Download Practice Case Study

Infant:
Activity 1
Case Study—How Is Stan’s Growth?
Stan, six months old, has been seen by a WIC registered dietitian for concerns with
slow growth, every month for the past four months. His length and weight data are as
follows:
Age
Birth
2 months
3 months
4 months
5 months
6 months
Weight
5 pounds, 8 ounces
8 pounds, 12 ounces
11 pounds, 1 ounce
12 pounds, 8 ounces
13 pounds, 10 ounces
15 pounds, 2 ounces
Length
18”
21”
23 ½”
23 ½”
24 ½”
25 ¼”
Stan has been bottle-fed since the second week of life because his mother was
concerned she wasn’t producing adequate amounts of breast milk to support his
growth.
Questions:
1. Complete the following table with growth chart data (see Appendix A for sample
growth charts):
Age
Weight-for-Age %
Length-for-Age %
Birth
2 months
3 months
4 months
5 months
6 months
2. What is a possible explanation for the “jump” in Stan’s length at 3 months of age?
3. Why is it important to have a series of growth measurements available when
tracking growth in a growth chart?
4. What does Stan’s current weight-for-age percentile say about his weight?
1
Activity 2
Case Study—Baby Samantha pg. 237
Samantha Case questions
1) What signs is baby Samantha giving to show that she needs comforting rather than
hunger?
2) How might Kathy change her routine to give baby Samantha more attention and meet
the needs of her older daughter?
3) At 8 months, is Samantha too young to overeat out of emotional needs?
4) Should Kathy stop or continue breastfeeding to improve Samantha’s eating?
2