LESSON: Child Assessment and Infant Development
DISCUSSION: Red Flags for Early Child Development

Assignment Guidelines
Discussion Guidelines
Initial Post
Using the readings from any of your required textbooks, list three potential developmental red flags for each of the following early child development ages: 3 months, 6 months, and 12 months. Explain how you, as a nurse practitioner, would detect these red flags and what course of action you would provide patients and their families.

Lesson Introduction
Welcome to Week 9! This week, you will review how to perform child and family assessments. Children can be challenging to work with, so it is important that they develop a trusting bond with their health care providers. This week, you will learn that there are many effective ways to approach children at different ages. You will also recognize how the dynamics of the home environment can impact children’s development. Nurse practitioners must be aware that the term family has many different faces. It is important that practitioners explore the unique and individual aspects of the environment of each pediatric patient and how it might influence them physically and emotionally.
Finally this week, you will meet Jenny and Josh Miller and their newborn baby boy Sammy. In the next few weeks, you will get to observe Sammy develop from a newborn to an adult. You will review the developmental milestones appropriate for different stages and recognize potential developmental red flags. These lessons focus on birth to 12 months.
This week, you will review the process for, and importance of, gathering a comprehensive history during a pediatric assessment. You will also review ways to recognize how the dynamics of the home environment can affect child development.
Discussion topics include child development theories, developmental surveillance and screening, and the developmental management of infants. This lesson also identifies different theorists and discusses the development of the pediatric population’s cognitive, emotional/social, physical, motor, and language/communication skills.
Finally, you will be introduced to various screening tools used in the clinical environment to identify potential developmental red flags in child development.

Learning Outcomes
At the end of this lesson, you will be able to:
• Determine the appropriate approach to working with different ages in the pediatric population. (CO2)
• Apply current trends to working with the pediatric population. (CO4)
• Recognize the dynamics of the home environment and its effect on child development. (CO1)
• Demonstrate the ability to gather a comprehensive history during a pediatric general assessment. (CO1)
• Recognize the dangers that the environment potentially can have on infants and children. (CO1)
• Recognize the red flags of early childhood development. (CO2)
• Review charts and screening tools during pediatric assessment. (CO6)
• Identify different theories of child development. (CO1)
• Identify the infant developmental milestones appropriate to the child’s age. (CO1)

Learning Materials
Read the following in your Pediatric Physical Examination: An Illustrated Handbook textbook:
• Chapter 1, “Approach to Care and Assessment of Children and Adolescents” (pp. 1–6 until Developmental Approach to Assessment)
• Chapter 2, “Assessment Parameters”
• Chapter 3, “Developmental Surveillance and Screening”
• Chapter 4, “Comprehensive Information Gathering”
• Chapter 5, “Environmental Health History”
Read the following material from your Pediatric Physical Examination: An Illustrated Handbook (2nd edition, 2014) textbook:
• Appendix A: Gender- and Age-Specific Growth Charts, pp. 324–330 (PDF)
• Appendix B: Body Mass Index-for-Age Growth Charts, pp. 331–332 (PDF)
Read the following in your Burns’ Pediatric Primary Care textbook:
• Chapter 5, “Child and Family Assessment”
• Chapter 8, “Principles of Developmental Management of Children”
• Chapter 9, “Developmental Management of Newborns”
• Chapter 10, "Developmental Management of Infants"
The required reading material this week will reiterate the process and importance of gathering a comprehensive history during a pediatric assessment and rationalize how the dynamics of the home environment can affect the development of the child. It will also help you to understand the different theories involved in predicting healthy development in the pediatric population and to utilize the accessible screening tools available to help identify developmental red flags. You will also learn to recognize the infant developmental milestones appropriate to the child’s age.
Read the following article:
• Kellett, M. (2011). Engaging with children and young people (PDF) . Centre for Children and Young People Background Briefing Series, no.3. Southern Cross University.
The Required Textbook cited below:
Garzon Maaks, D. L., Barber Starr, N., Brady, M. A., Gaylord, N. M., Driessnack, M., & Duderstadt, K. (2021). Burns’ pediatric primary care (7th ed.). Elsevier.
Duderstadt, K. G. (2019). Pediatric physical examination: An illustrated handbook (3rd ed.).

Criteria Ratings
Content Exceeds Expectations
Follows directions, answers all questions thoroughly and appropriately. Makes reference to course materials and additional resources to support all aspects of argument.
Length, Logic, and Mechanics Exceeds Expectations
Approaches or meets 200-word limit, with clearly and concisely stated, smoothly connected, and logically arranged ideas. Contains no spelling or grammatical errors. No APA errors.

Criteria Ratings
Content Follows directions, answers all questions thoroughly and appropriately
Grasp of significance Projects thorough knowledge and critical understanding of the significance of the assignment to professional development as an FNP.
Clarity and logic All answers are correct with a clear and logical path to reach a solution to the problem presented.
Terminology Uses appropriate terminology correctly throughout.

References Contains no errors in grammar or spelling. Uses references and cites them properly using APA format.




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