Fall 2018

NURS 4210-001 Child and Family Health: Theoretical Foundations

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

This course is Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements

Review Canvas course prior to 1st class day.
Students who wish to get a head start may begin to review ATI Nursing Care of Children, 10th Edition, as this will be used throughout the course.


Wall, Cynthia, PhD, MSN, BA, BSN, RN, CNE, PCNS-BC
4210 Course Coordinator
Assistant Professor/Clinical
Office 2.376
Phone: 210 567-6982 (O) if no answer use cell.
210 833 2633 (C) Preferred contact
Office Hours Thursdays after class and Friday mornings by appointment

Contreras, Jorgie, MSN, RN, CPN
Assistant Professor/Clinical
Office 2.354
Phone: 210 567-6969 (O)
210 723-5319 (C) Preferred contact
Office Hours Thursdays 12pm-2pm or by appointment


This course addresses holistic care of children and families with emphasis on health promotion, disease management and injury prevention through therapeutic nursing assessment and intervention across environments.


2 semester hours (2 hours theory)


Successful completion of Semester 6


At the completion of the baccalaureate program the student will demonstrate the following:

  1. Incorporate knowledge, skills, and attitudes from the liberal arts and sciences in professional nursing education and practice.
  2. Apply knowledge and skills of organizational and systems leadership, quality improvement and patient safety in promoting safe, high-quality care for diverse patients across healthcare systems and environments.
  3. Analyze and apply evidence from research and other information sources as a basis for nursing practice.
  4. Incorporate knowledge and skills in using information systems and a range of patient-care technologies to facilitate delivery of quality patient care.
  5. Advocate for financial and regulatory healthcare policies, processes, and environments that improve the nature and functioning of the healthcare delivery system and nursing practice.
  6. Collaborate and communicate effectively with healthcare professionals to promote positive working relationships, improve patient health outcomes, and deliver quality, safe patient care.
  7. Promote individual and population health by assessing factors that influence individual and population health and apply principles and culturally appropriate health promotion and disease-prevention strategies. Demonstrate consistent application of the core values of the discipline of nursing and the professional standards of moral, ethical, and legal conduct.
  8. Demonstrate consistent application of the core values of the discipline of nursing and the professional standards of moral, ethical, and legal conduct.
  9. Integrate the knowledge, skills, and attitudes expected of baccalaureate prepared nurses by providing professional nursing care to diverse patients and populations across the lifespan, healthcare settings, and healthcare environments.


  1. Use education from the liberal arts and sciences to apply the concepts of health maintenance, health promotion, health restoration, injury prevention, and risk reduction to the infant, child and adolescent. (Essential I, VI, VII, IX)
  2. Integrate knowledge from the liberal arts, sciences, and nursing to provide complex disease management and acute care to children across the age continuum. (Essential I, VII, IX)
  3. Evaluate the psychosocial impact of chronic illness, developmental disorders, and terminal illness on children, adolescents and mutigenerational families. (Essential I. IX)
  4. Describe the concepts of quality improvement and safety in identifying clinical questioning, implementing safety initiatives, and monitoring outcomes. (Essential II, III, VI)
  5. Analyze the impact of healthcare policy on issues of access, affordability, and social justice as it relates to the health of children and families. (Essential I, V, VIII)
  6. Evaluate data from relevant sources, including technology and evidence-based practice, in improving patient care outcomes and creating safe care for children and families. (Essential II, III, IV, IX)
  7. Develop the core nursing values and professional standards of moral, ethical, and legal conduct related to the care of children and their families. (Essential I, VII, VIII)
  8. Describe how cultural and spiritual beliefs impact the care of children and families. (Essentials I, VIII, IX)
  9. Identify how family functioning and definitions of health and illness influence healthcare practices. (Essential I, VII, IX)


A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)


The course activities will be graded as follows.

Exam 1 = 22%

Exam 2 = 22%

Exam 3 = 26%

Assignments = 15% (written assignments, quizzes)

ATI Content Mastery Exam = 15% **

TOTAL 100%

**Please read below:

1.Completion of Practice A and B exams are required to be eligible to take the ATI Content Mastery Exam. A minimum score is required for the Practice Exams. Practice Exam attempts include a wait period between administration of the exam, so students must plan ahead in order to meet the due date (see the “Assessment Technologies Institute, LLC (ATI) RN Content mastery Series” section of this syllabus for details).

2.Due dates for the practice exams are identified on the course calendar displayed in CANVAS. Consistent with the “Written Work” section of this syllabus, students are expected to submit work by the scheduled date and time.

3.Additionally, per the “Testing Policy” section of this syllabus, students are expected to take examinations at the scheduled time unless there are extenuating circumstances. Failure to complete the practice exams within the timed structure is not an extenuating circumstance.

4.Based on the above-mentioned policies, students who do not meet the requirements for Practice A and B exams by the identified due date are ineligible to take the initial administration of the ATI 0216 Content Mastery Exam and are not eligible to make up this ATI exam attempt. Students who subsequently meet the requirements for Practice A and B exams are eligible to complete the second ATI exam and will earn the score commiserate with the second ATI exam.



  1. Examination items are the proprietary intellectual property of the university and are not to be shared by students. Sharing of exam items by students is considered cheating and is subject to disciplinary action. There are no legal test item banks available to students in the SON other than those provided with the ATI NCLEX –RN exam preparation materials.
  2. Exams are required.
  3. Students are expected to take examinations at the scheduled time.
  4. The student must notify the course coordinator prior to the scheduled exam time if they are unable to take the exam as scheduled.  Failure to make this notification in advance will result in a "zero" for that examination.
  5. If the excuse is accepted as reasonable and necessary, arrangements will be made for a make-up examination.
  6. Exam content is based on course, class, and clinical objectives.  Included are all required readings, lecture and discussion, related material in the course packet, media presented in or required for class, material handed out, and material on Canvas.
  7. Students should follow the School of Nursing dress code during exams. 
  8. Students must leave all food and drink, books, purses, and backpacks in an area designated by exam proctors.  If available, students are encouraged to leave personal items in lockers.  No hats, caps or head coverings may be worn during exams, with the exception of those required for religious purposes.
  9. When entering the classroom for an exam, students will show their School of Nursing badge to the proctor.  Proctors will ensure only the students eligible to take the exam receive access to the test and take the exam in an approved testing location.  During the exam, students will wear their badge on the upper chest area.
  10. Calculators, scratch paper and pencils are provided by the School of Nursing for exams.  Proctors will distribute the scratch paper after students have initiated the exam.
  11. If students arrive late, no extra time to complete the exam will be given.
  12. Each student is responsible for making sure that he or she has completed the exam before the exam is turned in to a proctor.  Under no circumstances will a student be allowed to retrieve his or her exam materials after turning them in to the test proctor.
  13. Students will be given the opportunity to review exams.  


  1. To pass the course, a student must have a weighted average of 75% on all graded activities.
  2. Students must make a "C" (75) or higher in all nursing courses to progress in the program.


The final grade will be calculated to two decimal places and rounded mathematically as follows:


Attendance in class is an expectation of each student.


  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.


The APA Publication Manual 6th edition is required for use in all nursing school programs. 

Assessment Technologies Institute®, LLC (ATI) RN CONTENT MASTERY SERIES®

UTHSCSA School of Nursing utilizes the ATI RN Content Mastery Series®, RN Comprehensive Predictor® practice and proctored exams, and the ATI Virtual "greenlight" program to assist students in preparing for the NCLEX-RN® exam. Through practice and proctored examinations, students are able to assess their own knowledge and receive feedback and direction for content review throughout the program of study.

The proctored exams are administered in specific courses in both undergraduate tracks.

In order for a student to take the course related proctored exam, students will take the non-proctored (Practice A and B) tests individually, as often as they wish with a minimum of a 24 hour wait period between attempts. The student should engage in a minimum of one hour focused review on missed topics and/or identify three critical points to remember. Achievement of a 90% or higher individual score is required prior to taking the proctored test. Students may be required to show documentation by submitting a printed copy of the individual student transcript to the faculty prior to testing. Non-proctored tests are pass/fail.

To strengthen the review method, if students did not achieve a 90% or greater on the practice exam, students should understand the rationales for each distracter. It is recommended that students review 5-15 questions at a time with ample time given to review each of the rationales. When the student logs in again, the exam will continue from where the student had stopped previously.

Content Mastery Exams will comprise 15% of the total course grade. The following provides guidelines for inclusion of the CME in the course grade.

                   Content Mastery Examinations Requirements


 1st ATI Exam  (15% of Course Points)

2nd ATI Exam      (15% of Course Points)


100% of points  

85% of points


90% of points

80% of points    


*0% of points, develop focused review** and must retake exam

0% of points

Less than Level 1

*0% of points, develop focused review** and must retake exam

0% of points

*Level 1 and below: An individualized student success plan will be developed and implemented in conjunction with faculty to help student attain content mastery.

* Focused review consists of printing out the specific proctored “report” and using either the available ATI templates or a plain piece of paper to handwrite all of the missed items under “Topics to Review” and label each missed item with the topic descriptors. This handwritten remediation will be stapled with the student’s proctored “report”. 

The RN Comprehensive Predictor will be given in Nurs 4420 (traditional BSN program) or Nurs 4423 accelerated BSN program).


Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.


Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.


London, Ladewig, Davidson, Ball, Bindler & Cowen Maternal & Child Nursing Care, 5th Edition, Pearson 2017  ISBN: 9780134167220

2016 ATI RN Review: Nursing Care of Children, 10th Edition


Health Promotion in Pediatrics
Growth and Development (Infants, Toddlers, Preschoolers, School-Age, and Adolescents)
Common Pediatric Fluid and Electrolyte Disturbances
Respiratory Disturbances
Cardiac Disturbances
Neurological Disturbances
Musculoskeletal Disturbances
Gastrointestinal Disturbances
Renal Disturbances
Hematology/Oncology Disturbances
Child Maltreatment
Children with Chronic Illness
Reactions to Hospitalization
Immunization and Childhood diseases.

CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

Orientation to Course  and Introduction to Pediatric Nursing
on August 23, 2018 
1000 - 1150
Dental Building (DTL - 1.284T)

See Calendar posted in Canvas and watch Announcements for updates. 

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