COLLEGE OF NURSING & MIDWIFERY FJMU LAHORE

B.S Nursing (4-Years Degree Program) 3rdProf

TABLE OF SPECIFICATION (TOS)

Pediatrics Health Nursing

Total Marks: 100
MCQs: 45
SEQs: 09
Marks: 45 Marks: 9x5: 45
Internal assessment: 10
Pediatrics Health Nursing
S NO Internal
UNIT MCQs SEQs Marks
assessment
Perspective of Pediatric nursing.
1. 01 01
Growth and development in children and
2. 03
Nursing Aspects for dealing with deviations 01
Pharmacological Care aspects while dealing
3. 02 -
with Pediatric Patients
Communication/Therapeutic Play while caring
4. 02 -
for children with various disease process
Health promotion of the new born and family
5. from Global and Pakistani Perspectives 02 01

Nursing Care Aspects for High Risk newborn

6. -
02
Care of child & family during hospitalization
7. -
02
Common Health problems in Pakistani children
8. 02 01
and their nursing management
Congenital defects of heart and Cardio-vascular
03 01
9. dysfunction.
10. G.I dysfunctions in Children 02 -
11. Genito-urinary dysfunctions in Children 02 -
Fluid and Electrolyte imbalance in Children
12. 03 -
with various dysfunctions
Respiratory dysfunction in Children:
13. Commonly occurring Respiratory problems in 03 01
Pediatrics
14. Musculo-skeletal dysfunctions in Children 02 -
15. Neuro-muscular dysfunctions in Children 02 01
Cognitive/Sensory dysfunctions and
16. Rehabilitation 02 -

Cerebral dysfunction in children

17. 03
01
18. Pediatric Oncology 02 -
Hematological dysfunctions in ChildrenRBC
19. 02 -
disorders
20. Endocrine dysfunctions in Pediatric Clients
03 01
Total 45 10 45 100

Description SEQs
Unit MCQs

Unit 01 Perspective of Pediatric nursing.

 Evolution in Pediatric Nursing 01 01
 COLLEGE OF NURSING & MIDWIFERY FJMU LAHORE
B.S Nursing (4-Years Degree Program) 3rdProf

 Role of pediatric nurse

 Pediatric Nursing in Pakistani culture
 Convention on the rights of the child.
 Commonly occurring ethical issues in pediatric setting of
Pakistan
Growth and development in children and Nursing Aspects for
dealing with deviations:
 Assessing Growth & Development in children of different
age group
 Growth & Development pattern in South Asian Countries,
Unit 02 and influence of Pakistani culture on Growth and
Development of child. 03 01
 Factors influencing physical and emotional development
of children
 Assessing Milestones
 Nursing Care aspects for dealing with deviations in
Growth & Development pattern
Pharmacological Care aspects while dealing with Pediatric
Patients
 Drug dosage calculation for the Pediatric drugs
 Common Pediatric drug dilutions
Unit 03  Common Pediatric concerns/complications during drug
therapy 02
 Caring for children receiving Chemotherapy, antimicrobial
therapy and long-term Insulin therapy
 Managing pain in children by using pharmacological and
non- pharmacological approaches
Communication/Therapeutic Play while caring for children
with various disease process
 Guidelines for communication with children and families.
 Role of play in growth and development of children.
Unit 04   Functions of play for hospitalized children.
02
 Therapeutic play versus play therapy.
 Play as a tool for nursing management
 Importance of therapeutic play from Pakistani
Perspectives
Health promotion of the new born and family from Global
and Pakistani Perspectives
 Nursing care approaches for dealing with Small for
Gestation Age and Low Birth Weight infants: A
commonly occurring problem in Pakistan
 Concept of Small for Gestation Age, Low for Gestation
Age, Appropriate for Gestation Age and low birth weight
Unit 05 infants
02 01
 Assessment of new born
 Gestational age assessment
 Head to toe assessment
 Developmental Care Approach for premature and
newborns in Pakistani families
 Nursing care of the full term and premature babies and
their families
 COLLEGE OF NURSING & MIDWIFERY FJMU LAHORE
B.S Nursing (4-Years Degree Program) 3rdProf

Nursing Care Aspects for High Risk newborn:

 Common newborn related problems in Pakistan and its 02
Management:
 Birth injuries and other related injuries in newborns
 Respiratory Distress Syndrome and surfactant therapy
 Transient Tachypnea of Newborn
 PPHN
 Intra Ventricular Hemorrhage
Unit 06  Hyperbilirubinemia.
 Child with G6PD
 Birth Asphyxia and nursing management
 Septicemia and care aspects
 Hypoglycemia/ Infant of diabetic mothers
 Hypocalcaemia
 Inborn error of metabolism
 Nursing care, pharmacological and non-pharmacological
measures for dealing with the above health issues of
newborns
Unit 07 Care of child & family during hospitalization
Impact of hospitalization on the child and family and related 02
Nursing Care Approaches:
 Stressor and reaction related to developmental stage.
 Stressor and reactions of the family of the child who is
hospitalized.
 Nursing care of a child who is hospitalized.
 Nursing care process of child and family with
hospitalization
 Medication administration to children (clinical).
 Pharmacological and non-pharmacological pain
management.
 Preparation for hospitalization (clinical).
Unit 08 Common Health problems in Pakistani children and their
nursing management: 02 01
 Infants
 Nutrition disturbance
 Protein energy malnutrition
 Feeding difficulties
 Failure to thrive
 Sudden infant death syndrome
 Teething problems
 Early /later child hood
Nursing Care approaches for dealing with above
health problems according to the age group
 Dealing with common complications of Nutritional
problems and communicable diseases found commonly in
Pakistan
 Post-Polio Syndrome
 Chronic inflammatory demyelinated polyneuropathy
 COLLEGE OF NURSING & MIDWIFERY FJMU LAHORE
B.S Nursing (4-Years Degree Program) 3rdProf

Congenital defects of heart and Cardio-vascular dysfunction.

 Understanding Fetal circulation
 Congenital malformations of heart.
Unit 09  Pharmacology related treatment modalities for the above
(Indomethacin and prostaglandin therapy) 03 01
 Rheumatic heart disease.
 Nursing Care approaches while dealing with clients 136
with above disorders
G.I dysfunctions in Children
Commonly occurring GI dysfunctions reported in early days
of life that needs urgent management:
 Ingestion problems and structural defects of GI (Cleft
palate, cleft lip tongue tie and Tracheo esophageal fistula
 Pyloric stenosis.
 Biliary Atresia
 Liver Abscess
 Intestinal obstruction
Unit 10  Hernia
02
 Hirschsprung’s disease
 Intussusceptions
 volvulus
 Amebiasis
 NEC (Necrotizing Enterocolitis)
 Nursing care, pharmacological, medical and surgical
modalities for dealing with the above disorders
 Commonly used medications in Pakistan for the above
disorders
Genito-urinary dysfunctions in Children
Commonly occurring GU dysfunctions in pediatrics
 Upper and Lower Urinary tract infection
Unit 11  Nephrotic syndrome
 Congenital Renal atrophy 02
 Bartter syndrome
 Nursing management and treatment modalities for the
children with the above disorders
Fluid and Electrolyte imbalance in Children with various
dysfunctions:
 Nursing Care aspects for maintaining fluid and electrolyte
Unit 12 balance in the children with following conditions
03
 Burns,
 GI
 GU
Respiratory dysfunction in Children:
Commonly occurring Respiratory problems in Pediatrics
 Upper and Lower Respiratory Tract Infections:
1. Pharyngitis
2. Tonsillitis
3. Otitis media
4. Bronchitis
Unit 13 5. Pneumonia
6. Asthma 03 01
7. Croup Syndrome
8. Cystic fibrosis
9. Reactive Airway Diseases (RAD)
 Caring for pediatric client on Mechanical ventilator
 Nursing care aspects, pharmacological and other medical
management for the pediatric patients with the above
disorders.
Unit 14 Musculo-skeletal dysfunctions in Children
 Kyphosis 02
 COLLEGE OF NURSING & MIDWIFERY FJMU LAHORE
B.S Nursing (4-Years Degree Program) 3rdProf

 Lordosis
 Scoliosis
 Types of common Fractures in children
 Rheumatoid arthritis
 Congenital hip dislocation
 Nursing care, child with cast and traction, rehabilitative
care and other medical and surgical management for the
children with the above disorders.
Neuro-muscular dysfunctions in Children
Commonly occurring neuron-muscular dysfunctions in
Pediatric patients:
 Cerebral palsy
 Muscular dystrophy
 Gillian–Barre Syndrome
Unit 15  Spina bifida
 Meningomyelocele 02 01
 Nursing care, rehabilitative care and other medical and
surgical management for the children with the above
disorders
 Overview of institutes i-e, NGO’s and Government law
organization working in Pakistan for the rehabilitation of
children with theabove dysfunctions
Cognitive/Sensory dysfunctions and Rehabilitation
 Hearing and visual impairment.
Unit 16  Mental retardation
 Downs’ syndrome 02
 Nursing care, rehabilitative care and other medical
management for the children with the above disorders
Cerebral dysfunction in children
 Meningitis, Hydrocephalus
 Encephalitis
Unit 17  Seizures disorders ( Febrile and Epilepsy)
 Head injury due to various causes in children with 03 01
different age group
 Nursing care aspects; pharmacological, medical and
surgical modalities for the above disorders
Pediatric Oncology
 Leukemia in children and its prognosis in Pakistan from
current treatment modalities
 Hodgkin disease and non-Hodgkin lymphoma*.
Unit 18  Porta cath care in Pediatric patients
 Nursing Care for pediatric patients receiving 02 ___
chemotherapy from different routes
 Palliative Care approaches in Pakistani Culture
 Nursing care approach for dealing with death and dying
situations
 COLLEGE OF NURSING & MIDWIFERY FJMU LAHORE
B.S Nursing (4-Years Degree Program) 3rdProf

Hematological dysfunctions in Children

RBC disorders:
 Anemia
 Thalassemia,
 Sickle cell anemia,
 Aplastic anemia
Unit 19  Platelet disorders
02 ____
 Hemophilia
 Disseminated intravascular coagulation,
 Thrombocytopenia
 Care of pediatric patients receiving blood transfusion and
blood products (Pharmacological and non-
pharmacological management)
Endocrine dysfunctions in Pediatric Clients
 Insulin Dependent diabetes mellitus (IDDM) and Diabetic
insipidus
 Cushing syndrome.
 Hyperthyroidism
Unit 20  Hypothyroidism
 Hypopituitarism 03 01
 Hyperpituitarism
 Nursing Care approaches for dealing with above health
problems
 Pharmacological, medical and surgical management for
the above.

Nursing Instructor Principal

College of Nursing & College of Nursing &
Midwifery Midwifery
FJMU, Lahore FJMU, Lahore