Well-Child Nursing paper. Pediatric client.

πŸ‘ˆ Please use my child for the well child paper. Do not use a new child. I have given all or most of the information about the child below. He is a 3 year- old P.B. Address him as P.B. in the paper.

****Please follow the rubric. Very important.”**** I need all the points in the rubric to be addressed, every single one of them because that is how i will be graded. You also need to do a growth chart which is also mentioned in the rubric by plugging height and weight on a graph.

*** Also have a look at “Section for Possible points” to see if you have met all the goals of the paper.*** There are five sections to this paper including APA references, please make sure you cover everything in each section. Do not just copy everything i put below, i need your input. You can add the most important information that i provided but i also need input.

*Please let me know if you have any questions at any time* I have attached the instruction of the paper as an attachment. You can open it on word document.

πŸ‘‰ πŸ‘‰ Information about the Child. πŸ‘ˆ πŸ‘ˆ πŸ‘‡ πŸ‘‡

S: Assessment conducted on 3- yr. old African American Payton Bailey who is a male in presence of his mother Rey Bailey. The mother stated she is pregnant and expecting baby on August 08/08/2019. Payton has speech delay and barely speaks one word. She stated she is working on to schedule with his speech therapist. She stated Payton does not complain of eating and prefer regular meal. Payton does not have any allergies. Code is full code. Mom stated his weight is 38 lb. from last month doctor visit. Payton loves to play at home with his 4-yr. old sister, but not with his other friends. He is on toilet training currently. Mother indicated he is not in day care program yet and planning to enroll him in head start program next year. Mom stated he is up to date on immunization record. Mother stated, Payton and his 4-year sister were adopted by her and their biological mother is her own sister. She is Ex-Military and goes to full time school. She gets some allowance to pay her school fee from her military service fund. Her mother and 13- year are her support system at present. She is planning to get divorce quite soon. Mom just recently moved to the new state and it’s still adjusting with the children. She also has her mother and a younger brother who usually assist with taking care of the children for her. She also stated that she goes to school and stays in the house most of the time. This week, he is always constipated. blood in tool and tears coming out when he wants to poop. He uses the bathroom when he wants to pee but when it comes to pooping, he does it in his pad. He only says one word sentences like fridge, chicken, hungry, etc… Mother feeds him a lot of chicken nuggets and not a lot of nutritional food. He also feels embarrassed after pooping and hides. He is staring day care next week and will be around other kids. Mother has also applied for a speech therapist for the boy.

O: Clean outside environment, age-appropriate toys were provided; Presence of age-appropriate toys. The children were still sleeping upon arrival. The living room was a little messy probably because of the children playing around the night before. The kitchen was well put in order. The children were playing with their new toys and running around. The children were very friendly after waking up. TV in the living room for children to watch. Sometimes the environment is clean, sometimes it’s not. Things are sometimes everywhere.

A: Facial features symmetric; eyes and nose symmetrical; no lesion on the head, skin is soft and intact and appropriate skin color pertain to her race. Educated Mom on using booster car seat. Educated mom to find speech therapist for Payton. Weight: 41.67pounds. Height: 38.5inches

Capillary refill: less than 2 sec. teeth have no visible caries. No issue with walking independently by placing both feet on each step; read book and point picture on the book.

Pulse Rate: 90 bpm, regular

RR: 22 /min Height: 38.5 inches. Breath sounds clear bilaterally. Bowel sound active on four quadrants. Weight: 41.7 pounds.

Age-appropriate activities: push and pull toy, play with blocks, play parallel with his sister.

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