Question

please, I need a better answer from the previous one I’ve got..thank you!

Peds Case Study #2 3-year-old Sally presents to the PCP's office. Sally's mother states that Sally is having 'temper tantrums. Subjective Data 1. Mother states Sally eats well 2. Sleeps 11 to 12 hours/day 3. Speaks in 4 to 5 word sentences Objective Data 1. Birth Weight: 3 kg 2. Today's Weight: 13 kg 3. Height: 90 cm 4. Speaks in 3 to 4 word sentences with a 300-word vocabulary Questions: 1. Is Sally's vocabulary is not appropriate for her age? 2. Are Sally's height and weight are appropriate for her age. 3. What information can Lucy's nurse give about her temper tantrums? 4. What is the goal of discipline for a preschool child? 4. What physiologic measurements should the nurse obtain when assessing this child? What techniques should be used? 6. What safety related education should the nurse provide to Sally's mother during this well- child visit?

Answer 1

1. No. Although language development varies in relationship to physical activity, language skills are rapidly accelerated by 15 to 24 months of age. By the time, 60 to 70% of the child's speech is understandable and speaks vocabulary to about 300 or more words.

2. No. Sally's weight and height are adequate for her age. The normal weight for female preschool children is 14 kilogram and height is 94 centimeter.

3. The nurse should explain to Sally's mother that temper tantrum is normal to children within the age group of 1 to 4 years. These tantrums are just used by children to vent their frustrations and to protest their lack of control. Give information like

a) reduce or avoid situations that create the child to more erupt to tantrums.

b) Frequent communication with the children

c) Accept their little choices and

d) Distract the child from tantrums creating situations. This can be easily done by a mother because children are easy to divert and to handle.

4. Reward the child for good behavior is one of the best discipline method for a preschool children. Effective discipline strategy reinforces desired behavior, consider the parent to child relationship and reduces the consequences of negative behavior.