Question

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?

Answer 1

The child having 4 years old means the child belongs to preschooler group or early childhood

1. Physical Growth

Physical Growth includes the weight, height, circumferences like head, chest, BMI and MUAC ( mid upper arm circumference). The rate of physical Growth slows during this period and the child gains5 pounds & about 3 inches per year. The child develops decreased appetite. even though the child's appetite not reduced don't a force the child for food intake.provide and teach healthier eating habits. The need for sleep also decrease.the child learns toilet training which is a milestone in this age. The communication skills of child increases dramatically. The child cares their genitals.language acquisition with will increase child. Children will be show some temper tandrums.

1. Cognitive development:- it means acquisition of ability to reason and solve problems
2. Psychosocial development:-initiative vs guilty
3. Moral development :- child imitates their parents in prayer and all