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Exam (elaborations)

NSG 6435 Week 1 Soap Note Latest Comprehensive

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NSG 6435 Week 1 Soap Note Latest Comprehensive. Child Profile: Child has met all milestones for 22 months:  No family stressors at home, child lives with both mother and father  ADLs: feeds self, help with undressed/dressed, helps with brushing teeth, wash/dry hands, toilet trained during the day, wakes up most mornings dry  Distinguishing between edible and inedible objects  Looking in the right spot for hidden objects  Playing next to children  Imitating adult behavior  Engaging in imaginative play  Has an awareness of a parent’s approval or disapproval  Sleep: 11hrs/night, self-soothing, in her own room  Nutrition: favorite foods: bananas, grilled cheese, hydration: drinks from sippy cup, milk with meals, water the rest of the day, no juice, minimal junk food, mother cooks meals daily  Safety: in rear facing car seat, not exposed to second hand smoke, no paternal history of etoh or substance abuse, no guns in the home.  Understanding common dangers of hot objects, stairs, glass  Regularly checking in with adults  Knowing where familiar items are kept  Removing own shoes and socks  Cooperating with dressing by extending an arm or leg She does not attend daycare or school she is at home with her mother HPI: 22 month old female who presents with her mother for 5 day symptoms of cough, congestion, wheezing and fever that started 2 days ago. Mother states that the child has been pulling at her ear for that last 2 days. Mother states that the child has not been herself for the last 2 days, she is normally playful, laughing and normally sleeps well but this has changed over the past 2 days. Mother states that there doesn’t seem to be any aggravating factors but OTC Motrin and Tylenol have helped the fever. Mother states that the pain comes and goes and that it has been disrupting her normal ADL’s and sleep. We offer online tutoring, help with assignments and essay writing for all Majors with a guaranteed pass. For assistance Contact Tutor Lucas:

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Uploaded on
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Written in
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