Pediatric nursing course syllabus
Course description: This course is designed for BSc nursing students to acquire necessary
knowledge, skill and attitude through full description of growth and development, children with protein energy malnutrition, preventive measures (immunization, ORT, and health education) and various neonatal and child hood disease conditions using nursing process and IMNCI protocols.
Course Objectives:
After completing this course, the students will be able to assess, assist, demonstrate and monitor the growth and development of newborns, infants and children, promote normal growth and development, determine and treat or refer and report deviation from normal growth and development.
Specific objectives:
At the end of the course, the students will be able to:
Define pediatrics and child health nursing
Describe the modern concept of childcare
List the principles of pediatric nursing
Describe the normal growth and development
Describe common neonatal and childhood illnesses
Identify common systemic childhood disorders
List targets and schedules of EPI
Determine eligibility for ART or to start Prophylaxis at the right clinical stage
Describe aspects of patient adherence to ART
Perform growth monitoring of children by using Anthropometric measurements
Provide newborn nursing care
Provide nursing care for common neonatal and childhood illnesses
Provide nursing care for a child with nutritional disorders
Provide nursing care for common systemic childhood disorders
Demonstrate different routes of vaccine administration
Provide appropriate nursing care for HIV exposed and infected children using standard precaution
Administer first line ART drugs and manage its unwanted effects
Assess common childhood illnesses using IMNCI Guidelines
Classify common childhood illnesses using IMNCI Guidelines
Treat common childhood illnesses using IMNCI Guidelines
Assist handicapped children and their family
Demonstrate non-judgmental approach to parents of HIV/AIDS during care
Chapter I- Introduction to pediatric nursing
Historical development
Modern concept of childcare
Changing trends towards hospital care,
Promotive, preventive and curative aspects of child health
Hospital environment for sick child
The role of pediatric nursing in caring for hospitalized child
Principles of pre and post-operative care of infant and children
Chapter II-Child growth and development
Growth and development from birth to adolescence
Value of play and selection of play material
Growth monitoring
Meeting the need of the normal children through the stages of development and parental guidance
Nutritional need of children and feeding of infants and children
(Breast feeding, supplementary/ artificial feeding and weaning)
Accidents- principal causes and prevention
Chapter III-Care of Newborn
Care of normal newborn
Neonatal resuscitation
Nursing management of low birth weight and pre-term babies
Nursing management of common neonatal disorders
Organization of neonatal unit
Chapter IV- Management of common childhood disease
Respiratory system disorders and infection (ARI)
Gastrointestinal infections and infestations (CDD)
Febrile illness (malaria, meningitis, measles--)
Nutritional deficiencies
Protein Energy Malnutrition (PEM)
Micro-nutrients déficiency (Vit A, D, iron etc
Chapter V- Management of systemic child hood disorders
Cardiovascular problems rheumatic fever
Genitourinary disorders (Nephrotic syndrome, wilms tumor, infection and congenital disorders
Neurological infections and disorders (convulsions, epilepsy, meningitis, hydrocephalus, spinal bifida etc
Hematological defects (anemia, leukemia, hemophilia)
Endocrine disorders (Juvénile diabètes mellites)
Orthopedic disorders (Clubfeet, hip dislocation and fracture)
Disorder of dermatology, eye, ears (emptigo, opthalmia neonatorum, otitis media)
Chapter VI-Management of handicapped children
Management of mentally handicapped children
Management of physically handicapped children
Management of socially handicapped children
Management of behavioral disorders in children
Chapter VII- Expanded program of immunization
Objectives and targets
Strategies
Schedule
Concepts and rates
Principles ( care of vaccine/cold chain monitoring)
Chapter VIII-Pediatric HIV/AIDS
Overview pediatrics HIV/AIDS care and treatment
Diagnosing HIV infection in infants and children
Care of the HIV-exposed infant
Disclosure & care of HIV infected child
Opportunistic infection prophylaxis in children
Treatment of common illness in HIV-infected children
Antiretroviral therapy in children
Adherence in children
Management of adverse events in children
HIV associated TB in children
Nutrition in HIV
Palliative care
Chapter IX- IMNCI
Assessment
Classification
Identification/giving appropriate treatment for a child with childhood illnesses using IMNCI guidelines
Chapter X-School Health Service
Components
Special needs
Objectives of School health
Aspects of school health service
References
1. Marlow, Dorothy, Textbook of pediatric Nursing, W.B. Saunders co. Philadelphia, London.
2. Whale and Wong, essentials of pediatric Nursing, The C.V Mosby Co. st Louis
3. Leiffer, Gloria, principles and Techniques in pediatric nursing W>B> Saunders Co. Philadelphia, London
4. IMNCI Modules, 2012
5. Teklebrhan T., Chernet H., Pediatric and Child Health Nursing, Lecture Note, EPHTI, Carter Center, Sept. 2006.
6. Guidelines for pediatric HIV/AIDS care and treatment in Ethiopia, MOH 2007
- Teacher: Ebissa Bayana
- Teacher: gadisa Bekele
- Teacher: tigist demeke
Obstetrics and gynecology nursing
Course Description :This course is designed to prepare BSc nursing students to provide nursing care using nursing process for mothers with normal & abnormal pregnancy, labour , puerperium and gynecological cases, while identifying and referring complicated obstetric and gynecological cases for better management. Moreover, this course also covers ANC , PNC, family planning , Post abortion care , VCT , PMTCT , provision of ART prophylaxis & plan for follow up and infant feeding options.
Course Objective: At the completion of this course the student nurses will be able to acquire knowledge, skill and attitude on how to identify and provide nursing care for clients with obstetric and gynecological conditions.
Specific Objectives: At the end of the completion of the course, the student should be able to
Describe the anatomy of female pelvis
Discuss the female reproductive organs
Relate the bony pelvis and other reproductive organs to pregnancy and delivery
Discuss conception, fetal and placental development
Describe fetal circulation
Outline the physiological changes that take place during pregnancy
Perform ANC based on focused ANC Guideline
Demonstrate how to manage normal labour using Partograph
Apply active management of third stage of labors using appropriate oxytocics
Demonstrate immediate newborn care
Describe the physiology of normal puerperuim
Perform postnatal care
Counsel family planning clients to bring informed choice
Provide contraceptive methods after proper counseling
Manage minor disorders associated with pregnancy
Manage obstetric emergencies
Manage STIs using the syndromic management
State the link b/n HIV/AIDs and STIs (K)
Provide PMTCT service for pregnant, labouring and post natal mothers (S, K, A)
Demonstrate infection prevention and patient safety while managing obstetric and gynecological clients (S).
Provide contraceptive methods appropriate for HIV + ve clients
Screen PAC clients for HIV/AIDs
Describe the sign symptom, management, nursing responsibility of women with hyperemesis graviadrum
Analyzed the etiology, sign symptom, nursing role in the case of Polyhydramniuos
Provide nursing care for pregnant women with Hypertensive disorders of pregnancy
Recognized, the etiology pathophysiology and the nursing care of women with Antepartum hemorrhage
Provide nursing care for pregnant women with A.B.O and Rhesus incompatibility
Discuss medical diseases associated with pregnancy
Discuss the nursing care of pregnant women with multiple pregnancies
Manage cord prolapse and Presentation
Explain Malposition: occipito posterior position
Identify Malpresentations and their complications
Identify Cephalopelvic disproportion with its complication
Discuss prolonged obstructed labour
Discuss the management of Abnormal Puerperium
Explain the nursing management of uterine rupture
Describe the management of Premature Rupture of Membrane/ PROM
Discuss the types of operative deliveries
Provide the care of women with Caesarean section
Describe the complications of the third stage of labour
Mange Postpartum hemorrhage
Chapter I: Introduction to Obstetrics and Gynecology Nursing
Definitions
Terminologies
Current Issues in Maternal Newborn Nursing
Care of the Family in a Culturally Diverse Society
Nursing assessment in maternal and new born Nursing, NOC, NIC
Chapter II: Anatomy and physiology of female reproductive system
The female pelvis
The pelvic floor
The pelvic assessment
The female reproductive organs
The menstrual cycle
Chapter III: Introduction to Embryology and Fetal Development
Early development of fetus
Placenta,
Fetal circulation
Placenta at term,
Fetal skull
Chapter IV: NORMAL PREGNANCY
Preparation for Parenthood
Physical and Psychological Changes in Pregnancy
Minor disorders of pregnancy
Antenatal care
Antepartal Nursing assessment Nursing diagnoses, NOC, NIC
Focused ANC
MTCT/PMTCT during pregnancy
The Expectant Family: Needs and Care
Adolescent Pregnancy
Maternal Nutrition
Chapter VI: Normal Labour
Definitions and descriptions
Physiology of the first stage of labour
Management of the first stage of labour
Physiology and mechanism of second
Stage of labour
Episiotomy, Perineal lacerations
Physiology of the third stage of labour
AMTSL (Active Management of the third stage of labour )
Obstetric practices as per standard precautions during labour and delivery
Obstetric measures preventing MTCT during Labour, delivery,
Infant feeding options for infants born to HIV +ve mothers
Identify psychosocial issues
Intrapartal nursing assessment, NOC, NIC
Needs and Care
Pharmacological and Non-Pain Management during Labor
Birth-Related Procedures
Essential newborn care
Nursing Care of the newborn baby at birth
APGAR Scores, Asphyxia neonatorium and Resuscitation
Physiologic Responses and adaptation of the Newborn
Nursing Assessment of the Newborn
The Normal Newborn: Needs and Care
Newborn Nutrition
The Newborn at Risk: Conditions Present at Birth the
Newborn at Risk: Birth-related stressors
Chapter VII: Normal puerperium
Physiology of the puerperium
Management of puerperium
Anatomy and physiology of the breast and
postpartum Adaptation and Nursing Assessment, the Postpartum Family, Needs and Care, Home Care of the Postpartum Family
Lactation
Management of breast-feeding
Follow-up care for HIV +ve postnatal mothers /infant
Post natal H/E for HIV +ve mother’s families and community
Home based care for HIV +ve mot
Appropriate contraception for HIV +ve postnatal mother
VIII: FAMILY PLANNING
7.1. Concept of family planning
Health benefits of family planning
Physical examination
Counseling in family planning
Methods of family planning
7.2.1 Traditional/Natural Family Planning
A. Fertility Awareness Method
Calendar method
Basal body temperature
Ovulation/cervical mucus/Billings method
Symptho-thermal method
B. Non - fertility awareness method
Breast-feeding
Abstinence
Sex without intercourse
Coitus interrupts/Withdrawal
2 . Artificial Family planning
The combined oral contraceptives
The mini pill progestin only pills
Other progestin only pills
The injectable contraceptives
The implantable contraceptives
Implanon
Jaddle
Sinoplant
Emergency contraception
Barriers: Condoms, Diaphragm, Cervical cap, Vaginal
Contraceptive sponge
Foams/Spermicides IUCD
Surgical Contraceptives
Vasectomy
Tubal ligation
Chapter VIII: Introduction to MTCT
Overview of MTCT of HIV
Epidemiology of PMTCT
Public Health importance of VCT/PIHCT, PMTCT
Guiding principles of PMTCT program
PIHCT and its public health importance
Counseling (Pre & Post, Pre-treatment
Counseling) Monitoring and evaluation in HIV/AIDs
National strategies and guidelines to address MTCT of HIV/AIDS
Chapter IX: Abnormal Pregnancy
Vomiting in pregnancy/Hyperemesis gravidarum Polyhydramniuos
Nursing assessment, nursing diagnosis NIC, and NOC for women with Hyperemesis Gravidram
HYPERTENSIVE DISORDERS OF PREGNANCY
PIH (gestational hypertension, preeclampsia, eclampsia) Chronic or coincidental or concurrent hypertension
Nursing assessment, NIC, and NOC for women with Hypertensive disorder of pregnancy
ANTEPARTUM HEMORRHAGE
Placenta praevia
Placenta abruption
Nursing assessment, NIC, and NOC for women with APH
A.B.O and Rhesus incompatibility
Nursing responsibility for women with
DISEASES ASSOCIATED WITH PREGNANCY
Anemia, Cardiac disease, Diabetes mellitus pulmonary tuberculosis Malaria in pregnancy
Nursing assessment, Nursing diagnoses, NIC, and NOC
Chapter X: Abnormal Labour
Introduction to Malpositions and malpresentation
Multiple pregnancies Presentation and prolapse of cord Malposition: Occipito posterior position
Nursing assessment, Nursing diagnoses, NIC, and NOC for women with multiple pregnancy, prolapsed of cord, malposition
MALPRESENTATIONS:
Brow, Face, Transverse lie /Shoulder presentation, Breech presentation,
Nursing assessment, Nursing diagnoses, NIC, and NOC
COMPLICATIONS OF LABOUR
Cephalopelvic disproportion, Trial of labour, Prolonged labour, obstructed labour, uterine rupture, Premature Rupture of Membrane/, PROM
PPH
Adherent placenta, Retained placenta, Amniotic fluid embolism, Obstetric shock
Nursing assessment, Nursing diagnoses, NIC, and NOC
Operative deliveries
Vacuum extraction and Forceps delivery
Caesarean section, Destructive deliveries Versions
Nursing assessment, Nursing diagnoses, NIC, and NOC
Chapter XI: Abnormal Puerperium
Breast complications, Puerperal psychosis, Puerperal sepsis, Urinary complications, Thrombophlebitis
Nursing assessment, Nursing diagnoses, NIC, and NOC
Chapter XII: Gynaecology
Introduction, Definitions and description of terms
Menstrual disorders, Infertility and sterility, Menopause
Nursing assessment, Nursing diagnoses, NIC, and NOC
BLEEDING IN EARLY PREGNANCY
Ectopic pregnancy Abortion, Hydatidiform mole
Screening of clients for PAC for HIV
Nursing assessment, Nursing diagnoses, NIC, and NOC
MALFORMATIONS OF THE FEMALE GENITAL TRACT
Uterine Tubal, Vaginal malformation
Imperforated hymen, Retroversion of the uterus
Nursing assessment, Nursing diagnoses, NIC, and NOC
TUMORS OF THE FEMALE GENITAL TRACT
Uterine growths, ovarian growth, Tumors of the Breast
Genito-urinary Complications, VVF and RVF, Rectocele and Cystocele, Prolapse of the uterus, Incontinence of the urine, Urinary tract infection
Nursing assessment, Nursing diagnoses, NIC, and NOC
References
1. Sally Olds / Marcia London / Patricia Ladewig / Michele Davidson .(2007) Maternal-Newborn Nursing and Women's Health Care.(7th edition)
2. Ruth Johnson & Wenday Taylor. (2010) Skill for Midwifery practice.(3rd edition) .Edinburgh London New York .Elsevier Ltd.
3. Arthur. T. Evans. Manual for obstatrics( 2007) Manual for Obstatrics.(7th edition). Wolters kluwer/Lippincot Williams and Wilikins
4. Jeremy O. Suzanne. (2005). Fundamental of obstetrics and Gynecology.(8th edition).
5. G. Justus, James .p, Nelsone , Zarok. Cochrane Pocket book .pregnancy and child birth
- Teacher: Yonas Biratu
- Teacher: Kebebe Kebebe
- Teacher: adugna Olani
- Teacher: Enatfanta Sewmehone
Course Title: Reproductive Health Nursing
Course Description: This course is designed for B.Sc. Nurse Students to be introduced to the new concepts of Reproductive Health and able to provide holistic reproductive health care including PMTCT, Post abortion care, HIV/AIDS counseling …etc. It will also help students to apply knowledge, skills and insights emerging from this course to their research project, and foresee the implication of reproductive health on health and development.
Course objectives:
General objectives:
Manage clients and families who have various Reproductive health problems
Specific Objectives:
Recognize the new concepts of Reproductive health
Determine the international and national magnitude of maternal morbidity and mortality
Describe reproductive rights
Identify and explain the components of Reproductive Health
Explain the advantages of an integrated approach of Reproductive health
Compare and contrast safe motherhood initiative against mother baby package
Elaborate Gender based Violence and its implication on health and development
Discuss Adolescent Reproductive Health
Describe the indicators of reproductive health
Chapter I: Definition and Introduction
Historical development of the concept
Development of Reproductive Health
Magnitude of Reproductive Health Problem
Components of Reproductive Health
Reproductive health indicators
Gender and Reproductive Health/Gender differences:
Target group for Reproductive Health
Introduction
The Safe Motherhood
Essential Services for Safe Motherhood (components of Safe Motherhood)
Causes of Maternal Mortality and Morbidity
Maternal health services
Estimation of maternal mortality
Chapter II: Mapping Zoning and Censuring
Demographic Factors determining Growth rate
Measures of demography: Fertility, Mortality and Migration
Population, Environment and Development
Population growth and Policy
Chapter III: Family Planning
Assessing family planning need
Teaching and counselling about F/P
Providing female contraceptive
Providing male contraceptive
Fertility Trends and Contraceptive
Fertility among Different Groups
Family Planning Delivery Strategies
Reasons for Not Using Contraceptives
Chapter IV: Harmful Traditional Practices
Female Genital Mutilation (FGM), Early Marriage, and Abduction
Chapter V: Adolescent Reproductive Health
Global Youth Today
Reproductive Health Risks and consequences for adolescents
Adolescent and youth strategy
Causes for early unprotected sexual intercourse in adolescents
Effects of gender roles Adolescents’ contraceptive use
Adolescent Reproductive Health Services
Chapter VI: Child Health
Introduction
Child survival and child health
Diarrheal Diseases
Respiratory Infections
Vaccine Preventable Diseases
The Expanded Program of Immunization
Growth Monitoring
Teaching methods:
Interactive Lecture
Role Play
Group discussions
Seminars
References
1. Safe Motherhood Initiatives and Mother-Baby-Package Journals and Recent Publications on Reproductive Health and Population issues
2. Reproductive Health: A Family Planning Training Manual for Health Professionals in Ethiopia. 1992
3. National Guideline of HIV/AIDS/ PMTCT (2007)
- Teacher: feruz Belete