Eight-month-old Shaun is well below average in height and painfully thin. What serious growth disorder does he likely have, and what type of intervention, in addition to dietary enrichment, will help restore his development?
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Eight-month-old Shaun is well below average in height and painfully thin. What serious growth disorder does he likely have, and what type of intervention, in addition to dietary enrichment, will help restore his development?
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- Which pediatric growth chart is used to monitor the growth patterns of children under two years old? A) Body Mass Index (BMI) for age B) Weight for length C) Head circumference for age D) Height for ageKeyla Jefferson, age 6 months, is being seen by Dr. Penningworth for a well-child check. Dr. Penningworth is concerned about Keyla’s size and developmental delays. He diagnoses her with failure to thrive as her weight measurement places her in the second percentile on the growth chart. Discuss the following questions: At 6 months, what developmental stages should Keyla have achieved, and if she fails to thrive what problems could it cause for her? Explain some common causes of FTT in newborns and infants.A pregnant woman at 28 weeks gestation is diagnosed with gestational diabetes mellitus (GDM). The nurse educates the woman about dietary management of GDM, emphasizing the importance of: a) Increasing carbohydrate intake to meet fetal energy needs. b) Limiting simple sugars and refined carbohydrates. c) Avoiding all fruits and vegetables high in natural sugars. d) Consuming a high-fat diet to prevent hypoglycemia.
- Explain the following factors affecting growth and give examples: • Genetic History • Nutrition • Sleep • Emotional Well-beingDereck, age 16 years, is a high school junior who is 59.3 inches tall and weighs 126 lb. Dereck is having increased feelings of discomfort about not fitting in with the other students at school because he has not yet begun sexual maturation. Dereck is a good student and an accomplished violinist in the school orchestra. His father states that he also was a “late bloomer,” but both parents are concerned about Dereck’s increasing social withdrawal and seem determined to seek medical intervention for him. The nurse at the clinic assesses the needs and status of MT and his parents. Questions: As a nurse what health teaching should you prepare before the parents decide whether to start their son on androgen therapy? The decision is made to prescribe methyltestosterone (Striant) 30 mg twice daily by buccal tablet (held inside the cheek until it dissolves). MT will be on this regimen for 4 months, during which time he is to come to the clinic at monthly intervals.Dereck, age 16 years, is a high school junior who is 59.3 inches tall and weighs 126 lb. Dereck is having increased feelings of discomfort about not fitting in with the other students at school because he has not yet begun sexual maturation. Dereck is a good student and an accomplished violinist in the school orchestra. His father states that he also was a “late bloomer,” but both parents are concerned about Dereck’s increasing social withdrawal and seem determined to seek medical intervention for him. The nurse at the clinic assesses the needs and status of MT and his parents. Questions: 1. While on therapy, when should MT have x-rays taken?
- Discuss about growth-promoting factorsAs a young adult, Mr. Lowery was an athletic man. He lifted weights, jogged several times per week, played recreational baseball, and coached his kids' little league teams. At age 38, Mr. Lowery was 6’1”, weighed 196 pounds, had a waist circumference of 34 inches, and had 19% body fat. Now that he is 70 years old, arthritis in his hips and knees limits his mobility and he is not as active as he used to be. Over the past three decades, he has gained 40 pounds, his waist circumference is now 45 inches, and his body fat percentage is 33%. What term best describes the changes in body composition exemplified by Mr. Lowery? Sarcopenic obesity Morbid obesity Arthritic cachexia Pernicious anemiaA. In your own words, what is your understanding of Cushing's Syndrome? (at least 100 words) B. In your own words, what is your understanding of Addison's Disease? (at least 100 words also) Thank you!
- What nutrition-related concerns develop as a result of having HIV?Identify the changes in sensitivity that occur in the hypothalamus, pituitary, and gonads as a boy or girl approaches puberty. Explain how these changes lead to the increases of sex steroid hormone secretions that drive many pubertal changes.A client visits a diet center complaining of being overweight. She tells the nurse that she never had trouble with her weight before and that all the fat seems to be located in her abdomen. What signs should a nurse look for that would indicate the client may be taking glucocorticoids?