Reference no: EM133656598
Questions
1. Sebastian is the firstborn son of Esteban and Blanca Vasquez. The parents are very excited about the birth of their new son. They have brought Sebastian into their nurse practitioner today for his first examination 3 days after his birth. Sebastian was 7 lb 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. Sebastian's parents have noticed that he has lost some weight since coming home. Blanca is breastfeeding Sebastian and is concerned that she is doing something wrong. They also have several questions about Sebastian. (Learning Objectives 1 and 5)
a. What should the nurse tell Blanca regarding her concerns about Sebastian's weight loss?
b. What questions should the nurse ask regarding Sebastian's nutrition, and what information can he or she offer to Blanca regarding breastfeeding?
c. What anticipatory guidance can the nurse offer to Esteban and Blanca regarding Sebastian's growth and development over the next several weeks?
2. Jack Simpson has brought in his 9-month-daughter, Anna for her wellness examination and immunizations. Jack is a single father raising his daughter after Anna's mother was killed in a motor vehicle accident (MVA). Jack is doing a great job of raising Anna by himself, but he still has some concerns about his abilities as a father. He has several questions he would like answered today. The nurse practitioner's examination of Anna is unremarkable and she is growing and developing as expected. (Learning Objectives 5, 6 and 8)
a. What should the nurse include when teaching Jack about promoting healthy eating habits and appropriate sleep and rest?
b. What can the nurse offer Jack regarding promoting appropriate discipline with Anna?
c. Since Jack is a single parent and sole income earner, he is required to place Anna in day care while he is at work. Jack is concerned about the effects of day care on Anna's development. What can the nurse teach Jack about child care?