Practitioner’s Guide to Nutrition-Focused Physical Exam of Infants, Children, and Adolescents

NFPE-PedsWith more than 70 pages filled with detailed illustrations and photographs, The Practitioner’s Guide covers the fundamental skills needed for the early identification and prevention of pediatric malnutrition. 

The Practitioner’s Guide provides comprehensive and specific explanations of the head-to-toe physical exam individualized to different stages of development from full-term birth through adolescence. 

These are critically important skills because the onset of malnutrition  in infants and children can be rapid and because chronic malnutrition during periods of growth can delay maturation and impair brain function.


Key Features of Physical Exam Guide and Visual Learning Tools

Illustrated explanation of the head-to-to physical exam on infants, children, and adolescents to assess nutritional status, including:

  • muscle wasting
  • fat stores
  • fluid status
  • potential signs of micronutrient deficiencies
  • nutrition concerns for specialty populations including patients with obesity, neurological impairments, and critical illness

Guidance on and Tips for:

  • Indicators of malnutrition in pediatric patients
  • Growth parameters and how to assess malnutrition using growth charts and z scores
  • Interviewing pediatric patients and their caregivers
  • Sections on nutrition concerns and growth in infants and toddlers; preschool- and school-age children; and adolescents

Available as Spiral-bound book and eBook. Published by the American Society for Parenteral and Enteral Nutrition, March 2019





The Practitioner’s Guide was written by the following members of the Pediatric Nutrition Support Team, Pediatric Institute, Cleveland Clinic Children’s: 

--Hanna Freeman, MS, RD, CSP, LD
--Bette Klein, MS, RD, CSP, LD
--Sara Bewley, MS, RD, CSP, LD
--Merideth Miller, RD, CSP 

It was edited by the Director of the Pediatric Nutrition Support Team, Christina DeTallo, MS, MBA, RD, CSP, LD


About Cleveland Clinic Children’s

Cleveland Clinic Children’s is dedicated to medical, surgical, and rehabilitative care of infants, children, and adolescents. Its staff uses the latest technology and most recent research to achieve the best possible outcomes at over 40 locations across northeast Ohio.