Why might the family not desire services and benefits from the WIC program or Children with Special Health Needs program? 4. What next steps would you recommend to help Noah with his weight gain?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
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3. Why might the family not desire services and benefits from the WIC program or Children with Special Health Needs program?

4. What next steps would you recommend to help Noah with his weight gain?

Noah's Cardiac Condition
Noah is a former late preterm
male born at 38 weeks gestation.
He weighed 2100 grams and
was small for gestational age.
His mother's medical history
included chronic hypertension, obesity, and gestational
diabetes. Noah was diagnosed prenatally with a cardiac
The family perceives this recommendation as undermining
Noah's mother's effort to nurse him, and is unsure about
implementing this change. Noah likes to nurse, however
feedings are brief and Noah is not able to obtain the higher
fat/higher calorie hindmilk. Over time, his family starts to
introduce baby foods from a spoon and his mom continues
to breastfeed. Noah's weight gain is progressing slowly; his
length and head circumference are progressing along the
10th percentile. Because of his slow weight gain his weight-
for-length percentile has fallen to the 3rd percentile.
Noah's family enjoys the interactions during feedings
and feels that Noah is doing well for an infant with a car-
diac problem. They have not contacted the WIC Program
or the Children with Special Health Needs Program. Some
people they meet assume that Noah was a premature
baby, but his small size is not of concern to his parents.
Cheryl E. Davis/Shutterstock.com
condition that could affect his ability to feed.
His mother planned to breastfeed Noah and has been
successful at expressing her milk and maintaining her breast
milk supply. Noah has a weak suck and tires easily at the
breast. He is able to drink small volumes, 1 to 1½ ounces
from a bottle. The feedings can last 30 minutes or longer.
At discharge, the family is referred to the WIC
program, Supplemental Social Insurance (SSI), and the
state Children with Special Health Needs program.
Specialty cardiac clinic and local follow-up appointments
are made. Feeding difficulties concern the family, and
both a lactation consultant and a registered dietitian are
Questions
1. How do breastfeeding and feeds of breasts milk
benefit Noah?
involved prior to and after discharge.
Noah nurses frequently, but briefly, due to fatigue.
Growth is slower than expected, but the cardiologist
does not think Noah's slow weight gain is a result of his
cardiac condition. Noah continues to nipple small volumes
even after his family implements the recommendations
from the lactation consultant. The registered dietitian
recommends increasing the caloric density of expressed
breast milk with the addition of infant formula powder.
2. How would you know if Noah's nutritional intake is
sufficient?
3. Why might the family not desire services and benefits
from the WIC program or Children with Special
Health Needs program?
4. What next steps would you recommend to help Noah
with his weight gain?
Transcribed Image Text:Noah's Cardiac Condition Noah is a former late preterm male born at 38 weeks gestation. He weighed 2100 grams and was small for gestational age. His mother's medical history included chronic hypertension, obesity, and gestational diabetes. Noah was diagnosed prenatally with a cardiac The family perceives this recommendation as undermining Noah's mother's effort to nurse him, and is unsure about implementing this change. Noah likes to nurse, however feedings are brief and Noah is not able to obtain the higher fat/higher calorie hindmilk. Over time, his family starts to introduce baby foods from a spoon and his mom continues to breastfeed. Noah's weight gain is progressing slowly; his length and head circumference are progressing along the 10th percentile. Because of his slow weight gain his weight- for-length percentile has fallen to the 3rd percentile. Noah's family enjoys the interactions during feedings and feels that Noah is doing well for an infant with a car- diac problem. They have not contacted the WIC Program or the Children with Special Health Needs Program. Some people they meet assume that Noah was a premature baby, but his small size is not of concern to his parents. Cheryl E. Davis/Shutterstock.com condition that could affect his ability to feed. His mother planned to breastfeed Noah and has been successful at expressing her milk and maintaining her breast milk supply. Noah has a weak suck and tires easily at the breast. He is able to drink small volumes, 1 to 1½ ounces from a bottle. The feedings can last 30 minutes or longer. At discharge, the family is referred to the WIC program, Supplemental Social Insurance (SSI), and the state Children with Special Health Needs program. Specialty cardiac clinic and local follow-up appointments are made. Feeding difficulties concern the family, and both a lactation consultant and a registered dietitian are Questions 1. How do breastfeeding and feeds of breasts milk benefit Noah? involved prior to and after discharge. Noah nurses frequently, but briefly, due to fatigue. Growth is slower than expected, but the cardiologist does not think Noah's slow weight gain is a result of his cardiac condition. Noah continues to nipple small volumes even after his family implements the recommendations from the lactation consultant. The registered dietitian recommends increasing the caloric density of expressed breast milk with the addition of infant formula powder. 2. How would you know if Noah's nutritional intake is sufficient? 3. Why might the family not desire services and benefits from the WIC program or Children with Special Health Needs program? 4. What next steps would you recommend to help Noah with his weight gain?
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