WU Environmental Factors Vital Role in Growth of A Children Case Study


Walden University

Question Description

For this Assignment, you will examine an infant case study to determine short-term developmental outcomes.

Refer to the following Case Study about Sam, a male infant:

An infant male, Sam, was born to Jane and Roberto. Jane works in the city as a medical transcriptionist, but requested 12 weeks of family leave effective immediately upon Sam’s birth.
Sam was born 6 weeks premature, by Cesarean delivery. His Apgar score at 1 minute was 5; after receiving oxygen, his Apgar score at 5 minutes was 8. Apart from the first few minutes after birth, Sam has not required oxygen or respiratory assistance. Because of his prematurity, Sam stayed in the hospital for 72 hours before he was discharged.
Jane drank occasionally throughout the pregnancy, but reported drinking most heavily during the last trimester of her pregnancy, which was about the time Roberto got laid off from his job. There is suspicion, although not confirmed, that Sam has Fetal Alcohol Spectrum Disorder (FASD). Sam is a fussy eater, requiring short and frequent feedings. He has been home for 2 weeks and wakes up hungry every 2 hours. He does not sleep through the night.
Roberto and Jane live in a house in a rural area. They do not have a network of friends and family who live nearby who can help, but Jane’s mother has offered to move in with them temporarily. Roberto and Jane’s mother get along very well. Jane is debating whether she should reduce her family leave and go back to work earlier than she had planned.

Many of the details in the above case study have purposely been left ambiguous (e.g., ethnicity, geographic location, etc.) so that you can make some conjectures of your own and relate that to Sam’s short-term and long-term prognosis.

Write a 2- to 3-page paper and include the following:

  • Explain the environmental factors presented in the Case Study, as well as others that may be present but not specifically identified in the Case Study that might affect Sam’s development.
  • With the environmental factors you explained, further explain what you think the best case scenario and the worst case scenario might be for Sam’s short-term developmental outcomes and explain why.
  • Be specific, provide examples, and justify your response with citations from the Learning Resources/literature.

Resources needed:

Required Readings

Berk, L. E. (2018). Development through the lifespan (7th ed.). Upper Saddle River, NJ: Pearson Education.
  • Chapter 2, “Genetic and Environmental Foundations” (pp. 42-72)
  • Chapter 3, “Prenatal Development, Birth, and the Newborn Baby” (pp. 74-111)

Charness, M. E., Riley, E. P., & Sowell, E. R. (2016). Drinking during pregnancy and the developing brain: Is any amount safe? Trends in Cognitive Sciences, 20(2), 80–82. doi:10.1016/j.tics.2015.09.011

Entringer, S., Buss, C., & Wadhwa, P. D. (2015). Prenatal stress, development, health and disease risk: A psychobiological perspective—2015 Curt Richter Award Paper. Psychoneuroendocrinology, 62, 366–375. doi:10.1016/j.psyneuen.2015.08.019

Tzouma, V., Grepstad, M., Grimaccia, F., & Kanavos, P. (2015). Clinical, ethical, and socioeconomic considerations for prescription drug use during pregnancy in women suffering from chronic diseases. Therapeutic Innovation & Regulatory Science, 49(6), 947–956. doi:10.1177/2168479015589820

Grace, T., Bulsara, M., Robinson, M., & Hands, B. (2015). The impact of maternal gestational stress on motor development in late childhood and adolescence: A longitudinal study. Child Development, 87(1), 211–220.
The Impact of Maternal Gestational Stress on Motor Development in Late Childhood and Adolescence: A Longitudinal Study by Grace, T., Bulsara, M., Robinson, M., & Hands, B., in Child Development, 2015/October. Copyright 2015 by John Wiley & Sons-Journals. Reprinted by permission of John Wiley & Sons-Journals via the Copyright Clearance Center. Retrieved from

March of Dimes Foundation. (2016). Retrieved from http://www.marchofdimes.org

Centers for Disease Control and Prevention. (2016). Birth defects. Retrieved from http://www.cdc.gov/ncbddd/birthdefects/index.html

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Final Answer

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Infant case study
Institutional affiliation



Environmental factors play a vital role in the growth of a child. Children having good start in life
will have a healthier life in their adulthood. In most of the developing countries, many children
under the age of five years fail to attain their probable in cognitive and social growth because of
poverty, nutrition, deficit care, and poor health. It is the responsibility of mothers to ensure their
children grow healthy and avoid actions that can affect child growth. Based on the case study,
Jane had been consuming alcohol during her pregnancy which will affect Sam’s health. The
various adverse outcomes of alcohol intake during the first eight weeks of pregnancy include
limb, cardiovasc...

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