Feeding Skills (8 pоints pоssible fоr аddressing eаch bullet point IN DETAIL):You аre providing nutrition counseling to a mom at WIC who has a 3-month-old baby. She is interested in learning more about starting solid foods. What recommendations would you give her? Include as part of your discussion:• (1 point) At approximately what age will the infant be ready to start solid foods?• (1 point) What are some developmental skills an infant must have before the infant is ready to eat from a spoon and start solid foods?• (1 point) What are some appropriate first foods (name 3)? • (1 point) What are some inappropriate first foods (name 3)?• (1 point) How much should she offer for the first feedings (portion size per serving)? • (1 point) What are 2 common infant feeding cues she may see during meal times, AND what do they mean?• (2 points) What recommendations can you give her about introducing her baby to food on a spoon (such as timing, feeding position, equipment, pace, etc.)?
Cаse Study Questiоn 5 A 12-yeаr-оld bоy is brought to the emergency depаrtment by his mother. She reports he has been extremely thirsty, urinating frequently, and more tired than usual over the past two weeks. He has lost 8 pounds in the last month despite having an increased appetite. Today he developed abdominal pain and vomiting. Past Medical History: No significant past medical history. Vaccines up to date. Family History: Aunt with autoimmune disease Nursing Notes: 1000 Client is lethargic but arousable. Mucous membranes are dry. Delayed capillary refill. Fruity odor on breath. Respirations are deep and rapid. Vital Signs: Time 1005 Blood Pressure 98/60 Heart Rate 124 bpm Respiration Rate 30/min Temperature 99.1°F (37.3°C) Pulse Oximeter 98% on room air Laboratory Results Basic Metabolic Panel (BMP): Lab Value Results Time 1015 Range Blood glucose 486 mg/dL 70–110 mg/dL Sodium 132 mEq/L 136-145 mEq/L Potassium 5.6 mEq/L 3.4-4.7 mEq/L Chloride 96 mEq/L 90-110 mEq/L Blood Urea Nitrogen (BUN) 28 mg/dL 5-18 mg/dL Creatinine 1.2 mg/dL 0.4-1 mg/dL Arterial Blood Gas (ABG): Lab Value Result Time 1015 Range pH 7.25 7.35-7.45 PCO₂ 28 mm Hg 35-45 mm Hg HCO₃⁻ 15 mEq/L 22-26 mEq/L PO₂ 96 mm Hg 80-100 mm Hg SaO₂: 98 % 95-100 % Urinalysis: Lab Value Result Time 1015 Range Appearance Clear Clear Color Yellow Yellow Specific gravity 1.032 1.005-1.03 Glucose 4+ None Ketones Large None Protein Trace None pH 5 4.6-8 Nitrates None None WBCs 0-2 0-5 RBCs 0-2 0-3 The provider has seen the client and has placed the following orders: Provider orders: 500mL 0.9% normal saline bolus Continusous IV insulin infusion at 0.1unit/kg/hr Cardiac monitoring Frequent blood glucose checks Oxygen via nasal cannula to keep oxygen saturation 95% or greater Repeat blood work ABG and BMP in 4 hours Question 5: Which order should the nurse implement first?
Cаse Study Questiоn 3 A 12-yeаr-оld bоy is brought to the emergency depаrtment by his mother. She reports he has been extremely thirsty, urinating frequently, and more tired than usual over the past two weeks. He has lost 8 pounds in the last month despite having an increased appetite. Today he developed abdominal pain and vomiting. Past Medical History: No significant past medical history. Vaccines up to date. Family History: Aunt with autoimmune disease Nursing Notes: 1000 Client is lethargic but arousable. Mucous membranes are dry. Delayed capillary refill. Fruity odor on breath. Respirations are deep and rapid. Vital Signs: Time 1005 Blood Pressure 98/60 Heart Rate 124 bpm Respiration Rate 30/min Temperature 99.1°F (37.3°C) Pulse Oximeter 98% on room air Laboratory Results Basic Metabolic Panel: Lab Value Results Time 1015 Range Blood glucose 486 mg/dL 70–110 mg/dL Sodium 132 mEq/L 136-145 mEq/L Potassium 5.6 mEq/L 3.4-4.7 mEq/L Chloride 96 mEq/L 90-110 mEq/L Blood Urea Nitrogen (BUN) 28 mg/dL 5-18 mg/dL Creatinine 1.2 mg/dL 0.4-1 mg/dL Arterial Blood Gas (ABG): Lab Value Result Time 1015 Range pH 7.25 7.35-7.45 PCO₂ 28 mm Hg 35-45 mm Hg HCO₃⁻ 15 mEq/L 22-26 mEq/L PO₂ 96 mm Hg 80-100 mm Hg SaO₂: 98 % 95-100 % Urinalysis: Lab Value Result Time 1015 Range Appearance Clear Clear Color Yellow Yellow Specific gravity 1.032 1.005-1.03 Glucose 4+ None Ketones Large None Protein Trace None pH 5 4.6-8 Nitrates None None WBCs 0-2 0-5 RBCs 0-2 0-3 Question 3: The nurse reviews the client’s assessment and lab results. Which of the following problems should the nurse address first?