INSTRUCTION
Course Package
NUR 221
NURSING III
PRESENTED AND APPROVED: AUGUST 9, 2012
EFFECTIVE: FALL 2012-13
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Prefix & Number NUR 221
Purpose of this submission:
If this is a change, what is being changed?
(Check all that apply) Prerequisite will be
reflected in the 2013-14 catalog. Competencies
and textbook will be effective fall 2012 semester.
Course Title: Nursing III
New
Change/Updated
Retire
Update Prefix
Course Description
Title
Course Number
Format Change
Credits
Prerequisite
Competencies
Textbook/Reviewed Competencies-no changes
needed
Does this course require additional fees?
No
Yes If so, please explain. Nursing Program Fee
Is there a similar course in the course bank?
No
Yes (Please identify)
Articulation: Is this course or an equivalent offered at other two and four-year universities in Arizona?
No
Yes (Identify the college, subject, prefix, number and title: Nursing Programs within the
Healing Community. ASU/UA – Elective Credit; NAU – NUR 211
Is this course identified as a Writing Across the Curriculum course?
No
Yes
Course Textbook, Materials and Equipment
Textbook(s)
Current
edition
Title
Author(s)
Publisher
Clinical Calculations Made Easy, 4th ed.
Craig, Gloria P.
Philadelphia, PA: Lippincott
Williams & Wilkins, a Wolter Kluwer Business.
ISBN-13: 978-0-7817-6385-1
Title
Author(s)
Publisher
Comprehensive Review for NCLEX-RN, 2nd Ed
Hogan, Mary Ann
Upper Saddle River, NJ: Pearson, Prentice Hall
ISBN-13: 978-0-13-262107-6
Title
Nurses Quick Reference to Common Laboratory and Diagnostic
Tests, 5th Ed.
Fischbach, Frances & Dunning III, M. B.
Lippincott-Raven: Hagerstown, MD ISBN: 0781735475
Author(s)
Publisher
Title
Author(s)
Publisher
Title
Author(s)
Publisher
Title
Author(s)
Publisher
MCC Form EDU 0007 (rev. 10/07/11)
Maternal &Child Health Nursing: Care of the Childbearing &
Childrearing Family. 6th Ed.
Pillitteri, Adele
PA: Lippincott Williams & Wilkins, a Wolters Kluwer Business.
ISBN-13: 978-1-5825-5999-5
Psychiatric Mental Health Nursing, Concepts of Care in
Evidence-Based Practice. 7th Ed.
Townsend, Mary C.
Philadelphia PA: F.A. Davis Company
ISBN-13: 978-0-8036-1917-3
All previous texts from Nursing 121 & Nursing 122
INSTRUCTION
Course Package
Software/
Equipment
Computer with Internet capability
Course Assessments
Description of Possible Course Assessments (Essays, multiple choice,
etc.)
Multiple choice exams, care plans, evidencebased practice posters, clinical performance.
Exams standardized for this course?
Midterm
Final
Other (Please specify): Unit Exams
Where can faculty members locate or access the required standardized
exams for this course? (Contact Person and Location)
Example: NCK – Academic Chair Office
Are exams required by the department?
No
Yes
If Yes, please specify:
Director of Nursing, Nursing Faculty.
goals
ls for student
Student Outcomes: Identify the general education goa
learning that is a component of this course.
Check all that apply:
Method of Assessment
Multiple choice exams.
Care plans, clinical documentation. Evidence
based practice poster.
1. Communicate effectively.
a.
b.
Read and comprehend at a college level.
Write effectively in a college setting.
2. Demonstrate effective quantitative reasoning and
solving skills.
problem
Dosage exams and clinical performance.
3. Demonstrate effective qualitative reasoning skills.
Multiple choice exams.
4. Apply effective methods of inquiry.
a. Generate research paper by gathering information
from varied sources, analyzing data and organizing
information into a coherent structure.
b. Employ the scientific method.
Working with evidence based practice and
utilizing nursing process which is demonstrated
in nursing care plan and evidence-based
practice poster presentation.
5. Demonstrate sensitivity to diversity
Cultural considerations in nursing care. Care
plans and evidence-based practice poster
presentations.
a. Experience the creative products of humanity.
b. Describe alternate historical, cultural, global
perspectives.
Office of Instruction Use only:
CIP Code:
ONET Code:
Minimum Qualifications:
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
COURSE INFORMATION
Initiator: Cynthia Huth, Linda Riesdorph, Paula McNichols, Julie Chew, Rose Kilgaard
Date of proposal to Curriculum Sub-Committee: 8/9/12
Effective Semester/Year
Fall 2012
Spring
Summer
Prerequisite will be reflected in the 2013-14 catalog year.
Prefix & Number: NUR 221
Full Title: (100 character limit)
Nursing III
Short Title: (30 character limit)
Nursing III
Catalog Course Description: Within the framework of transitions, the focus is on nursing care to
promote healthy transitions for individuals and families experiencing developmental milestones.
Includes the transition of birth, childhood, adolescence, young adulthood, childbearing and middle
adult. The student’s transition to nurse includes group theory and nursing therapeutics when assisting
the client through acute care health issues. Topics of nutrition, culture, and pharmacology are
integrated. Concepts in critical thinking, organizational skills and psychosocial nursing are included.
SUN Course Number:
Credit Hours: 8
Lecture Hours: 4
Lab Hours: 12
Prerequisite(s) NUR 122, NUR 227, advanced placement in LPN to RN Track; NUR 175 for Paramedic
Co-requisite(s) NUR 228 and NUR 221 L
Intended Course Goals
By the end of the semester, students will be able to:
1. Apply ethical, legal and professional standard principles to nursing scope of practice within
specialty areas reflecting political awareness and standards of care. (Test Plan, AZ Workplace
Employability Skill)
2. Apply and integrate physical, emotional, cultural and spiritual components of caring behaviors for
self, individuals, families and groups.
3. Demonstrate effective communication skills in complex interactions to achieve mutually defined
goals in collaboration with clients, families, peers, faculty and other members of the health care team.
(AZ Workplace Employability Skill)
4. Demonstrate use of evidence-based practice principles and nursing skills within the specialty areas
to provide safe and therapeutic nursing interventions for self and for individuals and families
experiencing transitions. (Test Plan, QSEN Competency)
5. Utilize theory, evidence-based practice principles to formulate clinical judgments and enhance
professional role development. (Test Plan, AZ Workplace Employability Skill)
6. Demonstrate growth in applying principles of cultural competency in the provision of nursing care to
individuals, groups and families. (AZ Workplace Employability Skill)
7. Identify, adapt and apply teaching/learning principles for health promotion, restoration,
maintenance and illness prevention to address the needs of individuals and families across the life
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
span.
8. Implement basic professional management skills and collaborate with other personnel within the
organizational structure to manage client care through supervision, delegation, coordination and
procurement of available resources. (AZ Workplace Employability Skill)
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Course Competencies and Objectives
By the end of the semester, students will be able to:
Competency 1 Perform perinatal and health assessment of mother and newborn correctly. (Test Plan)
Objective 1.1 Accurately monitor fetal heart rate in laboring client. (Test Plan)
Objective 1.2 Correctly monitor uterine contractions in laboring client.
Objective 1.3 Correctly document significant information in the electronic record when caring for laboring client. (Test
Plan)
Objective 1.4 Correctly perform perineal care for post-partum client.
Objective 1.5 Appropriately perform palpation of fundus in post-partum client.
Objective 1.6 Properly perform hand and arm scrub prior to entering nursery.
Objective 1.7 Identify Apgar scoring criteria.
Objective 1.8 Correctly perform Apgar scoring criteria on infant and maintain airway with utilization of bulb syringe.
(Test Plan)
Objective 1.9 Correctly perform Ballard physical and neurological examination on infant. (Test Plan)
Objective 1.10 Document physical examination of infant completely and accurately in the electronic record. (Test Plan)
Competency 2 Accurately perform an appropriate pediatric physical examination and health assessment. (Test Plan)
Objective 2.1 Conduct accurate “across the room” examination.
Objective 2.2 Perform accurate focused assessment on pediatric client. (Test Plan)
Objective 2.3 Identify expected differences between pediatric and adult client.
Objective 2.4 Accurately describe psychosocial development and cognitive growth and development.
Objective 2.5 Accurately document appropriate information.
Competency 3 Accurately, safely and competently administer intravenous (IV) medications.
Objective 3.1 Maintain asepsis of medication and supplies.
Objective 3.2 Observe the 7 rights of medication administration and review pertinent date prior to administration. (Test
Plan)
Objective 3.3 Assess IV site thoroughly and document findings appropriately.
Objective 3.4 Flush peripheral well with normal saline prior to and after IV mini-bag medication.
Objective 3.5 Verify infusion rate of IV piggyback medication via peripheral well.
Objective 3.6 Perform IV piggyback medication administration using proper technique. (Test Plan)
Objective 3.7 Perform complete documentation of the administration of IV piggyback medication administration. (Test
Plan)
Objective 3.8 Verify compatibility of solutions and medications when administering IV piggyback medications through
infusing IV and document side effects and adverse effects as well as notifying primary health care provider. (Test Plan)
Objective 3.9 Properly position primary and secondary bags when administering IV piggyback medication through
infusing IV.
Objective 3.10 Regulate IV flow with proper clamp when administering IV piggyback medication through infusing IV.
Objective 3.11 Verify physician order when administering medication or adding medications to IV infusion and evaluate
appropriateness/accuracy of order. (Test Plan)
Objective 3.12 Confirm compatibility of solutions and medication ordered and educate client on need for intermittent
parenteral fluid. (Test Plan)
Objective 3.13 Label IV solution and tubing appropriately when medication added to existing IV solution that is infusing.
Objective 3.14 Perform procedure of adding medications to existing IV solution correctly and document appropriate
information.
Objective 3.15 Perform procedure of administering IV push medication correctly and utilize appropriate techniques
whether it be peripheral well or infusing IV.
Objective 3.16 Correctly document administration of IV push medications. (Test Plan)
Objective 3.17 Administer IV push medications over the proper recommended amount of time. (Test Plan)
Objective 3.18 Observe and assess IV site prior to IV infusion or drug administration and monitor IV infusion as well as
client response to intermittent parenteral fluid therapy.(Test Plan)
Objective 3.19 Change IV site every 72 hours or per facility policy.
Objective 3.20 Change IV tubing every 24 hours or per facility policy.
Objective 3.21 Monitor the use of an infusion pump. (Test Plan)
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Competency 4 Safely administer blood and blood products. (Test Plan)
Objective 4.1 Verify physician’s order and signed blood administration consent. Facilitate informed client consent and
assure client comprehends. Assess for appropriate venous access.(Test Plan and QSEN Competency)
Objective 4.2 Complete identification checks.
Objective 4.3 Initiate blood transfusion within 30 minutes upon receipt of blood.
Objective 4.4 Maintain asepsis of equipment and blood product.
Objective 4.5 Prime y-set tubing using proper technique.
Objective 4.6 Wear gloves when indicated during procedure.
Objective 4.7 Complete proper sequence of vital signs.
Objective 4.8 List and observe for signs and symptoms of transfusion reactions. (Test Plan)
Objective 4.9 Complete procedure using proper technique and document appropriately. (Test Plan)
Competency 5 Provide safe, effective and competent nursing care to the varied configurations and roles of post-partum
family. (Puerperium) (Test Plan)
Objective 5.1 Identify healthy and unhealthy transitions to parenting and family dynamics using the nursing process as
a guide to providing safe and effective care. (Impact of change on family system) (Test Plan)
Objective 5.2 Relate essential parts of the nursing process to post-partum nursing care.
Objective 5.3 Categorize client needs relative to safe, effective care environment, physiological integrity, health
promotion and psychosocial integrity needs while considering the Pregnant Patient’s Bill of Rights and National Health
Goals during puerperium. (Educate client and staff about client’s rights and responsibilities. (Test Plan)
Objective 5.4 Describe standards of care for the obstetrical client focusing on the nurse as provider, communicator,
teacher, manager, advocate and member of the profession. (Test Plan)
Objective 5.5 Discuss and demonstrate Nurse Practice Act standards of care and ANA Code of Ethics. Evaluate
outcomes of interventions to promote ethical practice. (Test Plan)
Objective 5.6 Discuss the role of the nurse as teacher in post-partum care. Use information technology to enhance care
provided to client. (Test Plan)
Objective 5.7 Identify topics for teaching discharge information to post-partum mothers (breast feeding, contraception,
discharge teaching, breast self-examination, use of infant car seats and infant care) and use information technology in
obtaining information. (Test Plan)
Objective 5.8 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology that may
occur in the puerperium. (Test Plan)
Objective 5.9 Identify normal course of events and key clinical assessment parameters including rest and sleep for the
client in the post-partum experience. (Test Plan)
Objective 5.10 Formulate appropriate nursing diagnoses based on assessment of client in the post-partum experience.
Objective 5.11 Plan expected outcomes for a post-partum woman and family related to this period.
Objective 5.12 Consider cultural variations and strategies to manage conflict within the family when planning nursing
care for post-partum client and family. (Test Plan)
Objective 5.13 Initiate, evaluate and update plan of care, care map, clinical pathway used to guide and evaluate care of
a client in the post-partum experience including focus on oxytocic medications and physiological needs. (Test Plan)
Objective 5.14 Assess the psychosocial integrity needs of and plan interventions for the obstetrical client and family
that impact family functioning. (Test Plan)
Objective 5.15 Role model and teach healthy attachment and bonding behaviors for mother and child.
Objective 5.16 Describe the psychological adaptations a new mother experiences following birth of a child and evaluate
client ability to care for newborn. (Test Plan)
Objective 5.17 Discuss the psychosocial aspects of childbearing . (Test Plan)
Objective 5.18 Differentiate “post-partum blues” from post-partum depression. (Test Plan)
Objective 5.19 List four maternal behaviors that would indicate maternal attachment to the infant.
Objective 5.20 Describe three reciprocal infant attachment behaviors.
Objective 5.21 Identify nursing therapeutics to encourage bonding between mother and child.
Objective 5.22 Identify three negative mothering behaviors.
Objective 5.23 Identify four factors that affect adaptation to birthing a child.
Objective 5.24 Discuss indications of positive engrossment.
Objective 5.25 Utilize therapeutic communication techniques in support of client and family achieving healthy
outcomes and the integrating of new members into the family structure. Engage clients or designated surrogates in active
partnerships that promote health, safety, well-being and self care management. (Test Plan and QSEN Competency)
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Objective 5.26 List the critical elements of “post-partum checks.” (Test Plan)
Objective 5.27 Analyze case study exemplars for post-partum clients, considering issues of breastfeeding and minor
discomforts and evaluate expected outcomes to determine effectiveness of nursing care using therapies for comfort and
treatment of inflammation, swelling and achievement of outcomes. (Test Plan)
Objective 5.28 Assess need/desire for birth control, identify expected outcomes and review birth control measures with
the new mother as well as contraindications to chosen method. (Test Plan)
Objective 5.29 Assess the immunization status of the mother (MMR).
Objective 5.30 Coordinate the plan of nursing care for post-partum mother including assessing need for, initiating and
evaluating outcomes of referrals/consultations to appropriate agencies, resources or practitioners. Recognize contribution
of other individuals and groups in helping client/family achieve health goals.) (Test Plan and QSEN Competency)
Objective 5.31 Identify areas related to care of post-partum family that could benefit from additional research and
application of evidence-based practice. (Test Plan)
Objective 5.32 Use critical thinking to analyze ways that post-partum care can become more family centered.
The following are clinical objectives:
Objective 5.33 Arrive on time for clinical experience. *
Objective 5.34 Adhere to clinical dress code.*
Objective 5.35 Demonstrate academic honesty and integrity.*
Objective 5.36 Maintain confidentiality.*
Objective 5.37 Assume legal and ethical role within student role of RN.* (Test Plan)
Objective 5.38 Demonstrate selected nursing therapeutics safely/effectively including basic client care, medication
administration and standard precautions.*
Objective 5.39 Document selected nursing therapeutics accurately in electronic record and utilize approved
abbreviations and standard terminology.*
Objective 5.40 Gather relevant data from report, chart and patient kardex before entering the room.*
Objective 5.41 Perform basic shift assessment.*
Objective 5.42 Participate in institution security plan for newborn nursery security. (Test Plan)
Objective 5.43 Seek eduction about how information is managed in care settings before providing care. (QSEN
Competency)
Objective 5.44 Use high quality sources of healthcare information. (QSEN Competency)
Competency 6 Appropriately apply the nursing process to client experiencing the transition of menopause.
Objective 6.1 Discuss the incidence, etiology antecedent events including risk factors and pathophysiology that clients
experience when undergoing unhealthy transitions with menopause. (Test Plan)
Objective 6.2 Identify clinical assessment parameters for clients experiencing menopause.
Objective 6.3 Identify key nursing diagnosis for clients experiencing menopause.
Objective 6.4 Identify expected outcomes for women experiencing problems with transition of menopause.
Objective 6.5 Develop and implement a plan of care based on physiological integrity needs of client experiencing
menopause with a focus on teaching medications commonly prescribed and hysterectomy surgery (laparoscopically
assisted vaginal hysterectomy or LAVH and total abdominal hysterectomy or TAH). Pre-operative education, pre-and postoperative care and evaluate client response to surgery) (Test Plan)
Objective 6.6 Coordinate the plan of nursing care for individuals experiencing menopause including assessing need for,
initiating and evaluating outcomes of referrals/consultations to appropriate agencies, resources or practitioners.
Recognize contribution of other individuals and groups in helping client/family achieve health goals. Employ
communication technologies to coordinate care for clients) (Test Plan and QSEN Competency)
Objective 6.7 Identify the critical components of both menstrual and family history.
Objective 6.8 Formulate questions to elicit the menstrual and family history.
Objective 6.9 Review the 7 dimensions of a symptom.
Objective 6.10 Define amenorrhea, dysmenorrhea, menorrhagia, metorrhagia, and premenstrual syndrome.
Objective 6.11 Define gravida and parity.
Objective 6.12 Identify the nurse’s role in a pelvic examination.
Objective 6.13 Teach the procedure of breast self examination. (Test Plan)
Objective 6.14 List the pros and cons of hormone replacement therapy as related to evidence-based practice.
Objective 6.15 Evaluate the nurse’s effectiveness in the roles of teaching, caring and counseling when providing nursing
therapeutics to client experiencing menopause. (Test Plan)
Objective 6.16 Identify antecedent events and factors contributing to impotence.
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Objective 6.17 Identify pharmacological and surgical treatment measures as well as teaching of impotence that have
met with some success. (Test Plan)
Competency 7 Appropriately apply the nursing process to client experiencing transitions involved with infertility.
Objective 7.1 Discuss the incidence, etiology antecedent events including risk factors and pathophysiology that clients
meet when experiencing transitions with infertility.
Objective 7.2 Identify clinical assessment parameters and diagnostic tests utilized when clients experience infertility.
Objective 7.3 Plan appropriate outcomes for infertile couples.
Objective 7.4 Identify key nursing diagnosis for clients experiencing infertility.
Objective 7.5 Develop and implement a plan of care based on physiological integrity needs of client experiencing
infertility with a focus on medications commonly prescribed.
Objective 7.6 Recognize that cultural differences can influence the way a couple reacts to diagnosis of infertility.
Objective 7.7 Utilize communication techniques that support the couple and help them find ways to enhance their selfesteem.
Objective 7.8 Assist with interventions associated with diagnosis of infertility or measures to promote infertility such as
health teaching.
Objective 7.9 Discuss the medical treatments for infertility.
Objective 7.10 Coordinate the plan of nursing care for individuals experiencing infertility including assessing need for,
initiating and evaluating outcomes of referrals/consultations to appropriate agencies, resources or practitioners.
Recognize contribution of other individuals and groups in helping client/family achieve health goals. . Employ
communication technologies to coordinate care for clients.) (Test Plan and QSEN Competency)
Objective 7.11 Recognize the psychosocial impact of dealing with infertility including grief and loss.
Objective 7.12 Identify critical antecedent events and critical health history elements related to infertility. (Test Plan)
Objective 7.13 Evaluate the nurse’s effectiveness in providing nursing care for client experiencing infertility by
evaluating desired outcomes for achievement and appropriateness of care. (Test Plan)
Objective 7.14 Identify areas of nursing care research related to infertility that could benefit from additional nursing
research or application of evidence-based practice.
Competency 8 Provide safe, effective nursing care for client experiencing a health/illness transition due to a mental health
disorder.
Objective 8.1 Identify clinical assessment parameters (appearance, mood, psychomotor behavior, cognition) for a
client with a mental illness, understanding the significance of constructive use of defense and coping mechanisms and the
grieving process. (Assess client reaction to diagnosis and consider cultural issues that may impact client understanding of
diagnosis.) (Test Plan)
Objective 8.2 Identify assessment factors that influence functional status (stressors, family dynamics), reflect coping
mechanisms and reflect the presence or non-presence of support systems. (Test Plan)
Objective 8.3 Develop typical nursing diagnoses and plan appropriate outcomes for adults experiencing mental health
disorders.
Objective 8.4 Identify key client needs when a client is experiencing a mental health disorder.
Objective 8.5 Identify nursing interventions to promote positive adaptation physiologically, psychologically and
sociologically for client experiencing a health/illness transition due to a mental health disorder. (Include orienting to reality
and reality based deversions.) (Test Plan)
Objective 8.6 Describe self-determination rights of a client with a mental health disorder; discuss identified options
and respect client’s decision. (Recognize client right to refuse treatment and explore why client has refused.) (Test Plan)
Objective 8.7 Describe standards of care when caring for the psychiatric client, focusing on the nurse’s role as
provider, communicator, teacher, manager and member of the nursing profession.
Objective 8.8 Provide a safe, effective, therapeutic care environment for psychiatric clients demonstrating awareness
of client’s rights of confidentiality, advocacy and informed consent and educating client and staff of same. Make room
assignments that support the therapeutic mileau and recognize the boundaries of therapeutic relationships. (Test Plan and
QSEN Competency)
Objective 8.9 Implement all provisions of Privacy Law and demonstrate understanding of different types of mental
health admissions and discharges; evaluate client understanding of their rights. (Test Plan)
Objective 8.10 Assess the psychosocial integrity needs of psychiatric client and family and encourage participation in
group/family therapy and verbalization of feelings. (Test Plan)
Objective 8.11 Role model a holistic approach to optimal health as a student nurse.
Objective 8.12 Identify approaches to communication and behaviors that can be therapeutically implemented with
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
psychiatric client: kind firmness, active friendliness, passive friendliness, matter-of-fact, and no demand.
Objective 8.13 Describe health care delivery systems and describe their impact on clients with mental illness.
Objective 8.14 Explain the purpose of the Diagnostic and Statistical Manual of Mental Disorders of the American
Psychiatric Association.
Objective 8.15 Apply the multi-axial system to client assessment.
Objective 8.16 Compare and contrast models of care provided for the psychiatric client: milieu, psychotherapy,
behavioral, cognitive, group, psychodrama, transactional analysis, family. (Test Plan)
Objective 8.17 Role plan communication techniques in establishing and maintaining a therapeutic relationship with a
mental health client. (Test Plan)
Objective 8.18 Discuss the incidence, etiology antecedent events including risk factors and pathophysiology of the
following mental health disorders: anxiety, phobias, obsessive-compulsive behavior, somatoform disorders, posttraumatic
stress syndrome and substance disorder.
Objective 8.19 Differentiate the different levels of anxiety.
Objective 8.20 Differentiate clinical manifestations of mild to severe panic from panic disorder and identify nursing
actions for each.
Objective 8.21 Formulate nursing diagnoses, plan appropriate outcomes and specific interventions for client at varied
levels of anxiety. (Test Plan)
Objective 8.22 Recognize the action, contraindications, precautions and side effects of benzodiazepines and nonbenzodiazepines prescribed to treat anxiety. Use clinical decision making/critical thinking when addressing expected
therapeutic effects over time and evaluating outcomes. (Test Plan)
Objective 8.23 Define phobia and differentiate the varied types of phobia.
Objective 8.24 Formulate priority nursing diagnoses, appropriate outcomes and key interventions for client experiencing
phobic reaction.
Objective 8.25 List key characteristics of obsessive-compulsive disorder.
Objective 8.26 Formulate priority nursing diagnoses, appropriate outcomes and key interventions for client experiencing
obsessive-compulsive disorder.
Objective 8.27 Differentiate the varied types of somatoform disorders.
Objective 8.28 Formulate priority nursing diagnoses, appropriate outcomes and key interventions for client experiencing
somatoform disorders.
Objective 8.29 Evaluate planned outcomes for clients experiencing anxiety, phobia, obsessive-compulsive and
somatoform disorders. (Test Plan)
Objective 8.30 Discuss possibilities of antecedent events to posttraumatic stress disorder and outline key assessment
parameters.
Objective 8.31 Formulate priority nursing diagnoses, appropriate outcomes and key interventions for client
experiencing posttraumatic stress disorder including stress management techniques and evaluate same. (Test Plan)
Objective 8.32 Distinguish between psychoactive substance abuse and dependence.
Objective 8.33 Explore several drugs of abuse as to street name, desired effect, potential reactions, cues to overdose,
symptoms of withdrawal and related key nursing interventions in symptom management. (Test Plan)
Objective 8.34 Identify several physiological problems that may result from intravenous substance abuse. (Test Plan)
Objective 8.35 Identify key nursing assessment considerations relating to substance abuse including diagnostic
screening studies such as the CAGE assessment and client reaction to diagnosis. (Test Plan)
Objective 8.36 Identify physical signs that would cause you to suspect a person might ingest alcohol heavily and
habitually. (Test Plan)
Objective 8.37 Describe behaviors (including high risk) associated with elevated blood alcohol levels. (Test Plan)
Objective 8.38 Design nursing care plan for client undergoing alcohol withdrawal. (Test Plan)
Objective 8.39 Formulate a teaching plan for family regarding medications for client undergoing alcohol withdrawal.
Use information technology to enhance care provided to client. (Test Plan)
Objective 8.40 Recognize clinical manifestations resulting from alcohol abuse and impact on family. (Test Plan)
Objective 8.41 As coordinator and manager of care, appropriately refer clients with alcohol abuse to community and
inpatient resources; identify need for interdisciplinary conferences, significant information to report to other disciplines
and collaborate with other members of health care team when providing client care. Recognize contribution of other
individuals and groups in helping client/family achieve health goals. Employ communication technologies to coordinate
care for clients.) (Test Plan and QSEN Competency)
Objective 8.42 Formulate priority nursing diagnoses, appropriate outcomes and key interventions for client with
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
chemical and non-chemical dependencies while considering high risk behaviors. Evaluate same as well as client feelings
about treatment plan. (Test Plan)
Objective 8.43 Formulate nursing care plan including consideration of cultural elements for client in a substance
abuse/chemical dependency program.
Objective 8.44 Describe ideal client, family or significant other involvement when client experiences a substance abuse
problem and/or participating in treatment. (Test Plan)
Objective 8.45 Outline characteristics of co-dependent behaviors.
Objective 8.46 Define impairment and describe signs of chemical dependency in the professional.
Objective 8.47 Outline legal and ethical accountabilities of the professional when a peer’s practice is impaired by
alcohol, substance abuse, or chemical dependency. (Test Plan)
Objective 8.48 Consider in the planning of nursing care that each culture has “rules” governing appropriate ways to
express and deal with anxiety within said culture. (Test Plan)
Objective 8.49 Formulate teaching plan for clients and families relative to behavioral techniques and medications for
managing anxiety and decreasing prominence of obsessions. (Test Plan)
Objective 8.50 Identify areas of nursing care related to anxiety and substance abuse that could benefit from additional
nursing research or application of evidence-based practice. (Test Plan)
The following are clinical objectives:
Objective 8.51 Demonstrate awareness of self and effect on others.*
Objective 8.52 Demonstrate therapeutic communication at critical points in transition to provide support to client and
evaluate effectiveness.*
Objective 8.53 Demonstrate awareness of own needs, strengths and limitations and seek assistance or begin corrective
measures at the earliest opportunity.* (Test Plan)
Objective 8.54 Demonstrate effective use of technology and standardized practices that support safety and quality.
(QSEN Competency)
Objective 8.55 Demonstrate effective use of strategies to reduce risk of harm to self or others. (QSEN Competency)
Competency 9 Provide safe and effective nursing care to newborn without complications.
Objective 9.1 Identify healthy developmental transitions for the newborn client using the nursing process as a guide to
provide safe and effective care.
Objective 9.2 Describe and discuss the roles of the respiratory and cardiovascular systems in the transition to extrauterine life.
Objective 9.3 State what the desirable L/S ratio is for newborns to decrease risk for respiratory distress. (Test Plan)
Objective 9.4 Define normal respiratory and cardiac rates and rhythms for newborn.
Objective 9.5 Describe normal characteristics of the newborn.
Objective 9.6 Correctly assess newborn for normal growth and development.
Objective 9.7 identify risk factors that predispose the infant to hypothermia and state what effects hypothermia may
have on the infant. Facilitate safe and appropriate use of infant thermoregulation equipment. (Test Plan)
Objective 9.8 Identify risk factors that predispose the infant to hypoglycemia and state what effects hypoglycemia may
have on the infant.
Objective 9.9 Explain the physiology of jaundice including the definition of kernicterus and assessment parameters.
Objective 9.10 Differentiate physiologic jaundice from pathophysiologic jaundice.
Objective 9.11 Explain the pathophysiology of erythroblastosis fetalis including manifestations.
Objective 9.12 Formulate nursing care plan for infant undergoing treatment for jaundice including phototherapy
(include implementing and monitoring). (Test Plan)
Objective 9.13 Identify key nursing assessments relative to gastrointestinal and urinary adaptations as well as
neurological and sensory/perceptual function of the newborn. (Test Plan)
Objective 9.14 Describe immunological adaptations of the newborn.
Objective 9.15 Demonstrate how to assess the protective reflexes of the newborn. (Test Plan)
Objective 9.16 Describe and be able to demonstrate initial assessment of the newborn in the birthing area and Apgar
scoring as well as Apgar scoring interpretation. (Test Plan)
Objective 9.17 Identify key points of the perinatal history in the assessment process.
Objective 9.18 Conduct a physical examination of a newborn differentiating the normal form abnormal including usual
laboratory work and vital signs. (Test Plan)
Objective 9.19 Estimate gestational age of newborn from physical assessment data. (Test Plan)
Objective 9.20 Formulate teaching plan for new mother relative to cord care, genital care, bathing, feeding, formula
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preparation, breast feeding, diaper changes, circumcision care and sleep schedules. Use information technology to
enhance care provided to client and incorporate into discharge plan. (Test Plan)
Objective 9.21 Differentiate nursing care of the circumcised versus uncircumcised male.
Objective 9.22 Formulate potential nursing diagnosis for the normal newborn.
Objective 9.23 Plan nursing care to augment normal development of the newborn.
Objective 9.24 Recognize cultural variations so that care can be planned that is specific and meaningful to the family.
(Recognize cultural and religious influences may impact family functioning.)(Test Plan)
Objective 9.25 Identify priority nursing diagnosis for newborn with abnormal physical findings relative to each body
system.
Objective 9.26 Identify key assessments when newborn has abnormal movement or positioning of extremities. (Test
Plan)
Objective 9.27 Formulate nursing care plan for newborn with congenital hip dysplasia or talipes.
Objective 9.28 Describe the usual metabolic screening tests required by law, evaluate the results and explain the
pathophysiology. (Test Plan)
Objective 9.29 Develop and implement a plan of care based on physiologic integrity needs of normal newborn including
focus on medications: antibiotics, Vitamin K, and vaccinations.
Objective 9.30 Compare and contrast the advantages of breast feeding versus bottle feeding.
Objective 9.31 State normal calorie and fluid requirements of the neonate. (Test Plan)
Objective 9.32 Describe a typical feeding schedule. (Test Plan)
Objective 9.33 Identify pertinent feeding guidelines. (Test Plan)
Objective 9.34 Identify health promotion/disease prevention guidelines in care of the newborn and correlate with
national health goals.
Objective 9.35 Assess and recognize the psychosocial integrity needs of newborn and mother including the need for
touch, client teaching, and providing a warm and caring environment. (Test Plan)
Objective 9.36 Coordinate the plan of nursing care for newborns including referrals to appropriate agencies and
resources such as La Leche League, Health Department for immunizations, etc.; identify need for interdisciplinary
conferences, significant information to report to other disciplines and collaborate with other members of health care team
when providing client care. Employ communication technologies to coordinate care for clients (Test Plan and QSEN
Competency)
Objective 9.37 Evaluate the nurse’s effectiveness using newborn exemplars and evaluation of planned outcomes. (Test
Plan)
Objective 9.38 Use critical thinking to analyze ways that care of term newborn can be more family oriented.
Objective 9.39 Identify areas related to newborn assessment and care that could benefit from additional nursing
research or application of evidence-based practice.(Test Plan)
The following are clinical objectives:
Objective 9.40 Teach clients and peers effectively.*
Objective 9.41 Document all teaching completed and response of client/family to teaching.*
Competency 10 Promote healthy developmental transitions for the labor client using the nursing process as a guide to
provide safe and effective nursing care.
Objective 10.1 Apply standards of care for the labor client focusing on the nurse as provider, communicator, teacher,
manager, and member of the profession. Review facility policies and state mandates prior to agreeing to serve as an
interpreter for staff or primary health provider. (Test Plan)
Objective 10.2 Describe the 4 P’s of the birthing process: passage, passenger, powers, and psyche.
Objective 10.3 Define molding, attitude, lie, and terms related to presentation, engagement, and station.
Objective 10.4 Relate landmark of fetus to birth presentation.
Objective 10.5 List the movements of fetus in the mechanism of labor.
Objective 10.6 Identify psychological states that occur during labor.
Objective 10.7 Differentiate the signs of true and false labor.
Objective 10.8 Participate in assessment of a woman in labor identifying her stage and progression. (Test Plan)
Objective 10.9 Plan expected outcomes to meet needs of woman throughout the laboring process. (Test Plan)
Objective 10.10 utilize therapeutic communication skills to support the laboring client and significant other.
Objective 10.11 Analyze the effects that cultural beliefs and homeopathic strategies selected have on the laboring
process. (Test Plan)
Objective 10.12 Teach and facilitate use of relaxation and relaxation breathing techniques as non-pharmacological pain
MCC Form EDU 0007 (rev. 10/07/11)
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relievers by the laboring client. (Test Plan)
Objective 10.13 Coordinate the plan of nursing care for the pre-laboring client including assessing need for, initiating
and evaluating outcomes of referrals/consultations to appropriate agencies, resources or practitioners. Employ
communication technologies to coordinate care for clients (Test Plan and QSEN Competency)
Objective 10.14 Differentiate the latent, active and transitional phases of the first stage of labor.
Objective 10.15 Utilize labor exemplars to evaluate the nurse’s effectiveness. (Test Plan)
Objective 10.16 Determine expected date of confinement (EDC) through information provided by mother. (Test Plan)
Objective 10.17 Compare and contrast the effect different modes analgesics and anesthesia have on the fetus as well
as advantages and disadvantages and specifically monitor epidural administration. (Test Plan)
Objective 10.18 Identify key nursing interventions for the varied types of labor and analgesia/anesthesia administered
(Assist with Regional Epidural Anesthesia as well as fetal scalp electrodes as invasive procedures.) (Test Plan)
Objective 10.19 Define the second stage of labor and describe danger signs.
Objective 10.20 Formulate key nursing interventions that promote client comfort during second stage of labor.
(Test Plan)
Objective 10.21 Define the third stage of labor and significant signs of placental separation.
Objective 10.22 Formulate key nursing interventions during the third and fourth stages of labor. (Test Plan)
Objective 10.23 Identify common methods to induce labor and key nursing implications/interventions involved.
Objective 10.24 Identify common methods to shorten the second stage of labor and key nursing interventions involved.
Objective 10.25 Identify indications for cesarean birth and formulate peri-operative nursing care plans to include
promotion of oxygenation and circulation. (Test Plan)
Objective 10.26 Evaluate planned outcomes for achievement and effectiveness of nursing care for laboring client.
Objective 10.27 Identify areas related to labor and delivery that could benefit from additional nursing research or
application of evidence-based practice. (Test Plan)
Objective 10.28 Use critical thinking to analyze the effectiveness of nursing care to meet needs of women and their
families so that labor is family-centered.
Objective 10.29 Differentiate clinical opinion from research and evidence summaries. (AZ Employability Skill)
The following are clinical objectives:
Objective 10.30 Adapt nursing therapeutics to provide indivualized nursing care to individuals, families and
groups.*(Test Plan)
Objective 10.31 Demonstrate strategies for culturally congruent care.* (Test Plan)
Objective 10.32 Integrate caring behavior into holistic assessments and nursing therapeutics.*
Competency 11 Provide safe, effective and competent nursing care for the pediatric client.
Objective 11.1 Identify clinical assessment parameters including risk assessment for children with normal growth and
development. (Test Plan)
Objective 11.2 Assess a child to determine the stage of development the child has achieved and report any deviations.
(Test Plan)
Objective 11.3 Compare concept of growth with principles of development.
Objective 11.4 Identify 2 factors affecting growth and development.
Objective 11.5 Discuss why knowledge of growth and development is essential for pediatric nursing and provide
parental teaching relative to their child. (Test Plan)
Objective 11.6 Recognize milestones in growth and development for 1st year to teen years when assessing an infant or
child of this age and report any deviations. (Test Plan)
Objective 11.7 Identify Erikson’s stages of psychosocial development. (Test Plan)
Objective 11.8 Plan expected outcomes for a growing child.
Objective 11.9 Formulate nursing diagnoses that address wellness as well as both potential for and an actual delay in
growth and development.
Objective 11.10 Provide anticipatory guidance for well child screening based on understanding of Erikson and Denver
Developmental Standardized Test (DDST). (Test Plan)
Objective 11.11 Perform a history and physical examination in a sequence appropriate for the child’s age and
differentiate normal and abnormal findings for that age considering a child’s unique characteristics and report any
deviations. (Test Plan)
Objective 11.12 identify key elements that examination of all children must include.
Objective 11.13 Use critical thinking to analyze factors that influence growth and development and formulate familycentered interventions to strengthen paths to achieve a new state of growth and development.
MCC Form EDU 0007 (rev. 10/07/11)
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Objective 11.14 Assess the antecedent events that led to the pediatric client’s situation, considering a child’s fears and
concerns related to illness and hospitalization and formulate general plan of care.
Objective 11.15 Assess the psychosocial integrity needs of the child needing to be hospitalized as well as the family.
Consider parental techniques related to discipline. (Test Plan)
Objective 11.16 Recognize cultural and religious influences of the child requiring hospitalization. (Test Plan
Objective 11.17 Role model and reinforce healthy parenting behaviors.
Objective 11.18 Consider cognitive ability and developmental level of child when approaching to provide nursing care.
(Test Plan)
Objective 11.19 Utilize age-appropriate techniques and approaches in nursing care, teaching, and encouraging client to
participate in activities. (Test Plan)
Objective 11.20 Implement measures such as orientation, education and therapeutic play to reduce the stress of
hospitalization and illness.
Objective 11.21 identify major reasons for hospitalization for various pediatric age groups based on known population
or community characteristics and formulate related nursing diagnoses and plan appropriate outcomes. (Teach regarding
health risks) (Test Plan)
Objective 11.22 Assess a child’s nutritional patterns using a 24 hour-diet history and evaluate client/parent
understanding. (Test Plan)
Objective 11.23 List 5 signs of inadequate nutrition in children and assess fluid and electrolyte balance. (Test Plan)
Objective 11.24 Develop and implement plan of care based on physiologic integrity needs of pediatric clients
experiencing diarrhea, dehydration and malnutrition. (Test Plan)
Objective 11.25 Coordinate the plan of nursing care for pediatric clients of all ages including referrals to appropriate
agencies or resources such as school nurse, immunization clinics, and public health departments, etc.; identify need for
interdisciplinary conferences, significant information to report to other disciplines and collaborate with other members of
health care team when providing client care. Recognize contribution of other individuals and groups in helping
client/family achieve health goals. Employ communication technologies to coordinate care for clients) (Test Plan and
QSEN Competency)
Objective 11.26 Review key concepts of fluid and electrolyte balance as applied to the pediatric client and monitor
intake and output. (Test Plan)
Objective 11.27 Review pathophysiology of dehydration as applied to the pediatric client. (Test Plan)
Objective 11.28 identify 3 key assessments of dehydration in the pediatric client. and evaluate effectiveness. (Test
Plan)
Objective 11.29 Identify 4 key interventions for dehydration and evaluate effectiveness. (Test Plan)
Objective 11.30 Identify maintenance fluid requirements for children for 24-hour period.
Objective 11.31 Utilize principles of medication administration when administering medication to pediatric clients. (Test
Plan)
Objective 11.32 Discuss appropriate pediatric medication administration techniques for various age groups. (Test Plan)
Objective 11.33 Identify possible food/drug interactions for commonly prescribed medications for pediatric clients.
(Test Plan)
Objective 11.34 Consider cultural remedies that may be given to child with diarrhea/fluid and electrolyte imbalance
and assess for actual or potential side effects. (Test Plan)
Objective 11.35 Formulate family teaching plan when child experiences gastroenteritis. Use emerging technology in
managing client health care. (Test Plan)
Objective 11.36 Identify areas related to illness in children that could benefit from additional nursing research or
application of evidence-based practice. (Test Plan)
The following are clinical objectives:
Objective 11.37 Incorporate theory into practice.*
Objective 11.38 Prioritize client needs.*
Objective 11.39 Complete assigned responsibilities in a timely manner.*
Competency 12 Provide safe, effective and competent nursing care for clients experiencing the following: sexual and
gender identity disorders, eating disorders, abusive behavior, autism, attention deficit hyperactivity disorders, conduct
disorder, oppositional defiant disorder, and Tourette’s Syndrome.
Objective 12.1 Define terms related to sexual expression.
Objective 12.2 Recognize behaviors and assess client attitudes and perceptions on sexuality which indicate alterations
MCC Form EDU 0007 (rev. 10/07/11)
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in sexual behavior. Respect client sexual identity and personal choices/lifestyle. (Test Plan)
Objective 12.3 Formulate nursing diagnoses and plan appropriate outcomes related to alterations in sexual identity.
Objective 12.4 Identify key nursing interventions for clients with alterations in sexual identity.
Objective 12.5 Define compulsive over-eating.
Objective 12.6 Differentiate assessment parameters of anorexia nervosa and bulimia nervosa. (Test Plan)
Objective 12.7 Formulate nursing diagnoses and plan appropriate outcomes for pediatric and adult client with eating
disorders. (Test Plan)
Objective 12.8 Develop and implement a plan of care which takes into consideration both physiological and
psychosocial integrity needs for client with eating disorders. (Test Plan)
Objective 12.9 Establish trust in a one-to-one relationship with client experiencing health/illness transition due to
mental health disorder.
Objective 12.10 Apply the Eating Attitudes Test as a means of evaluating the plan of care for client with an eating
disorder.
Objective 12.11 Assess client for suicidal tendencies and intervene with safety precautions as necessary. (Test Plan)
Objective 12.12 Set limits on behavior of angry client as necessary and formulate strategies to discourage escalating
behavior. (Test Plan)
Objective 12.13 Discuss antecedent events that may be precipitating factors in an affective (mood) disorder.
Objective 12.14 Differentiate mild versus moderate versus severe depression.
Objective 12.15 Formulate nursing diagnoses and plan appropriate outcomes for clients experiencing mood disorders.
(Test Plan)
Objective 12.16 Develop and implement a plan of care which takes into consideration both physiological and
psychosocial integrity needs for client with mood disorders. (Test Plan)
Objective 12.17 Formulate a teaching plan for client/family education regarding mood disorders. (Test Plan)
Objective 12.18 Identify high risk groups who may experience suicidal feelings and tendencies. (Test Plan)
Objective 12.19 Recognize clues that a client may be considering suicide. (Test Plan)
Objective 12.20 Assess for suicidal plan, means to carry out the plan, access to the means, ability to carry out the plan,
client history of attempts, and psychosocial factors relative to suicide. (Test Plan)
Objective 12.21 Describe standards of care when caring for clients experiencing abuse and neglect and comply with
state and federal regulations for reporting client condition. Intervene when appropriate. (Test Plan)
Objective 12.22 Identify protocols to be implemented following rape and domestic violence.
Objective 12.23 Coordinate plan of nursing care for individuals with behavior problems, including referrals to
appropriate agencies or resources; identify need for interdisciplinary conferences, significant information to report to other
disciplines and collaborate with other members of health care team when providing client care. Recognize contribution of
other individuals and groups in helping client/family achieve health goals. Employ communication technologies to
coordinate care for clients.) (Test Plan and QSEN Competency)
Objective 12.24 Differentiate behaviors related to anger, violence and aggression. (Test Plan)
Objective 12.25 Describe characteristics of and risk factors for domestic violence abusers and their victims. (Test Plan)
Objective 12.26 Formulate nursing diagnoses and plan appropriate outcomes and evaluate same for victim of domestic
violence. (Test Plan)
Objective 12.27 Identify key assessment elements and risk factors for the client who has experienced rape/sexual
abuse. (Test Plan)
Objective 12.28 Formulate key nursing interventions including counseling and provision of safe environment for client
who has experienced rape. (Test Plan)
Objective 12.29 Discuss antecedent events that may contribute to autism.
Objective 12.30 Identify assessments for client experiencing autism. (Test Plan)
Objective 12.31 Define attention deficit disorder with and without hyperactivity.
Objective 12.32 Discuss antecedent events that may contribute to development of attention deficit disorder.
Objective 12.33 Identify key assessments for client experiencing attention deficit disorder. (Test Plan)
Objective 12.34 Develop and implement a plan of care which takes into consideration both physiological and
psychosocial integrity needs for client with attention deficit disorder. (Test Plan)
Objective 12.35 Explore antecedent events that may contribute to conduct disorders.
Objective 12.36 Identify key assessment factors in client experiencing conduct disorder. (Test Plan)
Objective 12.37 Plan outcomes for client experiencing conduct disorder.
Objective 12.38 Differentiate conduct disorder from oppositional defiant disorder.
MCC Form EDU 0007 (rev. 10/07/11)
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Objective 12.39 Discuss antecedent events that may contribute to Tourette’s Syndrome.
Objective 12.40 Identify key assessment for client experiencing Tourette’s Syndrome. (Test Plan)
Objective 12.41 Develop and implement a plan of care which takes into consideration both physiological and
psychosocial integrity needs for client with Tourette’s disorder. (Test Plan) (Test Plan)
Objective 12.42 Explain which medications are usually prescribed to treat Tourette’s.
Objective 12.43 Identify areas of nursing care related to the mental health disorders in this unit that may benefit from
additional nursing research or application of evidence based practice. (Test Plan)
The following are clinical objectives:
Objective 12.44 Respond to cultural diversity by designing and implementing nursing therapeutics that maximize
client’s well-being throughout the transition process.* (Test Plan)
Objective 12.45 Evaluate effectiveness of nursing therapeutics and update care plan as necessary.*Consider client self
care goals. (Test Plan)
Objective 12.46 Identify client in crisis and use crisis intervention techniques to assist client in coping. (Test Plan)
Objective 12.47 Apply knowledge of pathophysiology to crisis intervention. (Test Plan)
Competency 13 Provide safe, competent and effective nursing care for pediatric client with conditions interfering with
growth and development.
Objective 13.1 Differentiate between genetic autosomal dominant and autosomal recessive disorder.
Objective 13.2 Identify X-linked genetic disorders.
Objective 13.3 Recognize significant assessment findings in Down, Turner, and Klinefelter Syndromes, and
chromosome defect disorders. (Test Plan)
Objective 13.4 Review the normal sequence of physical and maturational development in males and females.
Objective 13.5 Identify relationships between pubertal changes in males vs. females including menarche and other
body changes.
Objective 13.6 Review physical examination of the ear, nose and throat and differences in pediatric versus adult clients.
Objective 13.7 Recognize significant findings on ear, eye, nose, and throat examination and screening findings that
may impede client safety. (Test Plan)
Objective 13.8 Formulate health teaching for clients with purpose of preventing Otis media. Use information technology
to enhance care provided to client. (Test Plan)
Objective 13.9 Review the varied types of immunity and vaccines. (Test Plan)
Objective 13.10 Formulate health teaching which includes immunization schedules and protocols. Assess parental
knowledge of same. (Test Plan)
Objective 13.11 Utilize the principles of vaccine administration when participating in public health clinics and use
appropriate developmental level approaches when teaching in schools. (Participate in health fairs and school education.)
(Test Plan)
Objective 13.12 Recognize the side effects, contraindications and precautions of common vaccines and participate in
evaluation and treatment. (Test Plan)
Objective 13.13 Formulate health teaching with a client focus which includes poison control centering on aspirin,
acetaminophen, caustic and lead substances. (Factor to influence injury prevention)(Test Plan)
Objective 13.14 Identify priority nursing interventions when pediatric client presents with poison control exposure or
ingestion.
Objective 13.15 Differentiate between organic versus non-organic caused failure to thrive.
Objective 13.16 Identify key assessments in the failure-to-thrive infant. (Test Plan)
Objective 13.17 Formulate priority nursing diagnosis in failure-to-thrive infant.
Objective 13.18 Plan outcomes relative to failure-to-thrive infant.
Objective 13.19 Develop a plan of care of key nursing interventions for failure-to-thrive infant.
Objective 13.20 Formulate anticipatory guidance instructions for parent teaching in avoidance of home accidents for
infants and small children. (Factor to influence injury prevention)(Test Plan)
Objective 13.21 Utilize developmental principles for restraints and comply with federal/state and institutional
requirments when applying to hospitalized pediatric client.(Factor to influence injury prevention and prescription for
treatment that could contribute to accident) (Test Plan)
Objective 13.22 Plan key outcomes and interventions with foreign body obstruction. (Test Plan)
Objective 13.23 Identify key causes, modes of transmission, assessment data, outcomes, key interventions, and
outcome goals of common pediatric communicable disorders. (Test Plan)
Objective 13.24 identify antecedent events in pediatric client with burns.
MCC Form EDU 0007 (rev. 10/07/11)
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Objective 13.25 Identify the pediatric characteristic that is operating in each of the problems cited related to burns in
children.
Objective 13.26 Calculate total body surface area (TBSA) of burns in children.
Objective 13.27 Differentiate assessment of partial versus full thickness burns in children. (Test Plan)
Objective 13.28 Explain the pathophysiology of intravascular to interstitial compartment fluid shifts when a severe burn
occurs. (Test Plan)
Objective 13.29 Identify key nursing interventions for serious burn injury of pediatric client including fluid replacement,
dressing protocol, pain relief and nutritional considerations. (Test Plan)
Objective 13.30 Describe standards of care for the pediatric client and the role of the nurse as a mandated reporter of
abuse of any kind, and include appropriate documentation. (Test Plan)
Objective 13.31 Consider suicide as a leading cause of pediatric death and discuss appropriate assessments and
interventions.
Objective 13.32 Evaluate desired outcomes for achievement and effectiveness of nursing care for pediatric clients with
conditions that interfere with normal growth and development. (Test Plan)
Objective 13.33 Identify areas of nursing care for clients with conditions that interfere with normal growth and
development that would benefit from further nursing research or application of evidence-based practice. (Test Plan)
The following is a clinical objective:
Objective 13.34 Work collaboratively with others in the management of nursing care.*
Competency 14 Provide safe, effective, and competent nursing care during a normal pregnancy.
Objective 14.1 Describe the stages of fetal development during the three trimesters of pregnancy.
Objective 14.2 Determine fetal age by length of fetus in centimeters.
Objective 14.3 Describe the maternal physiological and psychosocial changes including body image and adaptation of
normal pregnancy. (Test Plan)
Objective 14.4 Assess the maternal physiological and psychosocial integrity needs for the pregnant woman and her
family. (Test Plan)
Objective 14.5 Consider the effects of the pregnancy on siblings and grandparents, and significant others.
Objective 14.6 Recognize that each pregnancy is unique and impacts the family differently. (Test Plan)
Objective 14.7 Identify expected outcomes of a family’s psychological and physiological adaptions to pregnancy. (Test
Plan)
Objective 14.8 Assess the antecedent events that led to the pregnant client’s situation including role of significant other
and influence of family and advice of her female relatives and friends. (Test Plan)
Objective 14.9 For each of the developmental tasks for each trimester of pregnancy, identify the feelings a woman has,
nursing implications and client teaching related to fetal development. (Test Plan)
Objective 14.10 Differentiate possible positive and negative responses to pregnancy that a father may have. (Test Plan)
Objective 14.11 Define couvade’s syndrome.
Objective 14.12 Recognize effects of health and cultural practices on the pregnancy and resulting nursing care. (Test
Plan)
Objective 14.13 Identify clinical key assessment parameters for normal pregnancy. (Test Plan)
Objective 14.14 Calculate expected date of confinement (EDC) using varied methods. (Test Plan)
Objective 14.15 Outline the positive signs of pregnancy.
Objective 14.16 Outline the probable signs of pregnancy.
Objective 14.17 Outline the presumptive signs of pregnancy.
Objective 14.18 Describe recognized danger signs and symptoms during pregnancy.
Objective 14.19 Explain the physiological changes to pregnancy and resulting adaptation of the body systems including
respiratory, endocrine, cardiovascular, musculo-skeletal.
Objective 14.20 Identify ideal weight gain as well as schedule of weight gain for mothers with variations in weight: from
less than ideal body weight to morbidly obese at time of first prenatal visit. (Apply knowledge of nutrition in assessing
weight and evaluate client understanding.) (Test Plan)
Objective 14.21 Complete a prenatal assessment including client history and initial antepartal assessment accurately.
Include assessment of fetal heart rate. (Test Plan)
Objective 14.22 Implement the nursing process to provide safe, effective nursing care for the pregnant woman and her
family.
Objective 14.23 Apply teaching/learning principles and pre-natal education appropriate to the trimester of the pregnant
woman and family. Use information technology to enhance care provided to client. (Test Plan)
MCC Form EDU 0007 (rev. 10/07/11)
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Objective 14.24 Outline subsequent antepartal assessments as the pregnancy progresses.
Objective 14.25 Outline the minor discomforts of pregnancy, influencing factors and usual self-care treatments.
Objective 14.26 Analyze case student exemplars for pregnant women and evaluate the nurse’s effectiveness in caring
for pregnant woman. (Test Plan)
Objective 14.27 Differentiate adaptations related to pregnancy made by those less than 18 years of age and those
greater than 35 years of age.
Objective 14.28 Identify common nursing diagnoses related to the pregnant woman addressing nutrition, knowledge
level and coping.
Objective 14.29 Develop and implement plan of care based on physiological and psychosocial integrity needs of clients
experiencing normal pregnancy including mediations they may require (vitamins, folic acid, iron). Compare client
diagnostic findings with pre-test results and evaluate result of diagnostic testing and intervene as needed including
notification of primary health care provider. (Test Plan)
Objective 14.30 Coordinate the plan of nursing care for the pregnant woman including including assessing need for,
initiating and evaluating outcomes of referrals/consultations to appropriate agencies, resources or practitioners.(WIC,
prenatal education classes, etc. Recognize contribution of other individuals and groups in helping client/family achieve
health goals. Employ communication technologies to coordinate care for clients.) (Test Plan and QSEN Competency)
Objective 14.31 Identify amounts of nutrition needed, food sources and physiological reason why nutritional need exists
and educate client on same. (Test Plan)
Objective 14.32 Formulate teaching plan relative to nutritional needs during pregnancy and evaluate client
understanding. (Test Plan)
Objective 14.33 Support the mother and family in choosing the birth plan.
Objective 14.34 Explore content of childbirth education classes.
Objective 14.35 Describe the standards of care for pregnant client including diagnostic testing used to screen for highrisk pregnancies. Assess client for abnormal response following diagnostic testing and assist with invasive procedures.
(Test Plan)
Objective 14.36 identify areas of nursing care for pregnant client including diagnostic testing used to screen for highrisk pregnancies. Monitor results of maternal and fetal diagnostic tests including non-stress test, amniocentesis,
ultrasound. (Test Plan)
The following are clinical objectives:
Objective 14.37 Provide support and adapt and implement teaching plans for clients who are experiencing multiple
transitions.* (Test Plan)
Objective 14.38 Facilitate client achievement of healthy transitions.*
Competency 15 Provide safe, effective and competent nursing care to clients with chronic psychiatric disorders.
Objective 15.1 Differentiate positive (hard) and negative (soft) manifestations of schizophrenia.
Objective 15.2 Identify interventions to support client with hallucinations and delusions. (Test Plan)
Objective 15.3 Communicate with client in direct, concrete and specific terms.
Objective 15.4 Discuss incidence, etiology, antecedent events including risk factors, signs/symptoms and
pathophysiology of dissociative disorders, bipolar disorder, schizophrenia, paranoid disorders and personality disorders.
(Test Plan)
Objective 15.5 identify key nursing diagnoses for above disorders including risk for violence, ineffective individual
coping, alteration in thought processes, social isolation, self-care deficit, sensory-perceptual alterations.
Objective 15.6 Develop and implement a plan of care based on the physiological and psychosocial needs of client
experiencing dissociative disorders, bipolar disorder, schizophrenia, paranoid disorders and personality disorders including
medications such as SSRIs, tricyclic and second generation antidepressants, MAO Inhibitors, antimanics, antipsychotics
and neuroleptic malignant syndrome medications and related blood levels. (Test Plan)
Objective 15.7 Explore the nurse’s role as provider of care in chronic mental health maintenance and adaptation and in
evaluating client ability to adhere to treatment plan. (Test Plan)
Objective 15.8 Communicate casting of doubt on active hallucinations, helping client to deal with reoccurrence Assist
client to develop other strategies. (Test Plan).
Objective 15.9 Monitor and manage eating , drinking, sleeping and elimination for the client with paranoia. (Test Plan)
Objective 15.10 Evaluate the nurse’s effectiveness in case student exemplars utilizing dissociative disorders, bipolar
disorder, schizophrenia, paranoid and personality disorders. (Test Plan)
Objective 15.11 Describe standards of care for the psychiatric client with chronic mental health disorder focusing on
the nurse’s role as provider, communicator, teacher, manager and member of the profession.
MCC Form EDU 0007 (rev. 10/07/11)
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Course Package
Objective 15.12 Utilize interventions to protect client from self-harm.
Objective 15.13 Formulate interventions for client undergoing electroconvulsive shock therapy. (Test Plan)
Objective 15.14 Assess the psychosocial needs of the psychiatric client and family and explore resources available to
assist client in achieving or maintain independence. (Test Plan)
Objective 15.15 Coordinate the plan of care for clients with psychiatric disorder including including assessing need for,
initiating and evaluating outcomes of referrals/consultations to appropriate agencies, resources or practitioners.(support
groups and half-way houses) (participation) Recognize contribution of other individuals and groups in helping client/family
achieve health goals. Employ communication technologies to coordinate care for clients.) (Test Plan and QSEN
Competency)
Objective 15.16 Differentiate assessment parameters of manic and depressive stages of bipolar disorder and
formulate appropriate nursing interventions for each. (Test Plan)
Objective 15.17 Outline treatment modalities for mood disorders.
Objective 15.18 Discuss actions, side effects, nursing implications and related client teaching for SSRIs, tricyclic
antidepressants, and MAOI’s. Use information technology to enhance care provided to client and consider specific food
and medication interactions. Use clinical decision making/critical thinking when addressing expected therapeutic effects
over time and evaluating outcomes. (Test Plan)
Objective 15.19 Explore emotional characteristics, thought content, thought processes, affect and perceptions of client
with schizophrenia.
Objective 15.20 Differentiate the types of schizophrenia that may occur.
Objective 15.21 Differentiate types of paranoid disorders that may occur.
Objective 15.22 Differentiate types of personality disorders that may occur.
Objective 15.23 Identify areas of nursing care related to chronic psychiatric disorders that may benefit from additional
nursing research or application of evidence-based practice. (Test Plan)
Competency 16 Safely, effectively and competently participates in nursing care of women with complications of
pregnancy.
Objective 16.1 Identify complications of pregnancy that place a pregnant woman and fetus at high-risk and implications
for expectant family and family-centered care. Include risk factors related to ethnicity as well as behaviors and include
preventative information. (Test Plan)
Objective 16.2 Identify clinical assessment parameters for a pregnant woman experiencing complications. (Responding
to VS change) Compare client diagnostic findings with pre-test results and evaluate result of diagnostic testing and
intervene as needed including notification of primary health care provider. (Test Plan)
Objective 16.3 Formulate anticipatory guidance and calming techniques when complications of pregnancy occur. (Test
Plan)
Objective 16.4 Appropriately explain all procedures and their expected outcome to the pregnant women experiencing
complications as well as her family.
Objective 16.5 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of
pregnancy complications including; pre-existing illness including anemia, conditions requiring surgery, diabetes, infections,
and pregnancy-induced hypertension and bleeding disorders. (Test Plan)
Objective 16.6 Identify expected outcomes to minimize risk to pregnant women and her fetus when complications of
pregnancy occur.
Objective 16.7 Differentiate iron deficiency, sickle cell and megaloblastic anemias as to effect on mother, effect on
baby and usual medical treatment.
Objective 16.8 Identify critical interventions pre- and post-operatively if pregnant woman must undergo emergency
surgery and evaluate response. (Test Plan)
Objective 16.9 Discuss risks of diabetes mellitus on mother, fetus and eventually neonate during and right after course
of pregnancy.
Objective 16.10 Review screening and education for diabetes and high risk behaviors during antepartal period. (Test
Plan)
Objective 16.11 Identify critical elements of nursing care during antepartal period when mother has diabetes including
choices regarding meeting nutritional requirements and maintenance of special diet and assist with invasive procedures.
(Test Plan)
Objective 16.12 identify critical elements of nursing care and signs of distress in mother/infant when diabetes is
present (Assist with invasive procedures.) (Test Plan)
Objective 16.13 Differentiate the 4 classes of heart disease relative to their effect on course of pregnancy and effect on
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INSTRUCTION
Course Package
fetus/neonate.
Objective 16.14 Recognize acute signs of distress in mother with heart disease.
Objective 16.15 Identify key elements of nursing care for each classification of heart disease relative to pregnancy.
(Test Plan)
Objective 16.16 Identify key elements of nursing care for mother with heart disease during the postpartum period. (Test
Plan)
Objective 16.17 Identify the key complication of pregnancy associated with chronic hypertension and potential risks for
mother, fetus/neonate.
Objective 16.18 Identify critical nursing interventions for client with pregnancy-induced hypertension during antepartal,
parturition and postpartum periods. Identify assessment parameters of diagnostic testing. (Total Protein, magnesium, etc.)
(Test Plan)
Objective 16.19 Discuss the risks of rubella and modes of transmission related to mother and potential effects on
fetus/neonate. (Test Plan)
Objective 16.20 Identify critical nursing interventions during the antepartal, parturition and postpartum periods if
mother is exposed to rubella and mandated reporting. (Test Plan)
Objective 16.21 Differentiate the effects of varied sexually transmitted diseases on both mother and fetus/neonate.
(Test Plan)
Objective 16.22 Formulate nursing interventions for mother who has active sexually transmitted disease during
pregnancy, parturition and postpartum and mandated reporting. (Test Plan)
Objective 16.23 Discuss the risks on course of pregnancy and effect on fetus/neonate if mother has HIV.
Objective 16.24 Formulate key nursing interventions for mother with HIV during and after pregnancy and evaluate client
response. (Test Plan)
Objective 16.25 Recognize the effects of drug addiction on pregnant woman and effects on fetus and neonate.
Objective 16.26 Formulate key nursing interventions for drug-addicted mother during and after pregnancy.
Objective 16.27 Recognize the effects of glomerulonephritis on pregnant woman, fetus, and neonate.
Objective 16.28 Formulate key nursing interventions for mother with glomerulonephritis during pregnancy.
Objective 16.29 Discuss usual effects of peripheral vascular disease on pregnant woman and identify key nursing
interventions during antepartum, parturition and postpartum periods. (Test Plan)
Objective 16.30 Discuss risks to mother and fetus/neonate when mother experiences hyperemesis gravidarum.
Objective 16.31 Discuss risks to mother and fetus/neonate when mother/fetus experience RH Incompatibility and
relate the use of RhoGam.
Objective 16.32 Identify key nursing interventions (management of nutrition) during antepartal, parturition and postpartal periods for mother/infant experiencing hyperemesis gravidarum. (Test Plan)
Objective 16.33 Explore effects of non-viral infections on mother/fetus/neonate and discuss common nursing
assessments and interventions in applying principles of infection control, (Test Plan)
Objective 16.34 Analyze case study exemplars and evaluate the nurse’s effectiveness in providing nursing care to
pregnant client with complications. (Test Plan)
Objective 16.35 Describe standards of care for the pregnant woman focusing on the nurse as provider, communicator,
teacher and member of the profession.
Objective 16.36 Assess the psychosocial integrity needs for the pregnant woman experiencing complications. (Test
Plan)
Objective 16.37 Recognize anxiety of client associated with a complicated pregnancy.
Objective 16.38 Develop and implement plan of care based on physiologic integrity needs of clients experiencing
complications of pregnancy and focus on the following medications: tocolytics, magnesium sulfate, RhoGam, calcium
gluconate, and oxytocics (Titrate oxytocic dosage based on assessment and consider laboratory values of magnesium,
calcium, etc.). (Test Plan)
Objective 16.39 Identify key nursing diagnosis for clients experiencing complications of pregnancy including altered
tissue perfusion, anxiety, pain, knowledge deficit.
Objective 16.40 Formulate a teaching plan that focuses on preventive aspects of pregnancy-induced-hypertension such
as diet and other health care practices. Use information technology to enhance care provided to client. (Test Plan)
Objective 16.41 Teach mother how to monitor fetal movement.
Objective 16.42 Formulate teaching plans for mother which include dietary changes, encouragement of exercise and
danger/warning signs of pregnancy.
Objective 16.43 Coordinate plan of nursing care for pregnant women with complications including including assessing
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INSTRUCTION
Course Package
need for, initiating and evaluating outcomes of referrals/consultations to appropriate agencies, resources or practitioners.
(prenatal support groups, interagency and groups who provide transportation to physician appointments). Recognize
contribution of other individuals and groups in helping client/family achieve health goals. Employ communication
technologies to coordinate care for clients.) (Test Plan and QSEN Competency)
Objective 16.44 Differentiate signs and symptoms of pre-eclampsia versus severe eclampsia of pregnancy (peripheral
edema included). (Test Plan)
Objective 16.45 Recognize the cardinal symptoms of eclampsia of pregnancy (peripheral edema included). (Test Plan)
Objective 16.46 Compare nursing care of clients with pregnancy-induce-hypertension during pregnancy, parturition and
the postpartum period.
Objective 16.47 Cite possible causes of bleeding during pregnancy.
Objective 16.48 Differentiate symptoms of bleeding between placenta previa and abruption placenta.
Objective 16.49 identify key nursing interventions and cite supporting rationale relative to bleeding in pregnancy.
Objective 16.50 Define hydatitidiform mole and list three nursing interventions to implement during treatment and
follow-up.
Objective 16.51 Identify the nurse’s responsibility relative to abortion.
Objective 16.52 Discuss legal and ethical considerations relative to abortion. (Test Plan)
Objective 16.53 Assess if a client is candidate for treatment to stop pre-term labor.
Objective 16.54 Recognize cardinal signs and symptoms of disseminated intravascular coagulation (DIC) which leads to
decreased cardiac output. (Test Plan)
Objective 16.55 Formulate nursing interventions to support client with DIC.
Objective 16.56 identify areas of nursing care related to high-risk pregnancy that may benefit from additional nursing
research or application of evidence-based practice. (Test Plan)
Competency 17 Safely, effectively and competently participates in nursing care of woman and baby with complications of
labor and delivery and postpartum.
Objective 17.1 identify complications of labor and delivery. (Test Plan)
Objective 17.2 Describe standards of care for client experiencing complications of labor and delivery.
Objective 17.3 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of
complications of labor and delivery including dysfunctional labor. (Test Plan)
Objective 17.4 Formulate key assessments and nursing diagnoses for woman experiencing complications of labor and
delivery including altered tissue perfusion, pain and anxiety. (Test Plan)
Objective 17.5 Identify expected outcomes for achievement of effective nursing care when there are complications of
labor, delivery or postpartum.
Objective 17.6 Develop and implement a plan of care based on the physiological integrity needs of clients experiencing
complications, prolonged labor and precipitous labor. (Test Plan)
Objective 17.7 Differentiate key points of nursing care required in hypertonic contraction, hypotonic contractions,
prolonged labor and precipitous labor.
Objective 17.8 Recognized signs of fetal distress when there are fetal malpresentations, fetal abnormalities, prolapsed
cord, hydramnios, oligohydramnios, and multiple fetuses.
Objective 17.9 Formulate critical nursing interventions when signs of fetal distress occur. Recognize trends and
intervene appropriately. (Test Plan)
Objective 17.10 Discuss the three primary causes of complications in third and fourth stages of labor.
Objective 17.11 Assess the psychosocial integrity needs of client with complications in labor and delivery. (Test Plan)
Objective 17.12 Communicate in clear simple terms when preparing client for procedures and treatments in labor and
delivery. (Test Plan)
Objective 17.13 Provide anticipatory guidance for client with complications in labor and delivery. (Test Plan)
Objective 17.14 identify clinical assessment parameters in recognizing complications in labor and delivery and
intervene appropriately. (Test Plan)
Objective 17.15 analyze case study exemplars to evaluate the nurse’s effectiveness in meeting needs of client
experiencing complications in labor and delivery. (Test Plan)
Objective 17.16 Identify complications of the postpartum period such as hemorrhage and shock. (Test Plan)
Objective 17.17 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of
postpartum hemorrhage, infection, thrombophlebitis and postpartum depression. (Test Plan)
Objective 17.18 Identify key nursing diagnoses for complications of the postpartum period including fluid volume
deficit/excess, pain, ineffective individual and family coping. (Test Plan)
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Course Package
Objective 17.19 Develop and implement a plan of care based on the physiological integrity needs of clients
experiencing complications of the postpartum period. (Test Plan)
Objective 17.20 Define postpartum hemorrhage and discuss how the nurse monitors for bleeding. (Test Plan)
Objective 17.21 Distinguish between causes and symptoms of early versus late postpartum hemorrhages including
coagulation studies. (Test Plan)
Objective 17.22 Provide anticipatory guidance to client regarding “normal” and deviation from the normal in the
postpartum period. (Test Plan)
Objective 17.23 Analyze case study exemplars to evaluate the nurse’s effectiveness in meeting needs of client
experiencing complications in the postpartum period. (Test Plan)
Objective 17.24 Differentiate clinical presentation of infected episiotomy, endometritis, pelvic cellulitis and peritonitis.
Objective 17.25 Formulate 4 important nursing interventions for client with puerperal infection. (Test Plan)
Objective 17.26 Review clinical presentation of thrombophlebitis.
Objective 17.27 Relate the physiologic changes in pregnancy to a woman’s increased susceptibility to blood clot
formation during postpartal period.
Objective 17.28 Differentiate assessment data for superficial, femoral and pelvic thrombophlebitis. (Test Plan)
Objective 17.29 Identify three interventions useful in preventing thrombophlebitis. (Test Plan)
Objective 17.30 Discuss appropriate interventions for mother with deep vein thrombosis. (Test Plan)
Objective 17.31 Recognize signs and symptoms of pulmonary embolus.
Objective 17.32 Identify critical nursing interventions in the event of pulmonary embolism. (Test Plan)
Objective 17.33 Formulate a teaching plan for client receiving warfarin (Coumadin). Use clinical decision
making/critical thinking when addressing expected therapeutic effects over time and evaluating outcomes. (Test Plan)
Objective 17.34 List two factors contributing to development of mastitis.
Objective 17.35 Identify 4 clinical manifestation of mastitis.
Objective 17.36 Formulate a plan of care for mother with mastitis with appropriate nursing diagnosis.
Objective 17.37 Recognize signs and symptoms of postpartum depression.
Objective 17.38 Identify complications of neonate. (Test Plan)
Objective 17.39 Describe standards of care for neonate experiencing complications.
Objective 17.40 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of
neonatal complications including prematurity, respiratory distress syndrome, neonate born to diabetic mother, neonates
drug exposure/addition, HIV, or other neonatal infections/exposure and post-mature infant.
Objective 17.41 Identify 5 maternal factors that may contribute to birth of a high-risk infant.
Objective 17.42 Plan appropriate outcomes and nursing interventions for typical nursing diagnosis of high risk neonate
including promotion of rest by scheduling of activities. (Test Plan)
Objective 17.43 Compare SGA (small for gestational age), AGA (average for gestational age), and LGA (large for
gestational age) neonates.
Objective 17.44 Coordinate the plan of nursing care for clients experiencing complications of the neonatal period by
utilizing hospital staff as on-call experts and reinforcing the importance of follow-up appointments.
Objective 17.45 List 6 signs indicative of developing respiratory distress utilizing the Silverman-Anderson or Downes
Scores (Assess client adaptation to illness or disease). (Test Plan)
Objective 17.46 Identify 3 antecedent factors that may predispose a neonate to respiratory distress and manage care
of neonate with impaired oxygenation. Apply knowledge of pathophysiology, nursing procedures and psychomotor skills
when caring for client with medical emergency. Evaluate response to emergency procedures and follow lead of RN in
documenting same. (Test Plan)
Objective 17.47 Correctly interpret blood gas readings. (Test Plan)
Objective 17.48 Review oxygen administration and hazards of same.
Objective 17.49 Explain why gavage feeding is sometimes initiated before breast or bottle-feeding. (Test Plan)
Objective 17.50 Explain the two methods of assessing accurate placement of a gavage tube prior to feedings when this
is chosen route to supply nutrition. (Test Plan)
Objective 17.51 Describe how to prepare parents prior to their first visit to a neonatal or special care nursery.
Objective 17.52 Discuss why it is advised that parents have early contact and involvement with premature birth and
provide support. (Assist parents to cope with transition.) (Test Plan)
Objective 17.53 Recognize characteristics of infant whose mother is diabetic.
Objective 17.54 Correctly interpret neonate blood glucose levels. Compare client diagnostic findings with pre-test
results and evaluate result of diagnostic testing and intervene as needed including notification of primary health care
MCC Form EDU 0007 (rev. 10/07/11)
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Course Package
provider. Assess client for signs of hypo- and hyperglycemia (Test Plan)
Objective 17.55 Correlate signs of hypoglycemia in neonate with diabetic mother. (Test Plan)
Objective 17.56 Explain why neonate with diabetic mother is susceptible to: birth trauma, respiratory distress,
congenital anomalies, hyperbilirubinemia, and hypocalcemia.
Objective 17.57 Complete a psychosocial history to assess drug/alcohol use.
Objective 17.58 List signs of withdrawal in neonate whose mother was addicted to heroin.
Objective 17.59 Identify nursing interventions to assist neonate through narcotic withdrawal.
Objective 17.60 Identify signs of HIV in neonate.
Objective 17.61 Formulate teaching plan regarding care of neonate for mother with HIV. Use information technology to
enhance care provided to client. (Test Plan)
Objective 17.62 List 5 signs of congenital syphilis.
Objective 17.63 List 4 factors that increase a neonate’s susceptibility to infection and develop parental teaching. (Test
Plan)
Objective 17.64 Explain the risk of allowing neonates to remain in utero past 42 weeks.
Objective 17.65 Identify key nursing diagnosis for the post-term neonate.
Competency 18 Provide safe, effective nursing care to pediatric clients with transitions due to dysfunctions in circulation.
Objective 18.1 Describe the transition in the cardiovascular system from fetus to neonate.
Objective 18.2 List 3 possible conditions that could put a mother at risk for bearing a child with a congenital-heart
defect.
Objective 18.3 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of heart
defects. (Test Plan)
Objective 18.4 Differentiate the physical effects on a pediatric client when affected with acyanotic versus cyanotic heart
defects.
Objective 18.5 Interpret the acronym LARC effectively in differentiating acyanotic versus cyanotic heart defects.
Objective 18.6 Identify clinical assessment parameters in both cyanotic and acyanotic heart congenital defects as well
as assessment of decreased cardiac output. (Test Plan)
Objective 18.7 Explain the action of prostaglandin E.
Objective 18.8 List the four physical alterations in Tetralogy of Fallot.
Objective 18.9 Identify appropriate nursing diagnoses for child with heart defect including fluid volume overload,
altered tissue perfusion, risk for altered nutrition, fear, and knowledge deficit. (Test Plan)
Objective 18.10 Develop and implement plan of care based on physiological integrity needs of client with alteration in
cardiovascular status including focus on pharmacological treatments of digoxin and Lasix in treating decreased cardiac
output. (Test Plan)
Objective 18.11 Development and implement plan of care based on physiological integrity needs of client with a
circulation disorder. (Test Plan)
Objective 18.12 Evaluate the nurse’s effectiveness by considering case study information involving cyanotic and
acyanotic heart disorders. (Test Plan)
Objective 18.13 Explain how cardiac catheterization is completed on an infant. Identify appropriate person to provide
informed consent; verify materials have been provided in client’s spoken language and that they comprehend and consent
to the procedure. (Test Plan)
Objective 18.14 Design plan of critical interventions post-cardiac catheterization in order to prevent injury or
complications post procedure. Assess for abnormal response such as lack of peripheral pulse. Ascertain how to position
client. (Test Plan)
Objective 18.15 Formulate teaching plan that should be completed during the interval of time between cardiac
catheterization and surgery for Tetralogy of Fallot including nutritional, activity, and psychosocial care considerations. (Test
Plan)
Objective 18.16 Evaluate if post-operative doses of medications are correct or reasonable or if dosage should be
questioned by the nurse and evaluate therapeutic effect of medication. (Test Plan)
Objective 18.17 Prepare discharge plan for pediatric client post-repair of cardiac defect disorder. (Test Plan)
Objective 18.18 Review administration and nursing implications of cardiac glycoside and diuretic medications. (Test
Plan)
Objective 18.19 Identify clinical assessment parameters of pediatric client with rheumatic fever. (Test Plan)
Objective 18.20 Develop priority nursing diagnosis for pediatric client with rheumatic fever once crisis has passed.
Objective 18.21 Define Kawasaki Disease.
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Objective 18.22 Identify assessment parameters of Kawasaki Disease. (Test Plan)
Objective 18.23 Identify priority nursing diagnosis and corresponding nursing interventions for client with Kawasaki
Disease.
Objective 18.24 Design teaching plan for family regarding preparation and administration, common side effects,
potential interactions and when to notify primary health care provider when administering Digoxin safety at home. (Test
Plan)
Objective 18.25 Recognize cultural influence on nutrition when teaching nutritional prevention of cardiovascular
disorders.
Objective 18.26 Identify areas related to care of children with circulation disorders that could benefit from additional
nursing research or application of evidence-base practice.
The following are clinical objectives:
Objective 18.27 Ask appropriate questions.*
Objective 18.28 Report and record significant data and identified client care issues/problems to appropriate health
team members to promote continuity of care.* (Test Plan)
Objective 18.29 Demonstrate skill in management of time (prioritizing workload), materials, personnel and self.*
Competency 19 Provide safe, effective nursing care to pediatric clients with transitions and dysfunctions that interfere with
oxygenation.
Objective 19.1 Identify unhealthy transitions and conditions that interfere with oxygenation and circulation for children
while using the nursing process as a guide to providing safe and effective nursing care.
Objective 19.2 Describe standards of care for the pediatric client and the role of the nurse in following the ABC’s
(airway, breathing, circulation) of care.
Objective 19.3 Discuss the incidence, etiology, risk factors including antecedent events, and pathophysiology of
respiratory diseases in pediatric clients including allergies, common cold, croup, epiglottitis, asthma, bronchiolitis,
pneumonia and cystic fibrosis. (Test Plan)
Objective 19.4 Assess a pediatric client with a respiratory disorder.
Objective 19.5 Identify priority respiratory nursing diagnoses including impaired gas exchange, ineffective breathing
patterns, activity intolerance, and health-seeking behaviors. (Test Plan)
Objective 19.6 Plan expected outcomes that address the priority needs of a pediatric client with a dysfunction in
oxygenation.
Objective 19.7 Develop and implement a plan of care based on physiological integrity needs of pediatric clients
experiencing respiratory problems and impaired oxygenation including focus on the following medications:
bronchodilators, steroids, pancreatic enzymes. (Test Plan)
Objective 19.8 Assess antecedent events that led to pediatric client’s situation focusing on increased incidence of
tuberculosis related to increased incidence with AIDs.
Objective 19.9 Identify the psychosocial integrity needs of pediatric client with respiratory dysfunction. (Test Plan)
Objective 19.10 Communicate at level of child development or at level of parent.
Objective 19.11 Provide anticipatory guidance to pediatric client and parent when client is experiencing disorder in
oxygenation.
Objective 19.12 Formulate teaching plan for pediatric clients and parents regarding avoiding triggers of asthma
attacks. Use information technology to enhance care provided to client. (Test Plan)
Objective 19.13 Differentiate adult versus pediatric differences in respiratory anatomy and physiology.
Objective 19.14 Recognize signs and symptoms of acute respiratory distress and respiratory failure in the pediatric
client.
Objective 19.15 Identify key nursing interventions when pediatric client has respiratory distress. Apply knowledge of
pathophysiology, nursing procedures and psychomotor skills when caring for client with medical emergency. Evaluate
response to emergency procedures and follow lead of RN in documenting same. (Test Plan)
Objective 19.16 Differentiate the signs and symptoms of respiratory allergies and the common cold.
Objective 19.17 Identify why a nurse should not hyperextend an infant’s neck.
Objective 19.18 Formulate a plan of care for pediatric client with pharyngitis.
Objective 19.19 Recognize signs and symptoms of croup and formulate an appropriate nursing diagnosis.
Objective 19.20 Formulate a plan of care for pediatric client with croup.
Objective 19.21 Utilize the “4 D’s” (dysphagia, drooling, distressed respiratory effort and dysphonia) in assessing for
epiglottitis.
Objective 19.22 Identify critical interventions in nursing management of epiglottitis. Apply knowledge of
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
pathophysiology, nursing procedures and psychomotor skills when caring for client with medical emergency. Evaluate
response to emergency procedures and follow lead of RN in documenting same. (Test Plan)
Objective 19.23 Discuss etiology, antecedent events including risk factors and pathophysiology of childhood asthma.
(Test Plan)
Objective 19.24 Identify critical assessment parameters for the pediatric asthma client. (Test Plan)
Objective 19.25 Formulate 2 appropriate nursing diagnoses for pediatric client with asthma. (Test Plan)
Objective 19.26 Develop and implement plan of care meeting physiological integrity needs of pediatric client with
asthma.
Objective 19.27 Encourage involvement of parents in care of pediatric client experiencing conditions interfering with
breathing and circulation. Assist primary caregivers working with client to meet self-care goals. (Test Plan)
Objective 19.28 Provide a calming, soothing atmosphere for pediatric client experiencing conditions interfering with
breathing and circulation. (Test Plan)
Objective 19.29 Analyze case studies for pediatric clients with respiratory problems and evaluate the nurse’s
effectiveness. (Test Plan)
Objective 19.30 Coordinate the plan of nursing care for pediatric clients with respiratory problems including including
assessing need for, initiating and evaluating outcomes of referrals/consultations to appropriate agencies, resources or
practitioners. (SIDS, cystic fibrosis support groups) (Test Plan)
Objective 19.31 Define status asthmaticus. Apply knowledge of pathophysiology, nursing procedures and psychomotor
skills when caring for client with medical emergency. Evaluate response to emergency procedures and follow lead of RN in
documenting same. (Test Plan)
Objective 19.32 Differentiate manifestations of respiratory distress syndrome (RDS), bronchopulmonary dysplasia
(BPD), and bronchiolitis.
Objective 19.33 Formulate a teaching plan for medication of choice to treat bronchiolitis.
Objective 19.34 Discuss long term consequences of bronchopulmonary dysplasia.
Objective 19.35 Identify key nursing assessments usually found in pediatric client with pneumonia. (Test Plan)
Objective 19.36 Formulate key nursing diagnoses for pediatric client with pneumonia including ineffective breathing
pattern, risk for fluid volume deficit, and activity intolerance.
Objective 19.37 Discuss the action and side effects of Rocephin.
Objective 19.38 Consider varied interventions to encourage child to stay in mist-tent.
Objective 19.39 Consider varied interventions relative to growth and development in seriously ill hospitalized pediatric
client.
Objective 19.40 Discuss etiology, antecedent events including risk factors and pathophysiology of cystic fibrosis. (Test
Plan)
Objective 19.41 Recognize abnormal stools in pediatric with cystic fibrosis.
Objective 19.42 Describe the gold standard diagnostic test for cystic fibrosis.
Objective 19.43 Develop and implement plan of nursing care for pediatric client with cystic fibrosis.
Objective 19.44 Formulate teaching plan for parents to assist them in managing medication regimen for pediatric
client with cystic fibrosis.
Objective 19.45 Discuss incidence of and assessment parameters in sudden infant death syndrome (SIDS). (Test Plan)
Objective 19.47 Teach new parents the latest recommendation from American Academy of Pediatrics regarding
sleeping position during the first 6 months of life.
Objective 19.48 Recognize key assessment parameters of tuberculosis in the pediatric client. (Test Plan)
Objective 19.49 Review diagnosis and oxygenation complications of HIV.
Objective 19.50 Determine why directly observed drug therapy is so important in pediatric client with HIV.
Objective 19.51 Review etiology, possible antecedent events including risk factors, assessment parameters, and usual
interventions for bronchiectasis. (Test Plan)
Objective 19.52 Formulate expected initial and subsequent observations of pediatric client expected in emergency
room triage. Apply knowledge of pathophysiology, nursing procedures and psychomotor skills when caring for client with
medical emergency. Evaluate response to emergency procedures and follow lead of RN in documenting same. (Test Plan)
Objective 19.53 Evaluate expected problems of pediatric client with deficit in oxygenation and review effectiveness of
nursing care. (Test Plan)
Objective 19.54 Identify areas related to care for pediatric client with oxygenation deficit that could benefit from
additional nursing research or application of evidence-based practice.
Competency 20 Provide safe, effective nursing care to pediatric clients with transitions and dysfunctions interfering with
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
metabolism or endocrine function.
Objective 20.1 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of
endocrine/metabolic disorders in pediatric clients including hyper-/hypothyroidism, and diabetes mellitus. (Test Plan)
Objective 20.2 Assess a pediatric client with endocrine dysfunction.
Objective 20.3 Identify key nursing diagnoses for pediatric client with endocrine or metabolic dysfunction including
ineffective thermoregulation, disturbed sleep pattern and knowledge deficit.
Objective 20.4 Plan expected outcomes for pediatric client with endocrine or metabolic dysfunction.
Objective 20.5 Explore the nurse’s role as provider of care, focusing on roles as teacher and communicator for health
promotion, maintenance and adaptation when caring for child with endocrine or metabolic dysfunction.
Objective 20.6 Encourage pediatric client to take ownership of endocrine/metabolic disorder.
Objective 20.7 Teach self-care skills to promote age-appropriate self-management of care.
Objective 20.8 Differentiate the clinical manifestations of hypo-versus hyperthyroidism.
Objective 20.9 Correctly interpret blood work related to thyroid gland function and follow-up on unresolved issues
reported to physician. (Test Plan)
Objective 20.10 Develop and implement plan of care for pediatric client with thyroid disorder.
Objective 20.11 Review Type I and differentiate Type I and Type II Diabetes.
Objective 20.12 Identify significant assessment parameters of diabetes in pediatric client. (Test Plan)
Objective 20.13 Develop and implement plan of care for pediatric client with diabetes.
Objective 20.14 Formulate appropriate teaching plan for pediatric client with diabetes. Use information technology to
enhance care provided to client and consider protective equipment when using devices such as syringes that can cause
injury. (Test Plan)
Objective 20.15 Recognize cultural influence and its potential effect on the way a family views an endocrine/metabolic
disorder.
Objective 20.16 Evaluate expected outcomes regarding nursing care for endocrine or metabolic disorders to ascertain if
goals of nursing care were achieved. (Test Plan)
Objective 20.17 Identify areas related to care for pediatric client with endocrine or metabolic dysfunction that may
benefit from additional nursing research or application of evidence-based practice.(Test Plan)
Objective 20.18 Respond appropriately to clinical alerts regarding pediatric clients.
The following is a clinical objective:
Objective 20.19 Identify tasks for delegation based on nursing needs and Delegate nursing activities while maintaining
accountability to client safety.* (Test Plan)
Competency 21 Provide safe, effective nursing care to pediatric clients with transitions and dysfunctions that interfere with
cognition and neurological function.
Objective 21.1 Identify unhealthy transitions and maladaptations in Central Nervous System functioning.
Objective 21.2 Describe standards of care for the pediatric client and the role of the nurse in providing safe, effective
nursing care when caring for pediatric client with neurological dysfunction.
Objective 21.3 Discuss the incidence, etiology, antecedent events and pathophysiology of the following conditions
affecting pediatric clients: seizure disorders, meningitis, spina bifida, myelomeningocele, and traumatic brain injury. (Test
Plan)
Objective 21.4 Establish expected outcomes for pediatric client with neurological dysfunction.
Objective 21.5 Identify related nursing diagnosis including the following for CNS problems: altered tissue perfusion, risk
for aspiration, and risk for injury.
Objective 21.6 Develop and implement a plan of care based on the physiological integrity needs of a pediatric client
with transition or maladaptation in CNS functioning.
Objective 21.7 Explore the nurse’s role as provider of care, focusing on roles as teacher and communicator for health
promotion, maintenance, and adaptation when caring for pediatric client with neurological dysfunction.
Objective 21.8 Teach parents of pediatric client with spina bifida or myelomeningocele importance of latex allergy
prevention. (Test Plan)
Objective 21.9 Identify the single most important indicator of brain damage. (Test Plan)
Objective 21.10 Differentiate the varied levels of consciousness. (Test Plan)
Objective 21.11 Discuss signs and symptoms of increased intracranial pressure in the pediatric client and discuss
related nursing care. (Test Plan)
Objective 21.12 Correctly interpret findings of physical examination regarding the neurological system and the pediatric
client and identify client data that needs to be reported immediately. (Test Plan)
MCC Form EDU 0007 (rev. 10/07/11)
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Course Package
Objective 21.13 Differentiate decorticate and decerebrate posturing. (Test Plan)
Objective 21.14 Describe signs of meningeal irritation. (Test Plan)
Objective 21.15 Prepare pediatric client and parents for varied diagnostic tests assessing the CNS system.
Objective 21.16 Correctly implement the Glasgow Coma Scale in assessment of pediatric client. (Test Plan)
Objective 21.17 Define seizure and state common etiologies of seizure in pediatric clients.
Objective 21.18 Identify key assessment parameters and interventions in pediatric clients with seizure. (Test Plan)
Objective 21.19 Discuss action, side effects, and pediatric client and family teaching relative to administration Dilantin,
Phenobarbital, Tegretol and Depakene.
Objective 21.20 State serum levels of anticonvulsant medications and when physician should be notified. Follow-up on
unresolved issues. (Test Plan)
Objective 21.21 Formulate teaching plan which addresses seizure control measures. (Test Plan)
Objective 21.22 Identify key assessment parameters in child with meningitis including Brudzinski’s and Kernig’s Signs.
(Test Plan)
Objective 21.23 Outline procedures for implementing “seizure precautions”.
Objective 21.24 Recognize complications of meningitis. (Test Plan)
Objective 21.25 Define encephalitis.
Objective 21.26 Identify key assessment factors in Reye’s Syndrome. (Test Plan)
Objective 21.27 Describe appearances and treatment course of Guillain-Barre Syndrome.
Objective 21.28 Differentiate non-communicating and communicating hydrocephalus.
Objective 21.29 Identify the most common complication that a nurse would be observant for following shunt placement
for hydrocephalus.
Objective 21.30 Describe meningocele, myelomeningocele, and spina bifida.
Objective 21.31 Identify which pre-natal diagnostic test identifies pre-natal diagnostic test identifies presence of an
incomplete closure of the spinal canal.
Objective 21.32 Develop interventions which address physiologic and psychosocial needs of pediatric client and parents
pre-and post-operative course of treatment for spina bifida. (Test Plan)
Objective 21.33 Define anencephaly.
Objective 21.34 Discuss disabilities which develop in pediatric client due to cerebral palsy and prepare appropriate
teaching plans to deal with them.
Objective 21.35 Assess the psychosocial integrity needs of pediatric client experiencing complications of neurological
dysfunction. (Test Plan)
Objective 21.36 Assist parents with grieving process over loss of “normal” child.
Objective 21.37 Utilize therapeutic communication skills in order to establish a sense of trust and support with parents.
(Test Plan)
Objective 21.38 Analyze case studies involving pediatric clients with complications and evaluate the nurse’s
effectiveness in providing care. (Test Plan)
Objective 21.39 Differentiate degrees of mental retardation.
Objective 21.40 Differentiate assessment parameters of epidural versus subdural head injuries. (Test Plan)
Objective 21.41 identify assessment parameters of increased intracranial pressure and discuss Cushing’s Triad. (Test
Plan)
Objective 21.42 Identify areas related to care of pediatric client with neurological deficit that could benefit from further
nursing research or application of evidence-based practice. (Test Plan)
Competency 22 Provide safe, effective nursing care to pediatric clients with transitions and dysfunctions that interfere with
mobility.
Objective 22.1 Identify unhealthy transitions and conditions which involve maladaptations in mobility and identify data
that needs to be reported immediately. (Test Plan)
Objective 22.2 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of mobility
maladaptations including musculoskeletal trauma, Legg-Calve-Perthes Disease, osteogenesis imperfecta, rheumatoid
arthritis, Duchenne’s, muscular dystrophy, and amputations. (Test Plan)
Objective 22.3 After assessing client for mobility, gait, strength and motor skills, identify related nursing diagnosis
including the following for mobility problems: risk for impaired skin integrity, altered tissue perfusion. (Test Plan)
Objective 22.4 Plan expected outcomes of care for pediatric client with dysfunctions that interfere with mobility.
Objective 22.5 Develop and implement a plan of care based on the physiological integrity needs of a pediatric client
with maladaptation in mobility. Plan must address skin assessment and measures to maintain skin integrity as well as
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
how to position client. (Test Plan)
Objective 22.6 Discuss the significant pediatric differences from the adult in the musculoskeletal system.
Objective 22.7 identify key assessment parameters when pediatric client has fracture. (Test Plan)
Objective 22.8 Develop plan of care for pediatric client in cast, traction or brace to include application and monitoring
afterward, alignment, skin assessment and measures to maintain skin and neurological integrity. (Test Plan)
Objective 22.9 Review the consequences of immobility. (Test Plan)
Objective 22.10 Formulate interventions which promote pediatric client’s autonomy and independence when
experiencing maladaptation in mobility. (Test Plan)
Objective 22.11 Identify the 6 P’s of ischemia (Pain, Pallor, Pulselessness, Paresthesia, Paralysis and Poikilothermia).
Objective 22.12 Describe scoliosis, screening measures, involved pathophysiology and care of child in brace. (Test Plan)
Objective 22.13 Describe Legg-Calve-Perthes disease and key assessments and points of care. (Test Plan)
Objective 22.14 Describe osteogenesis imperfecta, key assessments and points of care. (Test Plan)
Objective 22.15 Describe juvenile rheumatoid arthritis noting how diagnosed, key assessments and interventions. (Test
Plan)
Objective 22.16 Describe Duchenne’s muscular dystrophy noting Gower’s sign and key interventions.
Objective 22.17 Discuss body image disturbances with amputations.
Objective 22.18 Evaluate achievement of expected outcomes as related to the effectiveness of nursing care for
pediatric client with muscle skeletal dysfunction which interferes with mobility. (Test Plan)
Objective 22.19 Identify areas related to care of pediatric client with dysfunction of mobility that would benefit from
further nursing research or application of evidence-based practice.
Competency 23 Provide safe, effective nursing care to pediatric clients with transitions and dysfunctions that interfere with
nutrition.
Objective 23.1 Identify unhealthy transitions and conditions including disorders of the gastrointestinal tract which affect
nutrition and identify data that needs to be reported immediately. (Test Plan)
Objective 23.2 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of the
following conditions affecting pediatric clients: cleft lip/palate, and gastrointestinal conditions which affect nutrition. (Test
Plan)
Objective 23.3 identify related nursing diagnoses including the following for gastrointestinal problems: constipation,
altered nutrition, fluid volume deficit.
Objective 23.4 Plan expected outcomes for pediatric client with transitions and dysfunctions that interfere with
nutrition.
Objective 23.5 Develop and implement a plan of care based on the physiological integrity needs of a pediatric client
with disorders of the gastrointestinal tract.
Objective 23.6 Outline appropriate outcomes for pediatric client with cleft lip/palate.
Objective 23.7 Differentiate tracheoesophageal fistula, esophageal fistula and pyloric stenosis.
Objective 23.8 Define omphalocele and gastroschisis.
Objective 23.9 Identify key assessment in intussusception. (Test Plan)
Objective 23.10 Discuss Hirschsprung’s disease and appropriate assessments and interventions. (Test Plan)
Objective 23.11 Differentiate the varied types of hernias in pediatric clients.
Objective 23.12 Identify key assessments in appendicitis and complications and identify data that needs to be reported
immediately. (Test Plan)
Objective 23.13 Identify key assessments and cultures with lactose intolerance. (Test Plan)
Objective 23.14 Differentiate key assessments of Crohn’s versus ulcerative colitis. (Test Plan)
Objective 23.15 Discuss celiac disease and dietary choices.
Objective 23.16 Recognize complications of gastroenteritis. (Provide for skin care.) (Test Plan)
Objective 23.17 Discuss helminthes and appropriate interventions.
Objective 23.18 Describe billary atresia and appropriate assessments and interventions. (Test Plan)
Objective 23.19 Differentiate transmission of Hepatitis A versus B versus C.
Objective 23.20 Evaluate expected outcomes related to disorders that interfere with nutrition as related to
effectiveness of nursing care. (Test Plan)
Objective 23.21 Identify areas of care related to disorders that interfere with nutrition that could benefit from additional
nursing research or application of evidence-based practice. (Test Plan)
Competency 24 Provide safe, effective nursing care to pediatric clients with transitions and dysfunctions that interfere with
elimination.
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Objective 24.1 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of the
following conditions affecting pediatric clients: urinary and bowel disorders. (Test Plan)
Objective 24.2 Identify related nursing diagnoses including the following for genitourinary problems: risk for infection,
impaired skin integrity. (Test Plan)
Objective 24.3 Plan expected outcomes related to care of pediatric client with dysfunction that interferes with
elimination and specifically address skin integrity. (Test Plan)
Objective 24.4 Develop and implement a plan of care based on the physiological integrity needs of a pediatric client
with disorders of the genitourinary tract, and focusing on anti-infective drugs. (Test Plan)
Objective 24.5 Identify key assessment parameters of pediatric client with urinary tract infection. (Test Plan)
Objective 24.6 Formulate teaching plan for pediatric client and parents for client with urinary tract infection. (Test Plan)
Objective 24.7 Differentiate primary and secondary enuresis and manage skin care. (Test Plan)
Objective 24.8 Differentiate hypospadias from epispadias.
Objective 24.9 Discuss chordee and surgical treatment.
Objective 24.10 Formulate key interventions with exostophy of bladder.
Objective 24.11 Identify the key assessment for a pediatric client cryptorchidism. (Test Plan)
Objective 24.12 Identify post-operative precautions when caring for pediatric client with cryptorchidism.
Objective 24.13 Identify consequences of pediatric client having cryptorchidism.
Objective 24.14 Define hydrocele, nursing assessment and key interventions. (Test Plan)
Objective 24.15 Evaluate expected outcomes and effectiveness of nursing care for pediatric client with dysfunction that
interferes with elimination. (Test Plan)
Objective 24.16 Identify areas related to care of pediatric client with dysfunction that interferes with elimination that
would benefit from additional nursing research or application of evidence-based practice. (Test Plan)
Competency 25 Provide safe, effective nursing care to pediatric clients with transitions and dysfunctions that interfere with
and sleep.
Objective 25.1 Identify unhealthy transitions which occur with conditions including cancer or blood disorders.
Objective 25.2 Discuss the incidence, etiology, antecedent events including risk factors and pathophysiology of the
following conditions affecting pediatric clients: anemias, cancer. (Test Plan)
Objective 25.3 Identify related nursing diagnosis including the following for cancer: pain, alteration in body image,
altered nutrition; and for blood dyscrasias: pain, fluid volume deficit and ineffective individual coping.
Objective 25.4 Plan expected outcomes for a pediatric client with cancer and blood disorders.
Objective 25.5 Develop and implement a plan of care based on the physiological integrity needs of a pediatric client
with cancer or blood disorders.
Objective 25.6 Provide anticipatory guidance for pediatric client undergoing cancer therapy including loss of hair and
nausea, precautions for the immunocompromised, etc. (Test Plan)
Objective 25.7 Coordinate the plan of nursing care for pediatric clients with cancer including assessing need for,
initiating and evaluating outcomes of referrals/consultations to appropriate agencies, resources or practitioners. (cancer
support groups) (Test Plan)
Objective 25.8 Consider cultural influences when caring for pediatric client with cancer or blood disorder.
Objective 25.9 Differentiate pediatric cancer growths from adult cancer growths.
Objective 25.10 Recognize common radiation and chemotherapy side effects in the pediatric client. (Test Plan)
Objective 25.11 Discuss actions, side effects and nursing implications of medication therapy in pediatric cancer clients
including standard therapies and biologic response modifiers.
Objective 25.12 Discuss cancer surgery approaches as well as bone marrow and stem-cell-transplantation regimes.
Objective 25.13 State diagnostic approaches to pediatric clients with acute lymphocytic leukemia.
Objective 25.14 Discuss key outcomes and interventions planned for clients with acute lymphocytic leukemia (ALL).
Objective 25.15 Formulate nursing care plan to meet physiological and psychosocial needs of pediatric client with
Hodgkin’s Disease. (Test Plan)
Objective 25.16 Differentiate neuroblastoma diagnoses and care from Wilm’s Tumor.
Objective 25.17 Discuss the nursing care of pediatric client with osteogenic sarcoma and Ewing’s sarcoma.
Objective 25.18 Describe techniques that would assist family in state of crisis when pediatric clients of cancer is
announced.
Objective 25.19 List three common threats to body image that pediatric client’s experience and describe nursing
interventions.
Objective 25.20 List support systems in the community that may be available to help the family of a child with cancer.
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
(Test Plan)
Objective 25.21 Describe strategies that would prepare students and teachers for the return of a classmate who is
being treated for cancer.
Objective 25.22 Review how preschoolers, school-age children and teens view death.
Objective 25.23 Review causative factors, assessments, interventions necessary for pediatric client with HIV. (Test Plan)
Objective 25.24 Formulate teaching plan for home-care and home safety issues for parents with child with HIV . (Assess
family’s ability to manage care in home environment.)(Test Plan)
Objective 25.25 Describe how iron should be administered to a pediatric client.
Objective 25.26 Screen for hemophilia and sickle cell anemia in selected populations.
Objective 25.27 Differentiate between sickle cell anemia and sickle cell trait.
Objective 25.28 Describe the pathology of sickling.
Objective 25.29 Describe how sickle cell crisis can be prevented.
Objective 25.30 Identify how the nurse would assess for hemarthrosis in pediatric client with hemophilia.
Objective 25.31 Identify key interventions to prevent bleeding in pediatric client with hemophilia.
Objective 25.32 Formulate nursing diagnoses, key assessments and key interventions for pediatric client with anemia.
(Test Plan)
Objective 25.33 Evaluate expected outcomes and effectiveness of nursing care for pediatric client with cancer and
blood disorders. (Test Plan)
Objective 25.34 Identify areas of care related to pediatric client with cancer and blood disorders that could benefit from
additional nursing research or application of evidence-based practice. (Test Plan)
MCC Form EDU 0007 (rev. 10/07/11)