VISIT AT AN OUTPATIENT CLINIC ( COMPLETE2025GUIDE)
,I HUMAN CASE STUDY WEEK 2 COMPREHENSIVE ASSESSMENT OF A 3-DAY -OLD INFANT DURING A WEL
VISIT AT AN OUTPATIENT CLINIC ( COMPLETE2025GUIDE)
Comprehensive Assessment of a 3-Day- fy fy fy fy
Old Infant During a Well Visit at an Outpatient Clinic
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Title Page (sample layout for APA 7th edition)
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Comprehensive Assessment of a 3-Day- fy fy fy fy
Old Infant During a Well Visit at an Outpatient Clinic
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Student Name Walde fy fy
n University
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Course Number – fy fy
Week 4 Instructor Name
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Date
Introduction
Early newborn assessments are critical for promoting health, detecting potential c
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omplications, and educating families on appropriate infant care. The first outpati
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ent well- fy
baby visit typically occurs within 48 to 72 hours after discharge from the birth fa
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cility. At this encounter, the healthcare provider evaluates the infant’s overall we
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ll-
being, feeding patterns, weight trajectory, and developmental adaptation to life out
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side the uterus. It is also an opportunity to counsel parents regarding safe sleep pra
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ctices, jaundice monitoring, immunization planning, and anticipatory guidance f
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or the coming weeks.
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This case study presents a comprehensive assessment of a healthy 3-day-
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old male infant who presents to the pediatric outpatient clinic for a routine well-
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newborn visit. The purpose of this report is to outline a complete subjective and
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objective evaluation, discuss differential diagnoses, highlight evidence-
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based management strategies, and provide parental education tailored to the needs
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of a neonate at this early stage of life.
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, I HUMAN CASE STUDY WEEK 2 COMPREHENSIVE ASSESSMENT OF A 3-DAY -OLD INFANT DURING A WEL
VISIT AT AN OUTPATIENT CLINIC ( COMPLETE2025GUIDE)
Patient Background fy
Infant Identification: “Baby A” (initials used to protect privacy)
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Age: 3 days fy fy
Sex: Male fy
Birth History: Baby A was delivered at 39 + 2 weeks of gestation via spontaneou
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s vaginal delivery at a community hospital. Apgar scores were 8 at 1 minute and 9
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at 5 minutes, indicating a smooth transition to extrauterine life. The infant requi
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red only routine drying and stimulation at birth. Birth weight was 3.2 kg (7 lb 1
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oz), length 50 cm, and head circumference 34 cm. Mother and infant were dischar
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ged home 36 hours postpartum.
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Maternal and Prenatal History: The mother is a healthy 27-year-
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old G1P1 who initiated prenatal care at eight weeks’ gestation. Her pregnancy
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was uncomplicated; she denies gestational diabetes, hypertension, or infections.
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Maternal labs were all within normal limits, including negative screening for grou
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p B streptococcus and HIV. No exposure to tobacco, alcohol, or illicit drugs was
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reported.
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Family and Social Context: Baby A lives with both biological parents in a sm
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free household. The family reports strong social support from grandparents and e
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xtended relatives. The parents have a reliable source of transportation, adequate
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housing, and stable employment. Both parents completed a certified newborn sa
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fety class prior to delivery and are knowledgeable about car seat use and safe-
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sleep recommendations. fy
Feeding and Elimination History: The infant is exclusively breast-
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fed every two to three hours, nursing for approximately 15–
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20 minutes per session. The mother describes initial nipple tenderness that has im
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proved with proper latch techniques. In the past 24 hours, Baby A has produced fo
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ur wet diapers and two stools transitioning from dark meconium to a greenish-
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yellow color—signs of adequate hydration and milk intake.
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Sleep and Behavioral Observations: Baby A sleeps a total of 16–
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18 hours per day, waking to feed about eight times. Parents place him on his
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back in a crib without loose bedding, consistent with American Academy of P
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ediatrics (AAP) safe- fy fy
sleep guidelines. They deny any episodes of apnea, cyanosis, or unusual irrita
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bility.