Assignment Prompt & Instructions
Please see attachment.
PICK ONE CASE SCENARIO
AT LEAST 300 WORDS
**files (1)**
– ## PEDSWEEK1.pdf
**## PEDSWEEK1.pdf**
Select one of the following four case scenarios. Identify the prompt in the subject line of
your post, for example, Case Scenario 1 – Kiran
Complete all Part II elements of the discussion:
• Each prompt has additional key questions to address in the body of your response to
ensure an understanding of learning objectives.
• Use at least one scholarly source other than your textbook to connect your response
to national guidelines and evidence-based research in support of your ideas.
• In your peer replies, please reply to at least two peers who chose a different case
scenario – other than the one you selected. For example, if you selected Case
Scenario 1, then reply to one peer who selected Case Scenario 2 and another peer
who selected Case Scenario 3 or 4.
• Be prepared to answer additional questions relating to a secondary diagnosis or
consideration posed by faculty.
Case Scenario 1: Kiran is a 17-year-old adolescent female who recently immigrated to
the United States with her 1-month-old daughter and 18-month-old son. Her parents are
struggling to find work, and Kiran has come to the clinic to have her children checked for
well-baby exams and immunizations. Her mother accompanies her to the clinic but does
not speak English. Kiran has a heavy accent, but you can understand almost everything
she says. Given all the family stressors, she asks that you check her children to ensure
they are reaching developmental milestones.
• What education and anticipatory guidance should be provided to Kiran about
developmental milestones related to her 1-month-old daughter and 18-month-old
son?
• What key aspects of the family health assessment should the APRN focus on first?
• What are a few key questions that would demonstrate an APRN’s understanding of
cultural humility and competence?
Case Scenario 2: Allen is a 14-year-old male who has come into the clinic for a complete
physical exam. Two years ago, he was placed in foster care, but he has recently moved
into his paternal grandfather’s home. His grandfather is with him today. During the visit,
you will perform an adolescent health history focusing on his current development and
anticipatory guidance needed.
• Allen is in what phase of adolescence?
• Summarize the physical, cognitive, and social/emotional challenges and anticipatory
guidance to prepare Allen and his grandfather for this phase of adolescence.
• What strategies should the APRN utilize to develop trust and establish confidentiality
during Allen’s history and physical exam?
Case Scenario 3: Mrs. Obi comes to the clinic today with her 2 year old son Max. She is
concerned because although Max says a few recognizable sounds such as “ba” for bottle
he mostly gestures and points to what he wants when he tries to communicate his
needs. In addition, she is requesting information about starting toilet training.
• What type of screening tool(s) should the APRN use to assess Max’s language and
social delay and why?
• What potential risk factors (e.g., prenatal, pregnancy, neonatal) could place Max at
risk for language/social delay?
• What type of anticipatory guidance should the APRN provide to support Max’s
communication and language development?
• How should toilet training readiness be assessed?
• What anticipatory guidance should be provided regarding toilet training?
Case Scenario 4: Mr. Zee presents to the clinic with his son Eric for a 14-month well-
child visit. He expresses concern that Eric is not walking yet. The APRN reviews Eric’s
past medical and birth history in the electronic medical record. Max was born at 34.5
weeks’ gestation via emergency C-section and was discharged 2 weeks later.
• What fine motor and gross motor skills should the APRN expect a 15-month-old
toddler to perform? Should Eric be able to perform those skills as well? Why or why
not?
• What type of screening test(s) should the APRN utilize to assess Eric’s current motor
skills?
• What type of anticipatory guidance and support should the APRN provide to monitor
and encourage Eric’s continued physical development?
**## PEDSWEEK1.pdf**
Select one of the following four case scenarios. Identify the prompt in the subject line of
your post, for example, Case Scenario 1 – Kiran
Complete all Part II elements of the discussion:
• Each prompt has additional key questions to address in the body of your response to
ensure an understanding of learning objectives.
• Use at least one scholarly source other than your textbook to connect your response
to national guidelines and evidence-based research in support of your ideas.
• In your peer replies, please reply to at least two peers who chose a different case
scenario – other than the one you selected. For example, if you selected Case
Scenario 1, then reply to one peer who selected Case Scenario 2 and another peer
who selected Case Scenario 3 or 4.
• Be prepared to answer additional questions relating to a secondary diagnosis or
consideration posed by faculty.
Case Scenario 1: Kiran is a 17-year-old adolescent female who recently immigrated to
the United States with her 1-month-old daughter and 18-month-old son. Her parents are
struggling to find work, and Kiran has come to the clinic to have her children checked for
well-baby exams and immunizations. Her mother accompanies her to the clinic but does
not speak English. Kiran has a heavy accent, but you can understand almost everything
she says. Given all the family stressors, she asks that you check her children to ensure
they are reaching developmental milestones.
• What education and anticipatory guidance should be provided to Kiran about
developmental milestones related to her 1-month-old daughter and 18-month-old
son?
• What key aspects of the family health assessment should the APRN focus on first?
• What are a few key questions that would demonstrate an APRN’s understanding of
cultural humility and competence?
Case Scenario 2: Allen is a 14-year-old male who has come into the clinic for a complete
physical exam. Two years ago, he was placed in foster care, but he has recently moved
into his paternal grandfather’s home. His grandfather is with him today. During the visit,
you will perform an adolescent health history focusing on his current development and
anticipatory guidance needed.
• Allen is in what phase of adolescence?
• Summarize the physical, cognitive, and social/emotional challenges and anticipatory
guidance to prepare Allen and his grandfather for this phase of adolescence.
• What strategies should the APRN utilize to develop trust and establish confidentiality
during Allen’s history and physical exam?
Case Scenario 3: Mrs. Obi comes to the clinic today with her 2 year old son Max. She is
concerned because although Max says a few recognizable sounds such as “ba” for bottle
he mostly gestures and points to what he wants when he tries to communicate his
needs. In addition, she is requesting information about starting toilet training.
• What type of screening tool(s) should the APRN use to assess Max’s language and
social delay and why?
• What potential risk factors (e.g., prenatal, pregnancy, neonatal) could place Max at
risk for language/social delay?
• What type of anticipatory guidance should the APRN provide to support Max’s
communication and language development?
• How should toilet training readiness be assessed?
• What anticipatory guidance should be provided regarding toilet training?
Case Scenario 4: Mr. Zee presents to the clinic with his son Eric for a 14-month well-
child visit. He expresses concern that Eric is not walking yet. The APRN reviews Eric’s
past medical and birth history in the electronic medical record. Max was born at 34.5
weeks’ gestation via emergency C-section and was discharged 2 weeks later.
• What fine motor and gross motor skills should the APRN expect a 15-month-old
toddler to perform? Should Eric be able to perform those skills as well? Why or why
not?
• What type of screening test(s) should the APRN utilize to assess Eric’s current motor
skills?
• What type of anticipatory guidance and support should the APRN provide to monitor
and encourage Eric’s continued physical development?