WestCoast NURS662A 2022 November Week 2 Discussion Latest

NURS662A Primary Care Pediatric Patient

Week 2 Discussion

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, #1 Abeni17-year old.

Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.

1. Ms. Hernandez brought in her son Matthew for his 2-year-old well-child visit. The mother is concerned because although Matthew says “Ma” for mom and “ba” for bottle, he mostly gestures and points when he tries to communicate his needs.

What type of screening tool(s) should the APRN use to assess Matthew’s language and social delay and why?

What potential risk factors (e.g., prenatal, pregnancy, neonatal) could place Matthew at risk for language/social delay?

What type of anticipatory guidance should the APRN provide to support Matthew’s communication and language development?

2.  Mr. Jones has brought in his son Johnny for a 15-month-old well-child visit, and his biggest concern is that his son does not walk yet. You note that in his electronic medical record, he was born at 35 weeks’ gestation via emergency C-section and was discharged 2 weeks later.

What fine motor and gross motor skills should the APRN expect a 15-month-old toddler to perform? Should Matthew be able to perform those skills as well? Why or why not?

What type of screening test(s) should the APRN utilize to assess Matthew’s current motor skills?

What type of anticipatory guidance and support should the APRN provide to monitor and encourage Matthew’s continued physical development?

 3. Rebecca is 7 years old and has refused to go to school for the past 3 days. Rebecca’s mother has brought her in to be evaluated. You note on her medical record that Rebecca had to repeat the first grade.

What additional history does the APRN need to gain a better understanding of Rebecca’s school refusal?

What testing should the APRN perform/order and why?

What should the APRN consider as developmental red flags for Rebecca?