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VNSG 1334 - Pediatrics - TVCC

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					                                  VNSG 1334 – Pediatrics

1. Describe the preterm neonate and related nursing care.
   I.   Preterm Neonate
        A. Classifications of neonates
            1. Preterm
            2. Postterm
            3. Small for gestational age
            4. Appropriate for gestational age
            5. Large for gestational age
        B. Effects of prematurity
            1. Appearance
            2 Thermoregulation
            3. Body system adaptations
        C. Common complications
            1. Thermoregulations
            2. Cardiorespiratory problems
            3. Infection
        D. Assessment
        E. Care of preterm neonate
        F. Caregiver role strain
2. Define the listed disorders associated with the newborn with special needs.
   II. Disorders associated with special needs newborns
        A. Asphyxia neonatorum
        B. Birth injuries
        C. Cryptorchidism
        D. Extracorporeal membrane oxygenation
        E. Hemangioma
        F. Hemolysis
        G. Macrosomic
        H. Meconium aspiration syndrome
        I. Myelomeningocele
        J. Omphalocele
        K. Phenylketonuria
        L. Pigmented nevus
        M. Transient tachypnea of the newborn
3. Discuss the nursing care for the newborn with special needs.
   III. Special needs situations
        A. Respiratory dysfunction
        B. Congenital problems
        C. Chromosomal abnormalities
        D. Inborn errors of metabolism
        E. Hemolytic disease of the newborn
        F. Infections
        G. Newborn of diabetic mother
        H. Newborn of substance-abusing mother
4. Discuss adaptations of nursing care for pediatric clients.
   IV. Pediatric nursing adaptations
        A. Changes in pediatric nursing practice
        B. Family, cultural, and religious care of children
        C. Care of pediatric clients by age group
            1. Infants
            2. Toddlers
            3. Preschool
            4. School-age
            5. Adolescent
        D. General pediatric nursing care issues
            1. Admission
            2. Operative care
            3. Ambulatory care
            4. Safety
            5. Specimen collection
            6. Mediation administration
        E. Special pediatric nursing care issues
            1. Safety (poisoning)
            2. Dying child
            3. Child abuse
            4. Chronic illness
            5. Pain management
            6. Health promotion
                a. Immunizations
                b. Health screenings
                c. Sex education
                d. Drug awareness
                e. Dental Care
                f. Nutrition
                g. Community resources
            7. Haemophilus influenza type B (HIB)
            8. Tetanus
5. Describe the etiology, symptomatology, diagnosis, medical treatment, and nursing management
   (using the nursing process) of pediatric respiratory disorders.
   V. Respiratory system disorders
        A. Diagnostic tests
            1. Cultures
            2. Blood tests
            3. Pulmonary functions
            4. Pulse oximetry
            5. Thermistor oxygenation pneumon-Cardiograms
            6. X-rays
        B. Common respiratory disorders
            1. Pharyngitis/laryngitis
            2. Tonsillitis/adenoidits
            3. Croup
            4. Respiratory syncytial virus
            5. Asthma/reactive airway disease
            6. Cystic fibrosis
            7. Sudden infant death syndrome
            8. Epistaxis
            9. Foreign bodies
         C. Nursing care for respiratory disorders
6. Describe the etiology, symptomatology, diagnosis, medical treatment, and nursing management
   (using the nursing process) of pediatric cardiac disorders.
   VI. Cardiac system disorders
         A. Diagnostic tests
            1. Electrocardiagrams
            2. Cardiac catheterizations
         B. Common cardiac disorders
            1. Congenital heart defects
            2. Congestive heart failure
            3. Rheumatic fever/heart disease
         C. Nursing care for cardiac disorders
7. Describe the etiology, symptomatology, diagnosis, medical treatment, and nursing management
   (using the nursing process) of pediatric hematological disorders.
   VII. Hematological system disorders
         A. Diagnostic tests
            1. Blood tests
            2. Specimens for occult blood
            3. Bone marrow aspiration
            4. Computed tomography scan
            5. Magnetic resonance imaging
            6. Lumbar puncture
         B. Common hematological disorders
            1. Anemias
            2. Sickle cell anemia
            3. Hemophilia
            4. Leukemia
            5. Other-definition only
                a. Neuroblastoma
                b. Rhabdoscaroma
                c. Hodgkin’s disease
         C. Nursing care for hematological disorders
8. Using the nursing process, explain the nursing management for musculoskeletal disorders.
   VIII. Musculoskeletal disorders
         A. Diagnostic tests
            1. Blood tests
            2. X-ray studies
            3. Bone scan
            4. Muscle biopsy
            5. Electromyography
         B. Common musculoskeletal disorders
            1. Duchenne’s muscular dystrophy
            2. Trauma
            3. Juvenile rheumatoid arthritis
            4. Scoliosis
             5. Club foot
             6. Dislocated hip
             7. Ewing’s sarcoma (Osteoscarcoma)
         C. Nursing care for musculoskeletal disorders
             1. Care of patients with casts and traction
             2. Assessment of the 5 Ps
9. Describe the etiology, symptomatology, diagnosis, medical treatment, and nursing management
    (using the nursing process) of pediatric neurological, eye and ear disorders.
    IX. Neurological/Eye/Ear disorders
         A. Diagnostic tests
             1. Brain scan
             2. Electroencephalogram (EEG)
         B. Common neurological disorders
             1. Neural tube defects
                 a. Hydrocephaly
                 b. Spina bifida
                     1) Occulta
                     2) Meningocele
                     3) Myelomeningocele
             2. Cerebral palsy
             3. Mental retardation
             4. Down’s syndrome
             5. Head injuries
             6. Increased ICP
             7. Seizures
                 a. Generalized
                 b. Partial
                 c. Febrile
             8. Eye infection
             9. Eye injuries
             10. Strabismus
             11. Otitis media
10. Describe the etiology, symptomatology, diagnosis, medical treatment, and nursing management
    (using the nursing process) of pediatric integumentary disorders.
    X. Integumentary disorders
         A. Diagnostic tests
             1. Wood’s light
             2. Skin scraptings
             3. Potassium hydroxide slides
             4. Cultures
             5. Blood work
         B. Common integumentary disorders
             1. Tinea
             2. Impetigo
             3. Pediculi
             4. Eczema
             5. Acne vulgaris
             6. Burns
             7. Other-definition onlyVerruca
                 a. Candidiasis
                 b. Scarlet fever
                 c. Cellulitis
                 d. Verruca
                 e. Molluscum contagiosum
                 f. Erythema infectiosum (Fifth Disease)
                 g. Scabies
                 h. Dermatitis
                 i. Psoriasis
         C. Nursing care for integumentary disorders
11. Describe the etiology, sumptomatology, diagnosis, medical treatment, and nursing management
    (using the nursing process) of pediatric gastrointestinal and metabolic disorders.
    XI. Gastrointestinal disorders
         A. Diagnostic tests
             1. Specimen test for occult blood
             2. Blood tests
             3. Stool cultures
             4. X-ray studies
             5. Ultrasound
             6. Endoscopy
             7. Liver biopsy
         B. Common gastrointestinal disorders
             1. Cleft lip/palate
             2. Ingestion of foreign bodies
             3. Pyloric stenosis
             4. Appendicitis
             5. Peritonitis
             6. Gastroenteritis
             7. Irritable bowel syndrome
             8. Hischspumg’s
             9. Megocolon
             10. Chronic inflammatory bowel syndrome
             11. Parasites
             12. Phenylketonuria
         C. Nursing care for gastrointestinal disorders
         D. Common Metabolic disorders
12. Describe the etiology, symptomatology, diagnosis, medical treatment, and nursing management
    (using the nursing process) of pediatric genitourinary disorders.
    XII. Genitourinary disorders
         A. Diagnostic testing
             1. Testing with reagent strips
             2. Urinalysis
             3. Urine culture
             4. Renal ultrasound
             5. Cystoscopy
             6. Voiding cystourethrogram
             7. Renal scan
             8. Intravenous pyelogram
             9. Urodynamics testing
             10. Renal needle biopsy
          B. Common genitourinary disorders
             1. Wilm’s tumor
             2. Hypospadias/epispadias
             3. Hydrocele
             4. Hernia
             5. Cryptorchidism
          C. Nursing care for genitourinary disorders
13. Describe the etiology, symptomatology, diagnosis, medical treatment, and nursing management
    (using the nursing process) of pediatric metabolic disorders.
    XIII. Metabolic disorders
          A. Diagnostic tests
             1. Blood tests
          B. Common metabolic disorders
             1. Tay-sachs disease
             2. Hypothyroidism
             3. Diabetes insipidus
             4. Diabetes mellitus
          C. Nursing care for metabolic disorders
14. Describe the etiology, symptomatology, diagnosis, medical treatment, and nursing management
    (using the nursing process) of pediatric psychosocial disorders.
    XIV. Describe the etiology, symptomatology , diagnosis, medical treatment, and nursing
          management (using the nursing process) of pediatric psychosocial disorders.
          A. Self-concept
          B. Stress and coping responses
          C. Roles and relationships
          D. Health perception and health maintenance
          E. Values and beliefs
          F. The dying child
          G. Common psychosocial disorders
             1. Attention deficit hyperactivity disorders
             2. Learning disorders
             3. Autism
          H. Nursing care for psychiatric disorders
15. Describe the etiology, symptomatology, diagnosis, medical treatment, and nursing management
    (using the nursing process) related to pediatric communicable disease.
    XV. Communicable disease
          A. Diagnostic tests
             1. Mono spot
             2. Titers
          B. Disease
             1. Rubella
             2. Rubeola
             3. Varicella
             4. Pertussis
             5. Strep
                       6.    Mumps
                       7.    Haemophilus infulenzae type B (HIB)
                       8.    Tetanus
                       9.    Rabies
                       10.   Diptheria
                       11.   Smallpox
                       12.   Mononucleosis
                       13.   Polio
                       14.   Scarlet fever
                       15.   Fifth disease




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