By Ellen M. Chiocca MSN CPNP APN RNC-NIC
Complex Pediatric evaluate presents an in depth and complete method of acquiring the heritage and actual exam of youngsters, delivery via formative years. The textbook techniques the health and wellbeing overview of the pediatric shopper through the use of a physique platforms framework within the context of developmental and cultural features of kid overview. as well as actual evaluation, emphasis is put on put on the child’s psychosocial healthiness, with chapters on conversation, kin overview, psychological health and wellbeing overview and review of abuse and overlook. overall healthiness upkeep and wellbeing is usually emphasised, with separate chapters on pediatric wellbeing and fitness supervision, food and security.
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Preoperational (2–7 Years): Child is still egocentric but beginning to see another’s point of view; demonstrates concrete, tangible thinking and begins to use memory. Phallic: Child recognizes differences between two sexes and is interested in genitals; shows intense attraction or love to the parent of the opposite sex (Oedipus/Electra complex). Preconventional (Birth to Age 9 Years): Toddler (1 to 3 years) Preschooler (3–6 years) “Amoral” Stage 1: Punishment and Obedience Preconventional: The goal is individual survival.
Preschool-aged children of depressed mothers are also more likely to display such behaviors as attention seeking, aggression, ADHD, and oppositional or defiant behaviors, even when prenatal selective serotonin reuptake inhibitor (SSRI) exposure is controlled (Oberlander, Reebye, Misri, Papsdorf, Kim, & Grunau, 2007). School-aged children of depressed mothers have higher rates of anxiety, depression, and behavior disorders, including conduct disorder and ADHD; they also are at increased risk for poor academic performance and low self-esteem (Bongers, Koot, van der Ende, & Verhulst, 2004).
Chronic health conditions may also inhibit physical or psychosocial developmental milestones, depending on the condition. , childhood cancers requiring chemotherapy or radiation) can affect a child’s physical, psychosocial, and cognitive growth and development in part because of the necessary long absences from school. Some diseases for which children are immunized can cause serious neurologic complications; thus, immunization status must be assessed (see Chapter 22). The provider should also inquire about past hospitalizations and surgeries to identify potential areas of concern for developmental delays.
Advanced Pediatric Assessment by Ellen M. Chiocca MSN CPNP APN RNC-NIC