Behavioral Objectives
|Behavioral Objectives |Content Outline |Clinical Objectives |Learning Opportunities |
|Apply the terms listed in the content |Application of terms |Read and discuss relevant, current nursing|Readings: |
|column appropriate to the client’s |Broncho-pulmonary dysplasia (BPD) |practice journal articles and apply to |Lehne (2007) |
|situation. |Celiac disease |practice. | |
| |Cerebral palsy | |McKinney (2009) |
| |Choanal atresia |Participate in the evaluation of | |
| |Coarctation of the aorta |care administered by the interdisciplinary| |
| |Diaphragmatic hernia |health care team. |Computer Simulation: |
| |Down Syndrome | |#2002 - Baby Chester: Premature Infant |
| |Epispadias |Consult with, utilize and make referrals |in Respiratory Distress |
| |Esophageal atresia |to community agencies and health care | |
| |Exstrophy of bladder |resources to provide continuity of care. |#2107 – Iron Intoxication In A Toddler |
| |Foreign body aspiration | | |
| |Gastroschisis |Use organizational & management skills |Laser: |
| |Hirschsprung’s Disease |when utilizing resources to meet |#5030 Pediatric Assessment |
| |Hypospadias |goals/outcomes, & enhance quality of | |
| |Imperforated anus |nursing care and level of client | |
| |Intussusception |satisfaction. | |
| |Kernicterus | | |
| |Lead poisoning |Use negotiation skills for the purpose of | |
| |Omphalocele |achieving positive client outcomes. | |
| |Persistent pulmonary hypertension of newborn (PPHN) | | |
| |Sudden Infant Death (SIDS) |Participate in interdisciplinary health | |
| |Transposition of the great vessels (TGA) |care team meetings/conferences. | |
| | | | |
| | |Apply change strategies to achieve stated | |
| | |outcomes. | |
| | | | |
| | |Work with client and interdisciplinary | |
| | |health care team for planning health care | |
| | |delivery to improve the quality of care | |
| | |across the life span. | |
|Compare and contrast the anatomy, |Anatomy/physiology and pathophysiology of the |Promote the effective coordination of | |
|physiology and pathophysiology of |newborn |client-centered health care. | |
|the term newborn and to the high-risk |Term newborn | | |
|newborn. |Circulation |Assess the adequacy of the support system | |
| |Fetal |of the client. | |
| |Neonate | | |
| |Systems |Identify providers and resources to meet | |
| |Respiratory |the needs of clients. | |
| |Cardiovascular | | |
| |Gastrointestinal |Facilitate communication between client | |
| |Genitourinary |and institutional or community resources. | |
| |Neurologic | | |
| |Musculoskeletal |Advocate on behalf of the client with | |
| |Integumentary |other members of the interdisciplinary | |
| |Behavioral |health care team to procure resources for | |
| |Cry |client care. | |
| |Activity | | |
| |Sleep pattern |Identify and participate in activities to | |
| |High-risk neonate |improve health care delivery within the | |
| |Systems |work setting. | |
| |Behavioral | | |
| |Classification |Report the need for corrective action | |
| |Size |within the organization. | |
| |Gestational age | | |
|Analyze factors included in the assessment of the high-risk| High Risk Neonate Assessment | | |
|neonate. |Interview of Mother | | |
| |Personal data (age) | | |
| |Present pregnancy | | |
| |Past pregnancies | | |
| |Medical history | | |
| |Family/social/occupational history | | |
| |Medication history | | |
| |Knowledge of risk factors for neonate | | |
| | | | |
| |Physical exam of newborn | | |
| |General assessment | | |
| |Status at birth (gestational age, Apgar scores) | | |
| |Weight | | |
| |Length | | |
| |Head circumference | | |
| |Chest circumference | | |
| |General body shape, posture, apparent deformities, and signs of | | |
| |distress | | |
| |Vital signs | | |
| |Systems | | |
| |Respiratory | | |
| |Cardiovascular | | |
| |Gastrointestinal | | |
| |Genitourinary | | |
| |Neurologic | | |
| |Musculoskeletal | | |
| |Integumentary | | |
| |Behavior | | |
| |Cry | | |
| |Activity | | |
| |Sleep pattern | | |
| |Monitoring devices | | |
| |Temperature | | |
| |Cardiac | | |
| |Respiratory | | |
| |Blood pressure | | |
| |Apnea | | |
| |Diagnostic tests | | |
| |Radiology | | |
| |Chest | | |
| |Sonogram | | |
| |Flat plate of abdomen | | |
| |Computed axial tomography (CT) | | |
| |Magnetic resonance imaging (MRI) | | |
| |Laboratory studies | | |
| |Blood | | |
| |Complete Blood Count (CBC) | | |
| |Blood glucose | | |
| |Bilirubin | | |
| |Electrolytes | | |
| |Blood gases | | |
| |Blood type | | |
| |Blood cultures | | |
| |Urine | | |
| |Urinalysis | | |
| |Glucose | | |
| |Cultures | | |
| |Stool | | |
| |3. Other | | |
| |a. Barlow's Maneuver | | |
| |b. Ortolani's Maneuver | | |
| |Cultural influences | | |
| |Hereditary | | |
| |Environmental | | |
| |3. Health beliefs/practices | | |
| | | | |
|Differentiate between the etiology, |Complex Newborn/pediatric problems | | |
|pathophysiology and clinical manifestations of selected |High-Risk neonate | | |
|complex problems of the high-risk newborn. |Preterm/infant | | |
| |Respiratory distress syndrome | | |
| |Hyperbilirubinenia | | |
| |Intraventricular Hemorrhage (IVH) | | |
| |Retinopathy of Prematurity (ROP) | | |
| |Sepsis | | |
| |Apnea | | |
| |Necrotizing enterocolitis (NEC) | | |
| |Post-term | | |
| |Meconium aspiration syndrome | | |
| |Congenital heart abnormalities | | |
| |Patent ductus arteriosus (PDA) | | |
| |Aterial septal defect (ASD) | | |
| |Ventricular septal defect (VSD) | | |
| |Tetralogy of Fallot (TOF) | | |
| |Hypoplastic left ventricle | | |
| |Gastrointestional | | |
| |Cleft lip/palate | | |
| |Pyloric stenosis | | |
| |Non-Organic Failure to Thrive (FTT) | | |
| |Neural tube defects | | |
| |Spina bifida occulta | | |
| |Meningocele | | |
| |Myelomeningocele | | |
| |Hydrocephalus | | |
| |Bone/joint | | |
| |Clubfoot | | |
| |Developmental Dysplasia of the Hip (DDH) | | |
|Discuss analysis, planning, |Selected diagnoses/nursing implementation/ evaluation | | |
|implementation and evaluation for the nursing management of|Ineffective breathing pattern | | |
|high-risk newborn with complex problems. |Independent interventions | | |
| |Respiratory assessment | | |
| |Position for optimum air exchange | | |
| |Suction to remove excess secretions | | |
| |Maintain neutral thermal environment | | |
| |Monitor blood gases | | |
| |Monitor 02 saturation | | |
| |Monitor skin color | | |
| |(buccal mucosa best indicator) | | |
| |Monitor activity level | | |
| |Monitor respiratory effort | | |
| |Observe for respiratory distress | | |
| |Collaborate interventions | | |
| |Administer medications & monitor for desired effects/adverse | | |
| |effects/side effects | | |
| |Antimicrobial agents | | |
| |Diuretics | | |
| |Cardiovascular | | |
| |Inotropic agents | | |
| |Antihypertensives | | |
| |Vasodilators | | |
| |Central nervous system | | |
| |Analgesics | | |
| |Sedatives | | |
| |Resuscitation | | |
| |Epinephrine | | |
| |Sodium bicarbonate | | |
| |Volume expanders | | |
| |Naloxone | | |
| |(6) Synthetic surfactant | | |
| |Assist with respiratory support | | |
| |apparatus | | |
| |Mechanical ventilation | | |
| |Extracoroporeal membrane osygenation (ECMO) | | |
| |Oxygen hoods/tents | | |
| |Humidifier warmers | | |
| |Nitric oxide | | |
| |Continuous positive airway pressure (CPAP) | | |
| |Recognition of complications | | |
| |Bronchopulmonary dysplasis (BPD) | | |
| |Intracranial hemorrhage | | |
| |Apnea of prematurity | | |
| |Retinopathy of prematurity (ROP) | | |
| |Necrotizing enterocolitis | | |
| |Sepsis | | |
| |The newborn will have adequate oxygenation as evidenced by: | | |
| |Airway remains patent | | |
| |Breathing provides adequate oxygenation and CO2 exchange | | |
| |Respiratory rate and pattern appropriate for age and weight | | |
| |Arterial blood gases and acid-base balance within normal limits for | | |
| |age | | |
| |Risk for fluid volume deficit/excess | | |
| |Independent interventions | | |
| |Assess hydration status | | |
| |Monitor intake/output | | |
| |Monitor pertinent diagnostic tests | | |
| |Maintain skin integrity | | |
| |Maintain safety devices | | |
| |Regulate parenteral fluids closely | | |
| |Collaborate intervention | | |
| |Administer replacement fluids | | |
| |Oral replacement solutions | | |
| |Intravenous therapy | | |
| |Total parenteral nutrition (TPN) | | |
| |Ponseti Casting | | |
| |Pavlik Harness | | |
| |Maintain feeding tubes/NGT | | |
| |Recognition of complications | | |
| |Dehydration/overhydration | | |
| |Organic and Non-Organic Failure to thrive | | |
| |Altered growth and development | | |
| |Independent interventions | | |
| |Provide optimum nutrition | | |
| |Provide rest periods | | |
| |Minimizes noxious stimuli | | |
| |Provide age-appropriate developmental activities | | |
| |Promote parent-infant interaction | | |
| |Collaborate interventions | | |
| |Refer to social services, parent support groups. | | |
| |Recognition of complications | | |
| |Growth retardation | | |
| |Developmental delayed | | |
| |Ineffective parent bonding | | |
| |The newborn will have adequate hydration as evidenced by: | | |
| |No signs/symptoms of dehydration/over hydration | | |
| |Glucose levels within normal levels | | |
| |Steady weight gain once past acute phase | | |
| |The newborn will attain normal growth and developmental potential | | |
| |Exposed to appropriate stimuli | | |
| |Bonds with parents | | |
N:Spring\ RNSG 2414 Unit VIII Newborn Complications Reviewed 06/11
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