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LAGUARDIA COMMUNITY COLLEGE

City University of New York
Health Sciences Department
Registered Nursing Program
Fall 2014

COURSE NUMBER: SCR270

COURSE TITLE: Parent-Child Health Nursing
CREDIT/CLOCK HOURS: 8 credits: 5 hours theory per week; 9 clinical and clinical campus
laboratory hours
CLASS MEETING DAYS: Lecture: Monday 2:15pm 4:30pm; Clinical Campus Lab:
Monday 9:15am 12:45pm; Clinical Facility: Tuesday, Friday, or Saturday 8:00am 3:15pm
PREREQUISITES: SCR200, SCR210, SCB260
CO-REQUSIITES: ENG102
FULL TIME FACULTY:
Professor Unn Hidle, DNS, CRN, CPNP, MS.Ed
Office: E300Z
Email: uhidle@lagcc.cuny.edu
Phone: 718 482 5767

Professor Patricia M. Dillon, MA, RN

Office: E300K |
Email: pdillon@lagcc.cuny.edu and profpatd@yahoo.com
Phone: 718 482 5497

CLINICAL FACULTY (See Clinical List at end of Syllabus).

COURSE DESCRIPTION:
This course focuses on the promotion of health and caring for childbearing families, their
newborns, and children with major health problems from infancy to adolescence. Emphasis is
placed on the implementation phase of the nursing process. Experiential learning offers
opportunities to provide care during the antepartal, intrapartal, and postpartal periods of the
maternity cycle, as well as in the newborn nursery and pediatric settings, along with simulated
experiences through computer programs/internet sites.

STUDENT LEARNING OUTCOMES:

Course student learning outcomesare determined to be in compliance with the mission of
LaGuardia Community College and the NYS Department of Education, and aimed at meeting the
LaGuardiaCommunity College Nursing Program Educational Objectives (Outcomes), the
ACENStandards and Criteria and the ANA (American Nurses Association) Code of Ethicsand
the ANA Standards of Practice.

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1. Develop nursing plans of care (Concept Care Map) for parents and children incorporating
growth and development needs with a variety of health problems.

2. Perform scientifically based, appropriate nursing interventions based on identified

nursing diagnoses and outcomes.

3. Incorporate principles of pharmacology into the plan of care based on scientific

knowledge of drugs and the client's health problems.

4. Establish and maintain effective communication with clients, families, and health team
members.

5. Promote and support positive family relationships within a variety of life-style situations.

6. Provide culturally appropriate nursing care to parents and children.

7. Develop and implement teaching plans based on clients developmental levels to assist
them in meeting their needs.

8. Recognize the need for referrals to meet clients' information needs in order to provide
follow-up care for parents and children.

9. Assume responsibility and comply with ethical, legal, and professional standards of client
care which fall within the scope of practice determined appropriate for parent-child
health.

Topical Outline:
1. Care of the Family Unit: Conception, Fetal Development and the Role of the Nurse
History of childbirth; family structure and function; socio-cultural factors and ethical issues
affecting the childbearing family; and advances in diagnostic and treatment modalities
ensuring the well-being of the pregnant woman and fetus.
Lab 1: Care of the Antepartum Patient and Family
Importance of prenatal care; history taking and physical exam during pregnancy; nutritional
needs; prenatal exercise; breast exam; and pelvic exam.
2. Care of the Antepartum Patients and Family
Physiological changes during pregnancy; tasks to be accomplished during the Antepartum
period; and special needs of the pregnant adolescent.
Lab 2: Care of Patients During the Labor and Delivery Process
Relationship of the fetus to maternal pelvis; mechanism of labor; assessing contractions and
Leopolds Maneuvers.

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Topical Outline (continued):

3. Care of Pregnant Patients with Alternation in Nutrition
Comparing diabetes mellitus (Type I and Type II) with gestational diabetes; diabetic
classifications; diagnoses and treatment of gestational diabetes; and other nutritional risk
factors during pregnancy.
Lab 3: Urinary Catheterization
Implications for catheterizations; complications, and female urinary catheterization
procedure.
Lab 4: Implementation
Review of the nursing process with focus on the implementation phase.
4. Care of Pregnant Patients with Alteration in Oxygenation
Hemorrhagic complications during early and late pregnancy: abortion, ectopic pregnancy,
Hydatidiform Mole, placenta previa, abruption placenta, disseminated intravascular
coagulopathy (DIC), pregnancy-induced hypertension (PIH), preeclampsia and eclampsia,
and fetal demise. Affects of preexisting cardiac and pulmonary disorders on pregnancy.
5. Care of Patients During the Labor and Delivery Process
Anatomy and physiology of labor and delivery. Physiological, psychological, and social
factors affecting the different stages of the labor and delivery process. Pain management:
anesthesia versus analgesics. Complications: lacerations versus episiotomy.
Lab 5: Care of the Newborn
Biological adjustments in the neonatal period; immediate care of the newborn; head-to-toe
newborn physical exam; and physical variations in the newborn.
6. Care of Patients with Complications During the Labor Process
Dystocia: problems with the powers, passenger, and/or the passageway. Premature Rupture
of Membrane (PROM); preterm labor; multiple pregnancy; induction of labor; and assisted
delivery (forceps and vacuum extraction).
7. Care of Postpartum Patients
Anatomical and physiological changes postpartum; bonding; nutritional needs; breastfeeding;
postpartum blues versus depression.
Lab 6: Growth & Development to One Year
Developmental phase according to Erikson; cognition according to Piaget; adaptive
behaviors; anticipated physical changes in the infant; attachment; stimulation; play;
immunizations; nutritional needs; and safety.
8. Care of Postpartum Patients who Develop Complications
Infections (perineal wound, endometritis, peritonitis, salpingitis); thrombophlebitis;
subinvolution; early and late postpartum hemorrhage; pulmonary embolism; vulvar
hematoma; mastitis; and urinary tract infection.
Lab 7: Simulation During the Labor Process and of the Infant
Case scenarios utilizing principles of the labor and delivery process; recognizing normal
versus abnormal physical findings in the infant.

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Topical Outline (continued):

9. Care of High-Risk Infants: Alteration in Gestational Age or Birth Weight,
Developmental and/or Acquired Disorders
Health problems associated with high-risk neonates (small for gestational age and premature
infants, large for gestational age and post-term infants); neuromuscular complications; twin
births; Trisomy 21 (Downs Syndrome); inborn errors of metabolism; ambiguous genitalia;
birth trauma; and hyperbilirubinemia; substance abuse during pregnancy; and effects of
sexually transmitted diseases on the fetus.
Lab 8: Care of the Hospitalized Child and Pediatric IV Infusion
Effects of hospitalization on the developmental needs of the child and the nurses role in
effective coping. IV fluid/medication calculation and administration.
10. Care of Patients with Abuse in the Family and Community
Physical, emotional and sexual abuse; physical, emotional and educational neglect. Sudden
Infant Death Syndrome (SIDS); Munchausen Syndrome by Proxy. Mandated child abuse
reporting.
Lab 9: Growth & Development of the Toddler Through School Age
Physical, psychological, social, and developmental growth during the age group one through
12 years. Pain management in the different age groups.
11. Care of Patients with Alteration in Respiration Function: Oxygenation
Alterations in Cardiac Output (congenital and acquired cardiac anomalies); diagnostic
procedures and cardiac surgery; Hematologic Disorders: Sickle Cell Anemia, Thalassemia,
Hemophilia, Idiopathic Thrombocytopenia Purpura (ITP), Disseminated Intravascular
Coagulopathy (DIC), and leukemia; Respiratory Disorders including upper and middle
airways; Cystic Fibrosis.
12. Care of Patients with Sensory-Perceptual Alterations and Communicable Diseases
Hydrocephalus; spina bifida; spinal cord injuries; progressive infantile spinal muscular
atrophy (Werdnig-Hoffmann disease); lead poisoning; Cerebral Palsy; cognitive impairment;
otitis media; Reyes Syndrome; neurofibromatosis; and neuroblastoma; measles, varicella,
scarlet fever, meningitis, and smallpox.
Lab 10: Growth & Development of the Adolescent and Major Eating Disorder
Physical changes; psychological needs; social pressures; role change during transition
from adolescent to young adult; major eating disorders including Anorexia nervosa,
Bulemia nervosa, and overeating.
13. Care of Patients with Impaired Skin Integrity
Lice; ringworm; Lyme disease; acne; eczema; psyoriasis; and impetigo.
Lab 11: Infertility
Female and male factors contributing to infertility; treatment techniques including the
newest technology used.
14. Care of Patients with Alteration in Elimination
Bowel elimination: acute and chronic diarrhea; Urinary elimination: congenital
anomalies; acute glomerulonephritis; nephrotic syndrome; and Wilms tumor.
Lab 12: Reproductive Life Planning
Review of menstrual cycle; various forms of contractive including barrier and non
barrier method; advantages, disadvantages, safety and effectiveness of each
contraceptive method.

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Topical Outline (continued):

15. Care of Patients with Interference in their Ability to Meet Nutritional Needs
Cleft lip; cleft palate; pyloric stenosis; intussusception; Celiac disease; Hirschsprungs
disease; Esophageal Atresia and/or Tracheo-Esophageal Fistula; Failure to Thrive; and
Diabetes Mellitus.
16. Care of Patients with Alteration in Mobility
Developmental dysplasia of the hip (DDH); clubfoot; osteomyelitis; Juvenile Idiopathic
Arthritis; Muscular Dystrophy; scoliosis; various fractures and treatment (bone healing,
traction, braces, and casting).
Lab 13: Death & Dying
Grief (grieving process); mourning; cultural & ethnic factors influencing the dying
patient and family; and physiologic changes in the dying patient.

Teaching Strategies: lecture, guided discussion, case studies, gaming, concept mapping,
audiovisuals, demonstrations and return demonstrations, small group learning, computer-assisted
instruction, models, study guides, self-instruction modules, guided learning experience in
laboratory and at clinical site and low and high fidelity simulation.

COURSE MATERIALS

Required Textbooks:
Brenner, A., Snyder, S., Kozier, B., & Erb, G. (2012). Kozier & Erbs Fundamentals of Nursing,
(9th Ed.) Prentice Hall.

Dudek, S., (2013). Nutrition Essentials for Nursing Practice, (7th Ed.). Philadelphia: Lippincott.

Durham, R. F. & Chapman, L. (2013). Maternal-Newborn Nursing: The Critical Components of

Nursing Care, (2nd Ed.). Philadelphia: F.A. Davis. ISBN: 978-0-8036-3704-7

Kaplan Learning and Integrated Testing Resources

Lehne, R. A., (2012). Pharmacology for Nursing Care, (8th Ed.). Saunders.

Rudd, K. & Kocisko, D. M. (2013). Pediatric Nursing: The Critical Components of Nursing
Care. Philadelphia: F.A. Davis. ISBN: 978-0-8036-2179-4

(2013) Tabers Cyclopedic Medical Dictionary, (22nd Ed.). Philadelphis: F.A. Davis Co.

Required Computer Software (available in the lab):

Bates' Visual Guide to Physical Examination: Head-to-toe Assessment of the Child, Vol. 16;
4thEd. (2008). [DVD]

Nine Month Miracle. A.D.A.M. Essentials Software. (1999). [CD-ROM]

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Recommended Textbooks:
Ackley, B. J. & Ladwig, G.B. (2013). Nursing Diagnosis Handbook: An Evidence-Based Guide to
Planning Care, (10th Ed.). St. Louis, MO: Mosby-Yearbook.

Hinkle, J. L. & Cheever, K. H. (2013). Brunner & Suddarths Textbook of Medical-Surgical

Nursing, (13th Ed.). Philadelphia, Penn: J.P. Lippincott Co.

Videbeck, S. (2013) Psychiatric Mental Health Nursing, (6th Ed.). Philadelphia, Penn: J.P.
Lippincott Co.

Grading Scale for the Registered Nursing Program:

LETTER NUMERICAL
RANGE
A 92.5-100
A- 89.5-92.4
B+ 86.5-89.4
B 82.5-86.4
B- 79.5-82.4
C+ 76.5-79.4
C 74.5-76.4
F 74.4 or less

Evaluation Methods:
1. Two unit examinations (2): 20% each (40%)
2. Midterm Examination (OB Content): 30%
3. Final Examination (PEDS Content): 25%
4. Kaplan Integrated Testing 5%
5. Medication Calculation Competency: Pass/Fall (Passing score of 80 required.)
6. Clinical Practicum Pass/Fall (Satisfactory rating required.)
7. ePortfolio Assignment Pass/Fall (Needs to be posted in Assessment Area)

Final Grade Determination:

Please note that students must pass the theory portion of the course with a 74.5 or above
and must achieve a satisfactory grade for the for the Medication Calculation Competency
and clinical-laboratory portion of the course. Unsatisfactory in the clinical portion and/or
failure in theory portion results in course failure. (For Clinical Performance Evaluation
Criteria, see Blackboard site).

Grading criteria for students retaking the course:

Any student who is repeating a nursing course (SCR) due to a failing final grade is required to
achieve a minimum grade of 77.5% (C+) to pass the course on the second registration.
Students who have been maintaining a failing average throughout the course and obtain a
medical leave after completing 83% of the course (10 weeks) will also be required to obtain a
minimum grade of 77.5% to pass the course on the second registration.

Regardless of the grade computation, any failure in clinical performance will be recorded as an
automatic F grade for the course.

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Exam Information:
The course schedule identifies examination dates. The faculty retains the right to change these
dates if necessary. If a student cannot be present for a scheduled examination, it is the students
responsibility to notify the course faculty prior to the examination start time via email.

Make up exams, and the date and time of the exam if granted, will be given at the discretion of
the faculty. Only one make up exam opportunity may be scheduled per semester.
.
Medication calculation competency examination:
(Pass/Fail): Students will be given no more than two testing opportunities to achieve an 80% on a
drug calculation competency examination.

Subsequent testing will take place at the convenience of the instructor outside of course time.
Should a student fail two testing
opportunities, required tutoring via the remedial workshop, must be satisfactorily completed
before the student can progress in
the program. Drug calculation problems may be a part of each objective testing opportunity.

Clinical Practice Experience and Laboratory Experience (Clinical Practicum):

See Clinical Guide.

Course Expectations:
Students are expected to participate fully in all course activities, complete readings prior to class,
and arrive on time for class, laboratory, and clinical sessions. All assignments must be submitted
on the required dates.

Academic Integrity:
Cheating, plagiarism, and other forms of academic dishonesty will not be tolerated. All work
submitted by a student must be the students own work. Please see Nursing Student handbook

Academic and Learning Support Services:

Students are required to submit well-written papers that are grammatically correct, spell-
checked, and written with clarity. Academic and Learning Support Services are available at the
writing center.

Attendance Policy:
Attendance policies for class and campus laboratory sessions are those stated in the LaGuardia
Community College Catalog. Attendance for the hospital clinical laboratory is mandatory.
Students who are too ill to report for clinical assignments must notify the clinical faculty before
starting time on the scheduled clinical day. Failure to do this will result in a clinical "U" for the
day.
Students who return following an absence for illness may be required to submit a doctor's note
for medical clearance in order to return to the clinical setting. A second clinical absence within a
12-week semester will result in failure of the course.

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Emergency School Closure will be indicated on the LaGuardia Community College Website. If
the college is closed, the clinical day is cancelled.

LaGuardia Community College Counseling Services:

Counseling services are available to students in the college. Students should not hesitate to make
use of this confidential service, which is designed to assist students and provide support. Use of
this service will in no way jeopardize a student's position in the nursing program.

Student Guide to Rights and Responsibilities:

Please see Nursing Program Student Handbook

COURSE REQUIREMENTS:

Web-Based Course Management Software

This course is supported by the Blackboard Web-base Management Software. This management
website is used to support the course activities by providing students with a variety of additional
learning activities developed by the instructor, as well as by activities available on the Internet.
Blackboard enables students to have quick access to educational links on the internet,
PowerPoint presentations, chat capabilities, message board discussions, homepages, grades and
course materials. The course requires computer access to use the Blackboard supplemental
activities and materials.

Advisement
Student-faculty conferences will be scheduled once during each semester and as needed. In
addition, full-time faculty members will post office hours indicating times available to meet with
students. Times other than those posted may be arranged by mutual agreement. It is the student's
responsibility to make and keep appointments. If unable to keep an appointment, the student is
expected to notify faculty.

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