Child Health Nursing (Theory)

Course No.:
BSN 21
Placement:
Third Year
Total Hours:
90 Hours
Total Marks:
100 Marks
Course Description
This course introduces students to basic concepts of child health nursing. Emphasis is given on the promotion of growth and development of children from infancy to adolescence and prevention and management of childhood illnesses. Students are provided with the knowledge and skills that are relevant to their professional roles in meeting the health care needs of sick or well children.
Course Objectives
Upon completion of the course, students will be able to:
- Explain the terms and concepts used in child health nursing.
- Describe the historical development of child care practices.
- Differentiate between a child and an adult.
- Describe the role of nurse in the care of children.
- Discuss the process of growth and development of children from infancy to adolescence.
- Describe the measures to be taken for the promotion of the optimum growth and development of children from infancy to adolescence.
- Explain the etiology, patho-physiology, treatment and nursing management of various medical and surgical problems in children.
- Explain the use of nursing process in the care to sick or well children.
- Explain the role of nurse in reducing and managing stressful and crisis events in children.
Syllabus Table of Contents
Quickly navigate to any unit in the Child Health Nursing Syllabus using the links below.
Course Content Details
Unit 1: Introduction to Child Health Nursing8 hrs
- Concept of child health and child health nursing
- Historical overview of child care in the industrialized and developing countries.
- Child rights
- Differences between adults and children
- Child health indicators
- Concepts related to child health: Child-to-child programme, integrated management of childhood illnesses (IMCI), saving newborn lives (SNL) programme, exclusive breast feeding, baby friendly hospital
- Role of nurse in the care of children
Unit 2: Growth and Development of Children12 hrs
- Concept of growth and development
- Factors influencing growth and development
- Growth of body systems from infancy to adolescence
- Growth spurt
- Developmental milestones and tasks
- Promotion of optimum growth and development
- Parental concerns and counseling
Unit 3: Care of Newborn8 hrs
- Newborn’s adjustment to extra uterine life: Physiological changes in the newborn
- Care of newborn: Immediate care at birth, care during the first 24 hours and subsequent care
- Mother-newborn bonding
- Prevention and management of newborn problems: Asphyxia, sepsis, hypothermia and hyperthermia and neonatal jaundice
- High risk newborn
Unit 4: Assessment of Children5 hrs
- History taking
- Physical examination including the assessment of the growth and development
- Nutritional status of children
- Pediatric investigations and nurse’s role
Unit 5: Use of Nursing Process in the Care of Children6 hrs
- Nursing process (review)
- Medical and surgical nursing care of children
- Stressful and crisis events and their management
- Care of children with chronic and terminal illnesses
- Care of children with life-threatening illnesses
- Parental coping with impending death of children and nurses’ role
Unit 6: Care of Children with Gastro-intestinal Disorders8 hrs
- Dental caries
- Diarrhoeal disorders including dysentery and dehydration
- Worm infestations
- Nutritional deficiencies: Protein-energy malnutrition, vitamin and mineral deficiencies (review)
- Acute abdomen, intestinal obstruction,
- Congenital defects: Hare lip and cleft palate, oesophageal atresia, pyloric stenosis, Hirschprung’s disease and imperforated anus
Unit 7: Care of Children with Respiratory Disorders6 hrs
- Respiratory infections: Upper and lower respiratory tract including pharyngitis, tonsillitis, bronchitis, broncho-pneumonia
- Bronchial asthma
- Tuberculosis
Unit 8: Care of Children with Cardiovascular and Blood Disorders6 hrs
- Rheumatic heart diseases
- Congenital heart disorders: Acyanotic and cyanotic disorders
- Anaemia, thalasaemia, haemophilia
- Purpura, leukaemia, Hodgkins disease
Unit 9: Care of Children with Genito-urinary Disorders6 hrs
- Urinary tract infection
- Nephritis, nephrotic syndrome
- Acute and chronic renal failure,
- Urinary calculi
- Hypospadius, epispadius, undescended testes
- Wilm’s tumor
Unit 10: Care of Children with Central Nervous System Disorders6 hrs
- Meningitis, encephalitis
- Brain tumor
- Hydrocephalus, spina bifida, meningocoele, meningomyelocoele, neuroblastoma,
- Head injury, cranio-cerebral trauma
- Epilepsy, febrile convulsions
- Mental retardation, Down’s syndrome and cerebral palsy
Unit 11: Care of Children with Endocrine Disorders4 hrs
- Dwarfism, gigantism, juvenile diabetes mellitus, diabetes insipidus, cretinism
- Addison’s disease, Cushing’s syndrome, precocious puberty,
Unit 12: Care of Children with Musculo-skeletal Disorders3 hrs
- Rickets
- Cerebral pulsy
- Congenital defects: Club foot, scoliosis
- GB syndrome
Unit 13: Care of Children with Eye, ENT and Skin Disorders5 hrs
- Congenital cataract, conjunctivitis
- Squint, vision defect
- Otitis media, hearing defect
- Deviated nasal septum, tonsillitis
- Speech problem
- Burn, scabies, impetigo, boils
Unit 14: Pediatric Procedures6 hrs
- Admission and discharge
- Oxygen administration
- Administration of medicines: Calculation of dosage for children
- Inhalation therapy
- Restraining and positioning
- Collecting pediatric specimens
- Tube feeding
- Newborn resuscitation
- Care of newborn in incubator
Also Read: Midwifery II (Practicum) Syllabus
Teaching and Evaluation
- Teaching/Learning Methods: Interactive lecture, Individual assignment, Group work and presentation, Demonstration, Role play.
- Internal Assessment Methods: Classroom presentation, participation in class, project work, assignments and written examination.
- Final Examination: Written examination.
References
- Adhikari, R. K. and Krantz, M. (1997). Child Nutrition and Health, Kathmandu: HLMC.
- Alexander M. M. and Brown, M. S. (1979). Pediatric History Taking and Physical Diagnosis for Nurses. New York: McGrow Hill Book Company.
- Ghai, O. P., Gupta, P. and Paul, V. K. (2004). Essential Pediatrics. 5th ed. New Delhi: CBS Publishers.
- Gupte, S. (Ed.). (2004). The Short Textbook of Pediatrics. New Delhi: Jaypee Brothers
- Hull, D. & Johnston, D. L. (1999). Essential Pediatrics. Edinburgh: Churchill.
- Hurlock, E. B. (1997) Child development. 6th ed. New Delhi: Tata McGraw-Hill
- Lissauer, T. & Clayden, G. (2004). Illustrated Textbook of Pediatrics. London: Mosby Company.
- Morley, D. (1998). Pediatric Priorities in the Developing World. London: Oxford University Press.
- Park, K. (2005). Textbook of Preventive and Social Medicine, 18th Ed. Jabalpur: M/S Banarasidas Bhanot.
- Save the Children Federation. (2004). Care of the Newborn: Reference Manual. Washington D. C: Author.
- Wong, D. L. and Hockenberry, M. L. (2003). Nursing Care of Infants and Children, St. Louis: The C.V. Mosby Company.