VNSG 1334 Pediatric Objectives

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VNSG 1334 - PEDIATRICS
1.
2.
3.
Behavioral Objectives
Define the listed terms associated with the preterm
neonate.
Describe the preterm neonate and related nursing
care.
Define the listed terms associated with the newborn
with special needs.
I.
Content
Terms Associated with Preterm Neonate
A. Hyperbilirubinemia
B. Hypoglycemia
C. Kernicterus
D. Micronate
E. Necrotizing enterocolitis
F. Neonatology
G. Phototherapy
H. Respiratory distress syndrome
I. Retrolental fibroplasia
Learning Opportunities
Leifer… Chapter 13
II. Preterm Neonate
A. Classifications of neonates
1. Preterm
2. Postterm
3. Small for gestational age
4. Appropriate for gestational age
5. Large for gestational age
B. Effects of prematurity
1. Appearance
2. Thermoregulation
3. Body systems adaptations
C. Common complications
1. Thermoregulations
2. Cardiorespiratory problems
3. Infection
D. Assessment of preterm neonate
E. Care of preterm neonate
F. Caregiver role strain
Leifer… Chapter 13
III. Terms Associated with Special Needs Newborns
A. Asphyxia neonatorum
B. Birth injuries
C. Cryptorchidism
D. Extracorporeal membrane oxygenation
E. Hemangioma
F. Hemolysis
G. Macrosomic
H. Meconium aspiration syndrome
I. Myelomeningocele
J. Omphalocele
K. Phenylketonuria
Leifer… Chapter 14
Video TVCC Website
Gestational Age and Newborn Reflexes
VNSG 1334 - PEDIATRICS
Behavioral Objectives
Content
L. Pigmented nevus
M. Transient tachypnea of the newborn
Learning Opportunities
4.
Discuss the nursing care for the newborn with special
needs.
IV. Special needs situations
A. Respiratory dysfunction
B. Congenital problems
C. Chromosomal abnormalities
D. Inborn errors of metabolism
E. Hemolytic diseases of the newborn
F. Infections
G. Newborn of diabetic mother
H. Newborn of substance-abusing mother
Leifer… Chapter 14
5.
Discuss adaptations of nursing care for pediatric
patients.
V. Pediatric Nursing Adaptations
A. Changes in pediatric nursing practice
B. Family, cultural, and religious care of children
C. Care of pediatric clients by age group:
1. Infants
2. Toddlers
3. Preschool
4. School-age
5. Adolescent
D. General pediatric nursing care issues
1. Admission
2. Operative care
3. Ambulatory care
4. Safety
5. Specimen collection
6. Medication administration
E. Special pediatric nursing care issues
1. Dying child
2. Chronic illness
3. Pain management
4. Health promotion
a. Immunizations
b. Health screenings
c. Sex education
d. Drug awareness
e. Dental care
f. Nutrition
5. Community resources
Leifer… Chapters 15-22, 26
Students Review on own
Leifer… Chapters 16-20
Video TVCC Website
Age Specific Competencies
Neonates and Infants
Toddlers through Teens
Adults
Video TVCC Website
Assessing Pediatric Pain
Treating Pediatric Pain
Understanding Pediatric Pain
VNSG 1334 - PEDIATRICS
6.
7.
Behavioral Objectives
Define the terms listed related to pediatric respiratory
and cardiac disorders.
Content
VI. Terms Associated with Pediatric Respiratory and
Cardiac Disorders
A. Acyanotic
B. Anatomic variations
C. Apnea
D. Physiologic variations
E. Atelectasis
F. Bronchitis
G. Bronchopulmonary dysplasia
H. Bronciolitis
I. Bruit
J. Carotid sinus
K. Clubbing
L. Fremitus
M. Murmur
N. Pneumonia
O. Precordium
P. Pulmonary function tests
Q. Referred sounds
R. Retraction
S. Rhinitis
T. Sensitivity
U. Thrill
Describe the etiology, symptomatology, diagnosis,
medical treatment, and nursing management (using
the nursing process) of pediatric respiratory
disorders.
VII. Respiratory System Disorders
A. Diagnostic tests
1. Cultures
2. Blood tests
3. Pulmonary functions
4. Pulse oximetry
5. Thermistor oxygenation pneumocardiograms
6. X-rays
B. Common respiratory disorders
1. Pharyngitis/laryngitis
2. Tonsillitis/adenoiditis
3. Croup
4. Respiratory syncytial virus
5. Asthma/reactive airway disease
6. Cystic fibrosis
7. Sudden infant death syndrome
8. Epistaxis
Learning Opportunities
Leifer… Chapter 25
Review Infant/Child CPR
VNSG 1334 - PEDIATRICS
Behavioral Objectives
8.
Describe the etiology, symptomatology, diagnosis,
medical treatment, and nursing management (using
the nursing process) of pediatric cardiac disorders.
9.
Define the terms listed associated with hematological
disorders.
10. Describe the etiology, symptomatology, diagnosis,
medical treatment, and nursing management (using
the nursing process) of pediatric hematological
disorders.
Content
9. Foreign bodies
C. Nursing care for respiratory disorders
VIII. Cardiac System Disorders
A. Diagnostic tests
1. Electrocardiagrams
2. Cardiac catheterizations
B. Common cardiac disorders
1. Congenital heart defects
2. Congestive heart failure
3. Rheumatic fever/heart disease
C. Nursing care for cardiac disorders
IX. Terms Associated with Hematological Disorders
A. Blood dyscrasias
B. Coagulation
C. Hodgkin’s disease
D. Jaundice
E. Malignancy
F. Metastasis
G. Neuroblastoma
H. Occult blood
I. Plasma
J. Rhabdosarcoma
K. Thrombus
L. Viscosity
X. Hematological System Disorders
A. Diagnostic tests
1. Blood tests
2. Specimens for occult blood
3. Bone marrow aspiration
4. Computed tomography scan
5. Magnetic resonance imaging
6. Lumbar puncture
B. Common hematological disorders
1. Anemias
2. Sickle cell anemia
3. Hemophilia
4. Leukemia
C. Nursing care for hematological disorders
Learning Opportunities
VNSG 1334 - PEDIATRICS
Behavioral Objectives
11. Define the listed terms associated with
musculoskeletal disorders.
Content
XI. Terms Associated with Musculoskeletal Disorders
A. Crepitus
B. Fasciculations
C. Fractures
D. Ortolani's maneuver
E. Osteomyelitis
F. Rickets
G. Sedimentation rate (sed rate)
H. Spica cast
I. Sprain
J. Strain
K. Tendons
12. Using the nursing process, explain the nursing
management for musculoskeletal disorders.
XII. Musculoskeletal Disorders
A. Diagnostic tests
1. Blood tests
2. X-ray studies
3. Bone scan
4. Muscle biopsy
B. Common musculoskeletal disorders
1. Duchenne's muscular dystrophy
2. Trauma
3. Juvenile rheumatoid arthritis
4. Scoliosis
5. Club foot
6. Dislocated hip
7. Ewing’s sarcoma (Osteosarcoma)
C. Nursing care for musculoskeletal disorders
1. Care of patients with casts and traction
a. Assessment of the 5 Ps
13. Define the listed terms associated with neurological
disorders.
XIII. Terms Associated with Neurological Disorders
A. Amblyopia
B. Anesthesia
C. Brain death
D. Coma
E. Congenital cataract
F. Conjunctivitis
G. Corneal abrasion
H. Dermatome
I. Developmental delay
J. Extensor posturing
Learning Opportunities
Leifer… Chapter 24
Video
#54 & 55 “Care of a Patient in a Cast (Part I & II)
Leifer… Chapter 23
VNSG 1334 - PEDIATRICS
Behavioral Objectives
K.
L.
M.
N.
O.
P.
Q.
R.
S.
T.
U.
V.
W.
X.
14. Describe the etiology, symptomatology, diagnosis,
medical treatment, and nursing management (using
the nursing process) of pediatric neurological, eye
and ear disorders.
Content
Febrile seizure
Flexure posturing
Gliomas
Insomnia
Myringotomy
Night terrors
Nightmares
Obtunded
Perception
Retrolental fibroplasia
Sleep deprivation
Spinal cord injury
Strabismus
Stuporous
XIV. Neurological/Eye/Ear disorders
A. Diagnostic tests
1. Brain scan
2. Electroencephalogram (EEG)
B. Common Neurological disorders
1. Neural tube defects
a. Hydrocephaly
b. Spina bifida
1.) Occulta
2.) Meningocele
3.) Myelomeningocele
2. Cerebral palsy
3. Mental retardation
4. Down's syndrome
5. Head injuries
6. Increased ICP
7. Seizures
a. Generalized
b. Partial
c. Febrile
8. Eye infections
9. Eye injuries
10. Strabismus
11. Otitis media
C. Nursing care for neurological/eye/ear disorders
Learning Opportunities
VNSG 1334 - PEDIATRICS
Behavioral Objectives
15. Define the listed terms associated with
integumentary disorders.
Content
XV. Terms Associated with Integumentary Disorders
A. Alopecia
B. Autoinoculation
C. Blanch
D. Burns
E. Candidiasis
F. Cellulitis
G. Contractures
H. Cryosurgery
I. Dermatitis
J. Donor site
K. Erythema infectiosum (Fifth’s Disease)
L. Eschar
M. Furuncles
N. Graft
O. Infestation
P. Keratinization
Q. Molluscum contagiosum
R. Nevi
S. Psoriasis
T. Scabies
U. Scarlet fever
V. Verruca
Learning Opportunities
Leifer… Chapter 29
16. Describe the etiology, symptomatology, diagnosis,
medical treatment, and nursing management (using
the nursing process) of pediatric integumentary
disorders.
XVI. Integumentary disorders
A. Diagnostic tests
1. Wood's light
2. Skin scrapings
3. Potassium hydroxide slides
4. Cultures
5. Blood work
B. Common integumentary disorders
1. Tinea
2. Impetigo
3. Pediculi
4. Eczema
5. Acne vulgaris
6. Other-definition only
a. Candidiasis
b. Scarlet fever
c. Cellulitis
d. Verruca
Leifer… Chapter 29
VNSG 1334 - PEDIATRICS
Behavioral Objectives
Content
e. Molluscum contagiosum
f. Erythema infectiosum (Fifth's Disease)
g. Scabies
h. Dermatitis
i. Psoriasis
j. Burns
C. Nursing care for integumentary disorders
Learning Opportunities
17. Define the listed terms associated with
gastrointestinal disorders.
XVII. Terms Associated with Gastrointestinal Disorders
A. Biliary atresia
B. Celiac disease
C. Chalasia
D. Cyclic vomiting syndrome
E. Dental injuries
F. Encopresis
G. Failure to thrive
H. Gastroesophageal reflux
I. Gluten
J. Hirschsprung’s disease
K. Imperforate anus
L. Intussusception
M. Megacolon
N. Reflux
Leifer… Chapters 27 & 30 (Metabolic)
18. Describe the etiology, symptomatology, diagnosis,
medical treatment, and nursing management (using
the nursing process) of pediatric gastrointestinal
disorders.
XVIII. Gastrointestinal disorders
A. Diagnostic tests
1. Specimen test for occult blood
2. Blood tests
3. Stool cultures
4. X-ray studies
5. Ultrasound
6. Endoscopy
7. Liver biopsy
B. Common gastrointestinal disorders
1. Cleft lip/palate
2. Ingestion of foreign bodies
3. Poisoning
4. Pyloric stenosis
5. Appendicitis
6. Peritonitis
7. Gastroenteritis
8. Irritable bowel syndrome
Leifer… Chapter 27, 30
VNSG 1334 - PEDIATRICS
Behavioral Objectives
Content
9. Chronic inflammatory bowel syndrome
10. Parasites
11. Phenylketonuria
C. Nursing care for gastrointestinal disorders
19. Define the listed terms associated with genitourinary
disorders.
XIX. Terms Associated with Genitourinary Disorders
A. Ambiguous genitalia
B. Bedwetting/enuresis
C. Biofeedback
D. Dysfunctional voiding
E. Kidney and bladder stones
F. Nephrostomy
G. Ovarian cyst
H. Stasis
I. Suprapubic catheter
J. Testicular cancer
K. Testicular torsion
L. Urinary reflux
M. Vaginitis
20. Describe the etiology, symptomatology, diagnosis,
medical treatment, and nursing management (using
the nursing process) of pediatric genitourinary
disorders.
XX. Genitourinary disorders
A. Diagnostic testing
1. Testing with reagent strips
2. Urinalysis
3. Urine culture
4. Renal ultrasound
5. Cystoscopy
6. Voiding cystourethrogram
7. Renal scan
8. Intravenous pyelogram
9. Urodynamics testing
10. Renal needle biopsy
B. Common genitourinary disorders
1. Wilm's tumor
2. Hypospadias/epispadias
3. Hydrocele
4. Hernia
5. Cryptorchidism
C. Nursing care for genitourinary disorders
Learning Opportunities
Leifer… Chapter 28
VNSG 1334 - PEDIATRICS
Behavioral Objectives
21. Define the listed terms associated with psychosocial
disorders.
Content
XXI. Terms Associated with Psychosocial Disorders
A. Anorexia
B. Body image
C. Bulimia
D. Child abuse
E. Depression
F. Obesity
G. Primary prevention
H. Role ambiguity
I. Role incompetence
J. Role overload
K. Secondary prevention
L. Substance abuse
M. Suicide
N. Tertiary prevention
22. Describe the etiology, symptomatology, diagnosis,
medical treatment, and nursing management (using
the nursing process) of pediatric psychosocial
disorders.
XXII. Psychosocial Disorders
A. Self-concept
B. Stress and coping responses
C. Roles and relationships
D. Health perception and health maintenance
E. Values and beliefs
F. The dying child
G. Common psychosocial disorders
1. Attention deficit hyperactivity disorder
2. Learning disorders
3. Autism
H. Nursing care for psychiatric disorders
Video
23. Define the listed terms associated with
communicable diseases in children.
XXIII.
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
Leifer… Chapter 31
Terms Associated with Communicable Diseases
Bulla
Crust
Cyst
Ecchymosis
Macule
Mononucleosis
Opisthotonos
Papule
Petechiae
Pruritis
Purpura
Pustule
Learning Opportunities
Physical Abuse (Part 1)
Neglect and Emotional Abuse (Part 2)
Sexual Abuse (Part 3)
VNSG 1334 - PEDIATRICS
Behavioral Objectives
24. Describe the etiology, symptomatology, diagnosis,
medical treatment, and nursing management (using
the nursing process) related to pediatric
communicable diseases.
v:\word\syllabus\vocation\level ii\vn 1334 pediatrics
Content
M. Reye’s Syndrome
N. Scale
O. Vesicle
P. Wheal
Learning Opportunities
XXIV. Communicable Diseases
A. Diagnostic Tests
1. Mono spot
2. Titers
B. Diseases
1. Rubella
2. Rubeola
3. Varicella
4. Pertussis
5. Strep
6. Parotitis
7. Haemophilus Influenzae Type B (HIB)
8. Tetanus
9. Rabies
3/2013
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