Nutrition Through the Life Cycle (MindTap Course List)
Nutrition Through the Life Cycle (MindTap Course List)
6th Edition
ISBN: 9781305628007
Author: Judith E. Brown
Publisher: Cengage Learning
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Chapter 9, Problem 1.2CS
Summary Introduction

To determine: The nutritional issues to be monitored after Person E’s discharge.

Introduction: Preterm birth is defined as birth of infants before 37 weeks of pregnancy. The preterm birth can be subcategorizing based on gestational age such as extremely preterm (> than 28 weeks), very preterm birth (28-32 weeks), moderate-late (32-37 weeks). Preterm birth occurs due to multiple pregnancies, chronic conditions, and infections.

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Case Study: Premature Birth in an At-Risk Family Erica is a former 27-week female, birthweight 1.14 kg, and birth length 38.0 cm; her weight, length, and head circumference measurements were appropriate for age. She was born to a 32-year-old woman with hypercholesterolemia and a pre-pregnant BMI of 18. This was her second pregnancy; she and her husband also have an 20-month-old daughter. Respiratory support and parenteral feeds of amino acids and dextrose were initiated on the day of delivery. The day after birth, small volumes of mother’s own breast milk were introduced via orogastric tube but were discontinued because of suspected intolerance. Breast milk was reintroduced three days later and Erica’s mother had a very good milk supply. There were multiple occurrences of abdominal distension and periods when enteral feeds were put on hold. Erica’s tolerance to fortified breast milk feeds slowly improved, and fortified feeds of breast milk were initiated at 18 days of age. Erica…
Boy Andriyko, 9 months old child, is at a routine check-up. Andriyko was born from 1 pregnancy, 1 delivery with a body weight of 2800 g, body length of 48 cm. In 1 month the child's weight was 3400 g, body length - 51 cm. At 2 months - 4200 g, body length was 54 cm. At this age, Andriyko suffered an intestinal infection and was hospitalized. In 4 months the child's weight was 5100 g, body length - 59 cm. At 5 months, the child's weight was 5700 g, body length - 61 cm. At 6 months, the weight is 6500 g, the body length is 63 cm. At 7 months, the child's weight was 7200 g, body length - 65 cm. Give an assessment of the child's physical development with World Health Organization using these charts .
A 3-week-old female newborn is brought to the emergency department because of a 4-day history of bluish discoloration of the feet, poor feeding, excessive sweating, and irritability. She was born at term following an uncomplicated pregnancy and spontaneous vaginal delivery. Examination following delivery showed no abnormalities and she was discharged two days later. She is exclusively breastfed. She appears ill. She is at the 70th percentile for length and 20:h percentile for weight. Her temperature is 36.8°C (98.2°F), pulse is 168/min, and respirations are 66/min. Her blood pressure is 91/69 mm Hg in the right arm, 90/70 mm Hg in the left arm, 72/67 mm Hg in the right lower limb, and 70/68 mm Hg in the left lower limb. Pulse oximetry on room air shows an oxygen saturation of 98% in the right hand and 78% in the right foot. On examination, subcostal retractions are seen, and the liver is palpated 4 cm below the right costal margin. Chest auscultation discloses fine crepitations in both…
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