Wong s Essentials of Pediatric Nursing

Marilyn J. Hockenberry
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Wong's Essentials of Pediatric Nursing

TENTH EDITION

Marilyn J. Hockenberry, PhD, RN, PPCNP-BC,

FAAN
Bessie Baker Professor of Nursing and Professor of Pediatrics
Associate Dean for Research Affairs
Chair, Duke Institutional Review Board
Duke University
Durham, North Carolina

David Wilson, MS, RNC-NIC (deceased)

Staff
Children's Hospital at Saint Francis
Tulsa, Oklahoma

Cheryl C. Rodgers, PhD, RN, CPNP, CPON

Assistant Professor
Duke University School of Nursing
Durham, North Carolina

4
5
Table of Contents

Cover image

Title Page

Copyright

Contributors

Reviewers

Dedication

Preface
Organization of the Book

Unifying Principles

Special Features

Acknowledgments

Unit 1 Children, Their Families, and the Nurse

1 Perspectives of Pediatric Nursing

Health Care for Children

The Art of Pediatric Nursing

Clinical Reasoning and the Process of Providing Nursing Care to Children and Families

NCLEX Review Questions

Correct Answers

References

2 Family, Social, Cultural, and Religious Influences on Child Health Promotion

General Concepts

Family Structure and Function

Family Roles and Relationships

Parental Roles

6
 Parenting

Special Parenting Situations

Sociocultural Influences upon the Child and Family

Influences in the Surrounding Environment

Broader Sociocultural Influences upon the Child and Family

Understanding Cultures in the Health Care Encounter

Health Beliefs and Practices

NCLEX Review Questions

Correct Answers

References

3 Developmental and Genetic Influences on Child Health Promotion

Growth and Development

Development of Personality and Cognitive Function

Role of Play in Development

Developmental Assessment

Genetic Factors That Influence Development

Review Questions

Correct Answers

References

Unit 2 Assessment of the Child and Family

4 Communication and Physical Assessment of the Child and Family

Guidelines for Communication and Interviewing

Communicating with Families

History Taking

Nutritional Assessment

General Approaches Toward Examining the Child

Physical Examination

Review Questions

Correct Answers

References

5 Pain Assessment and Management in Children

Pain Assessment

Assessment of Pain in Specific Populations

Pain Management

Common Pain States in Children

Review Questions

Correct Answers

7
 References

6 Childhood Communicable and Infectious Diseases

Infection Control

Communicable Diseases

Intestinal Parasitic Diseases

Infections of the Skin

Systemic Disorders Related to Skin Lesions

NCLEX Review Questions

Correct Answers

References

Unit 3 Family-Centered Care of the Newborn

7 Health Promotion of the Newborn and Family

Adjustment to Extrauterine Life

NCLEX Review Questions

Correct Answers

References

8 Health Problems of Newborns

Birth Injuries

Cranial Deformities

Common Problems in the Newborn

Nursing Care of the High-Risk Newborn and Family

High Risk Related to Dysmaturity

High Risk Related to Physiologic Factors

High Risk Related to Infectious Processes

High Risk Related to Maternal Conditions

Genetic Evaluation and Counseling

NCLEX Review Questions

Correct Answers

References

Unit 4 Family-Centered Care of the Infant

9 Health Promotion of the Infant and Family

Promoting Optimal Growth and Development

Promoting Optimal Health During Infancy

NCLEX Review Questions

8
 Correct Answers

References

10 Health Problems of Infants

Nutritional Imbalances

Health Problems Related to Nutrition

Skin Disorders

Special Health Problems

NCLEX Review Questions

Correct Answers

References

Unit 5 Family-Centered Care of the Young Child

11 Health Promotion of the Toddler and Family

Promoting Optimal Growth and Development

Promoting Optimal Health during Toddlerhood

NCLEX Review Questions

Correct Answers

References

12 Health Promotion of the Preschooler and Family

Promoting Optimal Growth and Development

NCLEX Review Questions

Correct Answers

References

13 Health Problems of Toddlers and Preschoolers

Sleep Problems

Skin Disorders Related to Chemical or Physical Contacts

Skin Disorders Related to Animal Contacts

Thermal Injury

Ingestion of Injurious Agents

Child Maltreatment

NCLEX Review Questions

Correct Answers

References

Unit 6 Family-Centered Care of the School-Age Child and

Adolescent

9
14 Health Promotion of the School-Age Child and Family
Promoting Optimal Growth and Development

NCLEX Review Questions

Correct Answers

References

15 Health Promotion of the Adolescent and Family

Promoting Optimal Growth and Development

Promoting Optimal Health during Adolescence

NCLEX Review Questions

Correct Answers

References

16 Health Problems of School-Age Children and Adolescents

Health Problems of School-Age Children

Health Problems of Adolescents

NCLEX Review Questions

Correct Answers

References

Unit 7 Family-Centered Care of the Child with Special Needs

17 Quality of Life for Children Living with Chronic or Complex Diseases

Perspectives on the Care of Children and Families Living with or Dying From Chronic or Complex Diseases

The Family of the Child with a Chronic or Complex Condition

The Child with a Chronic or Complex Condition

Nursing Care of the Family and Child with a Chronic or Complex Condition

Perspectives on the Care of Children at the End of Life

Nursing Care of the Child and Family at the End of Life

NCLEX Review Questions

Correct Answers

References

18 Impact of Cognitive or Sensory Impairment on the Child and Family

Cognitive Impairment

Sensory Impairment

Communication Impairment

NCLEX Review Questions

Correct Answers

References

10
Unit 8 The Child Who Is Hospitalized

19 Family-Centered Care of the Child During Illness and Hospitalization

Stressors of Hospitalization and Children's Reactions

Stressors and Reactions of the Family of the Child Who is Hospitalized

Nursing Care of the Child Who is Hospitalized

Nursing Care of the Family

Care of the Child and Family in Special Hospital Situations

NCLEX Review Questions

Correct Answers

References

20 Pediatric Variations of Nursing Interventions

General Concepts Related to Pediatric Procedures

Skin Care and General Hygiene

Safety

Positioning for Procedures

Collection of Specimens

Administration of Medication

Maintaining Fluid Balance

Alternative Feeding Techniques

Procedures Related to Elimination

Procedures for Maintaining Respiratory Function

NCLEX Review Questions

Correct Answers

References

Unit 9 The Child with Problems Related to the Transfer of Oxygen

and Nutrients

21 The Child with Respiratory Dysfunction

Respiratory Infections

Upper Respiratory Tract Infections

Croup Syndromes

Infections of the Lower Airways

Other Infections of the Respiratory Tract

Pulmonary Dysfunction Caused by Noninfectious Irritants

Long-Term Respiratory Dysfunction

Respiratory Emergency

NCLEX Review Questions

11
 Correct Answers

References

22 The Child with Gastrointestinal Dysfunction

Distribution of Body Fluids

Gastrointestinal Dysfunction

Inflammatory Disorders

Hepatic Disorders

Structural Defects

Obstructive Disorders

Malabsorption Syndromes

NCLEX Review Questions

Correct Answers

References

Unit 10 The Child with Problems Related to the Production and

Circulation of Blood

23 The Child with Cardiovascular Dysfunction

Cardiovascular Dysfunction

Congenital Heart Disease

Clinical Consequences of Congenital Heart Disease

Nursing Care of the Family and Child with Congenital Heart Disease

Acquired Cardiovascular Disorders

Heart Transplantation

Vascular Dysfunction

NCLEX Review Questions

Correct Answers

References

24 The Child with Hematologic or Immunologic Dysfunction

Hematologic and Immunologic Dysfunction

Red Blood Cell Disorders

Defects in Hemostasis

Immunologic Deficiency Disorders

Technologic Management of Hematologic and Immunologic Disorders

NCLEX Review Questions

Correct Answers

References

25 The Child with Cancer

12
 Cancer in Children

Nursing Care Management

Cancers of Blood and Lymph Systems

Nervous System Tumors

Bone Tumors

Other Solid Tumors

The Childhood Cancer Survivor

NCLEX Review Questions

Correct Answers

References

Unit 11 The Child with a Disturbance of Regulatory Mechanisms

26 The Child with Genitourinary Dysfunction

Genitourinary Dysfunction

External Defects of the Genitourinary Tract

Glomerular Disease

Miscellaneous Renal Disorders

Renal Failure

Technologic Management of Renal Failure

NCLEX Review Questions

Correct Answers

References

27 The Child with Cerebral Dysfunction

Cerebral Dysfunction

Evaluation of Neurologic Status

The Child with Cerebral Compromise

Cerebral Trauma

Intracranial Infections

Seizure Disorders

Cerebral Malformations

NCLEX Review Questions

Correct Answers

References

28 The Child with Endocrine Dysfunction

The Endocrine System

Disorders of Pituitary Function

Disorders of Thyroid Function

Disorders of Parathyroid Function

13
 Hypoparathyroidism

Disorders of Adrenal Function

Disorders of Pancreatic Hormone Secretion

NCLEX Review Questions

Correct Answers

References

Unit 12 The Child with a Problem that Interferes with Physical

Mobility

29 The Child with Musculoskeletal or Articular Dysfunction

The Immobilized Child

Traumatic Injury

Sports Participation and Injury

Birth and Developmental Defects

Acquired Defects

Infections of Bones and Joints

Disorders of Joints

NCLEX Review Questions

Correct Answers

References

30 The Child with Neuromuscular or Muscular Dysfunction

Congenital Neuromuscular or Muscular Disorders

Acquired Neuromuscular Disorders

NCLEX Review Questions

Correct Answers

References

Answers to Critical Thinking Case Studies

Chapter 8

Chapter 10

Chapter 15

Chapter 16

Chapter 18

Chapter 19

Chapter 21

Chapter 22

Chapter 23

Chapter 25

Chapter 27

14
 Chapter 28

Index

IBC

15
Copyright

3251 Riverport Lane

St. Louis, Missouri 63043

HOCKENBERRY: WONG'S ESSENTIALS OF PEDIATRIC NURSING, TENTH EDITION ISBN: 978-

0-323-35316-8

Copyright © 2017 by Elsevier, Inc. All rights reserved.

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Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein. In
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instructions, or ideas contained in the material herein.
Nursing Diagnoses—Definitions and Classification 2012-2014. Copyright © 2011, 2009, 2007, 2005,
2003, 2001, 1998, 1996, 1994 by NANDA International. Used by arrangement with Wiley-Blackwell
Publishing, a company of John Wiley and Sons, Inc. In order to make safe and effective judgments
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characteristics of the diagnoses listed in the work.

16
NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks and service marks of the
National Council of State Boards of Nursing, Inc.

Previous editions copyrighted 2013, 2009, 2005, 2001, 1997, 1993, 1989, 1985, 1982.

International Standard Book Number: 978-0-323-35316-8

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17
Contributors
Rose U. Baker PhD, PMHCNS-BC
Assistant Lecturer
School of Nursing
College of Health Professions
Akron, Ohio

Annette L. Baker RN, BSN, MSN, CPNP

Nurse Practitioner
Cardiovascular Program
Auburndale, Massachusetts

Raymond Barfield MD, PhD

Associate Professor of Pediatrics and Christian Philosophy;
Director
Pediatric Quality of Life and Palliative Care
Duke University
Durham, North Carolina

Amy Barry RN, MSN, PNP-BC

Pediatric Nurse Practitioner
Leukemia and Lymphoma Service
Aflac Cancer and Blood Disorders Center
Atlanta, Georgia

Heather Bastardi MSN, BSN, PNP

Heart Failure/Heart Transplant Coordinator
Boston Children's Hospital
Boston, Massachusetts

Debra Brandon PhD, RN, CNS, FAAN

Associate Professor
School of Nursing
Duke University
Durham, North Carolina

Terri L. Brown MSN, RN, CPN

Assistant Director
Clinical Outcomes & Data Support
Texas Children's Hospital
Houston, Texas

Meg Bruening PhD, MPH, RD

Assistant Professor
School of Nutrition and Health Promotion
College of Health Solutions
Arizona State University
Phoenix, Arizona

Rosalind Bryant PhD, RN, PPCNP-BC

Pediatric Nurse Practitioner
Texas Children's Hospital;

18
Instructor
Baylor College of Medicine
Houston, Texas

Cynthia J. Camille MSN, RN, CPNP, FNP-BC

Pediatric Nurse Practitioner
Pediatric Urology
Duke University Health System
Durham, North Carolina

Patricia M. Conlon MS, APRN, CNS, CNP

Pediatric Clinical Nurse Specialist;
Assistant Professor of Nursing
Mayo Clinic Children's Center
Rochester, Minnesota

Erin Connelly APRN, CPNP

Aflac Cancer & Blood Disorders Center;
Children's Healthcare of Atlanta
Emory University
Atlanta, Georgia

Martha R. Curry MS, RN, CPNP

Instructor
Immunology, Allergy, and Rheumatology
Department of Pediatrics
Baylor College of Medicine
Texas Children's Hospital
Houston, Texas

Amy Delaney RN, MSN, CPNP-AC/P

Pediatric Nurse Practitioner
Boston Children's Hospital
Boston, Massachusetts

Sharron L. Docherty PhD, PNP-BC, FAAN

Associate Professor
School of Nursing;
Associate Professor
Department of Pediatrics;
Director
Center for Excellence in Cognitive/Affective Symptom Science
Duke University
Durham, North Carolina

Angela Drummond MS, APRN, CPNP

Pediatric Nurse Practitioner-Orthopedics
Gillette Children's Specialty Healthcare
St. Paul, Minnesota

Jan M. Foote DNP, ARNP, CPNP, FAANP

Clinical Associate Professor
The University of Iowa College of Nursing
Iowa City, Iowa
Pediatric Nurse Practitioner
Blank Children's Hospital
Des Moines, Iowa

Quinn Franklin MS

19
Manager
Child, Adolescent, and Young Adult Life Program
The University of Texas
MD Anderson Children's Cancer Hospital
Houston, Texas

Debbie Fraser MN, RNC-NIC

Associate Professor
Faculty of Health Disciplines
Athabasca University
Athabasca, Alberta, Canada;
Advanced Practice Nurse, NICU
ST Boniface General Hospital
Winnipeg, Manitoba, Canada

Teri Lavenbarg MSN, APRN, PPCNP-BC, FNP-BC, CDE

Nurse Practitioner
Medical Center
University of Kansas
Kansas City, Kansas

Patricia McElfresh MN, RN, PNP-BC

Pediatric Nurse Practitioner
Hematology Oncology
Children's Healthcare of Atlanta
Atlanta, Georgia

Tara Merck CPNP

Director of Advanced Practice Providers
Children's Specialty Group
Medical College of Wisconsin
Milwaukee, Wisconsin

Mary A. Mondozzi MSN, BSN, RN

Burn Center Education/Outreach Coordinator
Akron Children's Hospital
The Paul and Carol David Foundation Burn Institute
Akron, Ohio

Rebecca A. Monroe MSN, RN, CPNP

Certified Pediatric Nurse Practitioner
Medical City Children's Hospital Urgent Care
Dallas, Texas

Kim Mooney-Doyle PhD, RN, CPNP-AC

Postdoctoral Research Fellow
School of Nursing
University of Pennsylvania
Philadelphia, Pennsylvania

Patricia O'Brien MSN, RN, CPNP-AC

Nurse Practitioner
Cardiovascular Program
Boston Children's Hospital
Boston, Massachusetts

Cynthia A. Prows MSN, CNS, FAAN

Clinical Nurse Specialist, Genetics
Cincinnati Children's Hospital Medical Center

20
Cincinnati, Ohio

Patricia A. Ring MSN, RN, CPNP

Pediatric Nurse Practitioner
Pediatric Nephrology
Children's Hospital of Wisconsin
Milwaukee, Wisconsin

Maureen Sheehan MS, CPNP

Pediatric Nurse Practitioner
Child Neurology and Epilepsy
Stanford Children's Health
Palo Alto, California;
Clinical Faculty (Volunteer)
School of Nursing
University of California, San Francisco
San Francisco, California

Anne Feierabend Stanton MSN, APRN, PCNS-BC

Pediatric Clinical Nurse Specialist
University of Kansas Medical Center
Kansas City, Kansas

Barbara J. Wheeler RN, BN, MN, IBCLC

Neonatal Clinical Nurse Specialist & Lactation Consultant
St. Boniface General Hospital;
Professional Affiliate
Manitoba Centre for Nursing & Health Research;
Instructor II
College of Nursing
University of Manitoba e-Health Services
Winnipeg, Manitoba, Canada

Kristina D. Wilson PhD, CCC-SLP

Senior Speech Language Pathologist and Clinical Researcher
Texas Children's Hospital;
Adjunct Assistant Professor
Division of Plastic Surgery
Baylor College of Medicine
Houston, Texas

21
Reviewers
Sharon Anderson MSN, NNP-BC, APNG
Instructor
School of Nursing
Rutgers, The State University of New Jersey

Brigit M. Carter PhD, RN, CCRN

Assistant Professor;
Project Director
Health Equity Academy
Duke University School of Nursing
Durham, North Carolina

Enrique Chaves-Carballo MD
Clinical Professor, Departments of Pediatrics
and History and Philosophy of Medicine
The University of Kansas Medical Center
Kansas City, Kansas

Elizabeth Conoley RN, MSNEd, CPN

Assistant Professor
Brenau University School of Nursing
Gainesville, Georgia

Ciara Culhane MS, RN-BC, CPN

Professional Development Specialist
Children's Hospital Colorado
Aurora, Colorado

Jacqueline Sayre Dorsey MS, RN, ANP

Assistant Professor
Nursing
Monroe Community College
Rochester, New York

Patricia A. Duclos-Miller MSN, RN, NE-BC

Professor
Capital Community College
Hartford, Connecticut

Stephanie C. Evans PhD, APRN, PNP

Assistant Professor, Nursing
Harris College of Nursing and Health Sciences
Texas Christian University
Fort Worth, Texas

Kari Gali DNP, RN, CPN

Pediatric Nurse Practitioner
Distance Health/MyCare Online
Cleveland Clinic
Cleveland, Ohio

22
Bonnie Jensen RN, BSN, MSN
Faculty
Provo College
Provo, Utah

Christine B. Kavanagh RD, MSN, PNP-BC

Instructor
Nursing Programs
School of Health Sciences
Pennsylvania College of Technology
Williamsport, Pennsylvania

Ann Marie McCarthy RN, PhD, FNASN, FAA

Professor & Associate Dean for Research
College of Nursing
The University of Iowa
Iowa City, Iowa

Carmella Mikol PhD, CPNP, CNE, RN-BC

Instructor
College of Lake Country
Grayslake, Illinois

Deborah A. Roberts MSN, EdD

Professor and Chair
Department of Nursing
Sonoma State University
Rohnert Park, California

Nicole Shonka MS, RN-BC, CPN

Professional Development Specialist
Children's Hospital Colorado
Aurora, Colorado

23
Dedication

We dedicate the tenth edition of this book to David Wilson who passed away on March
7, 2015, after a long battle with cancer. David had been co-author of the Wong nursing
textbooks for over 15 years. He was known as an expert clinical nurse and nurse
educator. His last clinical position was at St. Francis Health Services in Tulsa, Oklahoma,
where he worked in the Children's Day Hospital as the coordinator for Pediatric
Advanced Life Support (PALS).

Students and faculty have recognized David's contributions to the Wong textbooks for
many years. He was known as an outstanding educator and supporter of nursing
students; his attention to clinical excellence was evident in all this work. Those who
contributed to the books and had the opportunity to work with David realize the
important role he played as a leader in nursing education for students and faculty. His
clinical expertise provided a critical foundation for ensuring relevant and evidence-based
content was used in all the Wong textbooks. David led by example in exemplifying
excellence in clinical nursing practice.

Those who knew David well will miss his humor, loyalty to friends and colleagues, and
his never-ending support. He is missed greatly by those who worked closely with him on
the Wong textbook over the years. Most importantly we miss his friendship; he was
always there to support and to encourage. We have lost an amazing nurse who worked
effortlessly over the years to improve the care of children and families in need. David
will not be forgotten.

24
Preface
Wong's Essentials of Pediatric Nursing has been a leading book in pediatric nursing since it was first
published almost 40 years ago. This kind of support places immense accountability and
responsibility on us to earn your future endorsement with each new edition. So, with your
encouragement and constructive comments, we offer this extensive revision, the tenth edition of
Wong's Essentials of Pediatric Nursing. This tenth edition continues the legacy of Donna Wong and
David Wilson; our beloved colleagues. We hold dear their contributions and memories of their
pursuit of excellence in all they did for the Wong textbooks.
To accomplish this, Marilyn J. Hockenberry, as editor-in-chief, along with Cheryl Rodgers, co-
editor, and many expert nurses and multidisciplinary specialists, have revised, rewritten, or
authored portions of the text concerning areas that are undergoing rapid and complex change.
These areas include community nursing, development, immunizations, genetics, home care, pain
assessment and management, high-risk newborn care, adolescent health issues, end-of-life care, and
numerous pediatric diseases. We have carefully preserved aspects of the book that have met with
universal acceptance—its state-of-the-art research-based information; its strong, integrated focus on
the family and community; its logical and user-friendly organization; and its easy-to-read style.
We have tried to meet the increasing demands of faculty and students to teach and to learn in an
environment characterized by rapid change, enormous amounts of information, fewer traditional
clinical facilities, and less time.
This text encourages students to think critically. New to this edition is a change in the format and
content for nursing care plans throughout the book. We have developed case studies that discuss
clinical scenarios allowing the student to visualize how the care plan develops as a clinical situation
evolves over time. The Critical Thinking Case Studies ask the nurse to examine the evidence,
consider the assumptions, establish priorities, and evaluate alternative perspectives regarding each
patient situation. The Critical Thinking Case Studies support our belief that the science of nursing
and related health professions is not black and white. In many instances, it includes shades of gray,
such as in the areas of genetic testing, resuscitation, cultural issues, end-of-life care, and quality of
life. Revised evidence-based practice boxes include the latest knowledge crucial for nurses to
practice using quality and safety competencies. Competencies included in the evidence-based
practice boxes are designed specifically for prelicensed nurses and are from the Quality and Safety
Education for Nurses website.
This text also serves as a reference manual for practicing nurses. The latest recommendations
have been included from authoritative organizations such as the American Academy of Pediatrics,
the Centers for Disease Control and Prevention (CDC), the Institute of Medicine, the Agency for
Healthcare Research and Quality, the American Pain Society, the American Nurses Association, and
the National Association of Pediatric Nurse Associates and Practitioners. To expand the universe of
available information, websites and e-mail addresses have been included for hundreds of
organizations and other educational resources.

25
Organization of the Book
The same general approach to the presentation of content has been preserved from the first edition,
although some content has been added, condensed, and rearranged within this framework to
improve the flow; minimize duplication; and emphasize health care trends, such as home and
community care. The book is divided into two broad parts. The first part of the book, Chapters 1
through 16, follow what is sometimes called the “age and stage” approach, considering infancy,
childhood, and adolescence from a developmental context. It emphasizes the importance of the
nurse's role in health promotion and maintenance and in considering the family as the focus of care.
From a developmental perspective, the care of common health problems is presented, giving
readers a sense of the normal problems expected in otherwise healthy children and demonstrating
when in the course of childhood these problems are most likely to occur. The remainder of the
book, Chapters 17 through 30, presents the more serious health problems of infancy, childhood, and
adolescence that are not specific to any particular age group and that frequently require
hospitalization, major medical and nursing intervention, and home care.
UNIT ONE (Chapters 1 through 3) provides a longitudinal view of the child as an individual on
a continuum of developmental changes from birth through adolescence and as a member of a
family unit maturing within a culture and a community. Chapter 1 includes the latest discussion of
morbidity and mortality in infancy and childhood and examines child health care from a historical
perspective. Because unintentional injury is one of the leading causes of death in children, an
overview of this topic is included. The nursing process, with emphasis on nursing diagnosis and
outcomes and on the importance of developing critical thinking skills, is presented. In this edition,
the critical components of evidence-based practice are presented to provide the template for
exploring the latest pediatric nursing research or practice guidelines throughout the book.
This book is about families with children, and the philosophy of family-centered care is
emphasized. This book is also about providing atraumatic care—care that minimizes the
psychologic and physical stress that health promotion and illness treatment can inflict. Features
such as Evidence-Based Practice, Family-Centered Care, Community Focus, Research Focus, Drug
Alert, and Atraumatic Care boxes bring these philosophies to life throughout the text. Finally, the
philosophy of delivering nursing care is addressed. We believe strongly that children and families
need consistent caregivers. The establishment of the therapeutic relationship with the child and
family is explored as the essential foundation for providing quality nursing care.
Chapter 2 provides important information on the family, social and cultural and religious
influences on child health promotion. The content clearly describes the role of the nurse, with
emphasis on cultural and religious sensitivity and competent care.
Chapter 3, devoted to the developmental and genetic influences on child health continues to
provide the latest information on genetics and also focuses on a theoretic approach to personality
development and learning.
UNIT TWO (Chapters 4 to 6) is concerned with the principles of nursing assessment, including
communication and interviewing skills, observation, physical and behavioral assessment, health
guidance, and the latest information on preventive care guidelines. Chapter 4 contains guidelines
for communicating with children, adolescents, and their families, as well as a detailed description of
a health assessment, including discussion of family assessment, nutritional assessment, and a sexual
history. Content on communication techniques is outlined to provide a concise format for reference.
Chapter 4 continues by providing a comprehensive approach to physical examination and
developmental assessment, with updated material on temperature measurement, body mass index–
for-age guidelines, and the latest World Health Organization and CDC clinical growth charts.
Chapter 5 is an important chapter, devoted to critical assessment and management of pain in
children. Although the literature on pain assessment and management in children has grown
considerably, this knowledge has not been widely applied in practice. Chapter 6 was added to
address common infectious diseases in children. This chapter emphasizes the importance of
infection control and review the various bacterial and viral infections encountered in childhood.
Hospital-acquired infections, childhood communicable disease and immunizations are also
discussed.

26
 UNIT THREE (Chapters 7 and 8) stresses the importance of the neonatal period in relation to
child survival during the first few months and the impact on health in later life. In Chapter 7,
several areas have been revised to reflect current issues, especially in terms of the educational needs
of the family during the infant's transition to extrauterine life as well as the recognition of newborn
problems in the first few weeks of life. Current issues that have been updated include proactive
measures to prevent infant abduction; hospital-based, baby-friendly breastfeeding initiatives;
choices for circumcision analgesia; newborn atraumatic care; car safety seats; and newborn
screening, including universal newborn hearing screening. Newborn skin care guidelines have also
been updated, and choices for newborn umbilical cord care are discussed. Chapter 8 stresses the
nurse's role in caring for the high-risk newborn and the importance of astute observations to the
survival of this vulnerable group of infants. Modern advances in neonatal care have mandated
extensive revision with a greater sensitivity to the diverse needs of infants, from those with
extremely low birth weights, late-preterm infants, and those of normal gestational age who have
difficulty making an effective transition to extrauterine life. This chapter also includes the latest
information regarding the detection and management of inborn errors of metabolism.
UNITS FOUR through SIX (Chapters 9 through 16) present the major developmental stages
outlined in Unit One, which are expanded to provide a broader concept of these stages and the
health problems most often associated with each age group. Special emphasis is placed on
preventive aspects of care. The chapters on health promotion follow a standard approach that is
used consistently for each age group. Chapter 10 has been streamlined in regard to nutritional
imbalances and continues to focus on the influence of nutrition in early childhood as it impacts
health status in adulthood. The sections on colic, sudden infant death syndrome, and car seat safety
in infancy have been updated as well. The influence of nutrition in preschool-age and school-age
children (especially decreasing fat intake) in relation to later chronic diseases such as obesity and
hypertension is also discussed. The importance of safety promotion and injury prevention in
relation to each age group is included as well. Chapter 14 contains updated information on
bullying.
The chapters on health problems in these units primarily reflect more typical and age-related
concerns. The information on many disorders has been revised to reflect recent changes. Examples
include sudden infant death syndrome, lead poisoning, severe acute malnutrition, burns, attention-
deficit/hyperactivity disorder, contraception, teenage pregnancy, and sexually transmitted
infections. The chapters on adolescence include the latest information regarding substance abuse,
adolescent immunizations, and the impact of adolescent nutrition on cardiovascular health.
UNIT SEVEN (Chapters 17 and 18) deals with children who have the same developmental needs
as growing children but who, because of congenital or acquired physical, cognitive, or sensory
impairment, require alternative interventions to facilitate development. Chapter 17 reflects current
trends in the care of families and children with chronic illness or disability such as providing home
care, normalizing children's lives, focusing on developmental needs, enabling and empowering
families, and promoting early intervention. This chapter highlights common fears experienced by
the child and family and includes discussion of symptom management and nurses' reactions to
caring for dying children.
The content in Chapter 18 on cognitive or sensory impairment includes important updates on the
definition and classification of cognitive impairment. Autism is discussed in this chapter to provide
a cohesive overview of cognitive and sensory impairments.
UNIT EIGHT (Chapters 19 and 20) is concerned with the impact of hospitalization on the child
and family and presents a comprehensive overview of the stressors imposed by hospitalization and
discusses nursing interventions to prevent or eliminate them. New research on short-stay or
outpatient admissions addresses preparing children for these experiences. Chapter 19 provides
updated information on the effects of illness and hospitalization on children at specific ages and the
effects on their development. The increasing role of ambulatory and outpatient settings for surgical
procedures is also discussed. Chapter 20 includes numerous revised Evidence-Based Practice boxes
that include QSEN competencies and are designed to provide rationales for the interventions
discussed in the chapter. A major focus in this chapter is the evidence related to preparation of the
child for procedures commonly performed by nurses. Recommendations for practice are based on
the evidence and concisely presented in Evidence-Based Practice boxes throughout the chapter.

27
 UNITS NINE through TWELVE (Chapters 21 through 30) consider serious health problems of
infants and children primarily from the biologic systems orientation, which has the practical
organizational value of permitting health problems and nursing considerations to relate to specific
pathophysiologic disturbances. The most common serious diseases in children are reviewed in
these chapters. Important revisions include discussions of hepatitis, cardiopulmonary resuscitation,
blood disorders, cancer, respiratory illnesses including influenza, acute lung injury and respiratory
syncytial virus, tuberculosis, asthma, cystic fibrosis, effects of second-hand smoke exposure,
seizures, acquired immunodeficiency syndrome, and diabetes mellitus. The information on
orthopedic and muscular injuries in childhood as a result of sports participation or other injuries
has been revised to reflect current treatment modalities. Chapter 28 includes focused attention on
type 2 diabetes and the most up to date information on insulin preparations and types of glucose
meters.

28
Unifying Principles
Several unifying principles have guided the organizational structure of this book since its inception.
These principles continue to strengthen the book with each revision to produce a text that is
consistent in approach throughout each chapter.

The Family as the Unit of Care

The child is an essential member of the family unit. We refer to parents in this book as a mother
and/or father but recognize parents include of a variety of individuals and do not undervalue the
importance of any parent role or family structure.
Nursing care is most effective when it is delivered with the belief that the family is the patient. This
belief permeates the book. When a child is healthy, the child's health is enhanced when the family is
a fully functioning, health-promoting system. The family unit can be manifested in a myriad of
structures; each has the potential to provide a caring, supportive environment in which the child
can grow, mature, and maximize his or her human potential. In addition to the integration of
family-centered care into every chapter, an entire chapter is devoted to understanding the family as
the core focus in children's lives including the social, cultural, and religious influences that impact
family beliefs. Separate sections in another chapter deal in depth with family communication and
family assessment. The impact of illness and hospitalization, home care, community care, and the
death of a child are covered extensively in additional chapters. The needs of the family are
emphasized throughout the text under Nursing Care Management in a separate section on family
support. Numerous Family-Centered Care boxes are included to assist nurses in understanding and
providing helpful information to families.

An Integrated Approach to Development

Children are not small adults but special individuals with unique minds, bodies, and needs. No
book on pediatric nursing is complete without extensive coverage of communication, nutrition,
play, safety, dental care, sexuality, sleep, self-esteem, and of course, parenting. Nurses promote the
healthy expression of all these dimensions of personhood and need to understand how these
functions are expressed by different children at different developmental ages and stages. Effective
parenting depends on knowledge of development, and it is often the nurse's responsibility to
provide parents with a developmental awareness of their children's needs. For these reasons,
coverage of the many dimensions of childhood is integrated within the growth and development
chapters rather than being presented in separate chapters. For example, safety concerns for a
toddler are much different from those for an adolescent. Sleep needs change with age, as do
nutritional needs. As a result, the units on each stage of childhood contain complete information on
all these functions as they relate to the specific age. In the unit on school-age children, for instance,
information is presented on nutritional needs, age-appropriate play and its significance, safety
concerns characteristic of the age group, appropriate dental care, sleep characteristics, and means of
promoting self-esteem—a particularly significant concern for school-age children. The challenges of
being the parent of a school-age child are presented, and interventions are suggested that nurses
can use to promote healthy parenting. Using the integrated approach, students gain an appreciation
for the unique characteristics and needs of children at every age and stage of development.

Focus on Wellness and Illness: Child, Family, and Community

In a pediatric nursing text, a focus on illness is expected. Children become ill, and nurses typically
are involved in helping children get well. However, it is not sufficient to prepare nursing students
to care primarily for sick children. First, health is more than the absence of disease. Being healthy is
being whole in mind, body, and spirit. Therefore, the majority of the first half of the book is devoted
to discussions that promote physical, emotional, psychosocial, mental, and spiritual wellness. Much
emphasis is placed on anticipatory guidance of parents to prevent injury or illness in their children.
Second, health care is more than ever prevention focused. The objectives set forth in the Healthy
People 2020 report clearly establish a health care agenda in which solutions to medical and social

29
Another random document with
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Dryad, i. 19.
Dryden, John, i. 39, 80, 332, 380; ii. 79; iii. 63, 113, 258, 400, 461; iv.
276, 277, 309; v. 13, 30, 61, 68, 122, 246, 261, 356, 357, 359, 369,
372; vi. 204 n., 218, 222, 254, 336, 351, 363, 371, 425, 455, 464; vii.
17, 36, 93, 102, 105, 124; viii. 43, 68, 159, 190, 191, 192, 235, 503;
ix. 363; x. 68, 118, 204, 205, 416; xi. 132, 186, 226, 256, 269, 270,
272, 535; xii. 3, 32, 207, 208, 244 n., 323, 326, 327, 375.
Dryden and Pope, On, v. 68.
Du Bart, John and Francis, viii. 253.
Du Bartas, Guilaume de Saluste, Seigneur, v. 186.
Du Fresnoy, Charles Alphonse, ix. 477.
Dublin, ii. 56, 61, 64, 65, 181, 188, 202; iii. 405, 420; viii. 203, 466,
478; ix. 415, 416; x. 179; xi. 402.
Dubois, Edward, xii. 276 n.
Duchesnois, Mademoiselle, ix. 154.
Duchess of Malfy (Webster’s), v. 240, 245; vi. 94 n.; vii. 54.
Ducis, Jean François, xi. 283.
—— Louis, ix. 137.
Ducrow, Andrew, xii. 368.
Dudley, Bate, xi. 349.
Duenna, the (Sheridan’s), iv. 159; viii. 164, 165; xii. 24, 332.
Duessa, the false (Spenser), iv. 201; v. 277.
Dugdale, Sir William, vii. 316.
Dughet, Gaspard. See Poussin, Gaspar.
Duke Aranza (in Tobin’s The Honeymoon), v. 345; viii. 229, 263; xi.
409.
—— Hercules of Ferrara (in Manton’s, Parasitaster), v. 226.
—— of Austria (in Shakespeare’s King John), xi. 411.
—— of Brachiano (in Webster’s The White Devil), v. 241, 243.
—— of Milan, The (Massinger’s), viii. 289;
also referred to in v. 266, 267; viii. 292.
—— of Wellington, etc. (Perry Nursey’s), xi. 249.
—— of York, The (in Shakespeare’s Richard II.), viii. 224.
Duke’s Place, ii. 71; iii. 49, 157; x. 164; xii. 363.
Dulcinea (in Mrs Centlivre’s The Wonder), viii. 156.
—— del Toboso (in Cervantes’ Don Quixote), i. 92, 422; v. 140; vi.
238, 287; viii. 110; x. 30; xi. 273 n.; xii. 76.
Dulwich College, vi. 120; ix. 17, 390.
—— Gallery, the, ix. 17; also referred to in vi. 219, 369 n.; ix. 17, 55,
113; xi. 249.
Dumain (in Shakespeare’s Love’s Labour’s Lost), i. 334.
Dumb Savoyard and his Monkey, The (Thompson’s), xi. 363.
Dumbarton Bridge, ii. 328.
Dumbiedikes (in Scott’s Heart of Midlothian), iv. 247; viii. 413 n.; xi.
382.
Dumblain, iii. 415.
Dumple, a pony (in Scott’s Guy Mannering), iv. 248.
Duncan (in Shakespeare’s Macbeth), i. 293; vi. 39; viii. 205; x. 81; xi.
316.
—— Gray (by Wilkie), viii. 141.
Duncan’s fleet, Lord, ii. 250.
—— Victory (by Fittler), ii. 201.
Dunciad, The (Pope’s), v. 76, 80, 359, 373; x. 375; xi. 489.
Dundas, Henry, first Viscount Melville, ii. 158, 169, 204, 223; xii.
293.
Dundee, ii. 252.
Dunkirk, viii. 253; xi. 556.
Dunkley, Mr (in Amory’s John Buncle), i. 54; iii. 142.
Dunlop, John Colin, x. 5.
Dunlop’s History of Fiction, x. 5.
Dunning, xii. 293.
See also Downing, George.
—— John, Lord Ashburton, iii. 418, 423; iv. 237; vi. 367, 397.
Duns Scotus, iv. 217; vii. 199.
Dunster (a town), xii. 272.
—— Mr (the fishmonger in the Poultry), vii. 73, 74, 75.
Duomo, The (at Florence), ix. 211, 212.
Duplicity (Holcroft’s), ii. 89, 100, 101, 102, 163.
Dupre (in Holcroft’s Deaf and Dumb), ii. 235.
Durer, Albert, ix. 35, 95.
Durfey, Tom, viii. 96.
Durham, ii. 79; xi. 311.
Duruset, J. B., vii. 70; viii. 231, 232, 248, 261, 370, 371, 413, 533; xi.
316, 397.
Dutch Fair (Teniers’), ix. 389.
—— School, i. 29; viii. 54; ix. 301, 314, 317, 386, 398, 406; xi. 187,
205 n., 240, 462, 547.
Duties of Children, On the (Channing’s), x. 317.
Du Val, Mr, ii. 181.
Dyches, Family of, iii. 420.
Dyer, George, ii. 177, 180, 217; v. 119, 375; vii. 43, 220; xii. 164 n.
Dying Gladiator (Byron’s), ix. 234.
—— —— (Louvre), viii. 149; ix. 107, 165 n., 166, 350, 491; x. 341; xi.
196.
—— Mother, a Statue (West’s), ix. 322.
Dyot, Sir Thomas, vi. 120.
—— Street, vi. 120; vii. 249.
 E.

Earl Delamere (in Ups and Downs), xi. 387.

—— Egbert (in Holcroft’s The Noble Peasant), ii. 110.
—— of Flanders (in Kinnaird’s Merchant of Bruges), viii. 264, 265.
—— of Glenallan (Scott’s Antiquary), iv. 248.
Eastcheap, x. 310; xi. 311.
East India Company, The, ii. 56; vii. 184.
—— London Theatre, The, viii. 404, 412; xi. 370.
Eastward Hoe (Ben Jonson’s), v. 234; vi. 164.
Ecce Iterum Crispinus (Gifford’s), iv. 305.
Ecclesiastical History (Mosheim’s), iii. 276.
—— Polity (Hooker’s), x. 145.
Echard (Eachard, John), viii. 107; x. 27; xii. 148.
Echelles (a town), ix. 189.
Echo (in Ben Jonson’s Cynthia’s Revels), v. 265.
—— (in Kenney’s The World), viii. 229.
Eclogues, The (Collins’), v. 116, 374.
École des Femmes (Molière’s), viii. 29; x. 108; xi. 452.
—— des Maris (Molière’s), xi. 356.
—— Militaire, The, ix. 160.
—— des Vieillards, The (a French Play), xi. 366.
Edelinck, Gerard, ii. 198.
Eden, v. 67, 70.
Edgar (in Shakespeare’s King Lear), i. 293; v. 5; vi. 156; viii. 440, 441,
449, 450.
Edgeworth, Miss, i. 105; viii. 123; x. 41; xii. 65.
Edie Ochiltree (in Scott’s Antiquary), iv. 248; viii. 413; x. 399.
Edinburgh, ii. 59, 188, 304, 308, 314, 394; iv. 320; viii. 290, 315,
425, 478; ix. 98, 178, 233, 324, 326, 336; xi. 560; xii. 91, 219, 253,
256 n., 277, 353, 367.
—— To (in Hazlitt’s Liber Amoris), ii. 314.
—— Encyclopædia, The (Sir David Brewster’s), xii. 316.
—— Magazine (or New Scots Magazine), iv. 420; v. 385, 389; ix. 465;
xi. pp. viii., xi., 430, 433, 437, 442, 450, 454.
—— Review, i. 97, 131, 139, 166, 385, 393 n., 410, 428, 435; iii. 44, 51,
214, 221, 280, 454; iv. 245, 287, 310, 323, 342–3, 399; v. 128, 131,
150, 280, 348; vi. 18, 59, 87, 99, 205, 212, 216, 284; vii. 123, 183,
185, 261, 312, 365, 379, 381; viii. 419, 453, 498; ix. 102 n., 186,
295, 490; x. 5, 135, 243; xi. 162, 437, 484, 501; xii. 163, 169, 255,
316, 320, 327.
—— ——, Contributions to, xi.
—— View of (Hofland’s), xi. 246.
—— View of (Nasmyth’s), xi. 247.
—— Views of (a book), vi. 429–30.
Edith Bellenden (Scott’s Old Mortality), iv. 247.
Edith Elspeith (Scott’s Old Mortality), iv. 247, 248.
Editha (in Arnold’s The King’s Proxy, or Judge for Yourself), viii.
244.
Editors, A Chapter on, xii. 230.
Edmonds (an upholsterer), ii. 198.
Edmonton, xi. 306.
Edmund (in Shakespeare’s King Lear), i. 17, 209, 392; viii. 215, 221.
Education, Treatise on (Locke’s), x. 249.
—— —— (Milton’s), vi. 180.
—— of Bacchus (Poussin’s), ix. 24.
—— of Jupiter (Poussin’s), ix. 24.
Edward the Confessor, x. 335.
—— II. (Marlowe’s), v. 211.
—— III., v. 19; vii. 193.
—— V. (in Shakespeare’s Richard III.), viii. 183.
Edwards, Edward, vi. 346; xi. 590.
—— Jonathan, i. 49 n.; x. 314, 315; xi. 50, 65, 70; xii. 35.
—— Mr (actor), viii. 247, 298.
—— Dr, ix. 246, 247.
Edwin, John, the elder, i. 155; ii. 111; vi. 417; viii. 230, 273.
—— Mrs (Elizabeth Rebecca Richards), viii. 400.
—— and Emma (Mallet’s), v. 375.
Edwitha (in Holcroft’s The Noble Peasant), ii. 110.
Effects of War and Taxes, On the, iii. 243.
Effeminacy of Character, On, vi. 248.
Effie Deans (Scott’s Heart of Midlothian), iv. 247; vii. 339; xi. 534,
556.
Egerton, Daniel, viii. 299, 442; xi. 316, 395.
—— MacSycophant (in Macklin’s The Man of the World), viii. 318,
350.
—— Mrs Sarah, viii. 292.
Eglantine (by Madame de Genlis), ii. 281.
Egmont, Lord, ii. 383.
Egotism, On, vii. 157.
Egremont, Lord, ix. 13, 61; xi. 190.
Egypt, iii. 7; v. 52; xi. 497.
—— Travels in (Nicholas Savary’s), ii. 107.
Egyptian Hall, xi. 472 n.
Ehrenbreitstein (town), ix. 299.
Eiconoclastes Satyrane, iii. 52.
Elba, vii. 96; viii. 466; ix. 355.
Elbe, The, ii. 253, 254, 255, 257.
Elbow (in Measure for Measure), viii. 388; xii. 24.
Eldon, Lord, iv. 325; also referred to in i. 103, 431; ii. 146; iii. 125,
219; iv. 333; vii. 160, 216; xi. 480.
Eleazar, the Moor (in Marlowe’s Lust’s Dominion, or The Lascivious
Queen), v. 207, 208, 209.
Election, The (Miss Baillie’s), v. 147.
—— Dinner, The (Hogarth’s), viii. 137, 140; ix. 81; xi. 252; xii. 364.
Elector of Hanover, i. 427; iii. 284.
Electors of Westminster, The, vii. 7.
Electra (Æschylus), x. 81, 94.
Elegant Epistles, The (Warburton’s), vi. 368 n.
—— Extracts in Verse, The (Dr Knox), v. 367, 368; ix. 222.
Elegy in a Country Churchyard (Gray’s), v. 118, 126, 375; xi. 546; xii.
147.
—— on the Death of Lord Byron, An, vii. 314.
—— —— of Foote (Holcroft’s), ii. 87.
Elephant (a horse), ii. 41.
Elgin, Lord, ix. 327, 381, 490, 492; xi. 227.
—— Marbles, ix. 326;
 also referred to in i. 143; vi. 16, 50, 74, 353, 435; vii. 329; viii. 335;
ix. 28, 164, 166, 168, 169, 241, 366, 379, 381, 421, 433, 466, 490;
x. 190, 198, 201, 344, 345; xi. 227, 352, 590.
Elia. See Lamb, Charles.
Eliante (in Molière’s Misanthrope), ix. 149.
Elijah, The Prophet, x. 358.
Elisée (in Rousseau’s New Eloise), x. 75.
Elizabeth, Queen, i. 218, 333; ii. 379; iv. 212; v. 34, 56, 82, 185, 197,
201, 284, 347; vi. 218 n., 367, 393; viii. 55, 69, 162, 391; ix. 217; x.
188, 205, 209, 238, 242, 243; xi. 321; xii. 167, 168.
Ellen, or The Fatal Cave (Holcroft’s), ii. 114.
Ellengowan (Scott’s Guy Mannering), viii. 129.
Ellenborough, Lord, iii. 126, 163; ix. 247 n.; xi. 480.
Elleviou, Mons. and Madame, ii. 234.
Elliott, Sir John, iii. 395.
Ellis, George, x. 24.
—— Mr, ii. 266.
—— (in Miss Burney’s The Wanderer or Female Difficulties), x. 43.
Elliston, R. W., viii. 224, 229, 392, 400, 401, 403, 413, 423, 427, 429,
430, 454, 459, 465, 467, 471, 472, 476, 479; xi. 367, 409; xii. 275.
Elmes, James, vi. 519.
Eloise (Pope’s), v. 75, 76, 373; xii. 165.
—— (Rousseau’s), i. 133; vi. 425; ix. 146.
Eloquence of British Senate, iii. 387;
also referred to in i. 433; iii. 460; xi. 602.
Elphinstone, James, i. 96.
Elshie Elshender (Scott’s Black Dwarf), vii. 207; viii. 129; xi. 531.
Elspith (in The Antiquary, a play), viii. 413.
Elton (a town), x. 356.
Elwina (in Hannah More’s Percy), viii. 256.
Ely, Isle of, ii. 9, 10.
Elymas the Sorcerer (Raphael’s), i. 131; ii. 387; vi. 41; ix. 46, 272 n.
Elysium (Barry’s), ix. 415, 421.
Embassy to China (Gilray’s), vi. 455.
Emblems (Quarles’s), xii. 48 n.
Emery, John, ii. 195, 365; vi. 161, 453; viii. 10, 235, 236, 256, 283,
315, 333, 370, 391, 413, 426, 428, 442, 466; xi. 304–5, 378, 402;
xii. 24.
Emigrants, The (see Adelaide), viii. 308, 530.
Emile (Rousseau’s), ii. 379; vii. 224–5, 401 n., 456 n.; ix. 120; xi. 85,
135, 178 n., 259.
Emilia (in Shakespeare’s Othello), viii. 217.
—— Gauntlet (in Smollett’s Peregrine Pickle), xii. 64.
Emily (G. Colman the younger’s The Poor Gentleman), viii. 319.
—— Tempest (in Cumberland’s Wheel of Fortune), xi. 207, 208.
—— Worthington (in The Poor Gentleman), xi. 376.
Emmaus, v. 184.
Empedocles, v. 122.
Emperor Alexander in his Droschi (Sauerweide’s), xi. 249.
Enchanted Castle (Claude’s), vi. 74; ix. 13; xi. 212.
—— Island (in Shakespeare’s Tempest), v. 187.
Encyclopædia Britannica, ix. 377, 483.
—— Metropolitana, viii. 480.
Endymion, vi. 201; vii. 23.
—— (Girodet’s), ix. 131.
—— (Guercino’s), ix. 224.
—— (Keats’), ii. 302; vi. 254; viii. 478; x. 270.
—— (Lyly’s), v. 197–9, 247.
Enfield, William, v. 90, 147; vi. 294.
Enghien, Duc d’. See D’Enghien.
England, Church of, xii. 386, 402.
—— in 1798 (by S. T. Coleridge), iii. 241.
—— History of—
(1) Mackintosh’s iv. 287;
(2) Oldmixon’s, x. 368 n.;
(3) Turner’s, v. 143.
Englefield, Captain, vii. 92.
English Bards and Scotch Reviewers (Byron’s), iv. 258.
—— Comic Writers, Lectures on the, viii. 1;
also referred to in i. 417, 418, 419, 437; xi. 568.
—— Grammar, xii. 342.
—— Novelists, viii. 106;
also referred to in vii. 300; x. 405.
—— Opera House, New, viii. 314, 327, 463, 464, 474, 476.
—— Poets, Lectures on the, v. 1;
also referred to in i. 395, 419, 420, 421, 442, 458; x. 406.
—— Philosophy, History of (Hazlitt’s Prospectus), xi. 25.
—— Revolution, i. 430; iii. 100, 252; x. 153.
—— School, The, ix. 314.
—— Students at Rome, ix. 367.
—— Traveller, The (Heywood’s), v. 214.
Englishman, The (a newspaper), x. 212.
Enobarbus (in Shakespeare’s Antony and Cleopatra), i. 231–2; v.
253; viii. 191.
Enquiry concerning Political Justice, The (Godwin’s), ii. 163; iii. 126;
vii. 198; x. 385, 394–6, 398, 400; xii. 170.
—— concerning Population (Godwin’s), iv. 297.
Enraged Musician, The (Hogarth’s), viii. 142.
Ensign Hibbert (in Fielding’s Amelia) viii. 114; x. 33.
—— Beverley (in Sheridan’s The Rivals), viii. 508.
Ensor, George (on State of Europe in Jan. 1816), xi. p. vii.
Entombment of Christ (Bird’s), xi. 244.
Entombing of Christ, The, in the Louvre, ix. 112.
Entrance of Christ into Jerusalem, The (Haydon’s), xii. 271.
Envy, xii. 386.
—— (in Spenser), v. 39.
—— On (a dialogue), vii. 97.
E. O. Tables, i. 145; iii. 77.
Epic Pictures, i. 28.
Epicene (in Ben Jonson’s The Silent Woman), viii. 42.
Epicharmus, The Sicilian, x. 100.
Epictetus, x. 16.
Epicurus, iii. 101; iv. 293; ix. 161.
Epistles (Dryden’s), v. 79.
—— (Ben Jonson’s), v. 306.
—— (Pope’s), v. 69, 77.
Epistle to Abelard, The (Pope’s), xi. 505.
Epistles to Arbuthnot and Jervas (Pope’s), v. 78, 373.
Epistle to Lord Byron (Leigh Hunt’s), iv. 361.
—— to the Countess of Cumberland (Daniel), v. 309.
—— to Michael Drayton (Ben Jonson’s), v. 307.
—— (of St Paul), An, xii. 280.
—— to Selden (Ben Jonson’s), v. 307.
—— to Robert Southey, Esq. (Lamb’s), vii. 131.
Epitaph (by W. Gifford), i. 374.
Epithalamion on a Count Palatine of the Rhine (Donne’s), viii. 52.
Epps, Mr (a Strand shopkeeper), iii. 297.
Erasmus, vi. 245; ix. 218; xii. 214.
—— (Holbein’s portrait of), ix. 41.
Eresbourg, The Forest of, xi. 232.
Eriphile (Racine’s Aulis), x. 98.
Eros, i. 231.
Erskine, Lord, ii. 147, 154 n., 185, 214, 228; iii. 44, 425; iv. 319, 335;
vi. 51, 199, 406; vii. 161, 215; xi. 480; xii. 254.
Escapes, The (Holcroft), ii. 235.
Escurial, ix. 349; x. 278.
Espercieux, Jean Joseph, ix. 167.
Esplandian (early romance), x. 57.
Essays (Bacon’s), v. 328, 333.
—— (Hume’s), xi. 323.
—— (Montaigne’s), v. 165.
Essays (Southey’s), v. 165.
Essay Writing, A Farewell to, xii. 321.
Essex (the county), ii. 248; x. 357.
—— Lady, vi. 454.
Establishment of the Enfants Trouvés, ix. 125.
Estcourt, Will, i. 157; viii. 96, 160.
Este, Mr, ii. 205, 214, 225.
Estifania (in Fletcher’s Rule a Wife and Have a Wife), viii. 49, 234.
Estremadura (town), xi. 317.
Etherege, Sir George, i. 53, 155; viii. 68, 70, 82, 152; xi. 276–7.
—— etc., On, viii. 49.
Ethics (Grove’s), xi. 254.
Eton, iii. 421; iv. 199; v. 118; vi. 72; ix. 187 n., 480; xi. 334, 373.
—— College ... Ode on a Distant Prospect of (Gray’s), v. 118; vii. 74.
Etruscan cities, xii. 223.
Eubulides (Landor’s), x. 248.
Euclid, i. 46; vi. 433; vii. 257; viii. 19, 25; x. 179, 347; xi. 45, 273, 288,
491.
Eudemus (in Ben Jonson’s Fall of Sejanus), v. 265.
Eudocia (Godwin’s Cloudesley), x. 391.
Eugene de Biron (in Morton’s Henri Quatre), viii. 443.
Euler, Leonard, vii. 306.
Eumenides (in Lyly’s Endymion), v. 199.
—— (of Æschylus), x. 91.
Euphrasia (in Beaumont and Fletcher’s Philaster), v. 262.
Euphues and his England (Lyly), v. 201.
Euripides, iv. 216; x. 97, 98, 99, 100, 271; xii. 326.
European Child, The (in Campbell’s Gertrude of Wyoming), v. 150.
—— Magazine, The, vii. 74; viii. 12; x. 221.
—— Repository, The, ii. 229.
Eurydice (Nantreuil’s), ix. 127.
Eustace de St Pierre (in Colman’s The Surrender of Calais), viii. 331;
xi. 307, 308.
Eustace, Mr (The story of, in The Tatler), i. 9; viii. 99.
Eutropius, ix. 17.
Evadne (in Beaumont and Fletcher’s Maid’s Tragedy), v. 251–2.
—— The (by Richard Lalor Sheil), v. 345.
Evan Dhu (Scott’s Waverley), iv. 247.
Evangelists (Rubens’), ix. 52.
—— xii. 281.
Evans, Mr (actor), ii. 84.
—— Thomas, iii. 238, 299, 300.
Eve, vi. 397; xi. 517.
—— (Milton’s), i. 38; v. 60, 65–6, 371; vii. 36; viii. 561; xi. 452.
—— (Michael Angelo’s), ix. 363.
—— On the Character of Milton’s, i. 105.
—— (Raphael’s), ix. 240.
—— of St Agnes (Keats’), iv. 304; vii. 225.
Eve’s Apple, xii. 222.
Evelina (Miss Burney), vi. 160; vii. 72; viii. 123, 124; ix. 139 n.; x. 24,
25, 41, 42; xii. 65.
Evelyn, John, vii. 232; x. 287 n.
Evening Scene (in Hogarth’s Marriage à la Mode), i. 30; viii. 137; ix.
80.
—— Ode on (Collins), v. 116, 126, 147, 374.
Every Man in His Humour (Ben Jonson’s), viii. 310;
also referred to in viii. 44; vii. 313.
Evreux (town), ii. 268; ix. 102.
Examination before the Privy Council (Franklin’s), x. 314.
Examiner, The, i. pp. xxx., xxxi., 367 n., 374, 376, 385, 430, 445, 451,
456; iii. 103, 107, 109, 121, 152, 194, 201, 213, 281, 438 et seq.; iv.
302, 362, 401, 432; vi. 86, 286, 496; vii. 16, 123, 378, 379, 381,
507, 515; viii. 174, 224 n., 497, 500, 502, 512; ix. 462, 466; x. 220,
228, 418–21; xi. 253, 258, 269, 274, 277, 282, 284, 290, 297, 299,
301, 303, 305, 307, 309, 315, 317, 323, 328, 334, 343, 348, 352,
356, 358, 362, 366, 369, 373, 377, 381, 384, 389.
Exchange no Robbery, or Diamond Ring (Hook’s), viii. 475.
Exclusion Bill, The, x. 364.
Excursion, The (Wordsworth’s), i. 46 n.; v. 114, 156, 280; vi. 65 n.; xi.
311, 457, 512; xii. 276.
Exeter, ii. 143 n.; vi. 21, 161, 379, 390; ix. 68.
—— Change, iii. 121; iv. 223; vi. 349, 416; ix. 160; xi. 350, 364, 503;
xii. 49, 215.
Exile, Reflections on (Bolingbroke’s), vi. 100.
—— (in Lewis’s The Monk), viii. 127.
Exiles, The (Kotzebue’s), ii. 201.
Exit by Mistake (by Jameson), viii. 321;
also referred to in iii. 304.
Exmoor, x. 416.
Exmouth, Lord, vi. 429.
Expiring Taper, To an (by Peter Pindar), xii. 350.
Eyre, Lord Chief Justice, ii. 146; iii. 75 n.
Eyre’s Charge to the Jury, Remarks on Judge (Godwin’s), iv. 210, 211
n.
Ezekiel, iii. 144, 145; v. 183.
Ezra (Michael Angelo’s), ix. 362.
 F.

F——, vi. 390.

F——, Mrs, viii. 406.
Fables (Æsop’s), i. 9, 46; viii. 25, 98; x. 107; xi. 273, 491.
—— (Dryden’s), iv. 102 n.; v. 372.
—— (Gay’s), v. 106, 107.
—— (Northcote’s), vi. 408, 415, 416.
Fable of the Bees (Mandeville), vii. 467; viii. 157 n.; xi. 254.
Fables for the Holy Alliance (Moore’s), ix. 283.
Fable of Salmacis (Albano’s), ix. 34.
Face (Ben Jonson’s Alchemyst), viii. 228.
Fadladeen (in Moore’s Lalla Rookh), v. 152.
Faërie Queene (Spenser), i. 71 n., 138; iii. 113; v. 12, 35, 43, 187, 299,
370; viii. 438; x. 74, 155; xi. 464; xii. 129.
—— (in Midsummer Night’s Dream), i. 63.
Fag (in Sheridan’s Rivals), viii. 510.
Failer (in Etherege’s Wild Gallant), viii. 68.
Fainall (in Congreve’s Way of the World), viii. 74.
Fair, The (Teniers), ix. 35.
—— Deserter, The (a farce), viii. 533.
—— Penitent (Rowe’s), viii. 287;
also in v. 268.
—— Quarrel (Rowley’s), v. 214.
Fairfax, General, iii. 398; vi. 177.
—— (Holcroft’s), ii. 204.
Fairhurst, Richard, ii. 167.
Faithful Shepherdess (Fletcher’s), v. 254, 256; vi. 184; x. 118.
Fakreddin, The two pages of (Beckford’s Vathek), ix. 60.
Falcon, The (in Boccacio), i. 163; v. 82, 347; vii. 227; viii. 558; xi. 501;
xii. 30.
Falconbridge (in Shakespeare’s King John), v. 209; viii. 347; xi. 411.
Falconer, William, xi. 486, 495.
Falcoz, Madame, xi. 356.
—— Mademoiselle, xi. 358.
Faliero (Byron’s), iv. 258.
Falkland (in Godwin’s Caleb Williams), iv. 208; viii. 130, 131, 241,
420; x. 385, 398, 399; xii. 67.
Fall of Nineveh (Martin’s), xi. 381.
—— of Sejanus, The (Ben Jonson), v. 263.
Fallacies, Book of (Bentham’s), xii. 361.
Falling Tower, The, at Bologna, ix. 205.
Falls of the Grenfells, The, xi. 364.
False Duessa (Southey’s), iii. 217.
—— One, The (Beaumont and Fletcher’s), v. 253, 295.
Falsity of Human Virtues, Treatise on, xi. 254.
Falstaff’s Letters (by Jem White), vii. 37.
Fame, The (vessel), ii. 126.
—— On Different Sorts of, i. 93.
Familiar Style, On, vi. 242.
Family of Anglade, The (Payne’s), xi. 304; viii. 279.
—— Instructor, The (Defoe’s), x. 379.
—— Picture, The, etc. (Holcroft’s Tales), ii. 104.
—— Journal, vi. 505, 506.
—— Vandyke, The (a picture), ix. 57.
Fancy, The (by J. Hamilton Reynolds), viii. 480 n.
—— Poems of (Pope’s), v. 69.
Fanning, Mrs, xi. 546.
Fanny, Mademoiselle, ix. 174.
—— (Fielding’s), vi. 236; vii. 223; viii. 107.
Farce of Taste (Foote’s), vii. 216.
—— Writer, The (a play), viii. 523.
Farewell (Byron’s), vi. 210; x. 221.
—— to the Stage (Ben Jonson’s), v. 312.
—— to Tobacco (Lamb’s), v. 378.
Farington, Joseph, ii. 189, 198; vi. 359, 379, 380; x. 172, 173, 175,
180, 181, 189, 192, 195, 201, 202.
Farley, Charles, viii. 251, 253, 281, 416, 465, 468, 469, 535; xi. 207,
208, 305, 384.
Farmer’s Boy, The (Blomfield’s), v. 95, 97.
Farmer’s library (Richard Farmer), ii. 188.
Farnese family, The, vi. 385.
—— the Little, ix. 239, 365.
—— Theatre, The, ix. 204.
Farnham, vii. 126.
Farquhar, George, vi. 434; vii. 227; viii. 14, 163, 285, 552; x. 118; xii.
451.
—— On, viii. 70.
Farren, Elizabeth, Countess of Derby, ii. 160; viii. 165, 268, 291, 389;
ix. 147, 149; xii. 24.
—— William, viii. 154, 412, 426, 466, 480, 484.
—— —— Dr Cantwell (in The Hypocrite), xi. p. viii.
Farrier shoeing an Ass (Berchem’s), ix. 22.
Fashion, On, xi. 437.
—— in High Life (Hogarth’s), viii. 400.
—— (in The Relapse), vi. 414.
Fashionable Tales (Miss Edgeworth’s), ix. 490.
—— World (a newspaper), x. 220.
Fatal Cave. See Ellen.
—— Curiosity (Lillo’s), ii. 212; v. 359.
—— Dowry (Massinger and Field), v. 268; viii. 287.
—— Marriage (a play), viii. 391; xi. 383 n.; xii. 355.
Fate of Calas (a play), viii. 428, 439.
—— The Fiat of (song), ii. 190.
Fates, The (Michael Angelo’s), ix. 220, 363 n.
Father and Daughter, Tale of (Mrs Opie), viii. 268.
Father Paul (in Sheridan’s Duenna), iv. 159.
Fathers of the Church (Rubens’), ix. 52.
Faucit, Helena, Lady Martin, viii. 192, 231, 251, 266, 267, 276, 340;
xi. 316, 403.
Faulkener (not Ferdinand), a play (Godwin’s), iv. 210 n.
Faulkland (in Sheridan’s Rivals), viii. 509.
Faust (Goethe), vii. 313; x. 261, 271.
—— (Lessing), x. 274.
Faustina (a statue), ix. 221.