Wellness visits are an important part of pediatric primary care. During these visits, patient growth and development are assessed. As an advanced practice nurse who performs these assessments, you must be able to distinguish between normal and abnormal growth and development to recognize red flags. While some patients may not meet milestones due to differences in rates of development, abnormal development might also be a red flag of an underlying problem. In this Discussion, you examine the following case studies and consider potential developmental red flags:
Case Study 1
A mother brings in her 16-month-old, Brittany, for treatment of an acute illness. During the history, the mother reports that her mother-in-law is concerned about the toddler’s development. Further questioning reveals the following:
Brittany was a term infant born vaginally with no intrapartum complications. Birth weight was 8 pounds 1 ounce and current weight is 26 pounds 9 ounces.
She was breastfed until 12 months of age and now drinks 24 ounces of whole milk and eats table foods daily.
Physical milestones are as follows: Rolled front to back at 6 months, developed pincer grasp at 11 months, crawled at 8 months, and began cruising at 10 months. She does not walk independently.
Social development includes mimicking adult behavior, four-word vocabulary (mama, dada, baba, and no), follows one-step commands, and quiets easily when comforted.
Case Study 2:
You see a 30-month-old named Brian for a well-child visit. His mother reports the following development:
Physical: Walks independently, runs, able to climb stairs alternating feet, makes a tower of nine cubes, and is able to button his pants.
Social: Follows one-step commands, uses one-word sentences, and has a vocabulary of approximately six words. He is resistant to nighttime and feeding routines, he has marked temper tantrums, and Mom states he does not calm when she tries to comfort him.
Case Study 3
Jose is a 36-month-old who presents for a preschool evaluation. His father reports the following development:
Physical: Walks, runs, and jumps independently, walks up stairs alternating feet, pedals a three-wheeler, scribbles, copies circles and squares, and is able to balance on one foot for 2 to 3 seconds.
Social: Recognizes three colors; speech is 75% understandable; uses three- to four-word sentences; talks about friends, favorite activities, and family; frequently engages in imitative play; has an imaginary friend; does stutter on occasion when excited or when intent on getting something said. Will typically repeat the first word in a sentence three to four times, but does not repeat syllables or consonants. This happens three to four times a week.
Review this week’s media presentations, as well as “Developmental Management of Infants” and “Developmental Management of Toddlers and Preschoolers” in the Burns et al. text.
Think about how physical, social, and cognitive development vary during infancy, toddlerhood, and the preschool years. Reflect on normal versus abnormal growth and development and consider the decision-making process of identifying and managing red flags of abnormal development.
Select one of the three case studies provided. Reflect on the patient information included in the case study and consider any developmental red flags.
Reflect on standardized screening tools, clinical guidelines, and management strategies that would be used to assess and manage the patient in your selected case study.
By Day 3
Post an explanation of any developmental red flags that presented in the case study you selected based on the stages of normal physical, social, and cognitive development for infants, toddlers, and preschoolers. Explain how you differentiated between normal and abnormal growth and development for this patient and identify which standardized screening tools, clinical guidelines, and management strategies you might use to assess and manage this patient and why.
Why Choose Us
College Research Papers
We offer professionally written research papers to our clients. We ensure all instructions are followed and that your custom paper is perfect. For a custom research paper, we have expert writers to help you. They will write your paper and earn you good grades
Professional Academic Writers
Are you looking for professional essay writers? Do you need custom paper writers to do your assignment? College essays online is packed with experienced writers who will handle your write my essay request. Order today to get quality services
Free Unlimited Revisions
Do you feel like your paper did not meet the requirements? Is there some instructions that have been skipped? Do not panic. Resubmit your essay for free and unlimited revisions. College essays online work to ensure our clients are satisfied.
Do you have an urgent essay and you don't know what to do? Do you have very little to do your assignments. Visit our online essay writing service for assistance. We have professional essay writers who will take your urgent paper. We have the best turn-around timein the market
If you are looking for a place to find original and plagiarism-free papers, visit collegessaysonline.com. We write your essay from scratch following your instructions. We ensure that every requirement is met, be it quality, delivery time, instructions etc.
24/7 Customer Support
If you have any concern or request, contact us anytime. We have a large team of customer support that are available 24/7. If it's a revision, send the revision file and any additional instructions and we will take care. Do not hesitate, Place an order with us today!
Are you looking for help with an argumentative essay? Do you have difficulties writing an argumentative essay? College essays online is here to help you. We will write a custom essay that meets your requirements. Do not feel overwhelmed, visit our cheap college essay website for professional academic writing help.
Do you need help with a reflection paper? Are you feeling challenged when writing a reflective essay? Are you looking for someone to write my reflection essay help? College essay writers have the answer to your problems. Submit your reflective paper assignment and let our paper writers do the difficult work.
If you are looking for someone to write an award winning scholarship essay, you landed at the right place. Our custom essay writers are professionals and have a 10 year experience. We will write a scholarship paper that will impress the scholarship committee. Hurry to get 25% discount.
Are you looking for a critical analysis essay help? Do you need an online essay writing service to write your critical thinking essay? Visit our college essay website for help. We have professional essay writers who will develop a perfect critical essay for you.
Ethics is a prominent subject in many schools. Professors often ask students to reflect on a topic on ethics and write an essay. This requires a lot of research and knowledge. If you have been assigned an ethical research essay, contact essay writers at college essays online for assistance.
A narrative essay requires a student to tell a story about something. It might be historical or a present narration. This type of essay follows certain rules and instructions. When you face challenges writing a narrative paper, visit our narrative essay writing service.