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Public Health Nursing Practice Manual

Children 1-12 years Mental Health

  • Caregiver bonding is essential for optimum growth.

  • Body image concerns, low self esteem, and peer pressure may result in mental health issues.

Primary Care Provider

  • An assigned health care provider for the child ensures continuity of care.

  • Child should be scheduled for well child checkups and health assessment according to

periodicity schedule.

  • Routine use of the emergency room leads to episodic and disjointed care.

Health Care Coverage

  • Almost all children in California qualify for some type of health care coverage.

  • Caregiver understands how to access care including after hours and emergency care.

Dental Care

  • Begin tooth brushing with a soft brush and floss as soon as teeth erupt.

  • Brush at least once before bedtime, and do not allow eating or drinking after teeth have been brushed except for water.

  • Promote brushing after every meal and avoid sugary, sticky foods such as caramels and similar foods.

  • Preventive dental appointments every six months.

Family Violence

  • The stress of a toddler in a household may precipitate the use of dysfunctional coping


  • Domestic Violence 800-978-3600 or local resource.

  • L.A. County Domestic Violence Council Resources and Information: 888-994-7575.

Safety and Injury Prevention

  • Motor vehicle accidents are the leading cause of death in the United States.

  • California Law requires children be properly secured in a child seat or booster seat until they are at least 6-years old or weighing at least 60 pounds.

  • Children need to be able to pass the “Five Point Test” before being able to ride in a motor vehicle without a booster seat and just using the seat belt.

    • 1.

      Does the child sit all the way back against the auto seat?

    • 2.

      Do the child's knees bend comfortably at the edge of the auto seat?

    • 3.

      Does the belt cross the shoulder between the neck and arm?

    • 4.

      Is the lap belt as low as possible, touching the thighs?

    • 5.

      Can the child stay seated like this for the whole trip?

  • Drowning is the second leading cause of injury in the United States.

  • Child proofing a child’s home to prevent injury is essential.

  • Children must wear a helmet when biking or using skates/scooter/skate board according to

State law.

© 2007 LAC DPH - Public Health Nursing


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