NURS 3230 #3 Case study on Preschooler- University of Houston

Case Studies, Chapter 27, Growth and Development of the Preschooler 1. Donnie has brought his 4-year-old son, Isaac, to the pediatric free clinic for a kindergarten physical. Isaac is the older of two children of Donnie and Mary Smith. Donnie is employed as a farrier, but his work does not provide insurance and he has come to a nurse-operated free clinic. Donnie shares that Isaac enjoys spending time with his father when he is working with the horses, but he is concerned that Isaac has an imaginary friend named “Tackle.” On physical examination, Isaac is 39 in tall and weighs 35 lb. Donnie is a man of average height (5’9” with a slim build). Donnie is concerned that Isaac may be too small for his age. (Learning Objectives 1) A. What can the nurse communicate to Isaac’s father about his physical growth? The nurse can discuss with Isaac’s father that preschool-age children typically remain orderly. Some preschoolers can develop faster than others as well as reach various developmental milestones quicker. If at any occasion the preschooler manages to be hospitalized, growth development may be altered. However, if their development is good and there are no signs of developmental delay then Isaac’s father has no need to be concerned. B. What can the nurse teach Isaac’s father about his cognitive and psychosocia