Question

Sprint LTE 3:35 PM 179600 Scemario: Jll is now happily married to her high school swectheart, Jack Jll followed your from the last clinic visit and was able to become pregnant. She brings her son Jeremy, who is now a 3-month old baby, and has been esclusively breastfed Jeremy weighs 13.3 pounds, is 24 inches in length, and has a head eircumference of 16.25 inches. During Jeremy's well-child visit, Jill tells you that she may stop beeastfeeding her baby whem she returns to work full-time in about 2 weeks. She has questions about whether she should stant fieeding Jeremy nfant formula and solsd foods Since this is her Eirat baby, Jill has asked many mothers (including her own mother) for advice on feeding. They are encouraging her to start infant formula, cercal, and fruit right away. However, she worrics that Jeremy may have advene allergic reactions to trying so many new foods at once. She is alse concerned about Jvemy choking on food 1. What initial information have you gathered? . Age How baby is being fed How infant feeding may change 2. Jeremy's nutrient needs: What is Jeremy's average energy meeds How mamy grams of carbohydrales per day will Jeremy need What are his protein What are his fat needs? Does Jeremy need supplemental iron . Based os Jeremy's wwight, length, and head circumference use the CDC birth to 346 months Boys chart to determine growth. a. Plot Lengtb- and weight-for-age What is Jeremmy's length-for-age percentile? What is Jeremy's weight-for-age percentile? b. Plot Head circumference-for-age and weighi-for-length What is Jeremy's head circum ference-for-age percentile? . What is Jeremy's weiphs-for-length percentile What are the mother's nutrition concems about fceding Jeremy 5, Since it is recommended to becastfeed an infant esclusively for about the first 6 months, what might be some of the barriers to becastfeeding if Jall retums to week? What is one thing that might you recommended to Jill if she returns to work (doese't have ensite childcarc) to help her continuc breastfoeding Jeremy What is the recommended age to start supplemental foods in an infant and how is readiness for What is an appropriate first solid food for Jeremy When are fruits and vegetables offered

Answer 1

1. Initial information gathered from Jeremy's mother:

• Age - 3-month-old
• Anthropometric measurement

- weight - 13. 5 pounds

- Height - 24 inches

- Head circumference - 16.25

• The infant is being fed with breastfeeding.
• The infant may change with infant feeding formula.

2. Jeremy's Nutritional Needs:

• Jeremy's average energy needs are 572kcal/day.
• Jeremy's will need 60g of carbohydrate per day.
• Jeremy's will need 9.1 g of protein per day.
• Jeremy's will require 200IU / day.
• Jeremy's will need supplemental iron of 0.27mg per day.

3. a.According to CDC Birth to 36 months males chart

• Jeremy's Length for age percentile is 32.6
• Jeremy's weight for age percentile is 36.7

b. According to the CDC

• Jeremy's head circumference for age percentile is 36.7
• Jeremy's weight for age percentile is 57.9

4. Mother nutritional concerns about Jeremy includes

• Whether Jeremy can be started infant feed formula?
• Whether the cereals and fruits can be started along with the infant feed formula?
• Whether the starting of too many foods at a time can develop any allergic reactions?
• Whether solid food can lead to choking?