Pediatric Primary Care
Pediatric
PRIMARY CARE
Practice Guidelines for Nurses
SECOND EDITION
Edited by
Beth Richardson, PhD, RN, CPNP, FAANP
Professor Emeritus
School of Nursing
Indiana University
Pediatric Nurse Practitioner
HealthNet, Inc.
Indianapolis, Indiana
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Library of Congress Cataloging-in-Publication Data
Pediatric primary care: practice guidelines for nurses / [edited by] Beth Richardson.–2nd ed.
p. ; cm.
Rev. ed. of: Practice guidelines for pediatric nurse practitioners / [edited by] Beth Richardson.
Includes bibliographical references and index.
ISBN-13: 978-1-4496-0043-3
ISBN-10: 1-4496-0043-3
1. Pediatric nursing. I. Richardson, Beth, CPNP. II. Practice guidelines for pediatric nurse practitioners.
[DNLM: 1. Pediatric Nursing–methods. 2. Primary Care Nursing. 3. Child. 4. Infant. 5. Nurse Practitioners. WY 159]
RJ245.P73 2012
618.92'00231—dc23
2011023318
6048
Printed in the United States of America
15 14 13 12 11 10 9 8 7 6 5 4 3 2 1
Contents
Preface
Acknowledgments
Contributors
Child Health Care
Obtaining an Initial History
Beth Richardson
Introduction
Initial Information
Reason for Current Visit
Past History
Review of Systems
Family History
Disease History
Social History
Development
Bibliography
Obtaining an Interval History
Donna Hallas
The Interval History
Interval History for Athletic Child or Adolescent
Focused History
Applying Data Obtained in Interval History to Clinical Practice
Bibliography
Performing a Physical Examination
Mary Jo Eoff
Introduction
Pediatric Physical Examination
Bibliography
Making Newborn Rounds
Candace F. Zickler
Making Newborn Rounds
Review of the Individual Records
Physical Assessment of the Newborn
Abnormal Physical Findings (Consult with Staff Physician and/or Refer for Evaluation, as Indicated)
Laboratory Assessment of Newborn
Meeting with the Parent
Nutrition
Elimination
Sleep
Growth and Development
Social Development
Immunizations (see
Appendix A
)
Safety/Anticipatory Guidance
Discharge to Home
Bibliography
Guidelines for Breastfeeding
Amy L. Feldman
Introduction
Physiology of Lactation
Human Milk
Contraindications for Breastfeeding
Maternal Assessment
Infant Assessment
Breastfeeding in the Early Days
Separation of Mother and Infant
Supporting Breastfeeding Past the Early Days
Common Problems
Helpful Breastfeeding Resources
Bibliography
Two-Week Visit
Candace F. Zickler
General Impression
Nutrition
Elimination
Sleep
Growth and Development
Social Development
