Well Child Development Assessment And Anticipatory

Running head: WELL CHILD DEVELOPMENT ASSESSMENT
WELL CHILDHOOD DEVELOPMENT ASSESSMENT AND ANTICIPATORY GUIDELINE
Name of the Student:
Name of the University:
Author note:

WELL CHILDHOOD DEVELOPMENT AND ANTICIPATORY GUIDELINE1
Well Childhood Development Paper: Introduction
The selected client was Ms. SG, a 15 year old female currently studying in high school.
SG lives with her both her parents with both her parents – her mother is a homemaker and her
father works at the editorial board of a local newspaper. Prior to the interview, informed consent
concerning the same was obtained both from SG as well as her parents and the interview was
conducted in her home, on a Sunday when the entire family are not required to attend work or
school. The interview comprised of interviewing SG’s family on her nutritional habits, achieved
milestones till date, physical development and issues concerning injury prevention and safety.
This paper aims to compare and evaluate the adolescent’s current development with expected
developmental outcomes and draw required pediatric nursing teaching strategies as well as future
implications, using various nutritional and physical assessment frameworks and developmental
screening tools.
Section One
Throughout the interview SG seemed polite and answered all questions with patience.
During this basic interview on developmental screening, SG and her parents were asked
concerning her current hearing and vision abilities, to which they both replied that there were no
issues as such and she could see and hear with normalcy. When asked upon any recent
developmental changes, SG and her parents seemed to provide opposing answers. SG claimed
that recently, after being inspired by her friends, she has begun to ‘take care of her health’ and
engage in ‘healthy exercise and eating patterns’. However, her parents answered this question by
claiming that recently they have observed their daughter to skip home cooked meals and spend
an abnormally long time at the local gym – to which, they expressed genuine concern.

WELL CHILDHOOD DEVELOPMENT AND ANTICIPATORY GUIDELINE2
When enquired with the remaining questions, SG’s parents proudly claimed that their
daughter was always very polite, well-mannered and respectful towards others and were even
proud of her academic achievements and her future ambitious plans of being a nutritionist. Both
SG her parents then claimed that SG loved to take part in family activities such as going on
family dinner or to the amusement park together. Sundays were especially her favorite day since
she can cook and experiment with new recipes with both her mother and father. She also
expressed her recent interest towards exercise and learning new forms of training and has made
new friends in her gym. Recently, she has developed an interest towards shopping for the latest
fashion trends with her high school peers. While her parents expressed equal eagerness towards
their daughter cooking with the on Sundays, they also admitted to a recent stressful event a few
days back when their daughter refused to eat dinner and stopped talking to them for hours after
her mother pointed it out to her how she looked ‘strikingly thin and unhealthy’ recently.
Section Two
The following tables (Table 1, 2 and 3) briefly highlight the key nutritional, physical and
exercise assessment outcomes as well as milestone and safety outcomes and behaviors observed
currently as well as expected in SG.
Table 1: NUTRITION & EXERCISE
EXPECTED (INCLUDE SOURCE OF
INFO)
ASSESSMENT OF CHILD: OBSERVED
OUTCOME
Weight: 60 kg
Height: 166 cm (95th percentile of adult
height)
BMI (children >2 y/o): 5th to 85th percentile
(18.5 to 24.9 kg/m2) (Appendix)
Head Circumference (if less than 2 y/o):
NA since client is in the age of 15 years
*(Appendices: Appendix 1)
*(Centers of Disease Control and
Weight of SG: 40 kg/ 88 lbs
Height: 161 cm (50th percentile of adult
height)
BMI (children >2 y/o): 2nd percentile (15.8
kg/m2: Underweight) (Appendix 1)
Head Circumference (if less than 2 y/o):
NA since client is in the age of 15 years
*(Appendices: Appendix 1)
*(Centers of Disease Control and

WELL CHILDHOOD DEVELOPMENT AND ANTICIPATORY GUIDELINE3
Prevention, 2018; Hockenberry, Wilson &
Rogers, 2017)
Nutrition Assessment (24 hour diet recall)
Include approximately calorie count/day:
2000 to 2400 kcal
Servings of vegetables/day: 3 cups
Servings of calcium/day: 3 cups of dairy
Servings of fruits/day: 2 cups
Servings of breads/pastas /day: 8 ounces of
grains
Servings of protein/day: 6 ½ ounces
# times intake juice/soda/energy drinks
/day: 2.3 liters of water/fluids
Sources of calcium and iron intake: Low fat
dairy and dairy products like skimmed milk,
yoghurt, milk-based beverages and cottage
cheese prepared from skimmed milk, green
leafy vegetables, nuts like almonds, seeds,
non-dairy alternatives like soybean and soy
products like tofu and soymilk.
Exercise
How many times/week does the child
exercise and for how long? : Adolescents
and young adults must engage in a minimum
of 2/ ½ hours of physical activity per week.
What kinds of activities do they complete
to exercise?: Moderate to vigorous aerobic
exercises such as brisk walking, running,
jogging, dancing and mild strength or weight
bearing exercises like light to moderate
weight training.
*(United States Department of Agriculture,
2016; Hockleberry, Wilson and Rogers,
2017)
Prevention, 2018; Hockenberry, Wilson &
Rogers, 2017)
Nutrition Assessment (24 hour diet recall):
Early Morning before workout: 1 large cup
(200ml) of green tea
Breakfast: 1 large apple
Lunch: Roasted chicken, cheese and
vegetable sandwich (from school canteen)
Evening: 1 can (350 ml) of diet Coke
Dinner: 1 row (30 grams) of dark chocolate
Supper: 1 large cup (200ml) of green tea
Include approximately calorie count/day:
1500 kcal
Servings of vegetables/day: 1 cup
Servings of calcium/day: 1 cup of dairy
(cheese)
Servings of fruits/day: 1 cup
Servings of breads/pastas /day: 2 ounces of
grains
Servings of protein/day: 1 ounces
# times intake juice/soda/energy drinks
/day: 3.0 liters of water/fluids
Sources of calcium and iron intake: hardly
any except for cheese, absence of any form of
iron-rich food intake.
Exercise
How many times/week does the child
exercise and for how long? : More than 60
hours per day
What kinds of activities do they complete
to exercise?: Running on the treadmill
approximately 1 hour, 5*100 sets of jump
ropes, recently began 3*1 minute each of
planks and lifting 2.5 kilograms of barbell
weight for arms.
*( United States Department of
Agriculture, 2016; Hockleberry, Wilson
and Rogers, 2017)