I agree that the ACES tool is meant to be used with adults, not children. I believe that the way pediatricians can (and are using it) is to ask the parents these questions about themselves. It can then lead into a discussion about their experience as parents, how they are doing with their children, what resources they may need to mitigate the impacts of trauma on their parenting and help them provide more safety for their children than they themselves may not have had.