University:
College
Course:
College Nursing
Academic year:

2023
Views:

106

Pages:

3
Author:

Ramy M.

Case No.1 A mother brought her two months aged girl for vaccination, on assessing her you find that her weight was 3.5 kg and her length was 53 cm What is your interpretation??  This infant is below standard for weight for age (below -2), indicating acute process  Counsel the mother/ care giver about feeding practice, any illnesses  Advice for proper follow-up and growth monitoring Case No.2 A mother brought her 3 years aged girl for treating her diarrhea, on assessing her you find that her weight was 12 kg and her height was 86 cm What is your interpretation??  This child is below standard for Height for age (below -2), her weight for age (below -1), and her weight for height is normal. Possibilities:  As she is complaining from diarrhea you should counsel the mother/ care giver about feeding practice, any illnesses especially persisting diarrhea  Be sure about her age  Ask for previous growth monitoring if any  Advice proper follow-up Case No.3 A mother brought her 2 years aged girl for assessing her nutritional status, on assessing her you find that her weight was 11 kg and her length was 85 cm What is your interpretation??     Her weight for age (Between 0 and -1) Height for age (Between 0 and -1) Her weight for height (Between 0 and -1) Her BMI (Between 0 and -1) Conclusion; Child with normal growth indices Case No.4 A mother brought her 2 years aged girl for assessing her nutritional status, on assessing her you find that her weight was 10 kg and her height was 90 cm You reviewed her growth chart and you noticed that  When she was 2 months she received her vaccination according to schedule and her weight was 4.6 kg and her length 56 cms  When she was 4 months she received her vaccination according to schedule and her weight was 5.5 kg and her length 58 cms  When she was 6 months she received her vaccination according to schedule and her weight was 5.5 kg and her length 62 cms  When she was 9 months she received her vaccination according to schedule and her weight was 6.7 kg and her length 65 cms  When she was 12 months her weight was 7.5 kg and her length 70 cms What is your interpretation??     Her weight for age (Below -1) Height for age (Above 1) Her weight for height (Below -2) Her BMI (Below -3) After reviewing her previous chart to be sure about her age you noticed a flat growth between 4-6 months (as in the graph below) 8 7 Weight in Kg 6 5 4 3 2 1 0 0 2 4 6 8 Age in months 10 12 14 Do you want to ask the mother any question? Yes  Any previous serious infections like measles  Her feeding history  Try to find reasons causing flat growth between 4-6 months of life, weaning period and its problem  Advice for proper follow-up and monitoring