BNS 118: Child Health & Paediatric Nursing (I, II & III)
DEVELOPMENTAL PAEDIATRICS • MODULE 1
Normal Child Growth, Development & Developmental Milestones
Growth Principles & Developmental Milestones
- Subtopic: Biological Definitions: Physical Growth vs. Functional Neurological Development
- Subtopic: General Principles Governing Cephalocaudal and Proximodistal Child Development
- Subtopic: Stages of Childhood Growth: Infancy, Toddlerhood, Preschool, School-Age & Adolescence
- Subtopic: Gross Motor Developmental Milestones (Head Control, Sitting, Crawling, Standing, Walking)
- Subtopic: Fine Motor and Adaptive Milestones (Pincer Grasp, Hand-Eye Coordination, Drawing)
- Subtopic: Language and Speech Acquisition Milestones (Cooing, Babbling, Single Words, Phrases)
- Subtopic: Social and Emotional Milestones (Social Smile, Stranger Anxiety, Cooperative Play)
- Subtopic: Biological, Nutritional, Genetic, and Environmental Factors Promoting Optimal Development
- Subtopic: The Child in the Domestic Setting: Child Spacing, Nurturing Environments & Play Stimulation
PREVENTIVE PAEDIATRICS • MODULE 2
Growth Monitoring, Nutrition Promotion & Routine Immunization
Growth Monitoring & Promotion (GMP)
- Subtopic: Public Health Objectives and Components of Child Growth Monitoring and Promotion Packages
- Subtopic: Clinical Techniques for Weighing Infants and Accurate Length/Height Measurements
- Subtopic: Plotting, Reading, and Interpreting the National Child Health Card (Road-to-Health Chart)
- Subtopic: Recognizing Growth Faltering, Flattened Curves, Stunting, Wasting, and Underweight Trends
- Subtopic: Counselling Mothers on Infant Feeding, Weaning Practices, and Dietary Diversification
Uganda National Expanded Program on Immunization (UNEPI)
- Subtopic: Principles of Active and Passive Immunity in Infancy and Childhood
- Subtopic: Current UNEPI Immunization Schedule: Antigens, Dosing, Injection Sites, and Route
- Subtopic: Vaccine Cold-Chain Maintenance: Temperature Monitoring, VVMs, and Refrigerator Packing
- Subtopic: Management of Adverse Events Following Immunization (AEFI) in Primary Health Centers
- Subtopic: Routine Vitamin A Supplementation and Paediatric De-Worming Protocols
NEONATOLOGY • MODULE 3
Essential Newborn Care & High-Risk Neonatal Pathologies
Immediate & Routine Newborn Care
- Subtopic: Immediate Newborn Assessment at Birth: The APGAR Scoring System (1 and 5 Minutes)
- Subtopic: Neonatal Resuscitation Algorithm: Airway Clearing, Suctioning, Bag-Valve-Mask Ventilation
- Subtopic: Thermal Protection, Immediate Skin-to-Skin (Kangaroo Care), and Prevention of Hypothermia
- Subtopic: Prophylactic Newborn Care: 7.1% Chlorhexidine Cord Care, Eye Ointment & Vitamin K1 Injection
- Subtopic: Comprehensive Systematic Physical Examination of the Neonate Within and After 24 Hours
- Subtopic: Safe Discharge Criteria for the Healthy Newborn Infant and Mother
Management of High-Risk Neonatal Conditions
- Subtopic: Pathophysiology and Intensive Management of Birth Asphyxia and Hypoxic-Ischemic Encephalopathy
- Subtopic: Respiratory Distress Syndrome (RDS) in Premature Infants: Surfactant Deficiency & CPAP Care
- Subtopic: Care of Low Birth Weight (LBW), Pre-Term, Post-Term, and Small-for-Gestational-Age (SGA) Babies
- Subtopic: Kangaroo Mother Care (KMC) Unit Protocols and Gavage Tube Feeding for Preterm Infants
- Subtopic: Neonatal Jaundice: Physiological vs. Pathological Hyperbilirubinemia, Phototherapy & Exchange Transfusion
- Subtopic: Birth Trauma and Injuries: Caput Succedaneum, Cephalhematoma, Erb's Palsy, Clavicle Fractures
- Subtopic: Haemolytic and Haemorrhagic Diseases of the Newborn (HDN / Vitamin K Deficiency Bleeding)
- Subtopic: Neonatal Sepsis, Omphalitis, and Septicaemia: Early Detection, Antibiotic Protocols & Nursing Care
- Subtopic: Management of Neonates Born to HIV-Positive Mothers: Post-Exposure Prophylaxis & Safe Feeding
PAEDIATRIC MEDICINE • MODULE 4
Paediatric Respiratory & Cardiovascular Disorders
Acute & Chronic Respiratory Conditions
- Subtopic: Anatomical and Physiological Characteristics of the Infant Respiratory System
- Subtopic: Acute Upper Airway Obstructions: Croup Syndrome (Laryngotracheobronchitis) and Acute Epiglottitis
- Subtopic: Acute Bronchiolitis in Infants: Respiratory Syncytial Virus (RSV) Etiology and Supportive Care
- Subtopic: Paediatric Pneumonias (Bacterial, Viral, Aspiration): Clinical Presentation and Oxygen Therapy
- Subtopic: Childhood Bronchial Asthma: Status Asthmaticus Emergency Management and Nebulizer Therapy
- Subtopic: Foreign Body Aspiration in Young Children: Emergency Airway Maneuvers and Bronchoscopy Care
- Subtopic: Paediatric Pulmonary Tuberculosis: Diagnostic Challenges, Mantoux Testing, GeneXpert & Care
Cardiovascular Diseases in Children
- Subtopic: Acyanotic Congenital Heart Diseases: Ventricular Septal Defect (VSD), ASD & Patent Ductus Arteriosus (PDA)
- Subtopic: Cyanotic Congenital Heart Diseases: Tetralogy of Fallot (Hypercyanotic "Tet" Spells Management)
- Subtopic: Congestive Cardiac Failure (CCF) in Infancy: Signs, Digoxin Administration & Fluid Restriction
- Subtopic: Acute Rheumatic Fever and Rheumatic Heart Disease: Modified Jones Criteria and Secondary Prophylaxis
- Subtopic: Infective Endocarditis and Paediatric Pericardial Effusion Care
Advertisements
PAEDIATRIC MEDICINE • MODULE 5
Paediatric Gastrointestinal, Renal & Hematological Conditions
Gastrointestinal & Surgical Malformations
- Subtopic: Congenital Anomalies: Cleft Lip and Cleft Palate Pre- and Postoperative Nursing Care
- Subtopic: Tracheoesophageal Fistula, Esophageal Atresia, and Imperforate Anus Management
- Subtopic: Infantile Hypertrophic Pyloric Stenosis (IHPS): Projectile Vomiting and Ramstedt's Pyloromyotomy
- Subtopic: Acute Intussusception in Infants: Red Currant Jelly Stools and Hydrostatic Reduction Care
- Subtopic: Hirschsprung’s Disease (Congenital Aganglionic Megacolon) and Enterocolitis Complications
- Subtopic: Acute Paediatric Gastroenteritis: Dehydration Staging (Plan A, B, C) and ORS/Zinc Therapy
Renal & Hematological Pathologies
- Subtopic: Acute Post-Streptococcal Glomerulonephritis (APSGN) in School-Age Children
- Subtopic: Idiopathic Nephrotic Syndrome: Massive Proteinuria, Generalized Edema (Anasarca) & Steroids
- Subtopic: Paediatric Urinary Tract Infections (UTIs) and Congenital Reflux Nephropathies
- Subtopic: Nutritional Deficiencies: Severe Iron Deficiency Anaemia and Megaloblastic Anaemia in Children
- Subtopic: Sickle Cell Disease in Children: Vaso-Occlusive, Hemolytic, Aplastic, and Sequestration Crises
- Subtopic: Haemophilia A and B: Bleeding Precautions, Factor Replacement, and Joint Hemarthrosis Care
SPECIALIZED PAEDIATRICS • MODULE 6
Paediatric Neurological, Endocrine & Musculoskeletal Conditions
Paediatric Neurological Disorders
- Subtopic: Neural Tube Defects: Spina Bifida, Meningocele, and Myelomeningocele Care
- Subtopic: Congenital and Acquired Hydrocephalus: Fontanelle Assessment and Ventriculoperitoneal (VP) Shunt Care
- Subtopic: Acute Bacterial Meningitis in Children: Lumbar Puncture Assistance and Neurological Monitoring
- Subtopic: Febrile Convulsions vs. Epilepsy in Children: Emergency Seizure Care and Rectal Diazepam Administration
- Subtopic: Cerebral Palsy (CP): Clinical Subtypes, Spasticity Management, Nutrition, and Physical Rehabilitation
Endocrine & Musculoskeletal Conditions
- Subtopic: Congenital Hypothyroidism (Cretinism): Early Screening, Growth Failure, and Levothyroxine
- Subtopic: Type 1 Diabetes Mellitus in Children: Diabetic Ketoacidosis (DKA) Emergency Nursing Protocols
- Subtopic: Congenital Talipes Equinovarus (Clubfoot): The Ponseti Method of Serial Casting
- Subtopic: Developmental Dysplasia of the Hip (DDH): Ortolani/Barlow Tests and Pavlik Harness Care
- Subtopic: Nutritional Rickets: Vitamin D Deficiency, Bowlegs, Knock-Knees, and Rachitic Rosary
- Subtopic: Acute Osteomyelitis and Septic Arthritis in Paediatric Wards
INFECTIOUS DISEASES • MODULE 7
Paediatric Infectious Diseases: Malaria & Childhood HIV/AIDS
Malaria in Children
- Subtopic: Transmission Dynamics and Susceptibility of Infants and Under-Five Children to Malaria
- Subtopic: Uncomplicated Malaria: Clinical Features, RDT/Microscopy Diagnosis, and Oral ACT Regimens
- Subtopic: Severe Complicated Malaria: Cerebral Malaria, Severe Malarial Anaemia, Blackwater Fever, Hypoglycemia
- Subtopic: Emergency Nursing Care of Severe Malaria: IV Artesunate Administration and Coma Monitoring
- Subtopic: Home-Based Management of Fever (HBM) and Pre-Referral Rectal Artesunate Suppositories
Childhood HIV/AIDS
- Subtopic: Vertical Transmission of HIV (In Utero, Intrapartum, and Postnatal via Breastfeeding)
- Subtopic: Early Infant Diagnosis (EID) Algorithms: HIV DNA-PCR Testing at 6 Weeks and Confirmation
- Subtopic: WHO Clinical Staging of Paediatric HIV/AIDS and Opportunistic Infections (PCP, Candidiasis)
- Subtopic: Paediatric Antiretroviral Therapy (ART): Drug Formulations, Dosing Charts & Weight Adjustments
- Subtopic: Adherence Support for Caregivers, Stigma Mitigation, Disclosure to Children, and Transition to Adolescence
IMCI FRAMEWORK • MODULE 8
Integrated Management of Childhood Illnesses (IMCI) Strategy
IMCI Assessment, Classification & Case Management
- Subtopic: Objectives, Rationale, and Benefits of the WHO/UNICEF IMCI Case Management Strategy
- Subtopic: Assessment of General Danger Signs: Inability to Drink/Breastfeed, Vomiting Everything, Convulsions, Lethargy
- Subtopic: Assessment and Triage Classification of Cough or Difficult Breathing (Pneumonia vs. Severe Pneumonia)
- Subtopic: Assessment and Triage Classification of Diarrhoea (Dehydration Staging, Dysentery, Persistent Diarrhoea)
- Subtopic: Assessment and Classification of Fever: Malaria Risk, Measles, and Meningitis Triage
- Subtopic: Assessment and Classification of Ear Problems: Acute vs. Chronic Otitis Media and Mastoiditis
- Subtopic: Assessment of Malnutrition and Anaemia in Outpatient Clinics (Visible Severe Wasting, Palmar Pallor)
- Subtopic: Identifying Color-Coded Treatments: Urgent Hospital Referral (Pink), Outpatient Therapy (Yellow), Home Care (Green)
- Subtopic: Counselling the Mother: Drug Administration at Home, Fluid Increase, Feeding, and When to Return Immediately
- Subtopic: Conducting Structured IMCI Follow-Up Care and Case Reassessment Protocols
CHILD ADVOCACY • MODULE 9
Child Rights, Child Abuse & Child Neglect Mitigation
Child Rights & Abuse Classification
- Subtopic: Legal Frameworks: United Nations Convention on the Rights of the Child & The Uganda Children Act
- Subtopic: Fundamental Rights of Children: Health, Nutrition, Shelter, Protection, Education, Identity
- Subtopic: Physical Child Abuse: Non-Accidental Injuries, Cigarette Burns, Bruises, Fractures & Shaken Baby Syndrome
- Subtopic: Child Sexual Abuse and Defilement: Forensic Evidence Gathering, PEP Administration & Crisis Support
- Subtopic: Emotional and Psychological Child Abuse: Rejection, Isolation, Terrorizing, and Exploitation
- Subtopic: Child Neglect and Abandonment: Physical, Educational, Medical, and Emotional Deprivation
Role of the Paediatric Nurse in Child Protection
- Subtopic: Identifying Red Flags and High-Risk Social Situations in Paediatric Wards and Clinics
- Subtopic: Mandatory Reporting Guidelines for Suspected Child Abuse and Professional Legal Safeguards
- Subtopic: Multidisciplinary Collaboration: Working with Child Protection Units, Police, and Social Welfare Officers
- Subtopic: Hospitalization Safeguards, Child Advocacy, and Long-Term Rehabilitation for Traumatized Children
Prescribed Textbooks & References
Core academic textbooks, paediatric clinical manuals, and national guidelines prescribed by the NCHE Bachelor of Nursing Science syllabus.
- Hockenberry, M.J. & Wilson, D. (2006). Wong's Nursing Care of Infants and Children (8th ed.). St. Louis: Mosby / Elsevier.
- Wong, D.L. (1999). Whaley & Wong’s Nursing Care of Infants and Children (6th ed.). St. Louis: Mosby.
- Merenstein, G.B. & Gardner, S.L. (2006). Handbook of Neonatal Intensive Care (6th ed.). St. Louis: Mosby / Elsevier.
- Pillitteri, A. (2009). Maternal and Child Health Nursing: Care of the Childbearing and Childrearing Family (6th ed.). Philadelphia: Lippincott Williams & Wilkins.
- Suraj, G. (2004). The Short Textbook of Pediatrics (10th ed.). New Delhi: Jaypee Brothers Medical Publishers.
- Hanson, S.M.H. & Boyd, S.T. (1996). Family Health Care Nursing: Theory, Practice, and Research. Philadelphia: F.A. Davis Company.
- World Health Organization & UNICEF (1995). Integrated Management of Childhood Illness (IMCI) Guidelines. Geneva: WHO.
- Ludder, P. & Judith, M. (2000). Primary Care of the Child with a Chronic Condition (3rd ed.). St. Louis: Mosby.
- Opperman, C. & Cassandra, K.A. (1998). Contemporary Paediatric Nursing. St. Louis: Mosby.
- Ministry of Health Uganda (2010). Uganda Clinical Guidelines: National Guidelines for the Management of Common Conditions. Kampala: MOH.
Follow your university’s current approved course outline for official course codes, teaching order and assessments. This directory organises supplementary revision resources.
Advertisements