Child Health Nursing

Placement : Third Year

Time : Theory - 90 hours
Practical - 270 hours
Clinical Training - 145 hours
Course Description : This course is designed for developing an understanding of the modern approach to child care, identification, prevention
and nursing management of common health problems of neonates and children.

Time Learning Objective Teaching Assessment

Unit (Hrs) Content Learning method
Activities
I 15 Introduction Lecture Essay type
Explain the modern
Modern concepts of childcare Discussion Short
concept of child care Demonstration answers
Internationally accepted rights of the Child
& principles of child of common Objective
health Nursing paediatric type
National policy & legislations in relation to child
procedures Assessment
Describe national
health and welfare Assessment of of skills with
policy programs and skills with check list
National programmes related to child health and
legislation in relation checklist Assessment
to child health and welfare of patient
welfare. management
Agencies related to welfare services to the children
problem
List major causes of
Changing trends in hospital care, preventive,
death during infancy,
early & late childhood promotive & curative aspects of child health
Describe the major Child morbidity and mortality rates
functions and role of
 the paediatric nurse in
Differences between an adult and child
caring for a
hospitalized child.
Hospital environment for a sick child
Describe the
Impact of hospitalization on the child and family
principles of child
health nursing
Grief and bereavement

The role of a Child health nurse in caring for a

hospitalised child
Principles of pre and post operative care of infants
and children
Child health nursing procedures

II 20 The healthy child Lecture Essay type

Describe the Normal
Discussion Short
Principles of growth and development
growth & Developmental answers
development of study of infant Objective
Factors affecting growth & development
children at different and children type
ages Observation on Assessment
Growth and development from birth to adolescene
study of normal of skills with
Identify the needs of
and sick child check list
The needs of normal children through the stages of
children at different Field visit to Assessment
ages & provide developmental and parental guidance Anganwadi, of patient
parental guidance child guidance management
Nutritional needs of children & infants: breast
clinic problem
Identify the
feeding, exclusive breast feeding Film show on
 nutritional needs of supplementary/artificial feeding and weaning, breast feeding
children at different Clinical practice
Baby friendly hospital concept
ages and ways of /field
meeting the needs Assessment of
Accidents: causes and prevention
field visits and
Appreciate the role
developmen-tal
Value of play and selection of play material
of play for normal & study reports
sick children
Preventive immunization, immunization programme
Appreciate the
and cold chain
preven-tive
Preventive paediatrics
measures and
strategies for
Care of under five & under five clinics/well baby
children
clinics

III 15 Nursing care of a neonate Lecture Essay type

Provide care to
Discussion Short
Nursing care of a normal newborn/Essential
normal & high risk Workshop answers
neonates newborn care on neonatal Objective
resuscitation type
Perform neonatal Neonatal resuscitation
Demonst- Assessment
resuscitation ration of skills with
Nursing management of a low birth weight baby
Practice check list
Recognize and
session Assessment
Kangaroo mother care
manage common Clinical of patient
neonatal problems practice management
Nursing management of common neonatal disorders
Assessment of problem
skills with
Organization of neonatal unit
checklist
 Identification & nursing management of common
congenital malformations

IV 10 Integrated management of neonatal and childhood Lecture Essay type

illnesses (IMNCI) Discussion Short
Demonst-ration answers
Objective
type
Assessment
of skills with
check list
Assessment
of patient
management
problem
V 20 Nursing management in common childhood diseases Lecture Essay type
Provide nursing care
Discussion Short
Nutritional deficiency disorders
in common Demonst-ration answers
childhood diseases Practice session Objective
Respiratory disorders and infections
Clinical practice type
Identify measures to
Assessment
Gastrointestinal infections, infestations and
prevent common of skills with
childhood diseases congenital disorders check list
including immuniza- Assessment
Cardio vascular problem: congenital defects and
tion of patient
rheumatic fever, rheumatic heart disease management
problem
Genitor-urinary disorders: acute glomerulo nephritis,
Nephrotic syndrome, Wilms tumor, infection and
congenital disorders
 Neurological infections and disorders: convulsions,
epilepsy, meningitis, hydrocephalus, spina-bifida
Hematological disorders : Anemias, thalassemia,
ITP, Leukemia, hemophilia
Endocrine disorders: Juvenile Diabetes Mellitus

Orthopedic disorders :club feet, hip dislocation and

fracture
Disorders of skin, eye, & ears

Common communicable diseases in children, their

identification, nursing management in hospital and
home and prevention
Child health emergencies: poisoning, foreign bodies,
hemorrhage, burns & drowning
Nursing care of infant and children with HIV/AIDS

VI 10 Management of behavioural & social problems in Lecture Essay type

Manage the child
children Discussion Short
with behavioural & Field visits answers
Management of common behavioural disorders
social problems to child Objective
guidance type
Identify the social & Management of common psychiatric problems
clinics, school Assessment
welfare services for for mentally & of skills with
challenged children physically, check list
Management of challenged children : Mentally,
socially Assessment
Physically, & socially challenged challenged of patient
Assessment of management
Welfare services for challenged children in India
field visits and problem
study reports
Child guidance clinics
 Child Health Nursing Practical
Placement : Third Year
Time : 270 hours (9 Weeks)
Fourth Year Clinical Training: 145 hours (3 Weeks)

Areas Duration Objectives Skills Assignments Assessment Methods

(in weeks)
Paediatric 3
Provide nursing Taking paediatric History Give care to Assess clinical
Medicine
ward care to children three assigned performance with
Physical examination and
with various paediatric rating scale
medical assessment of children patients
Assess each skill with
disorders
Administer of oral, I/M & IV Nursing Care
checklist OSCE/ OSPE
Counsel and
medicine/fluids Plan 1
Evaluation of case
educate parents
Calculation of fluid Case
study/presentation &
requirements study/presentati Health education
ons-1 session
Prepare different strengths of
Health Talk -1 Completion of activity
I.V. fluids
record
Apply restraints

Administer O2 inhalation by
different methods
Give baby bath Feed children
 by Katori spoon, etc.
Collect specimens for
common investigations
Assist with common
diagnostic procedures
Teach mothers/parents
o Malnutrition
o Oral rehydration therapy
o Feeding & Weaning
o Immunization schedule
o Play therapy
o Specific Disease conditions
Paediatric 3
Recognize Calculate, prepare and Give care to Assess clinical
Surgery
Ward different administer I/V fluids three assigned performance with
pediatric paediatric rating scale
Do bowel wash
surgical surgical
Assess each skill with
conditions/ patients
Care for ostomies :
malforma- checklist OSCE/ OSPE
Nursing Care
tions o Colostomy irrigation
Evaluation of case
o Ureterostomy Plan 1
Provide pre
o Gastrostomy study/presentation
Case
and post o Enterostomy
Completion of activity
operative care study/presentati
Urinary
to children on-1 record
with common catheterization and
paediatric drainage
surgical
 conditions/
Feeding
malformation
o Naso-gastric
Counsel and
o Gastrostom
educate y
parents o Jejunostomy

Care of surgical wounds

o Dressing
o Suture
removal
Pediatric 1
Perform Assessment of children Developmenta Assess clinical
OPD/
Immunizatio assessment of o Health assessment l study -1 performance with
n room children: o Developmental rating scale
Health, assessment
Completion of activity
Developmenta o Anthropometric
l and assessment record
Anthropo-
Immunization
metric
Perform Health/Nutritional
Immunization Education
Give Health
Education
/Nutritional
Education
Pediatric 1+1
Provide Care of a baby in Nursing Assess clinical
medicine
and surgery nursing care incubator/warmer care plan 1 performance with
ICU to critically ill rating scale
Care of a child on Observa
children
Completion of activity
ventilator tion report 1
record
Endotracheal suction
Evaluation of
Chest physiotherapy
observation report
Administer fluids with
infusion pump
Total parenteral nutrition

Phototherapy

Monitoring of babies

Cardio Pulmonary
resuscitation

Clinical Training
Area Duration (in Objective Skills Assessment Methods
weeks)
Pediatric 1
Provide comprehensive Integrat Assess clinical
medicine
ward/ICU care to children with ed performance with
medical conditions Practice rating scale
Pediatric 1
Provide comprehensive Integrat Assess clinical
Surgery
ward/ICU care to children with ed performance with
surgical conditions Practice rating scale
NICU 1
Provide intensive care Integrat Assess clinical
to neonates ed performance with
Practice rating scale

Scheme of University Examination for Child Health Nursing

Theory

There shall be one theory paper of three hours duration carrying 100 marks. Distribution of type of questions and marks for Child Health
Nursing shall be as given under.

Distribution of Type of Quest0ions and Marks for Child Health Nursing

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva Voce

Internal Assessment University Total
Examination
. Child Health Nursing 50 50 100

Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical examination for each student.