Principles of Growth and Development

I need help with a Nursing question. All explanations and answers will be used to help me learn.

The couple has two children born 5 years apart. They are concerned that their youngest is going to be slow mentally. “He seems so much slower at 2 years of age than his sister was when she was 2 years old,” they explain.

A. How should the nurse handle this?

B. What suggestions and/or teaching should the nurse offer the parents?

C. What nursing diagnoses are appropriate for this case?

2. The mother has brought her two young boys in for their annual well-child checkup. One child is a 6-year-old boy who appears well developed, well nourished, and within the 50th percentile for his age. The younger one is 3 years old and also appears well developed and well nourished, but he is in the upper limits for his weight on the growth chart for his age. During the visit, the nurse notes the older one carries the younger one around and also talks for him.

A. What potential problems should the nurse assess for?

B. The mother mentions that she is concerned the younger one is getting fat. What nutritional teaching would be appropriate?

C. What nursing care plans are appropriate for this situation?

3. The young couple has brought their toddler in for an evaluation. They are very concerned there is something wrong with their child because she is not progressing as they think she should be. They are also confused by the conflicting information they have been reading on the Internet and want to know what is the most reliable.

A. How should the nurse best handle this?

B. What teaching will help this young couple accept and understand the growth and development of their daughter?

C. What are some expected outcomes?

4. The young mother has come in for a 6-week visit with her new son. Accompanying her are both grandmothers. Assessment of the infant shows appropriate weight gain, growth, and development. One grandmother feels he is gaining too much too fast, and the other feels he should be gaining more. The young mother appears frustrated.

A. What are some immediate concerns?

B. What nursing care can the nurse offer to the young mother?

C. What nursing diagnoses would be appropriate in this situation?

5. A young mother has brought her 6-month-old daughter in for a routine well-baby check. The assessment shows the infant is growing and developing as expected, but the mother is concerned her daughter is not progressing fast enough.

A. How should the nurse respond?

B. What can the nurse do to help this mother?

C. What are some expected outcomes?

6. A new mother has come to the pediatric clinic with her 8-month-old son. She recently returned to work and admits she really misses the time spent with her infant just holding him and loving him. She is visibly upset at the visit with the child clinging to her tightly. She explains that she is having trouble with the daycare setting because he cries when she leaves and appears afraid of everyone. She is concerned something is wrong.

A. What potential situation might be occurring?

B. How can the nurse help this mother?

C. What nursing diagnoses would be appropriate?