Pediatric Nurse Practitioner

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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?

 

Sample Solution

“Fine motor” refers to the movements we make with the small muscles of the hands. Children start to use their hands right at birth to explore their own bodies and the world around them. Their fine motor skills develop as their whole body starts to move and become more stable. They also learn to do more things with their hands as their cognitive and social/emotional skills improve. Between the ages of 12-18 months, your child will: point to pictures in the books; build a tower using 2 blocks; se their hands together to hold a toy at the middle of their body; scribble with a crayon. Red flags: Your child is not able to use a pincer grasp (thumb and pointer finger) to pick up small objects; Your child’s movements seem shaky or stiff.

Section I: INTRODUCTION TO THE STUDY Introduction The country is encountering a basic deficiency of medical care suppliers, a lack that is supposed to increment in the following five years, similarly as the biggest populace in our country’s set of experiences arrives at the age when expanded clinical consideration is vital (Pike, 2002). Staffing of emergency clinics, facilities, and nursing homes is more basic than any time in recent memory as the huge quantities of ‘gen X-ers’ start to understand the requirement for more continuous clinical mediation and long haul care. Interest in turning into a medical caretaker has disappeared lately, likely because of the historical backdrop of the extraordinary and requesting instructive cycle, low compensation, firm and extended periods of time, and fast ‘wear out’ of those rehearsing in the calling (Wharrad, 2003). A complex oversaw care climate in this country is restricting the dollars accessible to be spent on nursing care. Numerous wellbeing callings, particularly

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