NR 602 Week 4 Pediatric Clinical Pearl Case Study Assignment.docx

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Pediatric Clinical Pearl Case Study Chamberlain University College of Nursing NR 602: Primary Care of the Childbearing and Childbearing Family January 31, 2022 Pediatric Clinical Pearl Case Study ... 1. Issue: Cognitive Development Milestones 2 Category Cognitive Development Milestones Issue-Pertinent Negative Mother says, “I try to like give him puzzles, I got him these, and it’s like a jigsaw. And he loves cars, so I don’t understand why he can’t do it. And see I give him the puzzle, look, he doesn’t even know how to put it together. So that’s why we are here today at the doctor’s office to make sure everything is right.” Observations:  The child is playing on the mother’s phone and she has no age-appropriate toys for him.  Mother is not holding the child, he is sitting on the table unattended at times when she is looking at her phone.  The child is wearing a small tank top, shorts, and no shoes and mom has a long-sleeved shirt, matching pants, and new tennis shoes on and she reports that child is walking.  Mother gives jigsaw puzzle to the child and expects him to solve it and expresses, “that’s why we are here today at the doctor’s office, to make sure everything right.” Pertinent Positive Observations:  The child has not been sick or had reactions to vaccines.  Vaccines up to date.  Mother is attempting to play and read with child when she tells him to turn the pages in the book.  Mother is concerned about child’s development and is seeking help. Guidelines or Jean Piaget’s theory of cognitive development at 1-2 years old are 3 Recommendations ending the sensorimotor stage as a baby and starting to enter the preoperational stage (Cherry, 2021). Piaget believed that children play an active role in learning by observing and imitating and interacting with the world around them to add upon existing knowledge. Object permanence is achieved in the sensorimotor stage as the child learns things continue to exist even out of sight. Using the Bright Futures Guidelines, established by the American Academy of Pediatrics, recommend developmentally appropriate games, toys, interactions, and expectations of a 1–2-year-old (Hagan et al, 2017). The mother should encourage cognitive development with scribbling and using crayons, dropping objects in and out of a container, throwing a ball while standing a few feet away, stacking objects, turning book pages, drawing lines, and using hands to turn toys or lids (Hagan et al, 2017). Reference Cherry, K. (2021, July 30). Cognitive Development Milestones. Developmental Psychology. Retrieved on January 29, 2022 from https://www.verywellmind.com/cognitivedev [Show More]

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