Pediatric Nursing
Pediatric Nursing
(As per INC Syllabus)
Fifth Edition
Parul Datta MSc (N) (Delhi University)
Independent Nursing Professional and Pediatric and Neonatal Nursing Faculty Formerly Senior Sister Tutor Department of Neonatology Institute of Postgraduate Medical Education and Research (IPGMER) and Seth Sukhlal Karnani Memorial (SSKM) Hospital
Kolkata, West Bengal, India
Retired Principal Nursing Officer School of Nursing District Hospital
Howrah, West Bengal, India
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Pediatric Nursing
First Edition: 2007
Second Edition: 2009
Reprint: 2010
Third Edition: 2014
Fourth Edition: 2018
Fifth Edition: 2022
9789354656347
Printed at
I feel happy and honored to present the fifth edition of the textbook Pediatric Nursing. This book was first published in 2007, second edition in 2009, third edition in the year 2014 and fourth edition in 2018. I would like to express my sincere gratitude to all the readers for their exceptional and remarkable acceptance of this textbook.
As per opinion of some readers and reviewers, the textbook provides a concise overview of child health nursing care, as it is designed to make learning easier by including more practical, relevant and important aspects of child health but avoiding huge details of information. The book is student-friendly which is very useful for all nursing students of diploma and undergraduate courses. It includes different aspects of common childhood conditions in illness and wellness which are seen in the community and in the facility levels. Both General Nursing and Midwifery (GNM) and BSc Nursing students can refer the textbook to clarify basic concepts of child health nursing. Postgraduate nursing students and all healthcare professionals working for children can also refer this book to recapitulate their basic knowledge, understanding and practices related to child health.
The 5th edition of this textbook is enriched with latest statistical data and health programs related to child health and a ‘Glossary’ with important terminologies for quick in-hand reference. It also has additions of some new important topics on neonatal and childhood health problems.
I hope this textbook will serve as a useful guide for understanding the fundamental ideas related to child healthcare. Ultimately, this book will help to provide significant contributions by the nursing professionals working for the children in hospitals and community, especially in low resource settings areas.
Suggestions and comments will be gladly accepted to modify this textbook and to make it more useful in next edition. Furthermore, the readers can consult Indian and Foreign reference books, journals and websites for in-depth study along with this textbook to have updated knowledge, understanding and practice on child health.
Parul Datta
Preface to the First Edition
‘With the birth of every child, man may calculate that God is still hopeful about the World He created’ (Wordsworth). But healthy survival of the children is threatened in every moment. Child health problems are shocking and alarming throughout the world, especially in the developing countries. Expert and empathetic approach is essential to minimize these problems and to reduce the inexcusable causes of childhood morbidity, mortality and disability.
A pediatric nurse is the key person in child care team. It is expected that a pediatric nurse should have competence and good judgment based on specialized up-to-date knowledge, skill and positive attitude. A clinical nurse should be enriched to understand the problems of the children and to help them whenever needed. So the pediatric nurse needs special preparation in child health to contribute towards healthy child, the future productive and creative individual.
Being a teacher of General Nursing and Midwifery (GNM) Curriculum for 15 years, I felt the need for a textbook on Pediatric Nursing for GNM students. When I received the proposal, I had decided to accept this work in spite of my hardwork schedule.
This book is fully in accordance with the new GNM syllabus as recommended by the Indian Nursing Council (INC). Keeping in mind the level of the students, I have tried to use simple language and clarify the complicated aspects concisely with rational, as relevant for the need of the students.
It seems that the book will be helpful to the nurses working in the clinical areas and community to review their knowledge and practice in different aspects of child care. I think interest and practice with up-to-date knowledge will contribute to develop confidence in them.
Most references used in the preparation of this title are from the books and journals, written by the eminent Indian authors. Foreign books, WHO newsletters, journals and periodicals are also reviewed for preparation of the contents. I have tried with best effort to prepare and enrich the book considering the level of the students and placement of the course according to the INC Syllabus. Unintentional mistakes are regretted and will be rectified.
Suggestions for further enrichment of the book will be gladly accepted. Constructive criticism and comments are always welcomed. I hope my efforts will be useful to the nursing students and nursing personnel working for the children.
Parul Datta
Acknowledgments
It gives me immense pleasure to acknowledge all renowned authors and publishers of various medical and nursing books, journals, manuals, periodicals and websites which I have used as guidelines for preparing and updating the content of this textbook on child health.
I would like to extend my sincere thanks to all members of Jaypee Brothers Medical Publishers, The Health Sciences Publisher, New Delhi, India, for their intense effort and excellent expertise in publication and promotion of this textbook.
I am really thankful to all members of Kolkata branch of Jaypee Brothers Medical Publishers for continuous encouragement towards completion of the fifth edition of the textbook.
Special thanks to Mr Sukanta Das and Mrs Moumita Das for their tireless efforts during processing of the manuscript in first edition.
Special acknowledgments are made with my heartfelt thanks to all reviewers, students and readers of this textbook for their exceptional acceptance of this title.
I am grateful to all my senior colleagues, junior colleagues, friends, well-wishers and supporters for their cooperation and constructive suggestions.
I wish to express my indebtedness to my parents, teachers and family members who made me confident to accept the challenging work and for their continuous support during the hard working time period for preparation of this book.
Above all, I would like to convey my sincere gratitude to Almighty God for His grace in completion of fifth edition of this textbook.
INC Syllabus
Child Health Nursing
Placement: GNM Second Year
Course Description
This course is designed to help the students to develop and understand the concept of child health, the trends in child care and the health problems of children. This shall enable the students to meet the needs of the children, in health and sickness.
General Objective
Upon completion of this course, the students shall able to:
- Explain the concept of child health, the principles underlying child care trends in pediatric nursing.
- Describe normal growth and development of children, so as to recognize the deviations for normal health and care of healthy children.
- Demonstration skill in meeting the needs of the sick infants and children based on the IMNCI (Integrated Management of Neonatal and Childhood Illness) guidelines of Government of India (GoI).
Total hours: 70
Unit | Learning objective | Content | Hours | Teaching learning activities | Assessment methods | Chapter |
|---|---|---|---|---|---|---|
I |
| Introduction
| 5 |
|
| 1–3 |
II | Describe normal growth and development of children | Growth and development
| 15 |
|
| 7 |
| ||||||
III |
| The sick child
Pediatric procedures
| 8 |
|
| 8 |
IV |
| Disorders and health problems of a child
| 6 |
|
| 9, 14 |
V | Demonstrate skills in providing comprehensive nursing care to the children having congenital defects/ malformation | Child with congenital disorders Etiology, signs, symptoms, diagnosis, complications and medical, surgical and nursing management of children with:
Defects of Cardiovascular System (CVS) Cyanotic and acyanotic
| 15 |
|
| 11 |
VI | Demonstrate skills in providing comprehensive nursing care to children with various disorders and diseases | Children with various disorders and diseases Etiology, signs and symptoms, complications, prevention, medical, surgical and nursing management of:
| 15 |
|
| 13, 15–24 |
| ||||||
VII |
| Child welfare services
| 6 |
|
| 25 |
Child Health Nursing-I
Placement: V Semester (BSc Nursing)
Theory: 3 Credits (60 hours)
Practicum: Lab/Skill lab: 1 Credit (40 hours), Clinical: 2 Credits (160 hours)
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.
Competencies: On completion of the course, the students will be able to:
- Develop understanding of the history and modern concepts of child health and child-care.
- Explore the national child welfare services, national programs and legislation in the light of National Health Policy 2017.
- Describe the role of preventive pediatrics and perform preventive measures towards accidents.
- Participate in national immunization programs/Universal Immunization Programme (UIP).
- Identify the developmental needs of children and provide parental guidance.
- Describe the principles of child health nursing and perform child health nursing procedures.
- Demonstrate competencies in newborn assessment, planning and implementation of care to normal and high-risk newborn including neonatal resuscitation.
- Apply the principles and strategies of Integrated Management of Neonatal and Childhood Illness (IMNCI).
- Apply the knowledge of pathophysiology and provide nursing care to children with respiratory system disorders.
- Identify and meet childhood emergencies and perform child CPR.
Course Outline
T—Theory, L/SL—Lab/Skill Lab
Unit | Time (Hrs) | Learning Outcomes | Content | Teaching/ Learning Activities | Assessment Methods | Chapter |
|---|---|---|---|---|---|---|
I | 10 (T) 10 (L) |
| Introduction: Modern concepts of child-care
|
|
| 1-5, 13 |
|
Child Health Nursing procedures:
| |||||
II | 12 (T) |
| The Healthy Child
|
|
| 6-7, 12 |
III | 15 (T) 20 (L) |
| Nursing care of neonate:
|
|
|
|
IV | 10 (T) 5 (L) | Apply principles and strategies of IMNCI | Integrated management of neonatal and childhood illnesses | Modular based teaching:
| OSCE | appendix–XXIV |
V | 8 (T) | Describe the etiology, pathophysiology, clinical manifestation and nursing management of children with disorders of respiratory, and endocrine system | Nursing management in common childhood diseases Respiratory system:
Endocrine system:
|
|
| 15, 22 |
VI | 5 (T) 5 (L) | Develop ability to meet childhood emergencies and perform child CPR | Childhood emergencies
|
| OSCE | 9 |
Child Health Nursing–II
Placement: VI Semester (BSc Nursing)
Theory: 2 Credits (40 hours)
Practicum: Clinical: 1 Credit (80 hours)
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.
Competencies: On completion of the course, the students will be able to:
- Apply the knowledge of pathophysiology and provide nursing care to children with cardiovascular, GI, genitourinary, nervous system disorders, orthopedic disorders, eye, ear and skin disorders and communicable diseases
- Provide care to children with common behavioural, social and psychiatric problems
- Manage challenged children
- Identify the social and welfare services for challenged children
Course Outline
T—Theory
Unit | Time (Hrs) | Learning Outcomes | Content | Teaching/ Learning Activities | Assessment Methods | Chapter |
|---|---|---|---|---|---|---|
I | 20 (T) | Describe the etiology, pathophysiology, clinical manifestation and nursing management of children with disorders of cardiovascular, gastrointestinal, genitourinary, and nervous system | Cardiovascular system:
Gastrointestinal system:
Genitourinary urinary system:
|
|
| 16-19, 21 |
Nervous system:
| ||||||
II | 10 (T) |
| Orthopedic disorders:
Disorder of eye, ear and skin:
Communicable diseases in children, their identification/ diagnosis, nursing management in hospital, in home, control and prevention:
|
|
| 14, 20, 23, 24 |
III | 10 (T) |
| Management of behavior and social problems in children
|
|
| 10, 25 |
Autistic spectrum disorders
|
MISCELLANEOUS PLATES
Plate 8
Plate 9
Plate 10
Plate 11
Plate 12
