| Course | NR 328 Pediatric Nursing |
|---|---|
| Week | 3 |
| Paper type | Well-child visit write-up |
| Length | About 1,140 words, 4 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | BSN (pre-licensure) |
| Updated | October 2026 |
Free sample paper for NR 328 Week 3
Well-Child Visit Write-Up: A 4-Year-Old Girl With No Complaint, Recorded as Everything We Went Looking For
Student Name
College of Nursing, Chamberlain University
NR 328: Pediatric Nursing
Instructor Name
Month Day, Year
Well-Child Visit Write-Up: A 4-Year-Old Girl With No Complaint, Recorded as Everything We Went Looking For
The Visit
Ava is 4 years and 1 month old, seen at a pediatric practice for her routine 4-year visit with her father; details have been changed. She has no complaints and no illness since her 3-year visit. She attends preschool five mornings a week and will start kindergarten in 11 months. Because nothing brought her in except her age, this record is organized by what a 4-year-old is screened for, so that a reader can see each thing that was looked for, including the ones that were found normal.
Her father brought her growth booklet from the family's previous practice, which is why her 3-year figures are available for comparison. Her examination, which took about ten minutes, was complete and unremarkable: clear ears and throat, no heart murmur, a normal abdomen, normal gait, and no bruises other than two on her shins, which is where active 4-year-olds collect them. It is recorded briefly here so that the space goes to the screening, which is where a visit like this does its work.
Measurements, Each Read Against Something
Every figure below is read against a stated reference and against her own previous value, because a figure alone cannot be judged.
Table 1
Growth and Blood Pressure at the 4-Year Visit
| Measure | Today | At 3 years | Read against |
|---|---|---|---|
| Weight | 16.9 kg (56th percentile) | 15.0 kg (58th) | CDC growth chart for girls aged 2 to 20; same channel |
| Height | 104.5 cm (62nd percentile) | 96.0 cm (60th) | Same chart; 8.5 cm gained in a year, in keeping with the curve |
| Body mass index | 15.5 (48th percentile) | 16.3 (55th) | Healthy weight range, 5th to under 85th percentile |
| Blood pressure | 98/58, right arm, seated, correct cuff | 96/56 | Below the 90th percentile for her age, sex and height in the 2017 tables |
Note. Percentiles are from the practice's electronic growth charts. Blood pressure percentile is from the tables in Flynn et al. (2017).
Blood pressure appears because of her age. The 2017 national guideline on childhood blood pressure recommends measuring it at preventive visits every year from age 3, and it gives tables by age, sex and height percentile so that a child's reading is compared with children like her (Flynn et al., 2017). Her reading of 98/58 is well within normal for a girl of her height.
Screening Chosen by the Year
Vision. Screened because she is between 3 and 5. The US Preventive Services Task Force recommends vision screening at least once in this age range to find amblyopia or its risk factors (US Preventive Services Task Force [USPSTF], 2017). Ava read a LEA symbols chart at 10 feet, with each eye covered in turn, and identified the required line with each eye. Pass.
Hearing. The practice's schedule includes audiometry at 4 years. Using play audiometry, she dropped a block in a bucket for each tone and responded at 20 decibels in both ears at every frequency tested. Pass.
Teeth. She has 20 primary teeth with no visible cavities or white spots. Fluoride varnish was applied, as the practice offers at every visit through age 5. Her father said she has not yet been seen by a dentist; a list of dentists who accept their insurance was given and he booked one before leaving.
Development. Asked to draw a person, she drew a head, arms and legs. She hopped on one foot three times, told a short story about her cat in full sentences, and was understood by me, a stranger, almost completely. These fit her age. Her father completed the practice's developmental questionnaire with no concerns in any area.
Vaccines. She was due the kindergarten doses given between 4 and 6 years: DTaP, polio, MMR and varicella. All four were given today, with her father's consent, after the vaccine information sheets were reviewed.
Her Father's Question
At the end of the history, when asked if there was anything else, her father said: "She still wets the bed most nights. Her cousin was dry at three. Is something wrong with her?" That question was the one new piece of information in the visit, and it was recorded in his words. Ava is dry during the day and has been for a year, has no pain passing urine, and does not snore. The provider explained that many children are not reliably dry at night at 4, that nighttime dryness often runs a year or more behind daytime dryness, and that bedwetting is usually not considered a problem to treat before age 5. He was advised not to restrict drinks during the day, to have her use the toilet just before bed, and to avoid punishment. He said this was "a relief, honestly," and asked when to bring it up again: if she is still wet most nights at her 5-year visit, or sooner if she starts wetting during the day again.
Hazards for the Year Ahead
Safety teaching was chosen for what Ava will be doing before her next visit, not what she did last year. Her father mentioned three coming changes, and each one set a topic.
A bicycle for her fifth birthday. A helmet every time she rides, fitted so it sits level and does not rock, and riding only on the sidewalk or in the park, not the street.
A community pool membership this summer. An adult within arm's reach whenever she is in or near water, even with a life jacket and even if she has had lessons; swimming lessons are a good idea at her age and do not replace supervision.
Her car seat. She rides in a forward-facing seat with a harness and has not yet reached the seat's top weight or height limit, so she should stay in it rather than moving to a booster because she has turned 4.
At home. Her father was asked whether there is a gun in the home or in homes she visits, which is a standard question at this visit; he said there is not, and that her grandfather keeps a hunting rifle. The advice was that it be stored unloaded and locked, with ammunition locked separately, whenever she visits.
Return, and What the Gap Is For
Ava returns at 5 years, just before kindergarten. That visit repeats vision and hearing, checks her readiness for school with her teacher's input if available, and revisits bedwetting if it has not settled. The year between is designed to catch her growth continuing along its curve, her first dental visit, and the change from harness seat to booster when she outgrows the seat.
References
Flynn, J. T., Kaelber, D. C., Baker-Smith, C. M., Blowey, D., Carroll, A. E., Daniels, S. R., de Ferranti, S. D., Dionne, J. M., Falkner, B., Flinn, S. K., Gidding, S. S., Goodwin, C., Leu, M. G., Powers, M. E., Rea, C., Samuels, J., Simasek, M., Thaker, V. V., & Urbina, E. M. (2017). Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics, 140(3), Article e20171904. https://doi.org/10.1542/peds.2017-1904
US Preventive Services Task Force. (2017). Vision screening in children aged 6 months to 5 years: US Preventive Services Task Force recommendation statement. JAMA, 318(9), 836-844. https://doi.org/10.1001/jama.2017.11260
What the NR 328 Week 3 assignment asks for
For Week 3 you document a well-child visit and explain the screening and anticipatory guidance appropriate for the child's age. Be ready to provide the child's history, growth measurements interpreted against standards, age-specific screenings, developmental assessment, immunizations, health promotion and safety teaching, and evidence in APA. Read each measurement against a named reference and the child's own earlier value. Show why each screen was done at this age and give its result, so a grader can tell what was performed. Treat the parent's question as new information. Choose safety topics from what the family says will happen this year. Explain the purpose of the next visit.
Inside the NR 328 Week 3 example
The visit section gives Ava's age, preschool schedule and the growth booklet her father brought. Table 1 lists weight, height, body mass index and blood pressure with percentiles against the CDC chart and Flynn's tables. Screening follows by area, with the reason each was done: vision because she is between 3 and 5, hearing by play audiometry with a block in a bucket, teeth with no cavities and fluoride varnish, development with her drawing and hopping, and the four kindergarten vaccines. Her father's question about wetting the bed most nights is answered as common at her age. Safety teaching follows three coming changes: a bicycle, a pool membership and her car seat. The return visit at 5 is explained.
Where the points sit in the NR 328 Week 3 rubric
Well-child visit rubrics generally score growth interpretation, completeness of age-appropriate screening, developmental assessment, immunizations, anticipatory guidance, response to family concerns, evidence and APA. Screening earns its points when each test is tied to her age and paired with a result, which separates a screen performed from one skipped. Growth interpretation is credited for comparison with both a standard and her earlier figures. The guidance row scores best when topics come from what the family reported will change. Handling the bedwetting question shows responsiveness to the family. Vaccines are credited when they match the schedule and consent is noted. Flynn and colleagues and the USPSTF statement support blood pressure and vision.
NR 328 Week 3 help from the desk
The most dependable point loss on this write-up is a visit recorded as an absence, with "normal" written down the page and no sign that anything was looked for. Another is listing growth figures with no reference, so nobody can judge them. Students also copy safety topics from last year's visit, or a generic list, rather than choosing them for the year ahead. Ignoring a parent's question, or treating it as a separate problem visit, misses part of the grade. Vaccines listed without the schedule they come from are hard to credit. Change names and details. If your assigned visit is for an infant or a school-age child, send the age and we can show how an NR 328 well-child write-up would choose its screens.
Get a NR 328 Week 3 example written to your instructions
Send the Week 3 instructions with the age of the child in your case, and a custom well-child write-up comes back inside 24 to 48 hours, first one free. If your classroom issues its own visit form or names a particular growth reference, send those as well and the example is built inside them.
More NR 328 papers and pre-licensure samples
- NR 328 Week 1: Parent-Reported History Post
- NR 328 Week 2: Toddler Growth and Development Paper
- NR 328 Week 4: Weight-based Dosage Set
- NR 328 Week 5: Respiratory Case Response
- NR 328 Week 6: Chronic Illness Care Plan
- NR 328 Week 7: Family Teaching Handout
- NR 328 Week 8: Case Study Analysis
- NR 341 Week 3: Concept Map
- NR 327 Week 3: Fetal Movement Teaching Plan
- NR 452 Week 3: Literature Matrix
- NR 326 Week 3: Process Recording Example
NR 328 Week 3 questions, answered
Is there anything to write about when the child is completely well?
More than most people expect, because the content is the searching rather than the findings. Each screen carried out at this age, each hazard raised, each measurement taken and read: those are actions, and actions can be marked. A page of the word normal records no actions at all, which is why an uneventful appointment written badly scores below a complicated one written plainly.
What if the adult raises something that turns it into a sick visit?
Write the pivot rather than hiding it. A routine appointment where a parent mentions three weeks of night waking has produced a finding, and a record showing the visit change direction reads as clinical thinking. Keep the screening already completed, note what was deferred to a follow-up, and say who made that call. Sections generally reward this over a tidy visit with the awkward part removed.
How much of the advice should be safety?
A large share of it, because at most ages the leading threats to a well child are physical rather than medical. Choose a few tied to what the child is about to be able to do: a baby about to roll, a toddler about to reach a worktop, a child about to ride on a road. Advice covering everything reads as unselected, and the selection is the part a marker can grade.
Where can I find a free NR 328 Week 3 sample paper?
The full Week 3 well-child write-up for Ava at 4 years, with the growth table, each age-based screen, the bedwetting answer, the safety teaching and the references, is on this page.
What safety topics does the NR 328 Week 3 visit choose, and why?
Bicycle helmets, water supervision at the new pool, staying in the harnessed car seat and gun storage, chosen because her father described a birthday bicycle, a pool membership and her current seat.