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4. Define Shaken Baby Syndrome (SBS) and list the possible signs associated with SBS.

Definition, signs of SBS and strategies to prevent SBS •Strategies to reduce incidences of SBS (e.g. Period of Purple Crying program)

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 3. Apply strategies that can be applied to prevent childhood injuries and identify the teaching needs for children and/or their families that promote safety.

•Anticipatory safety guidance

• Passive vs. active strategies

• Three Es: • Education • Engineering • Enforcement (legislation)

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2. Identify the leading causes or trends associated with unintentional pediatric injuries.

Epidemiological approach to unintentional injuries.

• Injury trends and causes related to growth & development (host), season, environment and physical and social agents (e.g. may include choking & suffocation, falls (I.e. crib safety), accidental poisoning, motor vehicle incidents (I.e. pedestrian &car safety), drowning, incidents related to sports & recreation; head injuries; burns and scalds

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Understand the connection between the developmental stage of a child and the type of injury they have.

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1.    Describe age-appropriate non- pharmacological interventions for controlling pain in children.

a.      Trusting relationship • Distraction-Play • Massage • Application of heat/cold • Music •Visualization • Positive self-talk • Role of Child Life Therapist in hospitals

2.    Describe documentation of nursing assessments and interventions for pain.

a.      Document nursing assessment and pain management

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1.    Describe pain assessment for pain in children (the 5th vital sign)

a.     Pediatric pain assessment tools • Obtain a pain experience history •

2.    Describe pharmacologic interventions, management modalities and administration routes (and/or delivery devices) for controlling pain in children.

a.     • Opioids/patient-controlled analgesia • NSAIDS • Non-opioids • Adjuvants

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3.     Identify the therapeutic and adverse effects of medications used in high-risk pregnancies.

Medications:  -Antihypertensives in pregnancy -IV Magnesium Sulfate (drug of choice, the monitoring & the antidote)

Other medications(Hyperemesis Gravidarum):  -Ginger (non-pharmacological)-Diclectin™  -Gravol™  -Maxeran™  -Zofran™

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1.     Describe the pathophysiology, clinical manifestations and nursing care of gestational problems.

Pre-eclampsia/Eclampsia ♦ HELLP syndrome ♦ Gestational Diabetes ♦ Hyperemesis Gravidarum ♦ Hemorrhagic conditions

2. Describe the care of the pregnant woman with a pre-existing condition.

Obesity ♦ Diabetes ♦ Thyroid disorder ♦Cardiovascular/Pulmonary

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 4. Describe diagnostic tests used to assess maternal and fetal well-being.

Antepartum/Prenatal testing: • 1st trimester • 2nd trimester • 3rd trimester

5. Describe the care of the pregnant woman with a pre-existing condition.

RH/ABO Incompatibility - RhoGAM/WinRho

 Group B streptococcal (GBS) - Penicillin

6. Discuss the role of the nurse in a pregnancy at risk.

Antenatal risk assessment ♦ Educator ♦ Support

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 2. Discuss determinants of health as risk factors and their implications for pregnancy.

• Biology & Genetic Factors • Demographic Characteristics • Personal Health Practices & Coping Skills

3. Explore Canadian maternal health problems.

• Causes of maternal death • Mental health issue •Intimate partner violence