MDWF 2050

MDWF 2050: Pediatrics

CREDITS 4

COURSE PURPOSE & OVERVIEW:

A firm knowledge of pediatrics is an indispensable component of the training of a health provider. The purpose of this course is to

teach students:

1. An in-depth review of the Apgar Score

2. A detailed assessment of the anatomy and physiology of the newborn

3. A comprehensive analysis of extrauterine transitions and physiologic responses of the newborn

4. A study of the assessment and management of jaundice in the newborn

5. Meticulous scrutiny of the care of the newborn immediately after birth in the normal labor, including bonding and attachment and behavior and temperament

6. A thorough physical examination of the newborn, including: expected findings, common variations, signs of potential distress or deviations from expected findings and recognition of situations needing referral/transport. The following systems are reviewed: skin, head, eyes, ears, nose, mouth, throat, neck, chest, abdomen, female genitalia, male genitalia, back, rectum, extremities and neuromuscular (including reflexes and neurological exam)

7. Tools to assess gestational age

8. The Newborn History and Newborn Examination from birth to 6 weeks of age including growth and development

9. Common tests in the newborn, including newborn screening

10. Prophylactic procedures and immunizations

11. Dehydration and fluid therapy

12. Safety and prevention from birth to 12 months of age, including shaken baby syndrome, safe sleeps practices and health and community resources, including emergency numbers

13. Neonatal drug withdrawal and the effects of tobacco, drugs and alcohol use during pregnancy

14. Principles of infant nutrition and infant feeding options for babies (including those born to HIV positive mothers)

SPECIFIC LEARNING OBJECTIVES:

1. To achieve an in-depth knowledge of the Apgar Score

2. To define a detailed assessment of the anatomy and physiology of the newborn

3. To recognize the extrauterine transitions and physiologic responses of the newborn

4. To discuss the assessment and management of jaundice in the newborn

5. To meticulously scrutinize the care of the newborn immediately after birth in the normal labor, including bonding and attachment and behavior.

6. To develop a thorough physical examination of the newborn, including: expected findings, common variations, signs of potential distress or deviations from expected findings and recognition of situations needing referral/transport. The following systems are reviewed: skin, head, eyes, ears, nose, mouth, throat, neck, chest, abdomen, genitalia, back, rectum, extremities and neuromuscular (including reflexes and neurological exam).

7. Understand gestational age assessments

8. To select or create documents to record the newborn history and newborn examination from birth to 6 weeks of age

9. To synthesize the use of common tests in the newborn, including newborn screening

10. To design client handouts/informed consents for prophylactic procedures and immunizations in the newborn

11. To develop a plan for the management of the dehydrated infant

12. To review safety and prevention from birth to 12 months of age, including shaken baby syndrome, safe sleeps practices, and health and community resources, including emergency numbers

13. To recognize emergency conditions in the newborn requiring referral, transport or transfer of care

14. To identify alternative modalities and treatments for common newborn conditions


Source: Midwives College of Utah. (2020). Midwives College of Utah Student Handbook Fall 2020. Retrieved from: https://www.midwifery.edu/wordpress/wp-content/uploads/2020/05/Fall-2020-Student-Handbook-5.2020.pdf


Example of practice directive document (practice guideline, informed consent or client handout):