Sequence of examination Infant Before able to sit alone — supine or prone, preferably in parent’s lap; before 4 to 6 months, can place on

Clinical Assessment of Nutritional Status Evidence of Adequate Nutrition Evidence of Deficient or Excessive Nutrition Deficiency or Excess General Growth Normal weight gain, growth velocity,

Nutrition Dietary intake Dietary Reference Intakes (DRI) are a set of four evidence-based nutrient reference values that provide quantitative estimates of nutrient intakes for use

Review of systems   Constitutional:  Overall state of health, fatigue, recent or unexplained weight gain or loss (period for either), contributing factors (change of diet,

Pediatrics Health History Identifying information Name Address Telephone Birth date and place Race or ethnic group Sex Religion Date of interview Informant (most likely the

Blocks to communication Communication Barriers (Nurse) Socializing Giving unrestricted and sometimes unsought advice Offering premature or inappropriate reassurance Giving over-ready encouragement Defending a situation or

Communication and Physical Assessment of the Child and Family Communicating with Children Importance of creating a safe environment Introduce yourself Involve the child from the

Cultures Exploring a Family’s Culture, Illness, and Care What do you think caused your child’s health problem? Why do you think it started when it

Mass Media Media Effect Potential Consequences Violence Government, medical, and public health data show exposure to media violence as one factor in violent and aggressive

Types of discipline During reprimanding children, Focus only on the misbehavior, not on the child The use of “I” messages rather than “you” messages express

Family Structure and Function A family’s structure affects the direction of nursing care Traditional Nuclear family Married couple and their biological children Children live with

Family roles All family members have designated roles within the family unit Many cultural & societal influences on family roles— however, this is slowly changing