial interventions for teaching each age-group. Calculate safe dosages by body weight and determine if a providers order is safe to give a particular child. Utilize the text as a resource after reviewing IV Therapy principles.

Content I. Differences in Childrens Physiology that makes a difference in Medicating II. Psychologic and Developmental Factors III. Calculating Dosages IV. Routes of Medication Administration A. Oral B. Types of Injections C. Rectal D. Ophthalmic E. Otic F. Nasal G. Topical H. Inhalation V. Intravenous Therapy A. Insertion B. Monitoring C. Maintenance D. Documentation

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Homework 4. Questions & Answers

3.

Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Calculation Test 3. Participation in class/group activities 4. Homework assignment

4.

4.

5.

6.

32

Unit XXVIII NUR 220 Pain Management for Children

Objectives The student will be able to: 1. Define pain as it relates to the child, developmental level, and family. Discuss the gatecontrol theory of pain. Discuss myths and realities of pain as they relate to children. Discriminate between acute and chronic pain. Describe common pain assessment tools. Discuss nonpharmacologic and pharmacologic interventions that may be used with children. Use the nursing process to describe nursing care of children in pain.

Content I. Pain Management in Children A. Definitions B. Theories & Research C. Myths II. Assessment of a Childs Pain A. Developmental Levels B. Assessment Tools III. Interventions for Pain Relief A. Non-pharmacological B. Pharmacological

Learning Activities Method of Instruction 1. Classroom Presentation 2. Discussion 3. Examination of Assessment Tools 4. Study Guide Activities

Class Time = 1 hour

2. 3.

Evaluation 1. Written exam/Quizze s 2. Participation in class/group activities 3. Homework assignment

4.

Required reading assignments: Maternal-Child Nursing,4th edition, McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013.

5. 6.

Study Guide assignments:

7.

33

Unit XXIX NUR 220 The Child with Infectious or Immunologic al Alterations Class time = 2 hours

Objectives The student will be able to: 1. Describe types of immunological alterations and s/s of immune deficiencies. Define nursing interventions utilized in children with deficits, including those on corticosteroid therapy and SLE. List the major clinical manifestations of common communicable diseases. Discuss the common diagnostic tests for communicable diseases in early childhood. Develop a teaching plan for parents to prevent the transmission of infection. Outline a plan of care for the child with a communicable disease. Discuss the common medications used with communicable diseases

2.

Content I. Immunological Diseases A. Active vs passive immunity B. S/S of immunological alterations. C. Types of deficiencies D. Corticosteriod Therapy E. Nursing Care Plans 1. Ineffective Therapeutic Regime 2. Disturbed Body Image 3. Risk for Infection II. Infectious Disease A. Nursing Care of children who have contracted 1. Varicella 2. Diptheria 3. Fifths Disease 4. Roseola 5. Rubeola 6. Scarlatina 7. Mumps 8. Pertussis 9. Rubella 10. Scarlet fever B. Nursing Care of Children with Intestinal parasites

Learning Activities Method of Instruction 1. Class/Group Activities 2. Discussion 3. Study Guide Activities

3.

Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizze s 2. Participation in class/group activities 3. Homework assignment

4.

5.

6.

7.

34

Unit XXX NUR 220 The Child with An Immunologic Alteration Class time = 1 hour

Objectives The student will be able to: 1. 2. Define the Terms in textbook. Develop a teaching plan for a child with HIV and his family. Explain how to prevent the spread of organisms in children with an immunodeficiency. Outline critical information needed by families with children receiving long-term corticosteroid therapy. Compare the manifestations and nursing care of children who experience the following conditions: SLE, Allergic Reactions, and Anaphylaxis.

Content I. Review of the Immune System A. Pediatric Differences B. Development of Immunity C. Diagnostics II. Human Immunodeficiency Virus (HIV) A. Etiology and Manifestations B. Therapeutic Management C. Special Considerations 1. Infants and Children 2. Adolescents III. Corticosteroid Therapy IV. Immune Complex & Autoimmune Disorders A. Systemic Lupus Erythematosus B. Allergic Reactions C. Anaphylaxis

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignment

3.

4.

5.

35

Unit XXXI NUR 220 The Child with Fluid & Electrolyte Imbalances Class time = 1 hour

Objectives The student will be able to: 1. 2. Define the Terms identified in textbook. Compare the body fluid and electrolyte composition and regulation between infants/children and adults. Describe dehydration and acid-base imbalances. Develop a teaching plan for a child with vomiting and diarrhea. Describe nursing interventions with children that have various fluid and electrolyte imbalances.

Content I. Review of Fluid and Electrolytes A. Pediatric Differences B. Acid-Base Balances in Children II. Assessment of Children with Fluid & Electrolyte A. Disturbances III. Dehydration A. Types / Manifestations B. Maintenance Fluid Requirements C. Nursing Care D. Therapeutic Management E. Urinary Output IV. Diarrhea A. Manifestations B. Nursing Care C. Therapeutic Management V. Vomiting A. Manifestations B. Nursing Care C. Therapeutic Management

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignment

3. 4.

5.

36

Unit XXXII NUR 220 The Child with a Gastrointestinal Alteration Class time = 2 hours

Objectives The student will be able to: 1. 2. Describe common diagnostic screening tools used to detect GI alterations. Discuss and display an understanding of the pathophysiology, etiology, clinical manifestations, diagnostic evaluations, and therapeutic interventions in the conditions noted in Content in the next column. Utilize the nursing process to develop nursing care maps and teaching guidelines for the child and family. Develop nursing implications for common medications used with the child with GI alterations. Demonstrate critical thinking skills to manage a given patient care situation.

Content I. Abnormal Development A. Cleft Lip & Palate B. Esophageal Atresia, TEF C. Congenital Diaphragmatic Hernia II. Motility Disorders A. GER B. Constipation, Encopresis C. IBS III. Inflammatory A. Ulcers B. Infectious Gastroenteritis C. Appendicitis D. Inflammatory Bowel Diseases IV. Obstructive A. Hypertrophic B. Pyloric Stenosis C. Intussusception D. Hirschsprungs Disease V. Malabsorption A. Lactose Intolerance B. Celiac Disease VI. Hepatic Disorders A. Viral Hepatitis B. Biliary Atresia C. Cirrhosis

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizzes 2. Participation in class/group activities 3. Homework assignment

3.

4.

5.

Unit XXXIII

Objectives

Content

Learning Activities

Evaluation

37

The student will be able to: NUR 220 1. Pediatric Genitourinary Dysfunction Class time = 1.0 hrs 2. Describe the abnormal assessment findings indicative of genitourinary dysfunction in the pediatric client. Discuss the care of the client related to diagnostic procedures. Outline a nursing plan of care for the pediatric client with genitourinary dysfunction. Discuss the milestones in development of bladder control. Identify the common nursing interventions associated with urinary dysfunction. Contrast the causes, complications, and management of acute and chronic renal failure.

I.

3.

4.

5.

Assessment A. Clinical Manifestations of: 1. Enuresis 2. Hydronephrosis 3. Nephrotic Syndrome 4. Acute Poststreptococcal Glomerulonephritis 5. Hemolytic Uremic Syndrome 6. Renal Failure in Children a. Acute b. Chronic 7. Hypospadias, Epispadias 8. Structural Defects: cryptorchidism, inguinal hernia, hydrocele, testicular torsion B. Diagnostics 1. Urinalysis with C & S 2. Renal Biopsy 3. Renal/Bladder Ultrasound 4. Renal CT Scan 5. BUN, Creatinine A. B. C. Nursing Diagnosis Risk for injury R/T chronic infection Altered urinary elimination Fluid volume excess Planning: Client Outcomes Free of infection No evidence of complications Maintenance of appropriate fluid volume Implementation Interventions 1. Teaching a. Prevent infection b. Risk factors 2. Safety a. Monitor BP b. Monitor labs 3. I&O 4. Daily weights

Method of Instruction 1. 1. Study Guide Activities 2. Class Discussion 2. 3. Critical Thinking Activities 4. Class/group activities 3. Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013.

Written exam/Quizzes Participation in class/group activities Homework assignment

Study Guide Assignments:

6.

II.

III. A. B. C. IV. A.

XXXIII page 1 of 2

38

39

Unit XXXIV NUR 220 The Child with Respiratory Alterations Class time = 2 hours

Objectives The student will be able to: 1. 2. Define the Terms identified in textbook. Identify factors and A & P differences in the airway leading to pediatric respiratory infections. Contrast the differences between upper and lower respiratory alterations. Outline nursing care for a child with allergies to inhalants. Identify pathophysiology, symptoms, therapeutic management and nursing care of children with acute and chronic respiratory alterations. Develop guidelines on the home care of a child with asthma, common triggers, measures to prevent, and the teaching needs of the child and family. Discuss anticipatory guidance for children who develop respiratory distress, including signs and symptoms.

Content I. Review of the Respiratory System A. Pediatric Differences B. Diagnostics II. Common Upper Respiratory Alterations A. Allergic Rhinitis B. Sinusitis C. Otitis Media D. Pharyngitis & Tonsillitis III. Croup Syndromes A. Epiglottitis B. Spasmodic Croup C. LTB IV. Infections of the Lower Airways A. Bronchitis B. Respiratory Syncytial Virus C. Pneumonia V. Noninfectious Respiratory Irritants A. Foreign Body Aspiration B. Acute Respiratory Distress Syndrome C. Passive Smoking D. Smoke Inhalation VI. Other Conditions of Respiratory Alterations A. Apnea B. Sudden Infant Death Syndrome VII. Chronic Respiratory Alterations A. Asthma and Status Asthmaticus B. Cystic Fibrosis C. Tuberculosis

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignment

3.

4.

5.

6.

7.

40

Unit XXXV NUR 220 The Child with a Cardiovascular Alteration Class time = 2 hours

Objectives The student will be able to: 1. 2. Define the Terms identified in textbook. Differentiate between congenital and acquired heart defects. Discuss the responsibilities of the nurse with a child undergoing a cardiac catheterization. Identify common medications utilized with the child with cardiac alterations, their use, effects, and side effects. Develop a plan of care for a child undergoing cardiac surgery. Discuss the consequences of cardiac dysfunction on the growth and development of the child and his family. Describe the differences among the most common congenital defects. Discuss the most common acquired heart diseases in children.

Content I. Review of the Heart and Circulation A. Pediatric Differences B. Common Diagnostic Tests II. Cardiac Assessment of the Child III. Congenital Heart Disease Consequences A. Congestive Heart Failure B. Pulmonary Hypertension C. Cyanosis IV. Congenital Defects A. Left-to-Right Shunting Lesions 1. Patent Ductus Arteriosus 2. Atrial Septal Defect 3. Ventricular Septal Defect B. Obstructive Lesions 1. Pulmonary Stenosis 2. Aortic Stenosis 3. Coarctation of the Aorta C. Transposition of the Great Arteries V. Cardiac Therapeutics & Nursing Responsibilities A. Cardiac Catheterization B. Cardiac Surgery C. Medications VI. Acquired Heart Disease A. Infective Endocarditis B. Rheumatic Fever C. Kawasaki Disease D. Cardiomyopathies

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignment

3.

4.

5.

6.

7.

8.

41

Unit XXXVI NUR 220 The Child with a Hematologic Alteration Class time = 1 hour

Objectives The student will be able to: 1. 2. Define the Terms identified in textbook. Discuss the role of the nurse in preventing irondeficiency anemia Discuss the pathophysiology and therapeutic management of common hematologic alterations in children. Develop a teaching plan for the family with a child with Sickle Cell Anemia.

Content I. Review of the Hematologic System A. Pediatric Differences B. Functions of the WBCs II. Iron-Deficiency Anemia III. Sickle Cell Disease IV. B-Thalassemia

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignment

3.

V. Hemophilia VI. Von Willenbrands Disease VII. Imune Thrombocytopenic Purpura

4.

VIII.

Aplastic Anemia

42

Unit XXXVII NUR 220 The Child with Cancer Class time = 2 hours

Objectives The student will be able to: 1. 2. Define the Terms identified in textbook. List the common clinical manifestations of childhood cancer. Discuss the treatment modalities used in the care of children with cancer. Demonstrate an understanding of the nursing care associated with caring for a child with cancer. Discuss symptom management and anticipatory guidance of the family of a child with cancer. Identify infection control measures for a child with a neoplastic disorder. Delineate signs of different kinds of malignant tumors in children.

Content I. Review of Cancer A. Pediatric Differences B. Diagnostics II. The Child with Cancer A. Therapeutic Management B. Nursing Care C. Family III. Leukemia IV. Brain Tumors

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignment

3.

V. Lymphomas 4. VI. Neuroblastoma VII. Osteosarcoma VIII. 5. Ewings Sarcoma

IX. Rhabdomyosarcoma X. Wilms Tumor XI. Retinoblastoma

6.

7.

43

Unit XXXVIII NUR 220 The Child with Integumentary Alterations Class time = 2 hours

Objectives The student will be able to: 1. Compare and contrasts the clinical manifestation of bacterial, viral and fungal infections. Describe the clinical manifestations of skin disruptions associated with animal bites. Discuss the therapeutic management of acne. Develop a plan of care for common skin eruptions seen in children. Compare and contrast the prevention and transmission of common pediatric disorders.

Content Birthmarks Contact Dermatitis Skin Infections Skin Infestations Acne Burn Injuries

Learning Activities Method of Instruction 1. Question and Answers 2. Group ID of Skin Conditions 3. Discussion Read the Assigned Text: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide optional assignments:

2.

Evaluation Written exam/Quizze s 2. Participation in class/group activities 3. Homework assignment 1.

3. 4.

5.

44

Unit XXXIX Nursing 220 Musculoskeletal Alteration Class time = 1 hour

Objectives The student will be able to: 1. Describe the pathology, etiology, manifestations, diagnostic evaluation and therapeutic management of children with musculoskeletal alterations. State appropriate nursing outcomes and interventions for the child with altered musculoskeletal dysfunction. Summarize the treatment modalities used on children with these alterations.

Content I. Pediatric differences in Musculoskeletal system

Learning Activities Method of Instruction 1.Discussion 2.Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013.

2.

II. Nursing Care in the care of A. Soft Tissue Injuries and Treatment B. Fractures C. Cast and tractions D. Osteomylitis E. Scoliosis III. Effects of immobilization IV. Care of children with Congenital defects A. Clubfoot B. Hip Dysplasia

Evaluation 1. Written exam/Quiz zes 2. Participati on in class/group activities 3. Homework assignment

3.

Study Guide Assignments V. Care of Children with A. Legg-Calve Perthes B. Slipped Capital Femoral Epiphysis VI. Care of children with Infection of Bones and Joints A. Juvenile Arthritis B. Muscular Dystrophies

45

Unit XXXX NUR 220 The Child with an Endocrine or Metabolic Alteration Class time = 1.5 hours

Objectives The student will be able to: 1. 2. Define the terms identified in textbook. Discuss and describe endocrine problems seen in the neonate. Describe the signs and symptoms of hypothyroidism versus hyperthyroidism. List the nursing care considerations for children with disorders of the pituitary gland. Compare and contrast the relationship between diabetes insipidus and syndrome of inappropriate antidiuretic hormone as related to fluid and electrolyte balance. Describe the psychosocial issues concerning children with precocious puberty. List the common medications used with endocrine and metabolic alterations in children. Develop a teaching plan to help a child manage diabetes mellitus.

Content I. Review of the Endocrine System A. Pediatric Differences B. Diagnostics II. Phenylketonuria III. Inborn Errors of Metabolism IV. Congenital Adrenal Hyperplasia V. Congenital Hypothyroidism VI. Hypo- and Hyperthyroidism VII. Diabetes Insipidis VIII. Syndrome of Inappropriate Antidiuretic Hormone (SIADH) IX. Precocious Puberty X. Growth Hormone Deficiency XI. Diabetes Mellitis A. Type I B. Type II C. Ketoacidosis

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

3.

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignment

4.

5.

6.

7.

8.

46

Unit XXXXI NUR 220 The Child with a Neurologic Alteration Class time = 2 hours

Objectives The student will be able to: 1. 2. Define the Terms identified in textbook. Perform a neurologic assessment of a child and record the findings. Discuss the nursing implications of common medications used in the management of neurologic disorders. List the measures to keep a child safe during a seizure. Develop a nursing plan of care for the unconscious child. Distinguish between the different types of head injuries and their complications. Differentiate between major intracranial infections in children and nursing interventions. Teach the family about anticipatory guidance for a child with a structural defect in the brain.

Content I. 1.Review of the Central Nervous System A. Pediatric Differences B. Diagnostics II. Assessment : Increased Intracranial Pressure III. Structural Defects A. Spina Bifida B. Hydrocephalus C. Cerebral Palsy IV. Injuries of the Neurologic System A. Head Injuries B. Spinal Cord Injury V. Seizure Disorders A. Status Epilepticus VI. Infections A. Meningitis B. Guillain-Barre Syndrome C. Encephalitis D. Reye Syndrome VII. Headaches in Children

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

3.

Evaluation 1. Written exam/Quizz es 2. Participation in class/group activities 3. Homework assignment

4.

5.

6.

7.

8.

47

Unit XXXXII Nursing 220 The Child with a Psychological Disorder Time = 1 Hour

Objectives The student will be able to: 1. 2. Define the phrase: Failure to Thrive. Relate the etiology, signs and symptoms, and nursing care and interventions in a child diagnosed with failure to thrive.

Content I. Mental Status Exam II. Mood Disorders III. Anxiety Disorders IV. Attention-Deficit & Hyperactivity Disorders V. Child Abuse & Neglect VI. Failure to Thrive VII. Nursing Teaching and Interventions

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizzes 2. Participation in class/group activities 3. Homework assignment

48

Unit XXXXIII Nursing 220 The Child with a Cognitive Impairment Time = 45 minutes

Objectives The student will be able to: 1. 2. Define the terms dealing with cognitive loss. Discuss the diagnostic procedures utilized for children with cognitive disorders. Differentiate among the terms cognitive impairment, mental retardation, and developmental disability. Identify the causes and the tools used to determine the presence and degree of mental retardation in children. Develop appropriate nursing strategies for teaching and supporting the family and child with mental retardation or developmental delay. Identify nursing strategies to use with families when caring for the child with Down syndrome. List behavioral characteristics and appropriate actions for the nurse caring with a family with a Fragile X syndrome child. Explain the major considerations in dealing with a child with autism.

Content I. Cognitive Impairment and Mental Retardation II. Down Syndrome III. Fragile X Syndrome IV. Autism Spectrum V. Fetal Alcohol Syndrome

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

Evaluation 1. Written exam/Quizzes 2. Participation in class/group activities 3. Homework assignment

3.

4.

5.

6.

7.

8.

49

Unit XXXXIV Nursing 220 The Child with a Sensory Alteration Time = 30 minutes

Objectives The student will be able to: 1. Describe the specific information required in a health history for a child with a potential sensory deficit. Define the nurses role in assessing and caring for a child with sensory deficits. Describe how alterations in the sensory organs affect the childs ability to communicate. Identify potential growth and development interruptions that may occur with alterations of the sensory organs.

Content I. Disorders of the Eye II. Trauma to the Eye III. Eye Surgery IV. Hearing Loss in Children

Learning Activities Method of Instruction 1. Discussion 2. Study Guide Activities 3. Class/group activities Required reading assignments: Maternal-Child Nursing, 4th edition. McKinney, James, Murray, Nelson and Ashwill. Elsevier Saunders Publishers, 2013. Study Guide assignments:

2.

Evaluation 1. Written exam/Quizzes 2. Participation in class/group activities 3. Homework assignment

3.

4.

50