Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
SUBJECTIVE
Cassidy, a 12‐hour‐old female, was born at home via planned home birth. She was brought into the office for an initial health maintenance visit. On initial examination, she was found to have rapid breathing when the office nurse weighed her. Cassidy is accompanied by both parents. There are no parental concerns.
Birth history: Cassidy is the product of a 40‐week gestation. She was delivered vaginally at home by a certified nurse midwife. During the pregnancy, Cassidy’s mother had no falls, infections, or known exposures to environmental hazards. She did not drink alcohol, take prescription medica-tion (other than prenatal vitamins), use tobacco products, or use illicit drugs. The total labor dura-tion was 2 hours. Cassidy’s birth weight was 3380 g and her Apgar scores were 9 at 1 minute and 9 at 5 minutes.
Social history: Cassidy was born to a 37‐year‐old mother. Cassidy is the second child and has a 3‐year‐old sibling. She lives at home with both parents and her older sibling. The family employs an au pair who also resides in the home. Both parents are college educated. The mother works as a research assistant, and the father works as an accountant. There are no pets or smokers in the home.
Diet: Breastfeeding ad lib, but mother feels that Cassidy is having problems latching on. Colostrum is present. Milk has not come in yet.
Elimination: Urinated at birth, and has had 3 wet diapers since that time. Passed meconium at 10 hours of age.
Sleep: Sleeps between feedings.
Family medical history: PGF (age 67): sarcoidosis; PGM (age 63): healthy; MGF (age 64): Type 2
diabetes; MGM (age 64): history of MI at age 63; mother (age 37): healthy; father (age 42): healthy;
Sibling #1 (age 3): healthy; history of bronchiolitis.
Medications: Currently taking no prescription, herbal, or over‐the‐counter medications.
Allergies: No known allergies to food, medications, or environment.
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan.
© 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd.
7
8 The Neonate
OBJECTIVE
Vital signs: Weight in the office today is 3360 g; length: 48 cm; temperature: 37.2°C (rectal); pulse
oximeter reading: 95% on room air.
General: Alert, active baby.
Skin: Clear with no lesions noted; no cyanosis of skin, lips, or nails; no diaphoresis noted; skin turgor intact.
Head: Molding present; anterior fontanel open and flat (2 cm × 2 cm); posterior fontanel open and flat (1 cm × 1 cm).
Eyes: Red reflex present bilaterally; pupils equal, round, and reactive to light; no discharge noted.
Ears: Pinnae normal; tympanic membranes gray bilaterally with positive light reflex.
Nose: Both nostrils patent; no discharge; mild nasal flaring.
Oropharynx: Mucous membranes moist; no teeth present; no lesions.
Neck: Supple; no nodes.
Respiratory: RR = 68; crackles present in lower lung fields bilaterally; mild intercostal retractions; no grunting. No deformities of the thoracic cage noted.
Cardiac/Peripheral vascular: HR = 120; regular rhythm; no murmur noted; brachial and femoral pulses present and 2+ bilaterally.
Abdomen/Gastrointestinal: Soft, nontender, nondistended, no evidence of hepatosplenomegaly.
Umbilical cord is in place with no signs and symptoms of infection.
Genitourinary: Normal female genitalia.
Back: Spine straight.
Extremities: Full range of motion of all extremities; warm and well‐perfused; capillary refill <2 seconds; negative hip click.
Neurologic: Good suck and cry; good tone in all extremities; positive Moro, rooting, gag, plantar, palmar, and Babinski reflexes.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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