1 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 1 / 2
2 CategoryCognitive Development Milestones Issue-Pertinent NegativeMother 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
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