Cuesta Community College
Division of Nursing
Associate Degree Nursing Program
Nurse Caring Concepts
NRAD 202A
Spring 2013
Instructor:
Antonia Torrey PhD, RN
NRAD 202A 2013
2
NRAD 202A SYLLABUS TABLE OF CONTENTS
202A Student Learning Outcomes............................................................................................................... 3
202A Learning Objectives ........................................................................................................................... 3
Required Texts ............................................................................................................................................. 4
Instructor Information .................................................................................................................................. 4
Student Expectations ................................................................................................................................... 5
Final Exam Sliding Scale............................................................................................................................. 5
Criteria for Evaluation ................................................................................................................................. 6
Examination Details......................................................................................................................... 6
Examination Dates ........................................................................................................................... 6
Assignment Due Dates .................................................................................................................... 6
Online Message Board Assignment................................................................................................. 6
Kaplan Focused Review Tests ......................................................................................................... 7
Clinical Critical Thinking Seminar .................................................................................................. 7
Grade Determination ................................................................................................................................... 8
Grading Scale............................................................................................................................................... 8
Weekly Class Content, Learning Activities, and Objectives ....................................................................... 9
Class Grade Calculator .............................................................................................................................. 22
Cuesta College 2013 Spring Semester Academic Calendar ...................................................................... 23
NRAD 202A 2013
NRAD 202A STUDENT LEARNING COURSE OUTCOMES
Upon completion of this course, the student will be able to:
1. Demonstrate the ability to organize assessment data and develop a nursing care plan for the
childbearing woman.
2. Demonstrate the ability to organize assessment data and develop a nursing care plan for the
newborn
3. Demonstrate the ability to organize assessment data and develop a nursing care plan for the
child experiencing an alteration in health.
NRAD 202A LEARNING OBJECTIVES
Upon completion of this course, the student will be able to:
1. Discuss societal issues affecting women and children that impact the care of underserved
populations.
2. Identify and discuss the normal, adaptive course of pregnancy and birth.
3. Provide holistic care to the childbearing woman and her support system during pregnancy,
labor, delivery and the postpartum period.
4. Apply the nursing process to the care of the normal newborn.
5. Identify risk factors and discuss complications of the intrapartum woman and her fetus or
newborn.
6. Identify reproductive health care issues that affect childbearing women and their families.
7. Discuss pathophysiology, prevention, complications and collaborative interventions for ill
children.
8. Incorporate spiritual, cultural, developmental and social considerations and family dynamics
when planning care for the hospitalized child and children with chronic illnesses
9. Discuss issues associated with pediatric safety.
3
NRAD 202A 2013
4
Required Texts
Holloway, B.W., & Moredich, C. (2011). OB/GYN peds notes. (2nd ed.) F.A. Davis: Philadelphia.
Rice, S. R., Kyle, T., & Carmen, S. (2013) Maternity and pediatric nursing. (2nd ed.).
Philadelphia, PA: Lippincott.
Torrey, A.R. (2013). Nursing caring concepts syllabus: NRAD 202A. Cuesta College Division of
Nursing. (available only on NRAD 202A myCuesta website)
Instructor Information
Antonia Torrey
Office: 2319
Email
Office Hours
546-3100 ext 2793
atorrey@cuesta.edu
Posted outside office and on NRAD 202A myCuesta website
NRAD 202A 2013
Student Expectations
The student is expected to:
1. Read and comply with the rules and regulations of Cuesta College as found in the Cuesta College
catalog and Student Handbook.
2. If you have a disability and might need accommodations in this class, please contact Disabled
Student Program & Services in room 3300 as soon as possible to ensure that you receive the
accommodations in a timely manner. You may also discuss your need for accommodations with
me.
3. Absences/Tardiness
 Be prompt to class. Three times late to class will constitute an absence.
 Students are expected to be present for the entire class period. Leaving before class ends
without prior arrangement will be recorded as an absence for that day.
 A student is allowed to miss one class period.
 Please notify me prior to a classroom absence by voice mail (546-3100 ext 2793) or email
(atorrey@cuesta.edu).
 Make-up for absences exceeding one class period is not guaranteed
 If an exam is missed due to absence, contact me to make arrangements for make-up. Tests will
be made up during open time in the skills’ lab at a designated desk.
4. PowerPoint lecture handouts for the subsequent week’s class will usually be posted on the 202A
myCuesta course site by Sunday evening.
5. Cell phones should not be audible during class.
6. Hand-held devices, including phones, may not be used for any reason during examinations. They
are to be silenced and put away during the examination period.
7. Students must earn a minimum of 70% on the final exam in order to pass the course. Exception:
Student scoring between 65-69% may pass the course if the average of all pre-final test scores
meet or exceed the following:
Final Exam Percentage
69
68
67
66
65
Pre-Final Quiz Average
76
77
78
79
80
Rounding up is not applicable to the qualification process (for example, if your pre-final quiz
average is 64.99, you do not qualify).
5
NRAD 202A 2013
Criteria for Evaluation
EXAMINATION DETAILS
1. Examination lengths: tests 30 questions, midterm 50 questions, final 100 questions
2. Exams are composed of NCLEX-style questions (primarily multiple-choice with some select-allthat-apply).
3. Exams will be taken at the beginning of class on designated days; 35 minutes will be allotted for
each exam.
4. A number-two pencil will be needed; test-scoring forms will be provided.
5. Students are required to bubble in their pin number on their scoring forms. Failure to do so will
result in a loss of 1 test point for each occurrence.
6. Hand-held devices, including phones, may not be used for any reason during examinations. They
are to be silenced and put away during the examination period.
7. If an exam is missed due to absence, contact me to make arrangements for make-up. Tests will be
made up during open lab time in the skills’ lab.
8. Students who wish to protest the accuracy of a test item should submit a Student Test Item Petition
(can be downloaded from the 202A myCuesta course site) within three days of the examination.
Petitions may be submitted in writing or by email.
EXAMINATION DATES
2/5
Test 1
2/19
Test 2
3/5
Test 3
3/19
Midterm
4/16
Test 4
4/30
Test 5
5/14
Test 6
5/21
Final Exam
ASSIGNMENT DUE DATES
3/24
4/7
5/5
"Business of Being Born" Message Board Postings
Kaplan Focused Review Maternity/Gynecological Nursing Tests 1, 2, & 3
Kaplan Focused Review Pediatric Tests 1, 2, & 3
ONLINE MESSAGE BOARD ASSIGNMENTS
 Click “Message Board” under course tools on the 201A website
 When posting your responses, use the topics I have already created.
 Please feel free to use the message board to post and discuss any topics that are relevant to the
class.
6
NRAD 202A 2013
7
KAPLAN FOCUSED REVIEW TESTS
Kaplan focused review tests may be taken as often as desired at anytime.
For this course, students are required to retake the following tests until a minimum score of 80% has
been achieved to receive credit.
Complete following Kaplan Focused Review Tests by 2400 on the assigned dates:
3/24 Maternity/Gynecological Nursing Tests 1, 2, & 3
5/5
Pediatrics Tests 1, 2, & 3
Instructions
 Log on to Kaplan Homepage (https://kaplanlwwtesting.kaplan.com/s_login.aspx)
 Click “Focused Review Test”
 Click “Take Available Tests”
 Take: Maternity/Gynecological Nursing 1, 2, and 3 and Pediatrics 1, 2, and 3
 Be sure to “Quit” rather than “Suspend” a test when you have finished taking it or your score will
not be recorded.
KAPLAN INTEGRATED TESTS
Kaplan Integrated Tests can only be taken by students in a proctored classroom through advance
arrangement with Kaplan administrative services. Students will be taking three selected Kaplan
Integrated Tests (reflecting content taught in 202A, 202B, and 202D) on May 1 and 2. Students do not
need to prepare in advance to take these tests.
CLINICAL CRITICAL THINKING SEMINAR (CCTS): PEDIATRIC NURSING CARE
This is an individual project that involves analyzing patient assessment data to identify and describe
the nursing care needs of a pediatric patient. The CCTS will take place on Wednesday the final week
of clinical (5/9). Each OB/Peds clinical group will be provided with an electronic medical record of a
fictitious pediatric patient. Students will evaluate and synthesize the patient data to develop a thorough
understanding of the patient’s and family’s nursing care needs before meeting with their group in
advance of the seminar to develop a priority nursing care plan. On the day of the seminar, groups will
submit copies of the care plan they collaboratively created to each of the evaluating clinical faculty.
The oral component of the seminar requires each student to individually answer questions about the
patient posed by the faculty. Detailed guidelines and patient medical records will be posted on the
202A website two weeks prior to the seminar date.
NRAD 202A 2013
GRADE DETERMINATION
Tests (6)
Midterm Exam
Kaplan Focused Review Maternity/Gynecological Tests (1, 2, & 3)
Kaplan Focused Review Pediatric Tests (1, 2, & 3)
Message Board Assignment
Critical Thinking Seminar
Final Examination
Grading Scale
A
AB+
B
BC+
C
F
93.00 90.00 87.00 83.00 80.00 76.00 70.00 < 70.00
100
92.99
89.99
86.99
82.99
79.99
75.99
42%
15%
3%
3%
2%
10%
25%
8
NRAD 202A Syllabus 2013 9
DATE
1/22
SCHEDULE FOR NURSE CARING FAMILY CONCEPTS – NRAD 202A
CLASS DAY: Tuesday ROOM: 2509 (Classroom) TIME: 1030 – 1330
CLASS CONTENT
LEARNING ACTIVITY
WEEK 1
Fetal Development
Ricci, Kyle, & Carmen
Maternal Adaptation During Pregnancy
(2013). Ch. 10, 11, & 12
Nursing Management During Pregnancy
Week 1 Learning Objectives
The student should be able to:
1. Examine the functions of the placenta, umbilical cord, and amniotic fluid.
2. Outline normal fetal development from conception through birth.
3. Describe the functional differences between intrauterine and extrauterine circulation.
4. Differentiate between subjective (presumptive), objective (probable) and diagnostic (positive) signs
of pregnancy.
5. Compare and contrast selected pregnancy tests including timing of tests and interpretation of results.
6. Appraise maternal physiologic changes that occur during pregnancy.
7. Summarize the nutritional needs of the pregnant woman and her fetus.
8. Characterize the emotional and psychological changes that occur during pregnancy.
9. Relate the information typically collected at the initial prenatal visit.
10. Identify the computed length of a normal pregnancy and its relationship to the last menstrual period
and conception.
11. Describe gravidity and parity using the five and two-digit system.
12. Identify the assessments completed at follow-up prenatal visits.
13. Evaluate tests used to assess maternal and fetal wellbeing, including nursing management for each.
14. Outline appropriate nursing management to promote maternal self-care and to minimize the common
discomforts of pregnancy.
1.15.13
NRAD 202A Syllabus 2013 10
WEEK 2
1/29
Labor and Birth Process
Nursing Management During Labor and Birth
Ricci et al. Ch. 13 & 14
Week 2 Learning Objectives
The student should be able to:
1. Relate premonitory signs of labor.
2. Compare and contrast true versus false labor.
3. Categorize the critical factors affecting labor and birth.
4. Analyze the cardinal movements of labor.
5. Evaluate the maternal and fetal responses to labor and birth.
6. Classify the stages of labor and the critical events in each stage.
7. Characterize the normal physiologic/psychological changes occurring during all four stages of labor.
8. Examine the measures used to evaluate maternal status during labor and birth.
9. Differentiate the advantages and disadvantages of external and internal fetal monitoring, including
the appropriate use for each.
10. Choose appropriate nursing interventions to address nonreassuring fetal heart rate patterns.
11. Outline the nurse's role in fetal assessment.
12. Describe comfort promotion and pain relief strategies used during labor and birth.
13. Summarize the assessment data collected on admission to the perinatal unit.
14. Describe ongoing assessments involved in each stage of labor and birth.
15. Analyze the nurse's role throughout the labor and birth process.
WEEK 3
2/5
Test 1
Ricci et al. Ch. 15 & 16
Postpartum Adaptations
Nursing Management During the Postpartum Period
Week 3 Learning Objectives
The student should be able to:
1. Examine the systemic physiologic changes occurring in the woman after childbirth.
2. Assess the phases of maternal role adjustment and accompanying behaviors.
3. Analyze the psychological adaptions occurring in the mother's partner after childbirth.
4. Characterize the normal physiologic and psychological adaptions to the postpartum period.
5. Determine the parameters that need to be assessed during the postpartum period.
6. Compare and contrast bonding to the attachment process.
7. Outline nursing management for the woman and her family during the postpartum period.
8. Examine the role of the nurse in promoting successful breastfeeding.
9. Plan areas of health education needed for discharge planning, home care, and follow-up.
1.15.13
NRAD 202A Syllabus 2013 11
WEEK 4
2/12
Newborn Transitioning
Nursing Management of the Newborn
Ricci et al. Ch. 17 & 18
Recommended DVD: “Jarvis
Head to Toe Examination of the
Neonate” (21 minutes).
DVD is available in the skills’ lab
and time spent viewing this video
qualifies for lab login time.
Week 4 Learning Objectives
The student should be able to:
1. Examine the major physiologic changes that occur as the newborn transitions to extrauterine life.
2. Determine the primary challenges faced by the newborn during the transition to extrauterine life.
3. Differentiate the three behavioral patterns that newborns progress through after birth.
4. Assess the five typical behavioral responses triggered by external stimuli of the newborn.
5. Relate the assessments performed during the immediate newborn period.
6. Identify interventions that meet the immediate needs of the term newborn.
7. Describe the components of a typical physical examination of the newborn.
8. Distinguish common variations that can be noted during a newborn's physical examination.
9. Characterize common concerns in the newborn and appropriate interventions.
10. Describe newborn screening tests.
11. Discuss common interventions that are appropriate during the early newborn period.
12. Analyze the role in meeting the newborn's nutritional needs.
13. Outline discharge planning content and education needed for the family with a newborn.
1.15.13
NRAD 202A Syllabus 2013 12
WEEK 5
2/19
Test 2
Ricci et al. Ch. 19 & 20
Nursing Management of Pregnancy at Risk
Week 5 Learning Objectives
The student should be able to:
1. Evaluate the term "high-risk pregnancy."
2. Determine the common factors that might place a pregnancy at high risk.
3. Describe the pathophysiology, nursing assessment, and management of the causes of vaginal
bleeding during early and late pregnancy.
4. Describe the pathophysiology, assessment, and management of hyperemesis gravidarum.
5. Describe the pathophysiology, assessment, and management of preeclampsia, eclampsia, and HELLP
syndrome.
6. Describe the pathophysiology, assessment, and management of blood incompatibility occurring
during pregnancy.
7. Describe the pathophysiology, assessment, and management of amniotic fluid imbalance.
8. Discuss the possible types of multifetal pregnancies and their associated risks.
9. Evaluate factors in a woman's history that place her at risk for premature rupture of membranes and
describe the associated pathophysiology, assessment, and management.
10. Describe the pathophysiology, assessment, and management of diabetes in pregnancy.
11. Describe the pathophysiology, assessment, and management of cardiac disease in pregnancy
12. Describe the pathophysiology, assessment, and management of anemia during pregnancy.
13. Discuss the impact of pregnancy in adolescence and nursing care for pregnant adolescent women.
14. Discuss the impact of pregnancy on older women and nursing care for pregnant women over age 35.
15. Discuss the maternal and neonatal risks associated with obesity in pregnancy and nursing care for
obese pregnant women.
16. Discuss the impact of substance use and abuse during pregnancy and the associated nursing
assessment and management.
1.15.13
NRAD 202A Syllabus 2013 13
WEEK 6
2/26
Nursing Management of Labor and Birth at Risk
Nursing Management of the Postpartum Woman at Risk
Ricci et al. Ch. 21 & 22
Also page 473
Week 6 Learning Objectives
The student should be able to:
1. Describe the nursing management for a woman admitted for delivery who is HIV positive.
2. Identify risk factors associated with dystocia.
3. Differentiate the four major abnormalities or problems associated with dysfunctional labor patterns.
4. Describe the nursing management for the woman with dysfunctional labor experiencing a problem
with the powers, passenger, passageway, or psyche.
5. Describe the nursing assessment and care for a woman experiencing preterm labor.
6. Describe the nursing assessment and care for a woman experiencing prolonged pregnancy.
7. Define a trial of labor.
8. Describe the contraindications, risks, and benefits associated with vaginal birth after cesarean.
9. Discuss obstetric emergencies that can complicate labor and birth, including appropriate management
for each.
10. Describe an amnioinfusion and identify the indications for this medical intervention.
11. Describe methods of assisted delivery using forceps and vacuum extraction.
12. Identify indications for a cesarean birth, differentiate between classical and low-transverse incisions,
and describe nursing care for women experiencing a cesarean birth.
13. Discuss the causes of postpartum hemorrhage and the pathophysiology, assessment, and management
for a woman experiencing a postpartum hemorrhage.
14. Describe the pathophysiology, assessment, and management of thromboembolic disorders during the
postpartum period.
15. Describe the causes, assessment, and management of postpartum infections.
16. Discuss incidence, risk factors, signs, symptoms and management for women experiencing
postpartum affective disorders.
1.15.13
NRAD 202A Syllabus 2013 14
WEEK 7
3/5
Test 3
Ricci et al. Ch 23
Caring for the Newborn with Special Needs
Week 7 Learning Objectives
The student should be able to:
1. Identify factors that contribute to newborn at risk due to variations in birthweight and gestational age.
2. Compare and contrast the assessment findings and management of a small-for-gestational age
newborn and a large-for-gestational-age newborn.
3. Compare and contrast the assessment findings and management of a preterm and a postterm
newborn.
4. Describe “kangaroo care” and the evidence-based practice findings associated with this intervention.
5. Outline the nurse's role in helping parents experiencing perinatal grief or loss.
3/12
WEEK 8
Caring for the Newborn at Risk: Acquired and Congenital
Newborn Conditions
Ricci et al. Ch. 24
Also pages 1509-1512
Week 8 Learning Objectives
The student should be able to:
1. Describe the pathophysiology, assessment, and management of a neonate experiencing transient
tachypnea of the newborn.
2. Describe the pathophysiology, assessment, and management of a newborn experiencing respiratory
distress syndrome.
3. Describe the pathophysiology, assessment, and management of a newborn experiencing meconium
aspiration syndrome.
4. Describe the pathophysiology, assessment, and management of a newborn experiencing necrotizing
enterocolitis.
5. Describe the pathophysiology, assessment, and management of an infant of a diabetic mother.
6. Discuss the fetal/neonatal effects and the associated nursing implications associated with maternal
substance use.
7. Describe the pathophysiology, assessment, and management of an infant experiencing neonatal
abstinence syndrome.
8. Compare and contrast physiologic jaundice and pathologic jaundice of the newborn.
9. Describe the pathophysiology, assessment, and management of an infant with hyperbilirubinemia.
10. Describe the pathophysiology, assessment, and management of a newborn with an infection.
11. Describe the pathophysiology, assessment, and management of an infant with a cleft lip or cleft
palate.
1.15.13
NRAD 202A Syllabus 2013 15
3/19
WEEK 9
Comprehensive Midterm Exam: weeks 1 - 8
Video “Business of Being Born”
Message Board Assignment:
On the message board, respond
to any one of the questions
regarding this video that will be
posted following this class. Your
response is required to be at least
100 words in length. In addition,
post two comments about
responses that have been posted
by other students (75-word
minimum). Feel free to post
additional responses or
comments if desired. Postings are
to be completed by 2400 on
Sunday 3/24/2013.
WEEK 10
3/26
Contraception
Sexually Transmitted Infections
Ricci et al. Ch. 4 & 5
Week 10 Learning Objectives
The student should be able to:
1. Compare and contrast contraceptive methods and their overall effectiveness.
2. Describe the techniques used for medical and surgical termination of pregnancy.
3. Evaluate the spread and control of sexually transmitted infections.
4. Describe the factors that place adolescents at increased risk for contracting sexually transmitted
infections.
5. Describe the assessment and management for women experiencing sexually transmitted infections.
Kaplan Focused Review Tests Reminder
Kaplan Focused Review Tests Maternity/Gynecological tests 1, 2, & 3 due by 2400 on Sunday, 4/7/2013
WEEK 11
Spring Break
1.15.13
NRAD 202A Syllabus 2013 16
WEEK 12
4/9
Child Growth & Development
Child Safety
Atraumatic Care of Children and Families
Ricci et al. Ch. 25, 26, 27, 28,
29, & 30
Week 12 Learning Objectives
The student should be able to:
Infant
1. Describe activities that promote optimal psychosocial and cognitive development during the first year
of life.
2. Describe the expected gross and fine motor milestones of the newborn and infant.
3. Describe the expected social and emotional development during the first year of life.
4. Provide anticipatory guidance to parents to promote infant safety.
Toddler
5. Describe activities that promote optimal psychosocial and cognitive development of the toddler.
6. Identify the gross and fine motor milestones of the toddler.
7. Describe the expected social and emotional development of the toddler.
8. Provide anticipatory guidance to parents to promote toddler safety.
9. Demonstrate an understanding of appropriate methods of discipline for use during the toddler years.
Preschooler
10. Describe activities that promote optimal psychosocial and cognitive development of the preschooler.
11. Identify the gross and fine motor milestones of the preschooler.
12. Describe the expected social and emotional development of the preschooler.
13. Provide anticipatory guidance to parents to promote preschooler safety.
14. Demonstrate an understanding of appropriate methods of discipline for the preschooler.
School-Age Child
15. Describe activities that promote optimal psychosocial and cognitive development of the school-age
child.
16. Describe issues associated with the social and emotional development of the school-age child.
17. Provide anticipatory guidance to parents to promote safety for the school-age child.
18. Demonstrate an understanding of appropriate methods of discipline for use with the school-age child.
Adolescent
19. Identify normal physiologic changes, including puberty, occurring in the adolescent.
20. Describe activities that promote optimal psychosocial and cognitive development of the adolescent.
21. Describe issues associated with the social and emotional development of the adolescent.
22. Provide anticipatory guidance to promote adolescent safety.
Atraumatic Care
23. Describe the major principles and concepts of atraumatic care.
24. Incorporate atraumatic care to prevent and minimize physical stress for children and families.
25. Use effective therapeutic communication skills when interacting with children and their families.
26. Describe the process of health teaching as it relates to children and their families.
1.15.13
NRAD 202A Syllabus 2013 17
WEEK 13
4/16
Test 4
Ricci et al. Ch. 33 & 34
Also page 46-49
Caring for the Hospitalized Child
Caring for the Special Needs Child
Week 13 Learning Objectives
The student should be able to:
1. Identify the reactions and responses of children and their families during illness and hospitalization
for children.
2. Explain the factors that influence the reactions and responses of children and their families during
illness and hospitalization for children.
3. Describe nursing care that minimizes stressors for children who are ill or hospitalized:
a. Preparing children and their families for hospitalization.
b. Admitting the child to the facility.
c. Addressing the effects of the hospital developmentally.
d. Preparing the child and family for surgery.
e. Providing basic care for the hospitalized child.
f. Providing play, activities, and recreation for the hospitalized child.
g. Promoting schoolwork and education during hospitalization.
h. Addressing the needs of family members.
i. Providing child and family teaching.
j. Preparing the child and family for discharge.
4. Identify implications associated with pediatric health care:
a. Special situations related to informed consent.
b. Exceptions to the parental consent requirement.
c. Assent for treatment.
d. Refusal of medical treatment.
5. Analyze the impact that being a child with special needs has on the child and the family.
6. Identify anticipated times when the child with special needs and the family will need support.
7. Describe ways that nurses assist children with special needs and their families to obtain optimal
functioning.
1.15.13
NRAD 202A Syllabus 2013 18
4/23
WEEK 14
Immunizations
Caring for the Child with an Infectious or Communicable
Disorder
Caring for the Child with a Respiratory Disorder
Ricci et al. Ch. 31, 37, 39, &
40
Week 14 Learning Objectives
The student should be able to:
1. Demonstrate knowledge of the principles of immunization.
2. Use the CDC immunization schedule to accurately assess a child's need for immunization based on
the child's age and immunization history.
3. Describe the most commonly used vaccines recommended by the American Academy of Pediatrics,
including contraindications and precautions.
4. Identify barriers to immunization.
5. Describe an overview of the nursing care for a child with an infectious or communicable disorder to
manage fever, improve comfort, promote skin integrity, prevent and control infection, promote
adequate fluid balance, prevent social isolation, and provide child and family teaching
6. Describe the major characteristics of diphtheria, pertussis, rubella, rubeola, varicella zoster, roseola,
fifth disease, and mumps.
7. Describe the clinical manifestations, transmission, diagnosis, treatment, and control measures
associated with common helminthic infections in children.
8. Describe the pathophysiology, assessment, and management for the child with conjunctivitis.
9. Describe the pathophysiology, assessment, and management for the child with acute otitis media.
10. Distinguish difference between the anatomy and physiology of the respiratory illness in infants and
children.
11. Outline the nursing care for a child with croup.
12. Describe the pathophysiology, assessment, and management for the child with respiratory syncytial
virus (RSV).
13. Describe the pathophysiology, assessment, and management for the child with cystic fibrosis.
1.15.13
NRAD 202A Syllabus 2013 19
WEEK 15
4/30
Ricci et al. Ch. 44, 45, 51, &
52
Test 5
Caring for the Child with a Neuromuscular Disorder
Caring for the Child with a Musculoskeletal Disorder
Caring for the Child with a Cognitive Disorder
Caring for the Child with a Genetic Disorder
Week 15 Learning Objectives
The student should be able to:
1. Compare differences between the anatomy and physiology of the neuromuscular system in infants
and children versus adults.
2. Describe the pathophysiology, assessment, and management for the child with cystic fibrosis.
3. Compare differences between the anatomy and physiology of the musculoskeletal system in children
versus adults.
4. Describe the pathophysiology, assessment, and management for the child with developmental
dysplasia of the hip.
5. Describe the pathophysiology, assessment, and management for the child with scoliosis.
6. Describe an overview of the nursing care for a child with a genetic disorder to provide child and
family teaching, provide decision-making support, promote growth and development, manage fear,
and promote family coping.
7. Describe the pathophysiology, assessment, and management for the child with Trisomy 21 (Down
syndrome).
8. Describe the pathophysiology, assessment, and management for the child with Fragile X syndrome.
9. Describe the pathophysiology, assessment, and management for the child with Tay-Sach's disease.
10. Describe the pathophysiology, assessment, and management for the child with intellectual disability.
11. Describe the pathophysiology, assessment, and management for the child with autism spectrum
disorder.
12. Describe the assessment and management of child maltreatment.
13. Describe the assessment and management of Münchausen syndrome by proxy.
Kaplan Focused Review Tests Reminder
Kaplan Focused Review Pediatric tests 1, 2, & 3 due by 2400 on Sunday, 5/5/2013
1.15.13
NRAD 202A Syllabus 2013 20
5/7
WEEK 16
Caring for the Child with a Cardiovascular Disorder
Ricci et al. Ch. 41
Week 16 Learning Objectives
The student should be able to:
1. Compare anatomic and physiologic differences of the cardiovascular system in infants and children
versus adults.
2. Discuss the general pathophysiology and management of congenital heart disease.
3. Describe an overview of the nursing care for a child with a cardiovascular disorder to increase
cardiac output, encourage fluid loss, promote adequate nutrition, promote tissue perfusion, promote
appropriate development, prevent infection, promote family processes, and promote activity.
4. Describe the pathophysiology, assessment, and management for a child with congenital heart
disease:
a. Tetralogy of Fallot
b. Atrial septal defect
c. Ventricular septal defect
d. Patient ductus arteriosus
e. Coarctation of the aorta
f. Transposition of the great vessels
5. Describe the pathophysiology, assessment, and management for a child who has heart failure.
6. Describe the pathophysiology, assessment, and management for a child with an acquired
cardiovascular disorder:
a. Infective endocarditis
b. Acute rheumatic fever
c. Kawasaki disease
WEEK 17
5/14
Test 6
Ricci et al. Ch. 47 & 50
Caring for the Child with a Hematologic Disorder
Caring for the Child with a Neoplastic Disorder
Week 17 Learning Objectives
The student should be able to:
1. Describe the pathophysiology, assessment, and management for the child with hemophilia.
2. Describe an overview of the nursing care for a child with a neoplastic disorder.
3. Describe the pathophysiology, assessment, and management for the child with acute lymphoblastic
leukemia.
4. Describe the pathophysiology, assessment, and management for the child with Hodgkin disease.
5. Describe the pathophysiology, assessment, and management for the child with non-Hodgkin
lymphoma.
6. Describe the collaborative care and nursing considerations for a child with leukemia, Hodgkin
disease, or non-Hodgkin lymphoma.
1.15.13
NRAD 202A Syllabus 2013 21
WEEK 18
5/21
Comprehensive Final Exam
Tuesday, May 21 in classroom 2509 from 0900-1100
Class of 2014: Congratulations on completing your first year of nursing school!
1.15.13
NRAD 202A Syllabus 2013 22
NRAD 202A Course Grade Calculator
Course assignments are weighted according to different percentages. To calculate your grade,
use the following table. Each score or set of scores is divided by the total number of points
possible and multiplied by the percentage of your final grade it represents. Then, these
percentages are added together for the final course grade. Carry your results out to 2 decimal
places and do not round up until all percentages have been added together.
Assignment
Your
Score
Results
Total
/180 * 0.42 =
____ 1
/60 * 0.15 =
____ 2
Test 1
Test 2
Test 3
Test 4
Test 5
Test 6
Total All Tests =
= ____
Midterm
Message Board Credit = 1
Kaplan Maternity
Tests Credit = 1
Kaplan Pediatric
Tests Credit = 1
Critical Thinking
Oral Credit = 1
1.15.13
____ 3
* 0.03 =
____ 4
* 0.03 =
____ 5
* 0.05 = a
a+b=
____ 6
/100 * 0.25 =
Course total percentage is sum of 1 - 7 =
____ 7
Care plan points ______
Final Exam
* 0.02 =
/45 * 0.05 = b
NRAD 202A Syllabus 2013 23
Academic Calendar Spring 2013 Semester
J
A
N
U
A
R
Y
F
E
B
R
U
A
R
Y
M
A
R
C
H
SUN
MONDAY
TUESDAY
21 HOLIDAY
MARTIN LUTHER
KING JR DAY
22
INSTRUCTION
27 Wk 2
28
3 Wk 3
4
DEADLINE:
DROP
W/PARTIAL
REFUND*
ADD
COURSES
W/ADD CODE
DROP W/O
CENSUS DATE
20 Wk 1
DEADLINE:
DROP W/
M
A
Y
THURSDAY
FRIDAY
SATURDAY
23
24
25
26
29
30
31
1
2
5
6
7
8
9
12
13
14 DEADLINE:
15
16
HOLIDAY
HOLIDAY
BEGINS
FULL
REFUND
FULL SEMESTER
COURSES
“W”
10 Wk 4
11
REQUEST
REFUND FOR
CLASSES
DROPPED BY
DEADLINES *
17 Wk 5
18
HOLIDAY
19 DEADLINE:
24 Wk 6
3 Wk 7
25
4
10 Wk 8
11
20
21
22
23
26
5
27
6
28
7
1
8
2
9
12
13
14
15 DEADLINE: APPLY
16
PASS/NO PASS
CREDIT BY EXAM
INDEPENDENT
STUDY
FALL 2013
GRADUATION FOR
PRIORITY REG
17 Wk 9
18
19
20
21
22
23
24 Wk 10
25
26
27
28
29
30
31 Wk 11
1 BOARD
HOLIDAY
8
2 SPRING
BREAK
9
3
4
5
6
10
11
12
13
15
16
17
18
19
20
”W”
21 Wk 14
22
23
24
25
26
27
28 Wk 15
29
30
1
2
3
4
5 Wk 16
6
7
8
9
10
11
12 Wk 17
13
14
15
16
17
7 Wk 12
A
P
R
I
L
WEDNESDAY
14 Wk 13
DEADLINE:
DROP WITH
18
FINALS BEGIN
19 Wk 18
20
21
26
FINALS WEEK
27 HOLIDAY
28
1.15.13
22
FLEX DAY
29
FLEX DAY
23
24
30
31
INSTRUCTION
ENDS
25