Master Resource Outline

 

Course Title: NRSG 358 Nursing Concepts in Reproductive Health and Pediatric Care

Credits:4 (lecture)

Semesters Offered: Spring               

Prerequisites: NRSG 327, NRSG 333; NRSG 318; NRSG 329

                         

Course Description:

The focus of this course is health promotion, disease prevention, illness management, and nursing care of children, their families and individuals seeking sexual and reproductive health service. The class will examine a variety of settings among diverse populations to gain a foundational knowledge of reproductive care and care of the developing child. This course builds upon and integrates knowledge gained from nursing, sciences, and the humanities.  

Catalog Description:

Health promotion, disease prevention, and illness management of children and families, and individuals seeking sexual and reproductive health service is examined. A variety of settings among diverse populations is used to plan reproductive care and care of the developing child. 

 

Course Objectives:  

  1. Utilize evidence-based nursing practice to examine the care of patients seeking sexual and reproductive health services, care of a pregnant patient, newborn, well child, chronically and/or acutely ill child.
  2. Apply appropriate knowledge of physical, cognitive, emotional, social, and moral development throughout the pediatric developmental stages to examine safe, culturally competent quality nursing care for children, their families, and people seeking sexual and reproductive health services.
  3. Examine community-based nursing concepts in caring for children, their families and people seeking sexual and reproductive health services.
  4. Demonstrate an understanding of safety and effective communication techniques.

 

Course Learning Outcomes: Upon completing this course, the student will be able to:

  1. Apply developmental concepts, theories, and stages to their understanding of family and pediatric nursing care.
  2. Distinguish the physiological alterations in health assessments of pediatric and reproductive health clients.
  3. Describe an understanding of vulnerable populations, health disparities and social justice issues.
  4. Articulate evidence-based interventions for common pediatric illnesses, common sexual health issues as well as the care of the pregnant patient.
  5. Demonstrate an understanding of the relationships between pediatric patients and vulnerable populations and health disparities.

 

AACN Competencies:

This course develops:

1.1 Demonstrate an understanding of the discipline of nursing’s distinctive perspective and where shared perspectives exist with other disciplines.

1.2 Apply theory and research-based knowledge from the arts, humanities, and sciences.

3.3 Consider the economic impact of the delivery of health care.

4.2 Integrate best evidence into nursing practice.

8.1 Describe information and communication technology tools used in the care of patients, communities, and populations.

 

Curricular Threads:

  • Equity and Inclusion
  • Diversity
  • Cultural Sensitivity
  • Social Determinants of Health
  • Communication
  • Ethics
  • Clinical Judgment
  • Mental Health

 

Pediatric Content:

  1. Physiological principles: the application of these principles that are unique to infants, children, and adolescents (e.g., fluid balance, nutrition)
  2. Pediatric health assessments using developmentally appropriate techniques.
  3. Application of developmental theory to the nursing care of children and their families, including developmentally appropriate communication, attachment, relational poverty, language, and growth delays
  4. Nursing care of children and their families in both the (hospital) acute care setting and the community setting with acute and/or chronic illnesses.
  5. Cultural competence in nursing care of families who have a child who is acutely or chronically ill or needs palliative care.
  6. Children’s perception of health, illness, and death
  7. The concept of chronic sorrow for families
  8. Health promotion and disease prevention for children (e.g., immunizations, health screening, safety, developmental assessment, prevention of violence, nutrition, and effects of media on children)
  9. Acute illnesses and chronic illnesses to include:
  10. Neurological/genetic – hydrocephaly, cerebral palsy, neural tube defects, Reye’s syndrome, febrile seizures, nonaccidental brain trauma, vision screening/strabismus, hearing screening, trisomy 21, acute flaccid myelitis (AFM)
  11. Respiratory – distress/failure, laryngotracheobronchitis/croup, tonsillitis, epiglottitis, otitis media, pneumonia, bronchiolitis/ RSV, foreign body aspiration, asthma, cystic Fibrosis
  12. Cardiac - Common congenital heart diseases (PDA, ASD, VSD, Tet of Fallot, Coarctation of the Aorta, Hypoplastic Left heart), acute rheumatic fever, Kawasaki Disease.
  13. Gastrointestinal - cleft lip and palate, dehydration, vomiting/diarrheal diseases, appendicitis, GERD, constipation, Hirschsprung’s Disease, pyloric stenosis, short bowel syndrome, intussusception.
  14. Genitourinary/Renal - urinary tract infections, enuresis, acute poststreptococcal glomerulonephritis, hemolytic uremic syndrome.
  15. Hematology/Oncology - developmental anemias, sickle cell anemia, hemophilia, leukemias, lymphomas, brain tumors, neuroblastomas, Wilms tumor, bone tumors.
  16. Musculoskeletal - fractures and casts for pediatric patients/immobility and developmental concerns, congenital hip dysplasia, scoliosis, muscular dystrophy, juvenile idiopathic arthritis.
  17. Integumentary and communicable diseases – acne, impetigo, roseola, fifth disease, hand, foot, and mouth disease, measles, mumps, rubella, varicella, contact dermatitis, lice, and scabies.
  18. Endocrine - growth hormone deficiency and excess, precocious puberty and delayed puberty, congenital hypothyroidism, Type 1 Diabetes, Childhood obesity and type 2 diabetes.
  19. Cognition and Mental Health - learning disabilities, Autism Spectrum Disorder, ADHD, eating disorders, depression, anxiety, suicide, self-harm, abuse, and violence.
  20. Developmental delays

 

Sexual and Reproductive Health Content:

  1. Overview and review of structure and function
  2. Sexual and reproductive health promotion across the lifespan to include physiologic and psychosocial impacts.
    • Before conception
    • Reproductive hormones
    • Hormonal and menstrual dysfunction
    • Conception/Signs of pregnancy
    • Sexual health and sexuality
    • Health promotion screening
    • Gynecologic conditions
    • Infections and inflammation
    • Benign growths and Cancers
    • Contraception/family planning (all genders)
    • Mis-timed or unwanted pregnancy
    • Infertility (all genders)
    • Sexual and reproductive health in vulnerable populations
    • Women’s Health Drug Therapy: hormones (for contraception and non-contraception applications), infertility medications, drugs that affect uterine function)
    • Disorders of the Breast
  3. Biophysical stages, physiological and psychosocial development of the pregnant client
  4. Prenatal care and concerns of the pregnant client
  5. Care of the laboring and delivering client
  6. Fetal well-being during pregancy, labor and delivery
  7. Physiologic, psychosocial and typical variations in care of a post-partum client
  8. Assessing and understanding the anatomical and physiological changes, developmental behavior and care of the newborn
  9. High-risk conditions and complications of the pregnant or newly delivered client
    • Existing prior to and the effects on pregnancy
    • During or due to pregnancy
    • Before or during labor and delivery
    • After delivery
    • Perinatal loss
  10. High-risk conditions and complications of the newborn or neonate
    • Related to gestational age, growth, pain, and injury.
    • Related to congenital findings.
    • Acquired conditions of the neonate
  11. Disorders of the male reproductive system
    • Disorders of the prostate gland
      • BPH
      • Cancer
    • Infection and inflammation
    • Men’s Health Drug Therapy
      • Androgens
      • ED and BPH
  1. Professional role and responsibility to include confidentiality, communication, attitude and advocacy.
    • Examining influences on childbearing family
    • Risk-assessment
    • Mental health (post-partum depression, psychosis)
    • Rural considerations

 

Required Topics:

Trauma informed care

Gendered/LGBTQ +

Intimate Partner Violence

Child Abuse/Neglect

 

Suggested Student Learning Activities:

  •  Perform age-appropriate assessments utilizing developmental theory.
  • Develop nursing care plans or concept maps through case studies.
  • Incorporate research findings and evidence-based practice into nursing care.
  • Assigned readings.
  • Selected written assignments and/or projects and/or presentations.
  • Evaluation questioning (iClicker, question implantation, games)
  • Case studies
  • Current literature

 

Approved by UAAC: 1/23/2023

Approved by MRJCON Faculty: February 2023