Manual of Ambulatory Pediatrics by Rose W. Boynton RN CPNP, Elizabeth S. Dunn BSN RNC PNP,

By Rose W. Boynton RN CPNP, Elizabeth S. Dunn BSN RNC PNP, Joyce Pulcini PhD RN CS PNP, Sherri St. Pierre, Geraldine R. Stephens BS RN MEd PNP

This pocket-sized handbook is a concise, prepared reference for well-child care, a compilation of the commonest administration difficulties visible in a regular pediatric perform, and a drug reference. half I presents complete instructions for well-child visits from beginning to formative years alongside wth administration directions for universal childrearing matters. This half has a brand new, extra streamlined structure within the 6th version with an emphasis on prevention. half II offers administration protocols for the main mostly happening formative years health problems. This variation comprises new fabric on behavioral difficulties and customary childrearing issues, formative years weight problems, nutrients asthma, ADHD, sleep difficulties, and peer strain. half III offers a concise evaluate of regular prescribed drugs in pediatric perform, utilizing either established and exchange names.

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Review safety protocol. B. Age-appropriate precautions 1. From cradle to crib as baby’s size indicates 2. Cradle in safe area; siblings supervised 3. Crib: Away from windows with cords from blinds and curtains or drapes that could fall into crib 4. Sleeping on back, not sleeping in bed with adult 5. Siblings and pets supervised when near baby 6. Baby not left alone on changing table, bed, couch, bean bag, or floor 7. Limited use of swings and car seats to avoid too much pressure on lower spine 8.

Deriving pleasure and satisfaction from care of baby 2. Developing confidence in ability to understand and fulfill baby’s needs 3. Establishing consistent schedule B. Baby 1. Normal developmental pattern 2. Cries appropriately and quiets easily V. Family status A. Lifestyle: Adequate housing and finances to meet needs B. Parental roles: Establishing responsibilities; feeling gratification and pride in new roles C. Siblings: Parental understanding of siblings’ reactions to changes D. Concerns and problems: Ability to identify problems and to cope; referrals as needed E.

Family or cultural values of accepted behavior may not identify this behavior as abuse. B. Parental risk factors 1. Unsupported single parent 2. Difficult pregnancy 3. qxd 11/26/08 10:01 AM Page 23 Child Abuse Guidelines 23 4. Unwanted child 5. Poorly educated about child care but may otherwise be well-educated 6. Alcohol, drug or substance user 7. Adolescent with no support system, low self-esteem, depressed, alcohol or drug user, poor environment, poverty, runaway child, homeless 8. Feelings of displacement and isolation 9.

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