NURSING DEPARTMENT
NURSING 221 STUDY GUIDE
Lectures: Monday and Thursday: 1030-1250 in 5-390
LECTURE
January 13, Monday
Overview of N221 Syllabus
Introduction to Child Health
Nursing

Demographics

Role of the Nurse in
Pediatrics

Application of the Nursing
Process to Pediatrics

Growth & Development
READINGS (*Required)





London, Ladewig, Ball, & Bindler. 4th ed.
Maternal & Child Nursing Care. Ch. 1, 32, 35,
36, 37.
ATI Readings: Edition 9.0: corresponding
chapters
Gill, V. and Edelman, M. (2012). Pediatric
Hypertension: A Cause for Concern. Nursing
2012. Mar. pp. 54-57.
DVD: Beginning Pediatric Nursing, Parts 1-4.
View in Open Lab.
DVD-The Role of Play-View in Open Lab
Instructors
Beth Smith
Elizabeth Colglazier
Natalie Fedan
Julie Withrington
Office
5-365
5-371
5-371
5-365
CLINICAL/LAB FOCUS
Preclinical Skills Lab
London, Ch. 34
ATI: Corresponding Chapters
See separate preclinical schedule in syllabus for Preclinical Lab
Nurs 225 Lab #1: Practice Math Test (Review pediatric
material in Dimensional Analysis for Meds)
Video: Pediatric Medication Administration

ATI Readings: Corresponding chapter.
Clinical Lab Focus Week of 01/13
1. Orient yourself to the clinical area. Become familiar with the
charting system used and the medication administration
system.
2. Describe the admission procedure on your unit.
3. Describe 2 methods for reducing a young child’s anxiety
during a physical exam.
4. What equipment does your unit/clinical have for measuring
blood pressure in very young children? What is the normal
blood pressure for a two-year-old?
5. Describe the structure of your patient’s family. Identify the
person who takes the lead role in family interactions.
6. Compare your patient’s family to another of a different
culture. How does their attitude towards children and health
care differ?
7. During assessment of your patient, try to find out if the family
uses any alternative health practices, such as acupuncture.
8. Compare the patient’s normal wt. to their current wt.
9. Plot your patient’s ht and wt on a growth chart that is
appropriate for age. What percentile does your patient graph?
Nursing 221 Study Guide
2
LECTURE
January 16, Thursday
Child Health Promotion –
Part I
 Culture and the family

Parenting and the family

The effects of divorce on
children and family function

The role of play
READINGS (*Required)

London, Ch. 2, 32, 38, & 39.

ATI Readings: Chapter 1

Mueller, C. (2010) Spiritualty in Children:
Understanding and Developing Interventions.
Pediatric Nursing, July/Aug. pp. 197-203.
HOLIDAY!!!
January 20, Monday
January 23, Thursday
Child Health Promotion –
Part II

Injury Prevention

Poisoning

Nutrition
MATH TEST #1 IN LECTURE

London, pp. 1127-1135, Ch. 33, 36, & 37

ATI Readings: Corresponding Chapters.

CLINICAL/LAB FOCUS
Coehlo, D. (2011). Encopresis: a Medical and
Family Approach. Pediatric Nursing. May/June.
pp. 107-113.
Nurs 225 Lab #2:
Video: IV Therapy for Pediatric Patients
Practice diluting Medications for IV administration through a
syringe pump
Demo and Practice using a syringe pump
Practice scenarios with IV meds
Discuss Competency Testing
Clinical Lab Focus Week 01/20
1. What safety measures did you employ today with your
patient?
2. Did you see any safety hazards or unsafe practices today?
(nurses or parents)
3. Observe the dietary habits of the pediatric patient you
cared for this week. How would you counsel the mother to
improve her child’s nutrition?
4. Determine your patient’s favorite food from home.
5. Check the immunization record of your patient. Is he/she
up to date in all of his/her immunizations?
Nursing 221 Study Guide
3
LECTURE
January 27, Monday
Care of the Child with
Cardiovascular Dysfunction.
READINGS (*Required)

London. Ch. 48.

ATI Readings: Corresponding Chapter.

Sinclair, S. (2009). Involvement of Adolescents
in Decision Making for Heart Transplants.
MCN. Sept./Oct. pp. 276-282.

Smith, C. (2013). Understanding the Role of
Patent Foramen Ovale in Stroke. Nursing 2013.
April. pp. 53-55.
January 30, Thursday
Immunization and
Communicable Diseases

London. Ch. 44, pp. 1708-1711.

ATI Readings: Corresponding Chapter/s.
MATH TEST #2 AFTER
LECTURE (IF APPLICABLE)

Shants-Hopko, N. (2009). Issues in Pediatric
Immunization. MCN. Mar./Apr. pp. 80-88.
February 3, Monday

London. Ch. 40, 41, & 42
TEST #1

ATI Readings: Corresponding Chapter/s.




Nursing Care of
the Hospitalized Child
Nursing Care of the Family
of a Dying Child
Pain Management
February 6, Thursday

Nursing Care of the
Hospitalized Child (cont’d.)
MATH TEST #3 AFTER
LECTURE (IF APPLICABLE)


Ewing, B. (2009). Wish Fulfillment: Palliative
Care and End of Life Intervention. Pediatric
Nursing. Mar./Apr. pp. 81-85.
Hart, R. & Walton, M. (2010). Magic as a
Therapeutic Intervention to Promote Coping in
Hospitalized Pediatric Patients. Pediatric
Nursing, Jan./Feb. pp. 11-17
Salmela, M., Salantera, S. & Aronen, E. (2009).
Child Reported Hospital Fears in 4 to 6 Year
Old Children. Pediatric Nursing, Sept./Oct. pp.
269-276.
CLINICAL/LAB FOCUS
Clinical Lab Focus Week of 01/27
1. What objective data might be obtained from the history and
physical exam of a child where a cardiac defect or disease is
suspected? What are the major areas of patient teaching
necessary for preparing the child and family procedures or
surgery?
2. Identify the major medications used to treat cardiac dysfunction.
What side effects should the nurse assess?
3. What is post pericardotomy syndrome? How is it assessed?
4. Identify the normal values for complete blood count.
Nurs 225 Lab #3:
Practice IV Med problems s for competency testing. Practice
scenarios for IV competency testing.
Video: Vaccine Administration Techniques
Practice injection on dolls.
Clinical Lab Focus Week of 02/03
1. Discuss the major stressors your patient faces during
hospitalization based on his/her developmental level. What is
his/her behavioral response to his illness and hospitalization?
What nursing interventions could you utilize to minimize these
stressors?
2. How can you use play to minimize the stress of hospitalization
for your patient?
3. In what ways might a family's anger be displayed in the hospital
setting? How can the nurse help the family deal with anger?
4. Identify ways to assess pain in infants and young children who
are nonverbal.
5. What would be an appropriate home care plan for your patient?
Nursing 225 Lab #4 Respiratory
ATI: Corresponding Chapter/s
Postural Drainage; Chest PT; O2 Sats; OxygenAdministration in
Children
Nursing 221 Study Guide
4
LECTURE
February 10, Monday
Care of the Child with
Respiratory Dysfunction
READINGS (*Required)

London. Ch. 47.

ATI Readings: Corresponding Chapter/s.

Suwanwaiphatthana, W., Ruangdej, K. &
Turner, A. (2010). Outdoor Air Pollution and
Children’s Health. Pediatric Nursing, Jan./Feb.
pp. 25-31.
February 13, Thursday
Care of the Child with
Gastrointestinal Dysfunction

London. Ch. 52.

ATI Readings: Corresponding Chapter/s.


Farrington, M., Cullen, L., Lang, S., & Stewart,
S. (2009). Nasogastric Tube Placement
Verification in Pediatic & Neonatal Patients.
Pediatric Nursing. Jan./Feb. pp. 17-23.
Halbert, K. (2011). Nissen vs. Toupet
Fundoplication in the Treatment of
Gatroesophageal Reflux Disease. Pediatric
Nursing, July/Aug. pp. 171-174
CLINICAL/LAB FOCUS
Clinical Lab Focus Week of 02/10
1. What signs and symptoms are manifested by the child with
an acute respiratory dysfunction of an obstructive origin?
2. How is respiratory failure defined? What signs and
symptoms would a nurse note on an assessment?
3. What are the major diagnostic tests the M.D. might order to
assess respiratory function? What complications might the
nurse assess for during and after each procedure?
4. Identify the pertinent points to be covered in the history of
a child with a respiratory dysfunction. What are possible
nursing diagnoses?
5. Identify common drugs used in the care of children with
respiratory dysfunction.
6. Identify the commonly used blood, urine, and radiologic
tests used to diagnose GI problems in children.
7. Discuss the preparation of a child of two years, 5 years and
10 years for invasive diagnostic tests related to the GI
system.
8. Obtain a diet history from your patient or parent. Identify
suggestions to change or improve the diet.
Nursing 225 Lab #5 NG Placement and GT Feeds
ATI: Corresponding Chapter/s
February 17, Monday
HOLIDAY!!!
Nursing 221 Study Guide
5
LECTURE
READINGS (*Required)
February 20, Thursday

London. Ch. 55.
Care of the Child with Cerebral
or Neuromuscular Dysfunction

ATI Readings: Corresponding Chapter/s.


February 24, Monday
Clinical Lab Focus Week of 02/20
1. Identify the assessment data indicating increased
Norton, C., Feltz, S., Brocker, A., & Granitto, M.
intracranial pressure.
(2013). Tackling the Long Term Consequences 2. Identify common anticonvulsants used in children with
of Concussion. Nursing 2013. Jan. pp. 50-55.
seizure disorders. List side effects.
3.
Discuss the equipment used to monitor increased
Clore, E. (2010). Seizure Precautions for
intracranial pressure in PICU.
Pediatric Bedside Nurses. Pediatric Nursing,
July/Aug. pp. 191-195.

CLINICAL/LAB FOCUS
Peterson, K. and Barbel, P. (2013). On Alert for
A Spectrum Disorders. Nursing 2013. April. pp.
28-33.
Monday group: No lab
Tuesday group: N225 Lab #6: Central Line Dressing Change

London. Ch. 50, 51
Clinical Lab Focus Week of 02/24

ATI Readings: Corresponding Chapters.
Care of the Child with a
Neoplasm
1. Identify 3 pain medications used to control pain in the
pediatric patient with cancer. Discuss preventing the
undesirable side effects of those meds.
2. Review the CBC of a patient with leukemia and discuss the
resulting symptoms.
3. Describe the underlying pathology of the anemia, bone
pain, fever & pallor which occur with leukemia.
4. Observe and describe the behavioral response of the
parents of a child with cancer.
February 27, Thursday
Monday group: N225 Lab #5: NG Placement and Tube Feeding
Tuesday group: N225 Lab #7: Critical Thinking Game
Test #2

Care of the Child with a
Neoplasm (continued)
Helt-Cameron, J. & Allen, P. (2009). Cisplatin
Ototoxicity in Children: Implications for
Primary Care Providers. Pediatric Nursing.
March/April. pp. 121-126.
Nursing 221 Study Guide
6
LECTURE
READINGS (*Required)
March 3, Monday
Care of the Child with
Genitourinary Dysfunction

London. Ch. 53.

ATI Readings: Corresponding Chapter/s.
CLINICAL/LAB FOCUS
Clinical Lab Focus of 03/03
1. Review your patient’s electrolyte status. Identify abnormal
lab values. What is being done to correct imbalances?
2. Identify commonly used blood, urine, and radiologic tests
used to diagnose GU problems in children.
3. Discuss the preparation of a child of two years, 5 years, and
10 years for invasive diagnostic tests related to the GU
system.
4. What nursing care is involved in the initiation of CAPD?
N225 Competency Assessment Day for both groups starting at
0730 to 1030 and concluding after lecture. No Tuesday lab this
week.
March 6, Thursday
Child Maltreatment

Neglect

Physical abuse

Sexual abuse

London. Ch. 43.

ATI Readings: Corresponding Chapter/s.


ATI Pediatric Test: 1630 - 1730
Parsh, B. and Jacoby, S. (2013). Clinical
Inquiries: All Eyes on Shaken Baby Syndrome.
Nursing 2013. May. p. 66.
Required completion of ATI Pediatric Practice
test
March 10, Monday
Ethical and Legal Issues in
Pediatrics
March 13, Thursday
ATI Pediatric Test: 1630 - 1730
Nurs 225: Lab #6
Monday Group: Central Line Dressing Changes
FINAL
EXAM
Nurs 225: Lab #8
Tuesday Group: Case Scenarios – Practicing Critical
Thinking