You are currently working as a nurse in a physician’s office. Tonya and her family are the first patients for the day.

Question 1 You are currently working as a nurse in a physician’s office. Tonya and her family are the first patients for the day.

Tonya has brought her three children in for a checkup.  Mike is six years old and is in elementary school, Dana is three, and Trey is nine months.

You complete an anthropometric and clinical assessment on each child.

1. a. Explain what each of these would include: (2 points)

•             Anthropometrics for Mike and Dana?

•             Anthropometrics for Trey?

b.  Clinical

c.  To determine if each child is growing appropriately, name one tool that you can use to compare the child with standard growth. (1 point)

Question 2 After assessing the children, they all appear to be growing well, and you see no concerns. However, as you review your findings with Tonya, she has some questions. Her husband recently lost his job, and money is tight. Tonya is thinking about switching Trey to cow’s milk rather than formula to save money. She is also concerned because Dana is not eating as well as she had previously. After obtaining further information you feel that Dana is experiencing some common eating issues experienced by preschoolers.

Discuss the following with Tonya.

Why it is important to continue to give Trey formula rather than cow’s milk until he reaches one year of age. Discuss 3 reasons.

Question 3  After assessing the children, they all appear to be growing well, and you see no concerns. However, as you review your findings with Tonya, she has some questions. Her husband recently lost his job, and money is tight. Tonya is thinking about switching Trey to cow’s milk rather than formula to save money. She is also concerned because Dana is not eating as well as she had previously. After obtaining further information you feel that Dana is experiencing some common eating issues experienced by preschoolers.

Discuss the following with Tonya.

Review some common eating/feeding issues that preschoolers experience. Provide three examples.

Question 4 After assessing the children, they all appear to be growing well, and you see no concerns. However, as you review your findings with Tonya, she has some questions. Her husband recently lost his job, and money is tight. Tonya is thinking about switching Trey to cow’s milk rather than formula to save money. She is also concerned because Dana is not eating as well as she had previously. After obtaining further information you feel that Dana is experiencing some common eating issues experienced by preschoolers.

Discuss the following with Tonya.

4. There are several nutrition concerns specific to preschoolers. One is iron deficiency anemia and another dental caries. Briefly discuss each of these with Tonya:

•             Iron deficiency anemia-

•             Dental caries-

Question 5 Tonya is concerned about feeding her family and preventing excess weight gain. Several close family members are obese and have type 2 diabetes. You provide information on exercise guidelines and dietary suggestions to ensure the children are eating healthy.

5.  According to the Physical Activity Guidelines for Americans, 2nd edition, what are the current exercise guidelines for children under age 5?

What are the guidelines for older children and adolescents?

Question 6 Tonya is concerned about feeding her family and preventing excess weight gain. Several close family members are obese and have type 2 diabetes. You provide information on exercise guidelines and dietary suggestions to ensure the children are eating healthy.

 6.  Knowing that finances are tight you give Tonya information on several programs that are available to her family to help supplement her food budget and address food insecurity. Name three programs available to the family.

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