| Course | DNP 641 Advanced Health Assessment Pediatrics |
|---|---|
| Module | Module 1 |
| Paper type | Complete pediatric health history |
| Length | About 852 words, 6 pages |
| Format | APA 7 student paper |
| School | Arizona State University |
| Program | Doctor of Nursing Practice |
| Updated | October 2026 |
Free sample paper for DNP 641 Module 1
Everything Before the Exam: A Complete Health History With a Safety and Risk Assessment for an 8-Year-Old at a School-Year Checkup
Student Name
Edson College of Nursing and Health Innovation, Arizona State University
DNP 641: Advanced Health Assessment Pediatrics
Instructor Name
Month Day, Year
Everything Before the Exam: A Complete Health History With a Safety and Risk Assessment for an 8-Year-Old at a School-Year Checkup
Identifying Data and Reliability
Patient: 8-year-old boy, initials withheld. Historian: mother, who appears reliable and brought the immunization record. Date of visit: withheld. Source of referral: routine school-year checkup.
Chief Concern
"He needs a checkup for school, and I want to ask about his snoring."
History of Present Concern
The mother reports that he has snored most nights for about a year, louder in the past six months. She has not noticed pauses in breathing or gasping. He breathes through his mouth during the day when he has a cold but not otherwise. He wakes rested on most days and has no daytime sleepiness, though his teacher has mentioned that he is sometimes restless in the afternoon. There is no bedwetting, morning headache or known allergy. No prior evaluation.
Birth History
Born at 39 weeks by spontaneous vaginal delivery after an uncomplicated pregnancy. Birth weight 3.4 kg. No neonatal intensive care stay; discharged with mother on day 2. Breastfed for nine months.
Past Medical History
Illnesses: frequent colds, two episodes of acute otitis media at ages 2 and 3, treated with amoxicillin. No asthma. Hospitalizations: none. Surgeries: none. Injuries: closed fracture of the left wrist at age 6 from a fall off monkey bars, casted for five weeks, healed. Medications: none daily; acetaminophen as needed for fever. Allergies: no known drug, food or environmental allergies.
Immunizations
Up to date per the state record brought by the mother, including two doses each of MMR and varicella vaccine and the diphtheria, tetanus and pertussis vaccines through the 4 to 6 year booster. Influenza vaccine received last fall. COVID-19 vaccination: one dose at age 5; the mother is open to discussing the current recommendation.
Family History
Mother, 36: healthy. Father, 38: hypertension, snores loudly. Sister, 4: eczema. Maternal grandmother: type 2 diabetes. Paternal grandfather: myocardial infarction at 58. No known family history of sudden death, bleeding disorders, sickle cell disease or developmental disorders.
Developmental History
Milestones on time per the mother, walking at 12 months and speaking in sentences by age 2. Now reads at grade level, rides a bike without training wheels and ties his shoes. No concerns raised by the school about learning or behavior beyond the afternoon restlessness noted above.
Nutrition, Elimination and Sleep
Eats three meals and two snacks; breakfast at home, lunch at school. Drinks about 16 ounces of milk and one juice box daily, water otherwise. Vegetables are "a struggle." Stools daily, soft. Bedtime 8:30 p.m., wakes at 6:45 a.m., sleeps in his own room; tablet use in bed until lights out most nights.
School and Social History
Second grade at a public elementary school, mostly A's and B's. Plays soccer twice a week. Lives with both parents and his sister in a single-family home with a backyard pool, fenced on all sides. Father smokes outdoors only. One cat.
Safety and Risk Assessment
Car safety: rides in a booster seat in the back seat; the mother asked whether he can stop using it. Bike and play: wears a helmet for biking but not for scooter riding. Water: swims well, the pool has a self-latching gate and adults supervise. Firearms: a handgun is kept in the home in the father's nightstand; the mother is unsure whether it is locked. Screen time: about three hours daily on school days, including the tablet in bed. Smoke exposure: father smokes outdoors and the car is smoke-free. Home: smoke detectors present, tested this year; medicines kept in a high cabinet. Adverse experiences: none reported; he feels safe at home and school.
Review of Systems
General: mother reports no fevers, no weight loss and normal energy. Skin: no rashes. Head and eyes: no headaches; no vision complaints; last vision screen at school passed. Ears: no ear pain or hearing concerns. Nose and throat: snoring as above; mouth breathing with colds; no frequent sore throats in the past year. Respiratory: keeps up at soccer without coughing, wheezing or getting winded. Cardiovascular: no chest pain, fainting or exercise intolerance. Gastrointestinal: no abdominal pain, constipation or diarrhea. Genitourinary: no dysuria, frequency or daytime or nighttime wetting. Musculoskeletal: no joint pain; healed wrist fracture without limitation. Neurological: no seizures, tics or weakness. Psychological: no reported anxiety, low mood or behavior change at home. Endocrine: no excessive thirst or urination.
Summary of Historical Findings
Healthy 8-year-old boy with a year of habitual snoring without reported pauses or daytime sleepiness, mild afternoon restlessness at school, a family history of snoring and hypertension, up-to-date immunizations and three safety concerns to address: a handgun of uncertain storage, scooter riding without a helmet and the question of moving out of a booster seat. These findings guide the examination, including tonsil size and growth, and the counseling at this visit, in line with Bright Futures guidance for middle childhood (Hagan et al., 2017) and the clinical practice guideline on snoring in children (Marcus et al., 2012). Firearm storage counseling follows the American Academy of Pediatrics policy on preventing firearm injury (Lee et al., 2022).
References
Hagan, J. F., Shaw, J. S., & Duncan, P. M. (Eds.). (2017). Bright Futures: Guidelines for health supervision of infants, children, and adolescents (4th ed.). American Academy of Pediatrics.
Lee, L. K., Fleegler, E. W., Goyal, M. K., Doh, K. F., Laraque-Arena, D., & Hoffman, B. D. (2022). Firearm-related injuries and deaths in children and youth. Pediatrics, 150(6), Article e2022060071. https://doi.org/10.1542/peds.2022-060071
Marcus, C. L., Brooks, L. J., Draper, K. A., Gozal, D., Halbower, A. C., Jones, J., Schechter, M. S., Sheldon, S. H., Spruyt, K., Ward, S. D., Lehmann, C., & Shiffman, R. N. (2012). Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 130(3), 576-584. https://doi.org/10.1542/peds.2012-1671
DNP 641 Module 1 instructions, in plain terms
Week 3 of DNP 641 covers the pediatric health history and safety and risk assessment in children, and its written assignment is the Written Complete History, listed in the schedule as SOAP 1. The syllabus describes it as thorough historical data, as modeled in course content, using proper documentation formatting. The history comes from a child you identify and assess yourself; the syllabus asks students to choose a different child for each assessment assignment and warns that written data must protect privacy under HIPAA, with failure to do so able to fail the assignment. The note category is worth 15% of the course grade. Because the week pairs history with safety and risk assessment, expect faculty to look for a thorough safety section as well as the standard components.
Inside the DNP 641 Module 1 example
Organized under the standard headings of a pediatric history, the sample begins with identifying data stripped of anything identifying and a statement on the historian's reliability. The chief concern is quoted in the parent's words and developed with targeted questions. Birth, past medical, immunization, family and developmental histories follow, then nutrition, elimination and sleep, and school and social history. A dedicated safety and risk section covers car seats, helmets, water, firearms, screens, smoke and home hazards, recording answers as given. A full review of systems lists pertinent negatives by system. A closing summary pulls together the findings that will shape the examination and counseling and ties them to Bright Futures, the sleep apnea guideline and firearm safety policy.
Where the marks sit in the DNP 641 Module 1 rubric
Expect the SOAP 1 rubric in Canvas to weigh completeness and accuracy of each history component, correct documentation format, use of pediatric-specific elements such as birth history, development and immunizations, a thorough safety and risk assessment, privacy protection and professional writing. Histories lose points when sections are missing, when the review of systems lists only positives, when development is summarized as "normal" without examples, when the safety assessment is a single line, or when names, dates of birth or school names appear. The syllabus also expects students to incorporate faculty feedback into later notes, so comments on SOAP 1 carry into SOAP 2. APA format is expected for any references, and sources should be recent unless they are recognized standards.
DNP 641 Module 1 help with common mistakes
A common weakness is a history that reads like a checklist with no development of the chief concern. Ask the follow-up questions that matter for the complaint and record them. Another is a review of systems that says "negative" for everything without saying what was asked. In the safety section, record what the parent actually told you rather than what you advised; counseling belongs in the plan. Remove every identifier, including dates of birth and the child's school. Use the course's modeled format, not a template from elsewhere. The syllabus excludes UpToDate and StatPearls as references. If you send the desk your draft history with identifiers removed, it can check that every section is complete.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
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DNP 641 Module 1 questions, answered
Where can I find a free DNP 641 Module 1 sample paper?
The DNP 641 Module 1 sample on this page is a complete written pediatric health history for an 8-year-old, including a full safety and risk assessment and review of systems.
What goes in a complete pediatric health history?
Identifying data, chief concern and its history, birth, past medical, immunization, family, developmental, nutrition, sleep, school and social history, a safety assessment and a review of systems.
What safety topics belong in a school-age child's history?
Car and booster seat use, helmets, water safety, firearm storage, screen time, smoke exposure, home hazards and whether the child feels safe at home and school.
How do I protect privacy in a DNP 641 written history?
Remove names, dates of birth, addresses, schools and any other detail that could identify the child or family, as the syllabus requires under HIPAA.
How much are DNP 641 SOAP notes worth?
Fifteen percent of the grade rests on three notes: SOAP 1, SOAP 2 and the Week 11 problem-focused note.