Patsy is a 21 years old female presented to your clinic with a 1-month-old baby
ID: 126599 • Letter: P
Question
Patsy is a 21 years old female presented to your clinic with a 1-month-old baby boy (Birth weight was 4.5 kg, Ht. 19’’) weight 6 kg, Ht. 23’’ at the clinic on the day of the visit. She stated that she breastfeed the baby sometimes and formula feeds other times. She stated that she went to the doctor during her pregnancy but not regularly. She lives alone but does get some support from her mother. She stated that she does not know the child’s father, therefore all the responsibility is on her. She stated that she frequently eats at fast food restaurants on different days of the week when they have specials. She receives food stamp and uses to buy formula. She is aware of WIC. The intake person calculated her height and weight to be 5’6’’ and 125 lbs.
1. Calculate the calorie requirements for both mother and baby.
2.Write a complete ADIME on the patient. (Ensure to research what services would be appropriate for this patient).
3. Include a growth chart.
Explanation / Answer
1.Calculate the calorie requirements for both mother and baby.
According to her height and weight, and activity, she needs to take 1800-2200 calories/day.
An only breastfeeding mother, by and large, needs to take in 300-500 calories for every day above what was expected to keep up pre-pregnancy weight. Since the prescribed included calories amid the last two trimesters of pregnancy is 300 calories/day, an only breastfeeding mother will regularly require either a similar measure of calories she was getting toward the finish of pregnancy, or up to 200 extra calories for each day. That is what might as well be called including 1-2 sound snacks for every day.
The lactating mother require not keep up an especially higher caloric admission than that kept up before pregnancy: by and large, 400-500 calories in abundance of that which is expected to keep up the mother's body weight is adequate."
A general rule for feeding infants is to multiply their weight by 2 1/2 to calculate the number of ounces to feed them in a 24-hour period, according to Babycenter.com.
In this case, the weight of the baby is 6 kgs.
1 kg = 2.2 pounds
So, the the baby weight in pounds: 13.2
Calculate now, 13.2 X 2 ½ = 33.
Therefore, the baby should consume 33 ounces throughout the day.
2. Write a complete ADIME on the patient. (Ensure to research what services would be appropriate for this patient).
Assessment:
· Height: 5’6’’
· BMI: 20.2
· Normal weight
· Breastfeed
Diagnosis:
Interventions:
· Maintenance of breast feeding
· Nutrition to maintain normal weight
· Nutrition to maintain optimal health
· Care of nursing baby
· Calculate the calories for baby per day
Monitoring/Evaluation:
· Evaluate blood composition in the mother after delivery
· Rule out any marked nutritional deficiencies
3. Include a growth chart.
Information is needed to prepare the growth chart for the baby:
A percentile of 50% represents the average or mean weight. A value below 50 percent means a baby weighs less than the average.