Nutrition—Infancy Case Study - Bright Futures：营养期案例研究——光明的未来.docVIP

Bright Futures in Practice: Nutrition—Infancy Case Study Julie Parker is a 4-month old baby who has been exclusively breastfed. Julie weighs 15 pounds and is 25 inches in length. During Julie’s well-child visit, Mrs. Parker tells the nurse that she may stop breastfeeding her baby when she returns to work full-time in about 2 weeks. Mrs. Parker has questions about whether she should start feeding Julie infant formula and solid foods. Since this is her first baby, Mrs. Parker has asked many mothers (including her own mother) for advice on feeding. They are encouraging her to start infant formula, cereal, and fruit right away. Mrs. Parker worries that Julie may have adverse reactions to trying so many new foods. And, she is concerned about Julie choking on food. 1. What initial information have you gathered? 2. What are the mother’s nutrition concerns? 3. What interview questions would you ask to gather more information? 4. What screening and assessment would you conduct? 5. Identify three areas of counseling that you would provide to the family and other caregivers. 6. Identify three nutrition resources that might be helpful for the family. 1. What initial information have you gathered? 4-month old girl Weight 15 pounds, length 25 inches Baby exclusively breastfed, no supplemental infant formula or solid foods Mother is returning to work full-time in 2 weeks 2. What are the mother’s nutrition concerns? Whether to feed her baby breastmilk or infant formula When to introduce solid foods, what foods to introduce first How to prevent adverse reactions to food allergies How to prevent choking on foods 3. What interview questions would you ask to gather more information? Have you considered expressing your breastmilk? Would you have a place to store the milk? When you return to work, could you breastfeed your baby in the morning and evening and have others fed your baby expressed breastmilk during the day? When you return to work, could you breastfeed your baby in t