Child Health Nursing

Unit

Content

Hr.

I

Introduction

a)       Modern concept in child health care

b)       Trends in pediatric nursing

c)       Role of pediatric nurses in child care

d)       Emerging challenges, nursing process related to pediatric nursing

e)       Concept of preventive pediatric

f)        Vital statistics related to pediatrics as per the NRHS and GoI

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II

Growth & Development

a)       Definition, principles, factors affecting growth & development, techniques of assessment, plotting of growth chart

b)       Infant: Growth & Development, health promotion, breast feeding &weaning, immunization, infant and young child feeding

c)       Toddler: Growth & Development, nutrition counseling, toilet training, safety, prevention of accidents, play. Preschoolers Growth & development Daycare centers Role of Parents in sex  education

d)       School ager: Growth &development, rest, sleep, physical exercises & activity, dental health, sex education

e)       Adolescent:

• Growth &development, adaptation to puberty, menstrual hygiene, nutritional guidance, sex education,

• Role of Parents in health promotion of adolescents

• Control of iron deficiency anemia (WIFS guidelines)

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III

The sick child

a)       Child’s reaction to hospital

b)       Effect of hospitalization on the family of the child

c)       Role of nurse in helping child & family in coping, with stress of hospitalization & illness

Pediatric procedures:

a)       Preparation of child for diagnostic tests, collection of specimens.

b)       Calculation & Administration of oral & parenteral medication

c)       Procedures related to feeding

-         Katori& Spoon

-         Ryle’s tube & gastrostomy

d)       Procedures relating to elimination

e)       Administration & analysis of oxygen concentration, steam inhalation, nebulization,

f)        Other procedures:

-         Pediatric Resuscitation

-         Surgical dressing

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I

Disorders and health problems of a child

a)       Infancy:

-         Failure to thrive

-         Diarrhea & Vomiting

b)       Childhood

-         Enuresis, nail biting, thumb sucking, somnambulism

c)       Adolescent

-         Precocious puberty

-         Gynecomastia

-         Accident, sport injuries

-         Obesity & anorexia nervosa

-         Juvenile delinquency

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V

Child with congenital disorders:

Etiology, signs and symptoms, diagnosis, complications and medical, surgical & nursing management of children with:

-         Malformations of CNS, cranial deformities, spinabifida, hydrocephalus, cerebral palsy,  meningo coele.

-         Skeletal defects, cleft lip & cleft palate

-         Gastro intestinal tract defects, fistula, anorectalmalformations, hernia, congenital hypertrophied pyloric stenosis –

-         Defects of Genito-urinary Tract –hypospadiasis & epispadiasis, extrophy of bladder, phimosis & paraphimos is, cryptorchidism, polycystic kidney

-         Sexual abnormalities, ambiguous genitalia

-         Defects of cardio vascular system, cyanotic and acyanotic- TOF (Tetralogy of Fallouts)TSV  (Transposition of Great Vessels)TAPVC, ASD, VSD, Coactation of aorta, PDA

-         Orthopedic abnormalitiescongenital talipusequinovarus ,  congenital dislocation of hips

-         Chromosomal abnormalities – down syndrome, turner’s syndrome.

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VI

Children with various disorders and diseases

Etiology, signs and symptoms, complications, prevention, medical, surgical &nursing management of :

a)       Renal System

b)       Resp. System

c)       GT System

-         Intestinal obstruction (Mechanical)

-         Hirschsprung’s disease

-         Malabsorption Syndrome

-         Inflammatory conditions appendicitis, Meckel’s divertculum, ulcerative colitis)

-         Worm infestation

d)       CVS System

e)       Hematological System

f)        Neurological System

g)       Endocrine

h)       Developmental problem

i)         Others:

-         Fluid and electrolyte imbalance

-         burns

j)        Problems with locomotion:

k)       Pre and post-operative care of children undergoing surgery.

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VII

Child welfare services

a)       Child welfare services and agencies:

b)       Law pertaining to Pediatrics:

-         National child labour policy

-         Child act.

-         Juvenile justice act

-         Internationally accepted rights of the child

-         Rehabilitation of delinquent & destitute children

-         Adoption laws and services

-         Adolescent health programs – menstrual hygiene,

WIFS program, adolescent safety program

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