Health Class Case Study

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Health Medical

Description

Case Study 1

John and Susan are both prone to being overweight. They are concerned that their infant son, Steven will also have weight problems. They are referred to you when Steven is 5 months old. Steven's growth data are as follows:

Age

Weight

Length

Birth

8 lb

20 inches

1 week

8 lb 1 oz

20 inches

1 months

11 lb

21.5 inches

2 months

12 lb 8 oz

23 inches

3 months

14 lb 8 oz

23.5 inches

4 months

16 lb

25.5

5 months

18 lb

26.5

Steven breastfeeds six times daily for about 20-25 minutes at each feeding. He is not presently receiving any other sources of nourishment. Answer the following questions for John and Susan:

1.  Their pediatrician told them that Steven's weight is above average. Is he gaining too much weight?

2.  Should they delay adding solid foods or add something now? If they should add something, what would recommend? At what point would you begin adding solid foods and in what order would you recommend?

3.  What developmental changes occur between 5 months to a year that demonstrate readiness for solids foods?

4.  Should they give Steven juice in a bottle?

5.  A neighbor has suggested that Steven could be given skim milk instead of breast milk. Do you recommend this?

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