NRS-434VN Health Assessment Full Course GCU

Week 1 Discussion 1:

The impact of extremely low birth weight babies (LBWB) on families and communities is substantial. LBWB often require specialized care in neonatal intensive care units (NICUs), which can be a significant stressor for families. The financial burden of medical bills, transportation costs, and potential loss of income due to caring for the baby can strain a family’s resources. Additionally, the long-term impacts of LBWB can include developmental delays and disabilities, necessitating ongoing care and support.

LBWB can be associated with comorbidities such as respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH), patent ductus arteriosus (PDA), and more. These conditions can lead to long-term health issues that require continuous medical attention.

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In terms of disparities, non-Hispanic black mothers are more likely to have LBWB compared to non-Hispanic white mothers. Socioeconomic factors and access to healthcare play a significant role in these disparities.

In my community, we have resources like First 5 LA and Los Angeles County Health Services to support families with LBWB and preterm infants. First 5 LA offers services from prenatal care through age 5, aiming to provide support to all children regardless of their ability to pay. Los Angeles County Health Services have programs for monitoring and early interventions for preterm infants, helping them achieve their developmental milestones.

References:

– Almeida, J., Erbetta, K., Bécares, L., Bettegowda, V. R., & Ahluwalia, I. B. (2018). Racial/Ethnic inequities in low birth weight and preterm birth: The role of multiple forms of stress. Maternal & Child Health Journal, 22(8), 1154–1163. https://doi-org.lopes.idm.oclc.org/10.1007/s10995-018-2500-7

– First 5 LA: https://www.first5la.org

– Health Services Los Angeles County: https://dhs.lacounty.gov/our-services/primary-care/premature-infant/

– March of Dimes: https://www.marchofdimes.org/find-support/topics/birth/low-birthweight

Week 1 Discussion 2:

When assessing a 9-month-old female infant, it’s essential to consider developmental markers and offer recommendations to the mother based on the child’s growth and development. At this age, infants go through rapid physical and cognitive development.

Typically, a 9-month-old should be able to:
– Sit without support
– Crawl or scoot
– Babble, making sounds like “mamama” or “babababa”
– Respond to their name being called
– Show interest in simple games like peek-a-boo
– Begin to feed themselves with their fingers
– Explore objects by banging them together

For this particular infant, her weight falls below the average, which might be due to slow growth. The nurse should advise the mother to continue breastfeeding or formula feeding and introduce age-appropriate solid foods. Foods like mashed banana, oatmeal, and mashed potatoes can be added to her diet. It’s essential to ensure she gets proper nutrition.

The nurse should also encourage proper developmental activities such as tummy time to strengthen her muscles, promote crawling, and eventually help her learn to walk. Assessing her growth and milestones will help identify any potential developmental delays.

Effective communication with the mother is crucial during the assessment. The nurse should provide explanations in a clear and understandable manner. Demonstrating proper feeding techniques and suggesting age-appropriate toys and activities can be helpful.

To encourage engagement, the nurse can interact with the infant during the assessment, making funny faces, or using toys to capture her attention. Engaging with the child in a friendly and playful manner can help build rapport and make the assessment less stressful for both the infant and the mother.

References:

– American Academy of Pediatrics. (2022, August 12). Sample menu for a baby 8 to 12 months old. https://www.healthychildren.org/English/ages-stages/baby/feeding-nutrition/Pages/sample-one-day-menu-for-an-8-to-12-month-old.aspx

– Centers for Disease Control and Prevention. (2022, July 5). What developmental milestones is your 9-month-old reaching? https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html

Start Date

Apr 10, 2023, 12:00 AM

Due Date

Apr 16, 2023, 11:59 PM

Points

100

Status

Upcoming

Assessment Description

Within the Shadow Health platform, complete the Focused Exam: Abdominal Pain. The estimated average time to complete this assignment is 1 hour and 25 minutes. Please note, this is an average time. Some students may need longer.

This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficient level. Upon completion, submit the lab pass through the assignment dropbox.

Students successfully scoring within the Proficient level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficient level will receive a failing grade (68 points).

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

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