Textbook of Child Health Nursing I and II

CHILD HEALTH NURSING – I
Unit I: Introduction to Pediatric Nursing and Modern Concept of Child Care
Chp 1: Introduction
· Definitions
ü Paediatric Nursing
ü Paediatric Nurse
ü The child
· Adult care vs child care(physical, physiological, psychological, social)
· Special skills and challenges required by Paed nurse
· Role of Paed nurse
· Functions of paed nurse
· Principles of Paediatric nursing
· Concepts of paed nursing.
· Emerging challenges for Paed Nurse
Chp 2: Modern concepts of child care
· Historical development of child health
· Philosophy and modern concept of child-care
· Cultural and religious considerations in child –care
· National policy and legislations in relation to child health and welfare
· National program and agencies related to welfare services to the children
· Internationally accepted rights of the child
· Changing trends in hospital care, preventive, promotive and curative aspect of child health
· Epidemiological pattern of diseases in children
· Factors related to poor child health status
· Maternal health and happiness
Chp 3: Preventive paediatrics:
· Concept
· Immunization-Immunization programs and cold chain.
· Care of under-five and Under-five Clinics/Well-baby clinics
· Preventive measures towards accidents
· Govt Health programs(NHM)
· Child morbidity and mortality rates
· Difference between an adult and child which affect response to illness
- Physiological
- Psychological
- Social
- Immunological
Chp 4: Care of Sick Child
· Hospital environment for sick child
· Impact of hospitalization on the child and family
· Communication techniques for children
· Grief and bereavement
· The role of a child health nurse in caring for a hospitalized child
· Principles of pre and postoperative care of infants and children.


Unit II: The Healthy Child
Chp 5: Growth and Development
· Definition and principles of growth and development
· Factors affecting growth and development
· Growth and development from birth to adolescence
· Growth and developmental theories (Freud, Erickson, Jean Piaget, Kohlberg)
· The needs of normal children through the stages of developmental and parental guidance
Chp 6: The Healthy Child
· Nutritional needs of children and infants
- breast feeding
- exclusive breast feeding
- Supplementary/artificial feeding and weaning
· Baby friendly hospital concept
Types and value of play and selection of play material
Unit III: Nursing care of neonate:
Chp 7: Care of normal newborn
· Appraisal of Newborn
· Nursing care of a normal newborn/essential newborn care
· Neonatal resuscitation
Chp 8: Care of low birth weight baby
· Nursing management of low birth weight baby
· Kangaroo mother care
Chp 9: Common Neonatal Disorders
· Nursing management of common neonatal disorder
ü Hyperbilirubinemia
ü Hypothermia
ü Hyperthermia
ü Metabolic disorder
ü Neonatal infections
ü Neonatal seizures
ü Respiratory distress syndrome
ü Retinopathy of Prematurity
Chp 10: Planning and organization of Neonatal Unit
· Organization of neonatal care unit
· Neonatal equipment


Unit IV: Integrated management of neonatal and childhood Illnesses (IMNCI)
Chp 11: IMNCI


Unit V: Nursing management in common childhood diseases
Chp 12: Nursing management of children with Nutritional Deficiency Disorders
· Kwashiorkor
· Marasmus


Chp 13: Nursing management of children with disorders of Respiratory system
· Identification and Nursing management of congenital malformations
· Congenital disorders: Tracheoesophageal fistula, Diaphragmatic hernia
· Others: Acute naso-pharyngitis, Tonsillitis, Croup, Bronchitis, Bronchiolitis, Pneumonia, Asthma
Chp 14: Nursing management of children with disorders of Endocrine system
· Juvenile Diabetes mellitus, Hypo-thyroidism


Unit VI: Childhood emergencies
Chp 15: Management of Childhood Emergencies
· Accidents – causes and prevention,
· Poisoning,
· Foreign bodies,
· Hemorrhage,
· Burns and
· Drowning
· PLS (AHA Guidelines)


CHILD HEALTH NURSING – II
Unit VII: Nursing management of children with disorders of cardiovascular, gastrointestinal, genitourinary, and nervous system
Chp 16: Nursing management of children with disorders of cardiovascular system:
• Identification and Nursing management of congenital malformations
• Congenital heart diseases: Cyanotic and Acyanotic (ASD,VSD, PDA,TOF)
• Others: Rheumatic fever and Rheumatic heart disease, Congestive cardiac failure
Chp 17: Nursing management of children with disorders of Hematological conditions:
a) Congenital: Hemophilia, Thalassemia
b) Others: Anemia, Leukemia, Idiopathic thrombocytopenic purpura, Hodgkins and non- hodgkins lymphoma
Chp 18: Nursing management of children with disorders of Gastro-intestinal system:
• Identification and Nursing management of congenital malformations.
• Congenital: Cleft lip, Cleft palate, Congenital hypertrophic pyloric stenosis, Hirschsprungs disease (Megacolon), Anorectal malformation, Malabsorption syndrome, Abdominal wall defects, Hernia
•Others: Gastroenteritis, Diarrhea, Vomiting, Protein energy malnutrition, Intestinal obstruction, Hepatic diseases, intestinal parasites
Chp 19: Nursing management of children with disorders of Genitourinary urinary system:
Identification and Nursing management of congenital malformations.
• Congenital: Wilms tumor, Extropy of bladder, Hypospadias, Epispadias, Obstructive uropathy
• Others: Nephrotic syndrome, Acute glomerulonephritis, renal failure
Chp 20: Nursing management of children with disorders of Nervous system:
• Identification and Nursing management of congenital malformations
a) Congenital: Spina bifida, Hydrocephalous.
b) Others: Meningitis, Encephalitis, Convulsive disorders (convulsions and seizures), Cerebral palsy head injury


Unit VIII: Nursing management of children with Orthopedic disorders, eye, ear and skin disorders
Chp 21: Nursing management of children with Orthopedic disorders
· Club foot
· Hip dislocation and
· Fracture
Chp 22: Nursing management of children with Disorder of eye, ear and skin:
· Refractory errors
· Otitis media and
· Atopic dermatitis
Chp 23: Nursing management of children with Communicable diseases in children, their identification/ diagnosis, nursing management in hospital, in home, control & prevention:
• Tuberculosis
• Diphtheria
• Tetanus
• Pertussis
• Poliomyelitis
• Measles
• Mumps, and
• Chickenpox
• HIV/AIDS
• Dengue fever
· COVID-19


Unit IX: Management of behavior and social problems in children
Chp 24: Nursing management of children with Behavior
· Child Guidance clinic
· Common behavior disorders in children and management
o Enuresis and Encopresis
o Nervousness
o Nail biting
o Thumb sucking
o Temper tantrum
o Stealing
o Aggressiveness
o Juvenile delinquency
o School phobia
o Learning disability
Chp 25: Nursing management of children with Psychiatric disorders
o Childhood schizophrenia
o Childhood depression
o Conversion reaction
o Posttraumatic stress disorder
o Autistic spectrum disorders
Chp 26: Nursing management of children with Eating disorder
o Obesity
o Anorexia nervosa
o Bulimia
Chp 27: Nursing management of challenged children
o Mentally
o Physically
o Socially
o Child abuse,
o Substance abuse
Chp 28: Nursing management of children with Welfare services for challenged children in India