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Understanding Child Development and Behavior in the Context of Family Systems

For additional material related to the content of this chapter, please see Chapter 10 , 13 , 81 , 97 , and 117 . Vignette The Martin Family Karen and Scott married in their late 40 s, after each ended their first marriages. Both brought biological children to their blended family: Karen’s daughters (Emily and Sara) and Scott’s sons (Brett and Justin) all were older adolescents…

End-of-Life, Death, and Bereavement

For additional material related to the content of this chapter, please see Chapters 59 and 63 . Vignette Emmanuel is a 14-year-old boy born with epidermolysis bullosa (EB), a rare genetic blistering skin disease, who develops acute worsening fatigue, shortness of breath, and severe cachexia with loss of 18% of his body weight. He is diagnosed with heart failure and a large left ventricular thrombus and…

Transition to Adulthood

For additional material related to the content of this chapter, please see Chapters 9 and 105 . Vignette Evelyn is a 17-year-old girl with attention-deficit/hyperactivity disorder (ADHD) who is beginning her senior and final year of high school. She is experiencing a significant amount of stress as she thinks about all the decisions that she must make this year. Her parents would like her to attend…

Adolescence

For additional material related to the content of this chapter, please see Chapter 2, Chapter 3, Chapter 4, Chapter 49, Chapter 50, Chapter 51, Chapter 51, Chapter 51 . Vignettes Vignette 1: Ally, age 12 years, looks in the mirror and hardly recognizes herself. It feels to her like overnight she grew 4 inches and gained hips and breasts. She isn’t sure how she feels about…

Middle Childhood

For additional material related to the content of this chapter, please see Chapters 18 , and 104 . Vignette The PS134 school community readied for its field day finale, a mixed-grade tug-of-war. Noah, age 10 and academically at the top of his class, was feeling down. He’d won no ribbons. His best friend Jaxson had teamed with classmate Aaliyah instead of him and they had won…

Toddlerhood and the Preschool Years

For additional material related to the content of this chapter, please see Chapters 41 , and 44 . Vignette Nicky is a handsome, healthy 3-year, 6-month-old boy who was referred for “behavior and developmental concerns” by his primary care clinician. His parents are worried because he is having trouble communicating and becomes easily upset. Nicky began using single words at 12 months of age, phrases shortly…

Infancy

For additional material related to the content of this chapter, please see Chapter 2, Chapter 3 , and 6. Vignette Rosaria is tightly swaddled as the midwife hands her to her mother. Following a 36-hour labor, her mother is exhausted but grateful to hold her baby for the first time. Rosario instinctively nestles into the crook of her mother’s arm and turns her head toward her…

The Maternal-Fetal Dyad: Challenges and Adaptations

For additional material related to the content of this chapter, please see Chapter 2, Chapter 6, Chapter 49, Chapter 51 . Vignette Natalie is a partnered, 25-year-old woman, currently at 28 weeks of gestation with her third pregnancy. She brings her 4-year-old son, Jaxon, for an appointment with Dr. Greene, a clinician in a specialty clinic for children with developmental delays. Natalie appears to be sad…

Theories of Learning and Behavior Change

For additional material related to the content of this chapter, please see Chapters 3 and 94 . Vignette Emma is a 3-year-old female with developmental delays who presents with her parents in primary care for her annual well-visit. The parents have ongoing concerns regarding her slow language development, coupled with frequent tantrums and rigidness. Emma continues to rely primarily on single words to communicate. When she…

Theories of Human Development

For additional material related to the content of this chapter, please see Chapter 2, Chapter 4, Chapter 15 . Vignette The Browns were a family of four: mother, Ann; father, Ben; early adolescent, James; and toddler, David. Before the COVID-19 pandemic, both parents were in the workforce, James was in middle school and in after-school programs, and David was in a full-day center-based early care and…

The Biopsychosocial Model: Understanding Multiple, Interactive Influences on Child Development and Behavior

For additional material related to the content of this chapter, please see Chapters 3 , 5 , 15 , and 24 . Vignette Justin, a 6-year-old boy, and his mother, Cynthia, come into the office for a new-patient appointment. Upon reviewing his chart, you see that Justin was born at 34 weeks of gestation and had exposure to nicotine in utero. As soon as you enter…

An Introduction to the Field of Developmental-Behavioral Pediatrics

For additional material related to the content of this chapter, please see Chapter 2, Chapter 3, Chapter 113, Chapter 117 . Vignette A group of medical students from the Pediatric Interest Group approach you seeking career guidance. You probe their interests and goals. They desire that their career be built on a solid molecular and biomedical foundation yet tempered with an understanding of the social context…

Glossary

A Acinus The tube leading to the smallest lobule of a compound gland; it is characterized by a narrow lumen. ACNM American College of Nurse-Midwives. ACOG American Congress of Obstetricians and Gynecologists. ACOP American College of Osteopathic Pediatricians. Acquired immune system The collection of cells and cellular products that contribute to antigen recognition and cell differentiation into memory cells for subsequent encounters with the same antigen(s).…

ABM Clinical Protocol #34: Breast Cancer and Breastfeeding

Abstract A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs…

ABM Clinical Protocol #33: Lactation Care for Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Plus Patients

Abstract A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs…

Educational Objectives and Skills for the Physician with Respect to Breastfeeding, Revised 2018

Abstract The Academy of Breastfeeding Medicine is a worldwide organization of physicians dedicated to the promotion, protection and support of breastfeeding and human lactation. Our mission is to unite into one association members of the various medical specialties with this common purpose . Introduction THE SCIENCE OF BREASTFEEDING and human lactation requires that physicians from many different specialties have a collaborative forum to promote progress in…

ABM Clinical Protocol #32: Management of Hyperlactation

Abstract A central goal of the Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breast-feeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs…

ABM Clinical Protocol #31: Radiology and Nuclear Medicine Studies in Lactating Women

Abstract A central goal of the Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs…