NURS 2346 - Childhood Nursing A

Credit Hours: 2.00

Outcome 1: Upon completion of this course, students will be able to connect normal growth and developmental concepts for the pediatric client.

Objectives:

1. Identify concepts of physical growth, development, and developmental challenges for the toddler, preschooler, and school-aged clients.
2. Compare concepts of physical growth, development, and developmental challenges for the toddler, preschooler, and school-aged clients.

Outcome 2: Upon completion of this course, students will be able to connect appropriate health promotion strategies for the pediatric client.

Objectives:

1. Identify concepts of health promotion for toddler, preschooler, and school-aged clients including sleep, nutrition, safety, play, and dental health.
2. Compare concepts of health promotion for toddler, preschooler, and school-aged clients including sleep, nutrition, safety, play, and dental health.

Outcome 3: Upon completion of this course, students will be able to analyze critical components of evidence-based nursing practice for the pediatric client with acute and chronic illnesses.

Objectives:

1. Associate the pediatric clients’ physiological cues with dysfunction of genitourinary, respiratory, immunologic, gastrointestinal, and integumentary systems.
2. Implement nursing interventions based on current evidence for pediatric clients with cues with dysfunction of genitourinary, respiratory, immunologic, gastrointestinal, and integumentary systems.

Outcome 4: Upon completion of this course, students will be able to analyze safety strategies that minimize risk of harm to the pediatric client with acute and chronic illnesses.

Objectives:

1. Identify safety strategies that minimize risk of harm to the pediatric client with dysfunction of the genitourinary, respiratory, immunologic, gastrointestinal, and integumentary systems.
2. Determine best practice nursing standards in providing pediatric care for clients with dysfunction of the genitourinary, respiratory, immunologic, gastrointestinal, and integumentary systems.

Outcome 5: Upon completion of this course, students will be able to indicate signs and symptoms of child abuse.

Objectives:

1. Identify signs and symptoms of physical or sexual child abuse and child neglect.
2. Identify appropriate nursing interventions when child abuse is suspected.

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

1. Growth and Development of the Toddler, Preschooler, and School-aged Child
   1. Physical growth
   2. Development
      1. Developmental theories
      2. Sensory
      3. Motor skills
      4. Communication & Language
      5. Cognitive
      6. Emotional & Social
      7. Developmental milestones
   3. Health promotion
      1. Play
      2. Nutrition
      3. Sleep and rest
      4. Teeth and gum health
   4. Developmental challenges
      1. Developmental issues and concerns
      2. Preventing injury
      3. Discipline
2. The Child with Fluid Alterations
   1. Nursing assessment of fluid and electrolyte imbalances
      1. Edema
      2. Dehydration
   2. Therapeutic management of imbalances resulting from gastrointestinal losses
      1. Oral replacement
      2. IV therapy
3. The Child with Genitourinary Disorders
   1. Nursing assessment of the pediatric genitourinary system
   2. Diagnostic procedures and testing
      1. Urine specimen collection
      2. Urinary catheterization
   3. Urinary tract and renal disorders
      1. Hypospadias/Epispadias
      2. Vesicoureteral reflux
      3. Urinary tract infections & pyelonephritis
      4. Enuresis
   4. Acquired disorders
      1. Nephrotic syndrome
      2. Glomerulonephritis
      3. Hemolytic uremic syndrome
      4. Acute and chronic renal failure
   5. Female reproductive disorders
      1. Pelvic inflammatory disease
   6. Male reproductive disorders
      2. Testicular torsion
   7. Pharmacology
4. The Child with Respiratory Disorders
   1. Nursing assessment of the pediatric respiratory system
   2. Respiratory interventions
      1. Pediatric rescue breathing
      2. Oxygen delivery methods
      3. Medication delivery
      4. Tracheostomy care
      5. Nasopharyngeal suctioning
   3. Acute infectious disorders
      1. Otitis media, otitis media with effusion
      2. Pharyngitis
      3. Tonsillitis
         1. Tonsillectomy
   4. Infectious mononucleosis
   5. Croup
   6. Epiglottis
   7. Bronchiolitis and respiratory syncytial virus (RSV)
5. Acute Noninfectious Disorders
   1. Foreign body aspiration
   2. Apnea and brief resolved unexplained event (BRUE)
6. Chronic Respiratory Disorders
   1. Allergic Rhinitis
   2. Asthma
   3. Cystic fibrosis
7. Pharmacology
8. The Child with Immune System Disorders and Hypersensitivity Reactions
   1. Components of the immune system
      1. Humoral and cellular immune responses
      2. Fever management
   2. Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS)
   3. Hypersensitivity reactions type I (IgE - mediated)
      1. Food allergies and food sensitivity
      2. Anaphylaxis
   4. Childhood vaccinations
      1. Types of vaccines
      2. Vaccine documentation
      3. Administration
         1. Pediatric injections
         2. Atraumatic care
   5. Patient deterioration scoring tool - PEWS
   6. Pharmacology
9. The Child with Gastrointestinal Disorders and Impaired Nutrition
   1. Nursing assessment of the pediatric gastrointestinal system
   2. Nursing care specific to the gastrointestinal system
      1. Stool diversion/ostomy care
      2. Specimen collection
      3. Nasogastric tubes
      4. Enteral and parenteral feedings
   3. Structural abnormalities of the gastrointestinal tract
      1. Cleft lip and palate
      2. Inguinal and umbilical hernias
   4. Acute gastrointestinal disorders
      1. Constipation
      2. Diarrhea 
      3. Vomiting
      4. Intestinal Infections
         1. Infection prevention
         2. Gastroenteritis
      5. Oral candidiasis albicans
      6. Intussusception
      7. Appendicitis
      8. Poisoning
   5. Chronic gastrointestinal disorders
      1. Gastroesophageal reflux disease
      2. Hirschsprung disease
      3. Short bowel syndrome
      4. Malnutrition
      5. Celiac disease
   6. Pharmacology
10. The Child with Integumentary Disorders
    1. Nursing assessment of the pediatric integumentary system
    2. Infections of the integumentary system
       1. Impetigo
       2. Cellulitis
       3. Staphylococcal scalded skin syndrome
    3. Noninfectious disorders of the integumentary system
       1. Pediculosis capitis (head lice)
       2. Scabies
    4. Inflammatory skin conditions
       1. Diaper dermatitis and Candida albicans diaper rash
       2. Atopic dermatitis (eczema)
       3. Acne vulgaris
    5. Burns
    6. Pharmacology
11. Child Abuse
    1. Types of child abuse
    2. Signs and symptoms
    3. Mandatory reporting