The fourth edition of this text retains the basic format of earlier editions: child development and health promotion lay the foundation for later chapters on health problems, organized by age groups and body systems. The nursing process is used to present nursing care for major disorders and conditions. The text emphasises "wellness", providing information regarding health promotion and injury prevention for each age group. In addition, coverage is provided of contemporary topics, such as cocaine-exposed infants, nutritional disturbances, child abuse, patient-controlled analgesia for children, sports injuries, teen pregnancy, rape, eating disorders, substance abuse and depression/suicide. New features in this edition include prognosis statements, that should help students to understand potential outcomes, and sections on challenging traditions, which cite new research that disproves outdated beliefs and practices. The most recent technological advances, such as pulse oximetry, are reflected with the aim of familiarizing students with the latest information in nursing. This text should be useful to paediatric nurses in practice and training.