Summary
,TABLE OF CONTENTS
Bright Futures Health Promotion Themes
An Introduction to the Bright Futures Health Promotion Themes
Promoting Lifelong Health for Families and Communities
Promoting Family Support
Promoting Health for Children and Youth With Special Health Care Needs
Promoting Healthy Development
Promoting Mental Health
Promoting Healthy Nutrition
Promoting Physical Activity
Promoting Oral Health
Promoting Healthy Sexual Development and Sexuality
Promoting the Healthy and Safe Use of Social Media
Promoting Safety and Injury Prevention
Bright Futures Health Supervision Visits
An Introduction to the Bright Futures Health Supervision Visits
Evidence and Rationale
Infancy Visits (Prenatal Through 11 Months)
Prenatal Visit
Newborn Visit
First Week Visit (3 to 5 Days)
1 Month Visit
2 Month Visit
4 Month Visit
6 Month Visit
9 Month Visit
Early Childhood Visits (1 Through 4 Years)
12 Month Visit
15 Month Visit
18 Month Visit
2 Year Visit
2 1/2 Year Visit
3 Year Visit
4 Year Visit
Middle Childhood Visits (5 through 10 Years)
5 and 6 Year Visits
7 and 8 Year Visits
9 and 10 Year Visits
Adolescence Visits (11 through 21 Years)
Early Adolescence Visits (11 through 14 Year Visits)
Middle Adolescence Visits (15 through 17 Year Visits)
Late Adolescence Visits (18 through 21 Year Visits)
WWW.THENURSINGMASTERY.COM
, Bright Futures Guidelines for Health Supervision of Infants, Children, and
Adolescents 4th Edition
Bright Futures Health Promotion Themes
Unit 1: An Introduction to the Bright Futures Health Promotion Themes
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
ANS: An increase in ambulatory care
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
acute care setting to the ambulatory setting. The number of hospital beds being used has
decreased as more care is provided in outpatient and home settings. The number of uninsured
children in the United States continues to grow. One of the biggest changes in healthcare has
been the growth of managed care.
2.
3. A nurse is referring a low-income family with three children under the age of 5 years to a
program that assists with supplemental food supplies. Which program should the nurse refer this
family to?
ANS: Women, Infants, and Children (WIC) program
Explanation: WIC is a federal program that provides supplemental food supplies to low-
income women whoare pregnant or breast-feeding and to their children until the age of 5 years.
Medicaid and the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)
program providesfor well-child examinations and related treatment of medical problems.
Children in the WIC program are often referred for immunizations, but that is not the primary
focus of the program. Public Law 99-457 provides financial incentives to states to establish
comprehensive early intervention services for infants and toddlers with, or at risk for,
developmental disabilities.
Medicare is the program for Senior Citizens.
WWW.THENURSINGMASTERY.COM
, 4. In most states, adolescents who are not emancipated minors must have parental permission
before:
ANS: surgery.
Explanation;
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
may be consulted to verify the status of the emancipated minor for consent purposes. Most states
allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth
control without parental consent.
5. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
Which characteristic of a clinical pathway is correct?
ANS: Specific time lines for sequencing interventions
Clinical pathways measure outcomes of client care and are developed by multiple healthcare professionals.
Each pathway outlines specific time lines for sequencing interventions and reflectsinterdisciplinary
interventions. Clinical pathways are used in multiple settings and for clients throughout the life span. The
steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation
WWW.THENURSINGMASTERY.COM
,TABLE OF CONTENTS
Bright Futures Health Promotion Themes
An Introduction to the Bright Futures Health Promotion Themes
Promoting Lifelong Health for Families and Communities
Promoting Family Support
Promoting Health for Children and Youth With Special Health Care Needs
Promoting Healthy Development
Promoting Mental Health
Promoting Healthy Nutrition
Promoting Physical Activity
Promoting Oral Health
Promoting Healthy Sexual Development and Sexuality
Promoting the Healthy and Safe Use of Social Media
Promoting Safety and Injury Prevention
Bright Futures Health Supervision Visits
An Introduction to the Bright Futures Health Supervision Visits
Evidence and Rationale
Infancy Visits (Prenatal Through 11 Months)
Prenatal Visit
Newborn Visit
First Week Visit (3 to 5 Days)
1 Month Visit
2 Month Visit
4 Month Visit
6 Month Visit
9 Month Visit
Early Childhood Visits (1 Through 4 Years)
12 Month Visit
15 Month Visit
18 Month Visit
2 Year Visit
2 1/2 Year Visit
3 Year Visit
4 Year Visit
Middle Childhood Visits (5 through 10 Years)
5 and 6 Year Visits
7 and 8 Year Visits
9 and 10 Year Visits
Adolescence Visits (11 through 21 Years)
Early Adolescence Visits (11 through 14 Year Visits)
Middle Adolescence Visits (15 through 17 Year Visits)
Late Adolescence Visits (18 through 21 Year Visits)
WWW.THENURSINGMASTERY.COM
, Bright Futures Guidelines for Health Supervision of Infants, Children, and
Adolescents 4th Edition
Bright Futures Health Promotion Themes
Unit 1: An Introduction to the Bright Futures Health Promotion Themes
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
ANS: An increase in ambulatory care
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
acute care setting to the ambulatory setting. The number of hospital beds being used has
decreased as more care is provided in outpatient and home settings. The number of uninsured
children in the United States continues to grow. One of the biggest changes in healthcare has
been the growth of managed care.
2.
3. A nurse is referring a low-income family with three children under the age of 5 years to a
program that assists with supplemental food supplies. Which program should the nurse refer this
family to?
ANS: Women, Infants, and Children (WIC) program
Explanation: WIC is a federal program that provides supplemental food supplies to low-
income women whoare pregnant or breast-feeding and to their children until the age of 5 years.
Medicaid and the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)
program providesfor well-child examinations and related treatment of medical problems.
Children in the WIC program are often referred for immunizations, but that is not the primary
focus of the program. Public Law 99-457 provides financial incentives to states to establish
comprehensive early intervention services for infants and toddlers with, or at risk for,
developmental disabilities.
Medicare is the program for Senior Citizens.
WWW.THENURSINGMASTERY.COM
, 4. In most states, adolescents who are not emancipated minors must have parental permission
before:
ANS: surgery.
Explanation;
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
may be consulted to verify the status of the emancipated minor for consent purposes. Most states
allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth
control without parental consent.
5. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
Which characteristic of a clinical pathway is correct?
ANS: Specific time lines for sequencing interventions
Clinical pathways measure outcomes of client care and are developed by multiple healthcare professionals.
Each pathway outlines specific time lines for sequencing interventions and reflectsinterdisciplinary
interventions. Clinical pathways are used in multiple settings and for clients throughout the life span. The
steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation
WWW.THENURSINGMASTERY.COM
