NURS 2346 - Childhood Nursing A

Prerequisite: Admission into the Nursing program and NURS-2255 with grade C or better

Prerequisite: Admission into the Nursing program and NURS-2265 with grade Pass

Corequisite: NURS-2375

II. The graduate can demonstrate how to think competently.
V. The graduate is sensitive to issues relating to a diverse, global society.

Program Outcome/Student Learning Outcome:

1. The student can analyze and apply the critical components of evidence‐based nursing practice.

Course Outcome 1: The student can analyze evidence‐based practice for pediatric patients with acute and chronic health problems.

Course Objectives:

1. The student will analyze and apply evidence in the nursing care of the child with fluid and electrolyte imbalances.
2. The student will analyze and apply evidence in the nursing care of the child with genitourinary alterations.
3. The student will analyze and apply evidence in the nursing care of the child with respiratory alterations.
4. The student will analyze and apply evidence in the nursing care of the child with integumentary system alterations.
5. The student will analyze and apply evidence in the nursing care of the child with impaired immune responses.
6. The student will analyze and apply evidence in the nursing care of the child with gastrointestinal alterations.
7. The student will analyze and apply evidence in the nursing care of the toddler, preschool, and school‐age child.

MCC Common Degree Outcomes:

I. The graduate can integrate the knowledge and technological skills necessary to be a successful learner.
II. The graduate can demonstrate how to think competently.

Program Outcome/Student Learning Outcome:

2. The student can recognize quality improvement strategies as an integral component of nursing practice.

Course Outcome 2: The student can identify quality improvement measures and national patient safety resources for pediatric patients with acute and chronic health problems.

Course Objectives:

1. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with fluid and electrolyte imbalances.
2. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with genitourinary alterations.
3. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with respiratory alterations.
4. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with integumentary system alterations.
5. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with impaired immune responses.
6. The student will analyze and apply quality improvement/ nursing strategies in the care of the child with gastrointestinal alterations.
7. The student will analyze and apply developmental theories and nursing strategies in the care of the toddler, preschool, and school‐age child.

1. The Child with Fluid and Electrolyte Alterations
   1. Nursing assessment of fluid and electrolyte balance in infants and children
   2. Fluid and electrolyte imbalances in the child
      1. Edema
      2. Dehydration
   3. Acid-base imbalances in the child
      1. Metabolic acidosis and alkalosis
      2. Respiratory acidosis and alkalosis
   4. Therapeutic management of imbalances resulting from gastrointestinal losses
      1. Oral replacement
      2. IV therapy
      3. Total parenteral nutrition
2. The Child with Genitourinary Health Deviations
   1. Defects of the genitourinary tract
      1. Hypospadias, epispadias
      2. Cryptorchidism
      3. Hydrocele
   2. Acquired problems in urine elimination
      1. Urinary tract infections, pyelonephritis
      2. Vesicoureteral reflux
   3. Alteration in urine filtration
      1. Nephrotic syndrome
      2. Acute and chronic renal failure
      3. Hemolytic Uremic Syndrome (HUS)
3. The Child with Respiratory Health Deviations
   1. Assessment of respiratory function in children
   2. Noninfectious problems
      1. Infant apnea and apparent life-threatening event (ALTE)
      2. Respiratory distress syndrome
      3. Bronchopulmonary dysplasia (BPD)
      4. Cystic fibrosis
      5. Sudden infant death syndrome (SIDS)
      6. Epistaxis
      7. Allergic rhinitis
      8. Asthma
   3. Respiratory infections - upper respiratory
      1. Pharyngitis, tonsillitis, otitis media
      2. Laryngotracheobronchitis (LTB), epiglottitis
   4. Respiratory infections - lower respiratory
      1. Bronchitis, respiratory syncytial virus (RSV), bronchiolitis
      2. Pneumonia
   5. Mechanical and surgical intervention
      1. Intubation and mechanical ventilation
      2. Tonsillectomy
      3. Tracheostomy
4. Nursing Strategies for the Toddler/Preschool Child
   1. Psychosexual development
   2. Developmental requisites
   3. Psychosocial, cognitive, and moral development
   4. Injury prevention and health promotion
5. Nursing Strategies for the School-Age Child
   1. Family and peer relationships
   2. Developmental requisites
   3. Biologic and psychosocial development
   4. Cognitive and moral development
   5. Injury prevention and health promotion
6. The Child with Gastrointestinal Health Deviations - Bowel Elimination and Nutrition
   1. Nutritional guidelines and childhood obesity
   2. Malabsorptive alterations
      1. Celiac disease
      2. Cystic fibrosis
   3. Congenital malformations
      1. Cleft lip and cleft palate
      2. Esophageal atresia, tracheoesophageal fistula
   4. Acquired conditions affecting movement of nutrients
      1. Pyloric stenosis, gastroesophageal reflux, inguinal and umbilical hernias
      2. Ingestion of foreign body - esophageal
      3. Short bowel syndrome
   5. Congenital malformations
      1. Omphalocele, gastroschisis
      2. Anorectal malformations
      3. Hirschsprung Disease
   6. Inflammatory conditions in bowel elimination
      1. Meckel’s diverticulum, appendicitis
      2. Necrotizing enterocolitis (NEC)
   7. Obstructive disorders of bowel elimination
      1. Hypertrophic pyloric stenosis
      2. Intussusception
7. The Child with Integumentary Health Deviations
   1. Assessment of the integument
   2. Disorders affecting the skin
      1. Bacterial infections
      2. Fungal infections
      3. Infestations
      4. Non-infectious skin disorders
      5. Atopic dermatitis
      6. Acne vulgaris
      7. Steven-Johnson Syndrome
   3. Burn injuries
      1. Burn wound characteristics
      2. Therapeutic management
8. The Child with Immune Health Deviations - Immunodeficiency and Hypersensitivity Reactions
   1. Immune responses
      1. Factors affecting competence
      2. Humoral and cellular immune responses
      3. Active and passive immunity
   2. Immunodeficiencies
      1. Primary deficiencies - congenital
         1. Severe Combined Immunodeficiency Disease (SCID)
      2. Secondary deficiencies - acquired
         1. Immunosuppression
         2. Acquired immunodeficiency syndrome (AIDS) - pediatric/adult
         3. Sepsis
         4. Infectious mononucleosis
   3. Hypersensitivity reactions type I (Ig E - mediated)
      1. Anaphylaxis
      2. Food allergies and sensitivities
   4. Infectious diseases (communicable diseases)
      3. Rubeola
      4. Rubella
      5. Varicella
      6. Variola
      7. Impetigo
      8. Pediculosis
      9. Scabies
      10. Tinea
   5. Immunizations