This assignment will help to identify the normal growth and development by topic for each age group. In the final column of the assignment you need to observe a child and apply the information you gathered and document your findings in comparison by the particular age of that child. Apply the foundations of pediatric nursing when caring for clients with health alterations. You are working in a large urban pediatric clinic after-hours. A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions. – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated. After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed. Client is discharged with these orders: *

The assignment requires the identification of normal growth and development by topic for each age group and applying this information to observe a child and document findings in comparison to the particular age of the child. Additionally, the application of pediatric nursing foundations when caring for clients with health alterations is important.

In the given scenario, a 6-month-old girl named Vivi Mitchell is brought to a large urban pediatric clinic after-hours by her mother. The child is presenting with symptoms of rhinorrhea (runny nose), congestion, fever, and cough. Upon assessment, wheezing is heard upon auscultation and retractions are observed during inspection.

Based on the assessment, the following interventions are recommended: nasal bulb suction and saline drops as needed, Tylenol (acetaminophen) at a dose of 15mg/kg every 4 hours as needed for fever, Albuterol nebulizer treatment in the clinic, and encouragement of oral fluids. After the Albuterol nebulizer treatment, the child’s respirations are measured at 36 breaths per minute and oxygen saturation is 100%. The wheezing has diminished. The doctor decides that the child’s mother, who is an ER nurse, is capable of managing any potential exacerbation at home with her own nebulizer. The doctor advises the mother to return to the pediatric after-hours clinic or the ER if needed. The client is discharged with these orders.

To better understand this scenario, it is important to analyze the relevant aspects of normal growth and development in a 6-month-old child. At this age, infants typically demonstrate significant physical and cognitive milestones. The average weight of a 6-month-old girl is around 16 pounds (7.3 kilograms), with a range of 13-20 pounds (5.9-9.1 kilograms). Their height ranges from 24-28 inches (61-71 centimeters). The growth of an infant at this stage is characterized by a steady increase in weight and height, allowing them to progress from infancy to toddlerhood.

Motor development is also crucial at this age, with infants beginning to demonstrate more intentional movements. A 6-month-old can usually roll from front to back and back to front, sit with support, and may even attempt to crawl or scoot on their stomach. Fine motor skills, such as grasping objects and transferring them between hands, also start to develop.

In terms of cognitive development, a 6-month-old’s perception and understanding of the world around them continue to improve. They are able to recognize familiar faces and objects, respond to their own name, and show interest in exploring their environment. Infants at this age may also begin to babble and imitate sounds.

Regarding language development, a 6-month-old may start to make vowel and consonant-like sounds. They may respond to simple verbal cues and engage in back-and-forth vocalizations with caregivers. It is important to note that language development can vary among individuals, and some infants may be more advanced or delayed in their language skills.

By applying this knowledge to the scenario, it can be observed that Vivi Mitchell’s physical growth and development align with the expected milestones for a 6-month-old. The fact that she is able to sit with support and respond to verbal cues demonstrates her motor and cognitive development. The use of wheezing and retractions as assessment findings suggests a possible respiratory problem, which prompted the administration of albuterol nebulizer treatment.

The decision to discharge Vivi with instructions for further management at home is supported by the mother’s professional background as an ER nurse and the doctor’s assessment of her ability to handle any potential exacerbations. This approach allows for continuity of care while also considering the child’s best interests and the resources available to her mother.

In conclusion, this assignment focuses on the identification of normal growth and development by topic for each age group. The given scenario involving 6-month-old Vivi Mitchell provides an opportunity to apply this knowledge in a clinical setting. By understanding the expected milestones and interventions appropriate for this age, healthcare professionals can provide optimal care for pediatric clients.