Question

Case Study Preschool age Child Early Childhood Development Sally is a 3-year-old girl in the primary care physician’s office. Sally’s mother states that she is having “temper tantrums.” Sally’s mother expresses concern about childhood obesity and is worried that she sleeps too much Subjective Data Mother states Sally eats well. Sally sleeps 11 to 12 hours a day. Sally speaks in four- to five-word sentences. Objective Data Birth weight: 3 kg Today’s weight: 23 kg Height: 90 cm Sally speaks in three- to four-word sentences with a 300-word vocabulary. Assignment: You are to complete the following case study using your textbook and find one current journal article related to your patient’s diagnosis. Submit a paper summarizing the article in 3-4 sentences and explain why this is applicable to your patient. Cite the journal article within the note using APA format. You are required to submit a handout on nutritional guidelines for the preschool-age child. Submit the appropriate WHO growth chart for this child. Questions: 1. Is Sally’s vocabulary appropriate for her age? 2. Are Sally’s height and weight appropriate for her age?(Use WHO growth charts) 3. What should the nurse tell Sally’s mother when discussing her concerns about childhood obesity? 4. What can Sally’s mother do to help Sally maintain a healthy weight (based on WHO growth chart)? 5. What are the nutritional guidelines for a Preschool age child? Cite reference 6. How can parents get their preschoolers to eat nutritional foods? 7. What websites would you recommend for parents? 8. Create a reference handout for parents. Assign students to research Web sites that offer guidance on how parents can get their children to eat nutritional foods. 9. What information can Sally’s nurse give about her temper tantrums? 10. What is the goal of discipline for a preschooler? 11. What is the recommend sleeping guidelines for a preschooler? (CITE reference) 12. What are the appropriate interventions to address problems with sleeping in the preschooler? 13. What immunizations should the child have for this age? 14. What are the common intestinal parasitic diseases in children? 15. What medications and dosages are recommended for treating intestinal parasitic diseases in children? 16. What is the anticipatory guidance for the preschool-age children?

Answer 1

1. Yes Sally’s vocabulary is appropriate for her age because a 3year old child's linguistic development includes the following :-

Say his or her name and age

Speak 250 to 500 words

Answer simple questions

Speak in sentences of five to six words, and speak in complete sentences by age 4

2. No, Sally’s height and weight are not appropriate for her age . Her weight should be 14.9 kg and height should be around 83.8 cm i.e 33inches . But , in reality Sally has more weight and less height which needs attention and action must be taken .

3.The nurse should tell Sally’s mother that her child is having more weight than what is appropriate as per her age . She is obese and necessary obesity management and lab test needs to be done evaluate the cause behind this as her height is more than normal . It can be something related to hormone dysfunction .

4. Sally’s mother can help Sally to maintain a healthy weight by the following :-

- proper diet plan

- avoiding junk foods

- increase in activity level of the child

- necessary investigation to find the cause