Seven-year-old Timothy’s mother takes him to his pediatrician for his annual checkup. His weight is 68...

Seven-year-old Timothy’s mother takes him to his pediatrician for his annual checkup. His weight is 68 pounds (30.91 kg), plotted at the 95th percentile, and his height is 50 inches (127 cm, 1.27 M), between the 75th and 90th percentiles for his age. Timothy is considered sedentary. His body mass index plots at the 95th percentile for his age. His growth percentiles have been increasing over the last several years. Timothy has a cousin Marley. She is also 7 years old, is considered low active, weighs 69 pound (31.3 Kg) and is 50.5 inches tall (128 cm, 1.28 M). Timothy and Marley have nearly the same Estimated Energy Requirements, 1652 and 1651 Calories per day respectively.

Timothy’s mother expresses concern to the pediatrician about her son’s weight. His older and younger brothers and his cousin Marley are thinner than Timothy. Timothy’s mother is obese, but his father is a normal weight for height. Timothy is in the second grade. He rides the school bus to and from school. He participates in the School Lunch Program at his school. After school, Timothy and his brothers stay in their home with a babysitter until one of their parents returns home from work. Timothy usually watches TV or plays video games after school. His parents leave snack foods—chips, cookies, and sodas—in the house for their sons to have after school. His mother usually prepares their evening meal, which consists of a meat, starch, vegetables, and a dessert item. After dinner, Timothy does his homework and then usually watches more TV with his parents. He usually has a dish of ice cream before going to bed.

Given Timothy and Marley’s age, weight, height, and physical activity level how can their EERs be essentially the same? (5 points)
What is your assessment of Timothy’s body size based on his weight-for-age, height-for-age, and BMI-for age percentiles? (5 points)
What suggestions do you have for Timothy’s parents about improving his eating habits? (5 points)
What suggestions do you have for Timothy’s parents for increasing his physical activity level? (5 points)
Is it significant that Timothy’s mother also has a weight problem, explain? (5 points)

You may use the Chapter 12 Case Study file to work on this assignment. Submit your answers using this Canvas quiz submission.

Take the Quiz

PreviousNext

Expert Solution

Nightingale answered 2 years ago

Seven-year-old Timothy's mother takes him to his pediatrician for his annual checkup. His weight is 68...

Seven-year-old Timothy's mother takes him to his pediatrician for his annual checkup. His weight is 68 lb (31 kg), plotted at the 95th percentile, and his height is 50 in. (127 cm), between the 75th and 90th percentiles for his age. His body mass index of 19.25 kg/m2 plots at the 95th percentile for his age. His growth percentiles have been increasing over the last several years. Timothy's mother expresses concern to the pediatrician about her son's weight. His older...

Timothy is a seven year old boy, his mother takes him to the pediatrician for review....

Timothy is a seven year old boy, his mother takes him to the pediatrician for review. Its weight is 31 kg and corresponds to the 95th percentile; their height is 127 cm and they are between the 75th and 90th percentiles for their age. His body mass index is 19.25 kg / m2, which is just above the 95th percentile for his age. Their growth percentiles have increased in recent years. Timothy's mother expresses her concern to the pediatrician about...

Read the case study details below then answer the questions. Seven-year-old Timothy’s mother takes him to...

Read the case study details below then answer the questions. Seven-year-old Timothy’s mother takes him to his pediatrician for his annual checkup. His weight is 68 pounds (30.91 kg), plotted at the 95th percentile, and his height is 50 inches (127 cm, 1.27 M), between the 75th and 90th percentiles for his age. Timothy is considered sedentary. His body mass index plots at the 95th percentile for his age. His growth percentiles have been increasing over the last several years....

A 3-year-old boy was brought by his mother to the pediatrician for swollen jaw. The boy...

A 3-year-old boy was brought by his mother to the pediatrician for swollen jaw. The boy also presented with fever, pain in chewing and swallowing. 36. What organ related to the digestive tract is involved in this disease? 37. What complication in the male reproductive system can this condition produce? 38. What is the product of the organ involve 39. The histologic appearance of the organ involved in this condition is somewhat similar to what other organ related to the...

Jason is a 5-year-old child who went with his mother to the pediatrician. The doctor measured...

Jason is a 5-year-old child who went with his mother to the pediatrician. The doctor measured Jason’s weight and length, and informed his mother that Jason has a BMI in the 95th percentile. This means that Jason has obesity. When asked to describe their family history, his mother provided the following information: 1) his mother had a pre-pregnancy BMI of 33 kg/m2; 2) his mother was diagnosed with gestational diabetes; and 3) Jason was born large-for-gestational-age. When asked to describe...

A 16-year-old male goes to his physician for an annual checkup. A routine urinalysis indicates the...

A 16-year-old male goes to his physician for an annual checkup. A routine urinalysis indicates the presence of blood, an increase in protein, and an increase in urea. The young man reports that he has been feeling tired and has a persistent cough. The doctor orders additional laboratory testing, including a serum test for rheumatoid factor, antinuclear antibody testing, anti-streptolysin O testing, and testing for the presence of anti–basement membrane antibodies. Only the latter test was positive. What disease is...

Seven-year-old Chris’s mother brings him to the clinic today because he has a sore throat and...

Seven-year-old Chris’s mother brings him to the clinic today because he has a sore throat and has had a fever since yesterday. Although Chris is home-schooled, he went to a friend’s birthday party last week. According to the friend’s mother, her son is displaying similar symptoms. You check and record Chris’s vital signs as follows: BP 110/64, T 101.8, P 96, R 20, Ht. 48 inches, and Wt. 49.5 lb. During the physical exam, the physician notes that Chris’s lymph...

A 68-year-old male patient is having a yearly checkup. It is flu season and the physician...

A 68-year-old male patient is having a yearly checkup. It is flu season and the physician recommends that the patient receive a flu shot. When the physician leaves the room, the patient tells the nurse that he doesn’t want to get the shot because he has heard it will give him the flu. How should the nurse respond? Please answer this question using no less than 250 words.

The mother of a seven-year-old boy notices that he is scratching his head frequently. On close...

The mother of a seven-year-old boy notices that he is scratching his head frequently. On close examination she notices a grayish, round, and roughened area where the hair has broken off. Examination by the child's pediatrician produces a diagnosis of tinea capitis. 1. Explain the cause of the infection and proposed possible mechanisms for spread of infection in school-age children, particularly during winter months. 2. What methods are commonly used in the diagnosis superficial fungal infections?

A 50 year old male is seen in his physician’s office for a routine checkup. His...

A 50 year old male is seen in his physician’s office for a routine checkup. His spleen shows enlargement and his blood work shows hemolytic anemia with bilirubinemia. His wife states the patient has been “off” lately for no apparent reason. He tends to have muscle pulsations in the afternoon to late evening that do not stop until he goes to sleep. Additional blood work is ordered along with a type and screen. His haptoglobin levels are decreased, and his...

Question