Chapter 25: Growth and Development of the Newborn and Infant Assignment

Chapter 25: Growth and Development of the Newborn and Infant Assignment

Chapter 25: Growth and Development of the Newborn and Infant Assignment

Chapter 25: Growth and Development of the Newborn and Infant

1. Jesus is the first-born son of Roberto and Marie Valez. The parents are very excited about the birth of their new son. They have brought Jesus into their nurse practitioner today for his first examination 3 days after his birth. Jesus was 7 lbs 2 oz at birth and 19 in. His Apgar scores were 8 and 9. There were no complications with his mother’s pregnancy or his delivery. Jesus’ parents have noticed that he has lost some weight since coming home. Marie is breastfeeding Jesus and is concerned that she is doing something wrong. They also have several questions about Jesus. (Learning Objectives 1 and 4)

a. What can the nurse practitioner tell Marie regarding her concerns about Jesus’ weight loss?

b. What questions should the nurse practitioner ask regarding Jesus’ nutrition, and what information can he or she offer to Marie regarding breastfeeding?

c. What anticipatory guidance can the nurse practitioner offer to Roberto and Marie regarding Jesus’ growth and development over the next several weeks?

2. Steve Shell has brought in his 9-month-daughter Emily for her wellness examination and immunizations. Steve is a single father raising his daughter after Emily’s mother was killed in a motor vehicle accident (MVA). Steve is doing a great job of raising Emily by himself, but he still has some concerns about his abilities as a father. He has several questions for the nurse practitioner. The nurse practitioner’s examination of Emily is unremarkable and she is growing and developing as expected. (Learning Objectives 6 and 7)

a. What should the nurse practitioner include when teaching Steve about promoting healthy eating habits and appropriate sleep and rest?

b. What can the nurse practitioner offer Steve regarding promoting appropriate discipline with Emily?

c. Since Steve is a single parent and sole income earner, he is required to place Emily in day care while he is at work. Steve is concerned about the effects of day care on Emily’s development. What can the nurse practitioner teach Steve about child care?

Chapter 26: Growth and Development of the Toddler

1. Bill and Ted are a domestic couple that have brought in their 30-month-old daughter, Victoria, complaining of a runny nose, cough, and low-grade fever. Bill and Ted adopted Victoria at birth. The biological mother was a teenager who chose to give her child up for adoption and Bill and Ted provided financial support to ensure that she received the appropriate prenatal care. Her pregnancy and delivery were unremarkable. She has had no contact with Victoria or her fathers since the birth. The nurse practitioner determined that the symptoms are attributed to an upper respiratory tract infection (URI) or common cold and recommended that it be treated symptomatically. While in the office, Bill and Ted have some questions regarding Victoria’s behavior. They explain that she has become more defiant, repeatedly responding to their questions or commands with “no” or temper tantrums. Neither Bill nor Ted has been a parent before adopting Victoria and they are concerned that they are to blame for her behavior. (Learning Objectives 1, 5, and 12)

a. What can the nurse teach Bill and Ted about the psychosocial or cognitive development of a toddler that would help them understand Victoria’s behavior?

b. What can the nurse teach Bill and Ted regarding promoting appropriate discipline for Victoria?

c. What is “temperament” and how would it influence Victoria’s behavior?

2. Tenzin and Dechen have brought in their 24-month-old son, Kim, for his wellness examination and immunizations. Kim is the first child for Tenzin and Dechen, but Dechen is 6 months pregnant with their second child. Tenzin and Dechen are Tibetan refugees who have moved to the United States from India. Kim was born in the United States. Tenzin and Dechen are very focused on Kim’s physical abilities (i.e., motor skills, communication, and sensory skills). They express their desire for Kim to do well in school and be successful in business. (Learning Objectives 3, 4, 7, 11, and 13)

a. What could the nurse share with Kim’s parents regarding the normal motor, communication, and sensory development of a 24-month-old?

b. What can the nurse teach Tenzin and Dechen regarding promoting healthy growth and development in Kim?

c. Kim’s parents are curious about toilet training. How can the nurse teach Kim’s parents about toilet training with a toddler?

Chapter 27: Growth and Development of the Preschooler

1. Donnie has brought his 4-year-old son, Isaac, to the pediatric free clinic for a kindergarten physical. Isaac is the older of two children of Donnie and Mary Smith. Donnie is employed as a farrier but his work does not provide insurance and he has come to a nurse-operated free clinic. Donnie shares that Isaac enjoys spending time with his father when he is working with the horses, but he is concerned that Isaac has an imaginary friend named “Tackle.” On physical examination, Isaac is 39 inches tall and weighs 35 lbs. Donnie is a man of average height (5’9” with a slim build). Donnie is concerned that Isaac may be too small for his age. (Learning Objectives 1)

a. What can the nurse communicate to Isaac’s father about his physical growth?

b. What can the nurse teach Isaac’s father about his cognitive and psychosocial development?

c. What can the nurse teach Isaac’s father about his moral development?

2. Nina is the 5-year-old adopted daughter of Sarah and Tim Johnson. Nina is the Johnsons’ only child. They adopted Nina before her first birthday. The Johnsons have brought Nina to the clinic today to discuss some concerns they have about her development. Nina is attending a public kindergarten. Since beginning school, the Johnsons have noticed that they are catching Nina lying more. They are concerned that this may be a result of attending school. In addition, they are concerned about her verbal development and note that her teacher reported that Nina seems to be stuttering or repeating the term “um” when speaking. She also has some difficulty with “sh” and “th” sounds. When the Johnsons try to discuss these issues with Nina she becomes “very emotional” and retreats to her room. (Learning Objectives 2 and 6)

a. What can the nurse teach the Johnsons about lying in preschool children?

b. What can the nurse teach the Johnsons regarding stuttering and speech development with Nina?

c. What can the nurse teach the Johnsons regarding emotional development in preschool children?

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.