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Child Development

Student seated at a classroom desk working in a notebook during class.

ADHD Signs in Kids: What to Look For and What Comes Next

An estimated 7 million children in the United States have an ADHD diagnosis, according to the latest data collected in 2024 from HRSA’s National Survey of Children’s Health and reported by the Centers for Disease Control and Prevention (CDC). If your child has been referred for an ADHD evaluation — or you’ve wondered whether some of their behaviors might be explained by ADHD — you probably have questions. This guide walks parents through what ADHD is, how it’s diagnosed, what treatment options look like, and how pediatricians, families, and schools can work together to support your child. What is ADHD?    ADHD stands for attention-deficit / hyperactivity disorder. ADHD affects how the brain manages attention, impulse control, and activity level. ADHD symptoms usually appear in early childhood (before age 12), though they may be recognized much later, especially in bright or quiet kids who learn to mask their struggles with attention, self-control, […]

Child sitting with a picture book and exploring early literacy skills through independent reading.

Supporting Early Literacy Skills With NCRBS!

Long before a child picks up a book and begins to read on their own, the groundwork for reading success is already being laid. Early literacy doesn’t start with formal reading instruction; it begins with a child listening to the sounds of language, noticing print in the world around them, and discovering that their own marks on paper can carry meaning. These emerging abilities, from hearing the rhymes and rhythms in spoken words to making the first connections between letters and sounds, develop naturally through play, conversation, and shared experiences with caring adults. When these emerging abilities are intentionally supported and encouraged, they can blossom into the strong reading foundations that every child needs — and this is exactly where programs like Nemours Children’s Reading BrightStart! (NCRBS!) come in. NCRBS! is one example of how early literacy can be nurtured through research-based approaches, offering parents and educators practical, age-appropriate ways […]

Young child wearing a backpack enters an early childhood classroom while holding an adult's hand as other children participate in learning activities.

Nemours Children’s Health is Leading a New Movement for Kindergarten Readiness

Right now, there are new kindergarteners running off the school bus, bursting with pride to tell their families how caterpillars become butterflies. In class, their little hands shoot up in the air when the teacher asks what sound the letters “CH” make. “You’ve grown so much since you were a baby!” their pediatricians exclaim, smiling. For other kids, the shift into a structured classroom isn’t so smooth. When lessons are hard to follow, they tune out. Following directions or cooperating with the other kids can be overwhelming, leading to emotional outbursts. Lunch can’t come soon enough—there wasn’t much to eat at home. Instead of rapidly learning new information, these kids are struggling to catch up. Today, more than a third of U.S. children entering kindergarten are not academically, physically, socially, and emotionally ready to learn. That is not just an education problem—it is a health problem as well. Educational achievement […]

Three school aged children hold watermelon slices up in front of them as they smile for a portrait.

The Hidden Ways Summer Break Impacts Children’s Health

Summer is often viewed as a break from school and a chance to relax. But as the leader of a pediatric health system, I see summer as a stress test for the systems that support children’s health. When the structure of the school year falls away, we gain a clearer view of the factors that shape a child’s well-being: access to nutritious food, safe places to play, nurturing adults, learning opportunities, and stable family support. These conditions matter because medical care is only one component of health. Research consistently shows that the vast majority of health outcomes—around 85%—are shaped by the circumstances of daily life. Over the summer, dependable school breakfast and lunch give way to whatever a family can piece together. Built-in recess and physical education give way to unstructured hours, often leaving children to look for community spaces to play. The network of trusted teachers, counselors, and coaches […]

Adult reading a picture book with a young child on a couch, illustrating early literacy development through shared interaction

AI and Your Child’s Literacy: What Every Parent Needs to Know

Before your child can read a single word, they’re learning to read the world. Your gaze, your voice, the way you answer their coos and cries — all of these inputs wire their brain for a lifetime of learning. It’s an invisible curriculum, delivered in the ordinary moments of daily life, and it’s the foundation upon which all language and literacy are built. It’s also, quietly and without much public debate, under threat. Learning Starts Long Before Reading As a pediatric surgeon and social scientist, my entire career has revolved around one central question: What do children need from the adults in their lives in order to thrive? Again and again, the science points to the same thing: Nurturing human interaction, and a whole lot of it. Not “educational” videos. Not apps. Not YouTube. Your words, your songs, your eye contact. This is why I’ve spent the last 15 years […]

Little boy in glasses and suspenders looking up as if he is pondering something.

How to Choose the Best Childcare for You and Your Family

Choosing childcare can feel a bit like starting a big adventure, one filled with new places, new faces, and lots of big decisions. The good news? Your pediatrics team is here to help you every step of the way. Here’s a friendly, easy-to-follow roadmap to help you find the best childcare fit for your family. Exploring Different Types of Childcare Options   When it comes to choosing a child or infant care provider, there is no one-size-fits-all solution. The right fit for your family depends on factors such as cost, location, classroom size, accommodations, and specialized services. Childcare options may be run by schools, universities, churches, independent providers, employers, hospitals, and the military. There are also specialized childcare centers for children with medical or developmental needs. Here’s an overview of the types of settings where childcare is provided: Family Childcare Homes Smaller home-based settings run by 1–2 caregivers. This is […]

Little kids pretending to be a doctor. Shot of a cute little girl with a stethoscope examining her brother. Children playing doctors.

Creating Heart-Healthy Habits Starts in Childhood

You might think cholesterol and heart disease are only adult concerns, but research shows cardiovascular disease begins in childhood. Many teens have unhealthy cholesterol levels, meaning their good cholesterol is too low or their bad cholesterol is too high. And the risk increases dramatically with weight — with obese teens being affected at a rate of 43%. Since childhood obesity rates are significantly higher than in previous generations, more kids are developing abnormal cholesterol levels early. And obesity doesn’t just affect cholesterol — it increases the risk of heart disease, diabetes, high blood pressure, and stroke. Ready to make a real difference in your child’s heart health? Here are four simple habits you can start today. 1. Get Moving Every Day Being active at a young age can help lay the groundwork for being physically active as an adult. But how much exercise is recommended for children? Healthy kids should get […]

Teen girl privately discussing symptoms with a female doctor

Adolescent Well Visits: A Safe Place for Teens to Be Heard

Adolescents are at a point in their lives where everything is (or simply feels like) it’s changing all around them. They’re gaining new skills as they learn and grow; they’re taking on new responsibilities as they gain more independence; and they’re navigating new social challenges — within their families, at school, and among friends as their peer group members also mature and grow. Meanwhile, their bodies are undergoing rapid physical, mental, and emotional development. When you put it all together, this can often lead to that feeling of uncertainty that most of us experienced growing up. This adolescent uncertainty leads to three core questions that almost every teenager goes to bed wondering: These questions are fundamental to an adolescent’s development and health, which is why there are differences in pediatric and adolescent medicine. Pediatrician checkups begin to change to include more questions about mental, emotional, and social well-being. Our goal […]

"Whole Child" Health: Integrative Medicine Helps Heal Kids Inside and Out. Powered by Nemours Children's Health System

“Whole Child” Health: Integrative Medicine Helps Heal Kids Inside and Out

In recent years, integrative medicine has become common in the care of patients of all ages. This approach combines traditional and alternative medicine. It focuses not only on physical well-being, but also on emotional and sometimes even spiritual aspects of a person’s health. Nemours Children’s Health uses integrative medicine to treat the whole child: body, mind and spirit. When kids and their families walk through Nemours’ doors, whether in an inpatient or outpatient setting, the facility focuses on the children’s overall wellness and healing. Depending on the complexity of the condition, treatment will likely incorporate medications and physical therapies. But to get at the heart of healing, Nemours also incorporates complementary solutions such as nutrition and physical activity strategies, mind-body methods like yoga and meditation, and therapies including massage and aromatherapy. What is integrative medicine? Integrative medicine is an approach to care that puts your child at the center. It addresses […]

Summer Slide: Tips to Beat the Seasonal Academic Slump

Summer Slide: Tips to Beat the Seasonal Academic Slump

As kids enjoy the lazy days of summer, there’s no pause button for the brain. If you don’t keep your kids’ minds active, they could actually rewind a bit academically in what is known as the summer slide. What, exactly, is the summer slide? The summer slide is the academic setback kids sometimes experience over the long break from school. The seasonal vacation can allow the brain to forget the information learned and the skills gained during the previous school year when those skills aren’t being practiced or put to use. Just as our bodies need physical exercise to stay fit, our minds need mental exercise to stay stimulated and sharp. Research has shown that reading, math calculation, and other skills can be affected by summer learning loss. This past school year, the pandemic brought additional learning challenges for children as their routines were disrupted and they lost opportunities for engaging with […]

What You Could Miss If You Skip Your Child's Well Visit

What You Miss If You Skip Your Child’s Well Visit

Your family has been doing their part and staying home as much as possible to prevent and stop the spread of COVID-19. But messages can get confusing about whether you should take your child to their doctor for a pediatric well visit or check-up. Even during a pandemic, it’s important for kids to have their growth, development, and well-being tracked. What You Could Be Missing by Skipping Your Child’s Well Visit Physical Exam: A regular physical exam can help your doctor pick up hard-to-detect issues like high blood pressure, heart murmur, lumps and bumps, ear and hearing issues, and even cavities. Assessment of Growth: During a check-up, your healthcare provider will track height, weight, and BMI. These measurements can tell them if your child has any medical issues that impact growth. Assessment of Development: A development exam looks at parts of your child’s functioning, including things like reasoning and understanding, […]

Digital Screen Time and Links to ADHD, Powered by Nemours Children's Health System

Digital Screen Time and Links to ADHD

Too much screen time has long been linked to an increased risk of emotional and behavioral problems, especially when kids engage for long stretches — like watching TV for hours or playing too many video games­. The long-term health effects of being constantly connected to smart devices isn’t as well understood. But several recent studies show that these screens can have a negative impact on social behavior, sleep quality, and mood. And one study links attention deficit hyperactivity disorder (ADHD) to teen use of digital devices. Understanding ADHD According to the Centers for Disease Control and Prevention (CDC), ADHD is one of the most common neurodevelopmental disorders of childhood, affecting 8%‒10% of children and teens. The causes of ADHD are still unclear. Research does not show a link with eating too much sugar, parenting, or social and environmental factors like poverty. But these factors, and many others, can make symptoms […]

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