Underscores the unique health needs of children at different ages and developmental stages

This is the only text/reference book to deliver the specialized knowledge and skills needed to accurately assess children during health and illness. Comprehensive and detailed, it emphasizes the unique anatomic and physiologic differences among infants, children, and adults. The third edition features updated clinical practice guidelines, clinical decision-making, formulating differential diagnoses, and evidence-based practice. It newly addresses toxic stress and trauma-informed care and child witnesses to violent acts. Additionally, the book provides several new features facilitating quick access to key information along with new instructor and student resources.

Using a body system that highlights developmental and cultural considerations, the text examines the physical and psychosocial principles of growth and development with a focus on health promotion and wellness. Especially useful features include a detailed chapter on helpful communication techniques when assessing children of various ages and developmental levels, a chapter on the assessment of child abuse and neglect, over 280 photos and charts depicting a variety of commonly encountered pediatric findings, and sample medical record documentation in each chapter.

New to the Third Edition:

Now in full-color!

Now includes NEW instructor resources (Power Points, Test Bank, 4-color Image Bank)

• Updated clinical practice guidelines
• Clinical decision making, formulating differential diagnoses, and evidence-based practice
• Immigrant and refugee health
• Toxic stress and trauma-informed care
• Child witnesses to violent acts
• Content outline at the beginning of each chapter
• Call-out boxes summarizing key information
• Summary boxes on essential areas of physical exams

Key Features:

• Focuses exclusively on the health history and assessment of infants, children, and adolescents
• Describes the unique anatomic and physiologic differences among infants, children, and adults
• Provides comprehensive and in-depth information for APN students and new practitioners
• Addresses family, developmental, nutritional, and child mistreatment assessment
• Includes clinical practice guidelines for common medical conditions
• Incorporates up-to-date screening and health promotion guidelines

Ellen M. Chiocca, MSN, CPNP, APN, RNC-NIC, is a clinical assistant professor in the School of Nursing at DePaul University.

Preface ix
Acknowledgments xi
UNIT I: THE FOUNDATIONS OF CHILD HEALTH ASSESSMENT
1. Child Health Assessment: An Overview
2. Assessment of Child Development and Behavior
3. Communicating with Children and Families
4. Assessment of the Family
5. Cultural Assessment of Children and Families
UNIT II: THE PEDIATRIC HISTORY AND PHYSICAL EXAMINATION
Section 1: Gathering Subjective Data
6. Obtaining the Pediatric Health History
7. Assessing Safety and Injury Risk in Children
Section 2: Gathering Objective Data
8. The Pediatric Physical Examination
9. The Health Supervision Visit: Wellness Examinations in Children
10. Assessment of Nutritional Status
11. Assessment of the Neonate
12. Assessment of the Integumentary System
13. Assessment of the Head, Neck, and Regional Lymphatics
14. Assessment of the Ears
15. Assessment of the Eyes
16. Assessment of the Face, Nose, and Oral Cavity
17. Assessment of the Thorax, Lungs, and Regional Lymphatics
18. Assessment of the Cardiovascular System
19. Assessment of the Abdomen and Regional Lymphatics
20. Assessment of the Reproductive and Genitourinary Systems
21. Assessment of the Musculoskeletal System
22. Assessment of the Neurologic System
UNIT III: ASSESSMENT OF CHILD MENTAL HEALTH AND WELFARE
23. Assessment of Mental Disorders in Children and Adolescents
24. Assessment of Child Abuse and Neglect
UNIT IV: SYNTHESIZING THE COMPONENTS OF THE PEDIATRIC HEALTH ASSESSMENT
25. The Complete History and Physical Examination: From Start to Finish
26. Formulating a Differential Diagnosis
Appendix A Normal Vital Signs in Infants, Children, and Adolescents
Appendix B CDC Growth Charts
Index