99222 - Infermieristica dell'area materno - infantile (pediatrica) (FA)

Learning outcomes

At the end of the module, the student possesses knowledge related to the care of the child and their family in the context of priority health issues in the maternal and child health area, with particular attention to preventive and educational aspects. They identify, plan, and evaluate care interventions and collaborate with other professionals in diagnostic-therapeutic pathways and educational projects.

Course contents

Maternal and Child Nursing
• Overview of Maternal and Child Nursing
• Maternal and Child Health Project and NHS health objectives
• Birth pathway and the first 1000 days of life
• The mother-child dyad: theories of Bowlby, Spitz and Winnicott
• The Family Centered Care model
• Abortion and voluntary termination of pregnancy

Care for the Healthy Newborn
• Conception and pregnancy, Critical stages of fetal development
• Classification of newborns and IUGR (Intrauterine Growth Restriction)
• Adaptation to extrauterine life: term and preterm newborns
• Anthropometric measurements and Apgar score
• Care for the healthy newborn
• Neonatal screening and capillary sampling
• Newborn life support

Childbirth and Breastfeeding
• High-risk pregnancy and main pathological conditions during pregnancy (Ectopic pregnancy, miscarriage, premature placental abruption, placenta previa, gestational hypertension, PROM)
• Gestational diabetes
• Natural, induced, and surgical childbirth
• Umbilical cord cutting and cord blood donation
• Breastfeeding: physiology, beneficial aspects, and the 10 steps to promote it
• Main inflammatory breast diseases
• Nutrition in preterm infants
• Donor milk bank

Newborns with birth-related problems
• Birth trauma, neonatal jaundice, respiratory diseases
• Cardiovascular diseases, neurological diseases, infectious diseases, and metabolic diseases
• SIDS
• Community pediatrics and vaccinations
• Vaccination schedule and reporting of adverse reactions

Diabetes in pediatric patients
• Definition, incidence, and prevalence
• Causes, risk factors, and symptoms at onset
• Insulin treatment, blood glucose monitoring, diet, physical activity, psychological support
• Hospitalization in the pediatric patient

Pain management in children
• Regulatory framework and professional responsibility
• Definition and clinical classification of pain
• Indicators and behavioral response
• Assessment scales and underestimation errors
• Pain treatment (pharmacological and non-pharmacological) and the phenomenon of undervalutation and undertreatment
• Neonatal withdrawal syndrome

Pediatric Pharmacology
• Nursing responsibilities in the drug management process (storage, prescription, administration)
• Pediatric considerations in pharmacology
• Drug formulations administered (oral, intramuscular, intravenous, etc.)
• Vascular access (PICC, central venous catheter, intraosseous)
• Pharmacological toxicity
• Off-label medications
• Dosage calculation: proportions and dilutions

Pediatric Oncohematology
• Incidence and significance of major cancers, incidence and epidemiology
• Etiopathology and diagnosis of major pediatric cancers
• Oncological treatments: surgical, medical, and combined
• Major pediatric cancers (Leukemia, Neuroblastoma, Wilms' Tumor, Lymphomas)
• Adverse effects of drug therapies and antitumor drug toxicity
• Recovery, relapses, and late effects
• Pediatric palliative care and hospice

Child abuse and maltreatment
• Child abuse and maltreatment: definition, incidence, and epidemiology
• Classification of types of maltreatment (physical, psychological, sexual, online, peer violence, and bullying)
• Nursing care: the ecological model of intervention
• Reception of victims in triage

Readings/Bibliography

1. “Con ragione e sentimento. Le cure neonatali a sostegno dello sviluppo”. Grazia Colombo Biomedia 2011

2. “Assistenza infermieristica in pediatria”. Seconda edizione. P.Badon, S. Cesaro. Casa editrice Ambrosiana 2015.

3. “Assistenza infermieristica e ostetrica in area materno-infantile”.Seconda edizione. P. Di Giacomo, L. A. Rigon. Casa Editrice Ambrosiana. 2016

4. Diagnosi infermieristiche NANDA-I, definizioni e classificazione 2021-2023. T. Heather Herdman , Shigemi Kamitsuru. 2021

5. Calcoli e dosaggi farmacologici. La responsabilità dell'infermiere. G. Ledonne, S. Tolome

6. “Diagnosi infermieristiche con NOC e NIC”. J. M. Wilkinson. Casa editrice Ambrosiana. 2005

7. “Infermieristica in area materno-infantile”. G. Marchioni, S. Salerno, S.Scalorbi, P. Quarella. Mc Graw Hill. 2014

8. “Diagnosi infermieristiche. Definizione e classificazione 2018-2020”. Decima edizione. Casa editrice Ambrosiana. B. H. Quigley, M. L. Palm, et al.

9. “Mappe concettuali per l'assistenza infermieristica. Casi clinici per migliorare la comunicazione, la collaborazione e l'assistenza”. B. L. Yoost . Casa editrice Ambrosiana. 2018

10. “Saturazione sensoriale: semplice ed efficace contro il dolore procedurale del neonato”. C. V. Bellieni, M. G. Alagna, G. Buonocore. Dipartimento di Pediatria, Ostetricia e Medicina Riproduttiva, Università di Siena .

11. “Il trattamento specifico con Emla in pediatria” infermiera C. Biavati. Ospedale Sant'Orsola Malpighi.

12. “Promozione dell'uso di latte materno nelle unità di TIN ed accesso dei genitori ai reparti”. Raccomandazione congiunta di tavolo tecnico operativo Interdisciplinare. Ministero della Salute

13. “Ridurre il dolore da prelievo capillare nel neonato: confronto tra 6 dispositivi pungidito (To reduce painto heelprick in newborn: comparisonwith sixlancetdevices)”. G.Ballardini, A. Spruzzola, L. Boneschi ,R. Visentin, L. Boscardini, M.Barbaglia, A. Guala. Ped. Med. Chir.(Med. Surg. Ped.), 2012, 34: 182-185

14. “Protocollo di individualized family centered developmental care secondo il metodo NIDCAP (ALS, H.,2000)”. A cura di: N. Bertoncelli

15. Gravidanza fisiologica. Aggiornamento 2011. Linee giuda nazionali (www.snlg-iss.it)

16. “L' allattamento al seno: protezione, incoraggiamento e sostegno. L'importanza del ruolo dei servizi per la maternità”. Dichiarazione congiunta OMS/UNICEF. Novembre 2008

17. Guida per eseguire correttamente i dosaggi dei farmaci necessari alla somministrazione della terapiain età evolutiva Traduzione ed adattamento da: Meriel Hutton e Helen Gardner (Royal College ofNursing). Calculation Skills. Paediatric Nursing The journal of nurses caring for children and youngpeople . Marzo 2005, volume 17(2).

18. Manuale delle diagnosi infermieristiche Ottava edizione | 2024 | Lynda Juall Carpenito Casa Editrice Ambrosiana. Distribuzione esclusiva Zanichelli

Teaching methods

Lectures with slide presentations, exercises on drug administration proportions, and analysis of clinical cases.

Assessment methods

Multiple-choice test (31 questions - only one correct answer)

Office hours

See the website of Filippo Zanotti