Topics of UNIRS in the course of work experience

Tickets for certification on industrial practice

According to MDK.01.03. Nursing in the primary system

Public health care

PM.01. Carrying out preventive measures

Section 3 Prevention training

In a primary health care setting.

Ticket number 1.

1. Give a detailed answer to the question posed:

What are the principles of organizing the state provision of children?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a nurse at a children’s polyclinic and visited a 4-month-old baby at home.

Target wording:

1. Name the reasons that caused changes in the child’s behavior.

2. List the satisfaction of what needs the child has.

3. What recommendations would you give to solve the problem?

Source:

The boy’s name is Sasha. Mom is 22, dad is 20. The young family lives with her husband’s parents. The child in the family is desired, was born from the first pregnancy, 1st birth, on time, weighing 3500 g, 50 cm long, approx. Goal. 34 cm, approx. gr. 32 cm, with an Apgar score of 9-10 points. He screamed immediately, was attached to the breast 20 minutes after birth, sucked actively, and was discharged home from the maternity hospital on the 4th day. The BCG vaccination was made at the maternity hospital.

At the time of examination: the child is breast-fed, breastfed 5 times a day.

Mom complains about the child’s anxiety, poor sleep. Sasha cannot stand the night break, his mother feeds him 2 times a night. For the 4th month, the boy gained 300 g in weight. For the 1st month – 1 kg, for the 2nd and 3rd months – 800 g each.

Mom does not have milk after feeding, although in the last 2 months she has expressed up to 120g per day.

From the conversation with the mother, it turned out that the situation in the house has been turbulent for the last 2 months, the mother often quarrels with her husband’s parents, with the mother-in-law, who makes comments and instructions to the mother: how to feed, dress the child, take care of.

The father of the child is a student of the evening department of the university, works at a construction site during the day, practically never comes home, does not help his wife. The boy was examined by a pediatrician; no pathology was found in the internal organs.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 2.

1. Give a detailed answer to the question posed:

What are the main activities of the children’s clinic?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a local nurse in a children’s clinic.

Target wording:

1. Has the child gained enough weight?

2. Does the mother have enough milk?

3. Give recommendations on the mode and volume of feeding.

Source:

Baby is 3 weeks old. She is breastfed, applied to the mother’s breast after 3 hours 7 times a day, there is no night feeding. The mother went to the doctor with a request to check the amount of milk, as it seems to her that the child is not full. On examination: the baby is active, calm, has a body weight of 3400 g (birth weight 3000 g). During control weighing, she sucks 80-90 ml of milk from her breast.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 3.

1. Give a detailed answer to the question posed:

Name the structural divisions of the children’s clinic: goals and objectives of the work.

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a local nurse in a children’s clinic.

Target wording:

1. Estimate the weight and length of the child.

2. Is the mother rationally feeding the child? Give recommendations.

3. Make an approximate diet for 1 day.

Source:

A child of 7 months, feeds 5 times a day after 4 hours. Every day she receives 3 times mother’s breast, 1 time – vegetable puree, 1 time – milk rice porridge, 1 egg yolk, fruit puree and juices.

The mother went to the doctor for advice on the child’s diet. On examination: the child is active, cheerful, psychomotor development corresponds to age, body weight 8600 g, length 69 cm (birth weight 3200 g, length 51 cm).

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 4.

1. Give a detailed answer to the question posed:

How is the health status of children monitored? What does a comprehensive health assessment include?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a local nurse in a children’s clinic.

Target wording:

1. Determine the age of the child.

2. Calculate the required weight, height, head circumference, chest circumference.

3. Assess the NDP, determine the development group.

Source:

A girl was born:

Weight of the child – 3000 g

Height – 50cm

Head circumference – 35 cm

Chest circumference – 34 cm

On examination: lying on his stomach for several minutes, leaning on his forearms, raising his head high. In an upright position, it holds a look at a toy, a talking person. Sometimes he runs his hands on toys hanging over his chest. It revives when attention is paid to it, it hums.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 5.

1. Give a detailed answer to the question posed:

Name the health groups and risk groups.

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a local nurse in a children’s clinic.

Target wording:

1. Assess CPD.

2. Determine the age of the child.

3. Calculate the required weight, height, head circumference, chest circumference.

Source:

A young mother came to the reception with a girl: the weight of the child is 3200 g, the height of the child is 50 cm, the head circumference is 36 cm, the chest circumference is 34 cm.

On examination: The child pronounces syllables loudly, repeats, searches for and finds objects and faces with his eyes, when they are called, he sits down and urinates. He is engaged in toys for a long time, examines them, taps with a toy on a toy. Drinks from a cup held by an adult. No pathology was found in the internal organs.

Anthropometry at present:

Weight – 8900 g

Height – 70 cm

Head circumference – 44 cm

Chest circumference – 45 cm

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 6.

1. Give a detailed answer to the question posed:

What are the duties of a nurse in a healthy child’s office?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a local nurse in a children’s clinic.

Target wording:

1. Assess CPD.

2. Assess the RF.

3. Determine the age of the child.

Source:

The child was brought in.

Anthropometry at birth:

Weight – 3000 g

Height – 50 cm

Head circumference – 35 cm

Chest circumference – 34cm

On examination: The child finds with his eyes an invisible source of sound, grabs hanging toys, hums, holds his chest with his hands during feeding. From the side of the internal organs there is no pathology.

Anthropometry at present:

Weight of the child – 6000 g

Height – 60 cm

Head circumference – 39 cm

Chest circumference – 40 cm.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 7.

1. Give a detailed answer to the question posed:

What is the job of a visiting nurse in a children’s clinic?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a visiting nurse at a children’s clinic.

Target wording:

1. Should your mother’s complaints worry you?

2. What unconditioned reflex is well expressed in this child?

3. By what sign can one judge this?

4. How to check the protective reflex? What is the child’s response to this?

5. You have come to the conclusion that the child’s condition is good. What arguments should you be recorded in the history of the development of the child?

Source:

Child 7 days old. Was born on time. Parents are students. The weight of the child is 3200 g, at discharge from the hospital on the 7th day 3150 g. The chest takes well.

On the day of discharge from the maternity hospital, the mother was concerned that the child was sleeping almost all the time, she went to the clinic.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 8.

1. Give a detailed answer to the question posed:

How is child health screening carried out? What is the dispensary observation of children of the 1st, 2nd health groups?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a local nurse in a children’s clinic.

Target wording:

1. Chart psychometrics.

2. Determine the group of neuropsychic development.

3. Give recommendations on educational influences with the child.

4. Name the due weight of the child at the age of 3 months.

Source:

Girl 3 months old: fixes her gaze on stationary objects, the face of an adult, being in any position. In response to a conversation, he shows joy with a smile, lively movements of the legs, sounds. He holds his head well when lying on his stomach, there is an emphasis on the legs. Doesn’t hum. Grabs a hanging toy.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 9.

1. Give a detailed answer to the question posed:

What are the goals and objectives of medical examination of the child population? Documentation of dispensary observation.

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a local nurse in a children’s clinic.

Target wording:

1. Chart psychometrics.

2. Define the CPD group.

3. Make a care plan for the m / s and recommendations for medical and pedagogical correction.

4. Name the due weight of the child at the age of 5 months.

Source:

A 5-month-old child reacts to the mother’s voice, smiles at affectionate speech, and reacts to the doctor’s face by crying. He looks at the toy for a long time, grabs the toy on his own.

Rolls over onto his back from a position on his stomach, lies on his stomach for a long time, tries to crawl, babbles, holds a bottle, does not drink from a cup, does not eat from a spoon.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 10.

1. Give a detailed answer to the question posed:

What are the goals and objectives of the Center for Children’s Health? What are the principles of organizing the “Center for Children’s Health”.

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a local nurse in a children’s clinic.

Target wording:

1. Assess the physical development of the child.

2. Make a menu for the day.

Source:

A mother with a 4-month-old baby came to the clinic for an appointment. Mom’s complaints about the girl’s lag in physical development:

Parameters at birth:

Weight – 4200 g

Height – 56 cm

okr. Goal. – 35 cm

okr. chest – 34 cm

Parameters at 4 months:

Weight – 7000 g

Height – 70 cm

okr. Goal. – 38 cm

okr. chest – 39 cm

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 11.

1. Give a detailed answer to the question posed:

What are the goals and objectives of the “School of Health” in the children’s clinic? What are the principles of the organization of “Schools of Health”.

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Motivation: You work as a nurse in a children’s clinic.

Target wording:

1. Assess the physical development of the child.

2. Make a menu for the day.

Source:

You have been approached by a neighbor with a request to examine the child and evaluate his FR. Child 7 months (boy).

Parameters at birth:

Weight – 3000 g

Height – 52 cm

okr. Goal. – 35 cm

okr. chest – 34 cm

Parameters at 7 months:

Weight – 8000 g

Height – 66 cm

okr. Goal. – 42 cm

okr. chest – 42 cm

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 12.

1. Give a detailed answer to the question posed:

What are the goals and objectives of the School for Young Mothers?

What is the participation of a nurse in the work of the “School of Young Mothers”?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a visiting nurse at a children’s clinic.

Target wording:

1. Identify existing problems. What are they related to?

2. Determine the risk of developing pathology in the unborn child and the tactics of preventive measures.

3. Give the mother nutritional advice.

Source:

Pregnancy I, desired. Mother is 23 years old, father is 24. Parents do not have chronic diseases. The child’s father is not associated with occupational hazards. Mother denies bad habits, father smokes 10-15 cigarettes a day. They live in a separate room of a family working hostel. Mother is a 4th year student of the institute, father is a worker. They live in 7m2 . Neighbors – a young family with a 4-month-old child, were examined. There is a common bathroom. knot, kitchen.

The family income per person is equal to the subsistence level. The father has relatives who, if necessary, can take care of the child. Relations in the family are even, the mother studies at the university, attends all classes. She plans to pass exams ahead of schedule before giving birth, then take an academic leave for 1 year. The regime of the day and diet is not maintained.

At 16 weeks of pregnancy, the woman suffered a mild ARVI, was treated with herbs. At 24 weeks of pregnancy, mild anemia was detected, maltofer was prescribed, hemoglobin at 32 weeks – 110 g/l.

Inspection data during prenatal care: the dowry for the baby is prepared in accordance with the list of necessary items. There is a separate baby cot, stroller. When examining the mammary glands revealed a flat nipple.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 13.

1. Give a detailed answer to the question posed:

What are the goals and objectives of the “School of Expectant Mothers”?

What is the participation of a nurse in the work of the “School of Expectant Mothers”?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Incentive: You are a visiting nurse at a children’s clinic .

Target wording:

1. Tasks of primary care for a newborn.

2. Assess the child’s condition.

3. Name the frequency of observation by a nurse in the first month of life.

4. Teach the mother (conditionally) how to perform a hygienic bath.

Source:

The nurse conducts primary care for the newborn. The child was born from the first normal pregnancy. Birth on time. He screamed right away. Apgar score 8 – 9 points. Weight at birth – 3350 g, body length – 51 cm. Attached to the chest immediately after birth. Sucks actively, mother has enough milk. BCG was carried out on the 4th day. The child was discharged on the 5th day with a weight of 3300 g. The condition is satisfactory. The skin, mucous membranes are pink, with a moderately icteric color. Heart sounds are clear. Pulse 130 beats per minute. In the lungs, puerile breathing. The abdomen is soft. Umbilical ring under the crust. The stool is mushy, light yellow in color with a sour smell. Reflexes are determined: Bauer, Moreau.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 14.

1. Give a detailed answer to the question posed:

What are the goals and objectives of primary care for a newborn? Name the dates of the visit, the documentation of the patronage visit.

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a visiting nurse at a children’s clinic.

Target wording:

1. Tasks of primary care for a newborn.

2. Assess the child’s condition.

3. Name the frequency of observation by a nurse in the first month of life.

4. Teach the mother (conditionally) how to perform the morning toilet for the newborn.

Source:

The nurse conducts primary care for the newborn. A child from the second pregnancy, which proceeded with nephropathy in the second half (increased blood pressure, edema, excess weight gain, gained 15 kg in weight.). Anemia was noted in the first trimester. She was hospitalized twice during pregnancy and received adequate therapy. The child is desired. The delivery was urgent, the child was born with a weight of 3400 g, a length of 52 cm, screamed after suctioning the mucus. Apgar score 7-8 points. Attached to the breast after 12 hours. Sucking actively, enough milk. Discharged on the 6th day with a weight of 3300 g, BCG was carried out on the 5th day. The eldest child is 4 years old, does not attend preschool.

On examination: the condition is satisfactory. The skin, mucous membranes are pink, with a moderately icteric color. Heart sounds are clear. Pulse 130 beats per minute. In the lungs, puerile breathing. The abdomen is soft. Umbilical wound under the crust. The stool is mushy, light yellow in color with a sour smell.

Mom thinks that milk is not enough, because. the child does not withstand 3-hour intervals between feedings.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 15.

1. Give a detailed answer to the question posed:

What are the goals and objectives of antenatal care? Name the timing, documentation of patronage visits.

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Stimulus: You are a nurse in a healthy child’s office.

Target wording:

1. Chart psychometrics.

2. Assess CPD.

3. Make a care plan for the m / s and recommendations for medical and pedagogical correction.

Source:

The child is 1 year old. Crawls and stands, holding on, sits and sits independently, does not walk. Rolls the ring on a smooth surface, removes, but does not string the rings onto the rod. Fulfills the requests of an adult (finds and gives familiar objects), understands the word “no”. Says “mom”. Drinks from a cup held by an adult, eats liquid food from a spoon.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 16.

1. Give a detailed answer to the question posed:

What are the goals and objectives of patronage for a healthy child of the 1st year of life? Name the terms of the visit, the rules for processing the documentation of patronage visits.

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Incentive: You are a health visitor nurse, providing primary care for a child for 10 days.

Target wording:

1. Define risk groups.

2. Plan measures to prevent the realization of the risk.

3. Give advice to the mother on the prevention of hypogalactia.

Source:

A child from the 2nd pregnancy (the 1st pregnancy ended in a medical abortion), which proceeded with SARS at 26 weeks (the treatment was symptomatic), the threat of termination of pregnancy at 32 weeks.

Mother, 24 years old, suffers from chronic tonsillitis. Childbirth at 38 weeks of gestation. Apgar score 7-8 points. Attached to the breast in the delivery room. In the maternity hospital, he was in the “Mother and Child” ward. Vaccinations against hepatitis B and against tuberculosis were carried out in the maternity hospital. Discharged on the 5th day of life in a satisfactory condition.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 17.

1. Give a detailed answer to the question posed:

What is the job of a nurse in a children’s polyclinic to encourage breastfeeding?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Motivation: You are a health visitor doing antenatal care.

Target wording:

1. Identify risk factors, determine the risk group of the unborn child.

2. Give recommendations on nutrition and observance of the daily routine of a pregnant woman.

3. Prepare a plan of conversations with your mother about the prevention of rickets, anemia in a child.

Source:

The gestation period is 8 weeks; mother’s age – 25 years; profession – lawyer; is married.

Father’s age is 25 years old, profession is an electrician.

Other family members: maternal grandmother 50 years old, maternal grandfather 55 years old. Financial security is sufficient. Living conditions are good.

Allergological history – not burdened.

Genealogical history: my grandmother on my father’s side has osteochondrosis; maternal grandfather had coronary artery disease; the grandmother on the mother’s side had a stomach ulcer; mother has mild myopia.

Bad habits – no. Total pregnancies 1.

Current pregnancy: no features. Fluorography at 5 weeks. Professions are excluded.

Daily routine: walks in the fresh air – 2 hours, daytime sleep – 2 hours, night sleep – 9-10 hours. Attends antenatal clinic.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 18.

1. Give a detailed answer to the question posed:

What is the work of a nurse in a children’s polyclinic in organizing nutrition for young children?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Incentive: You are a patronage nurse, providing primary patronage to a newborn 8 days old.

Target wording:

1. Determine the risk group, health group.

2. Give recommendations to the mother on the daily routine, the organization of the child’s nutrition.

3. Teach mom the rules for the morning toilet.

Source:

Anthropometry: height – 51 cm, weight – 3400 g, approx. Goal. – 34 cm, approx. gr. – 33 cm.

Psychometry: Az – 10 days, Ac – 10 days.

Genealogical history: grandmother on the father’s side of IHD; my maternal grandfather has GB, osteochondrosis.

Biological history: present pregnancy IV; from the 1st – a boy of 6 years old, healthy; from the second – the boy died at 6 months. from VPR; from III – the boy died at 3 months. – Sudden death syndrome.

This pregnancy proceeded against the background of anemia of the 1st degree, preeclampsia of the 2nd degree. from 30 weeks. Delivery is urgent. Child weight 3470 g, height 51 cm, approx. Goal. – 34 cm, approx. gr. – 33 cm Apgar score 9-10 points. The maximum weight loss was 3%, the weight at discharge was 3400 g. The umbilical cord fell off on the 3rd day. Physiological jaundice appeared on the 3rd day, no treatment was carried out.

Examined by a neuropathologist, an ophthalmologist – no pathology was detected. Attached to the breast on the first day, the mother’s lactation is sufficient. Made BCG-M on the 4th day.

The condition is satisfactory. The wakefulness of the child is calm. Sleep is deep, falls asleep calmly, the total duration of sleep is 18 hours a day. Physiological reflexes: search, proboscis, protective, grasping, Moro, support, automatic gait, lively, symmetrical. Pose with a predominance of hypertonicity of the limbs. The skin is pink, elastic. Mucous membranes are moist, pink. Subcutaneous fat is moderately developed, tissue turgor is preserved. Respiratory rate – 40 per 1 min., Heart rate – 130 per 1 min. The abdomen is soft. The umbilical wound dries up. Urination – 20 times, stool – 5 times. The genital organs are formed correctly according to the female type.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 19.

1. Give a detailed answer to the question posed:

What are the timing and rules for the introduction of complementary foods? Preparation of meals.

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Incentive: You are a district nurse at a children’s polyclinic, conducting a medical examination of a 3-month-old child.

Target wording:

1. Estimate FR by centile tables.

2. Determine the risk group, health group.

3. Give recommendations on educational influences.

Source:

Vasya P., 3 months old

Anthropometry: weight – 6000 g, body length – 62 cm, approx. gr. – 39 cm, approx. Goal. – 41.8 cm,

BR – 1.5 x 1.0, dense edges.

BCG-M – infiltrate with a diameter of 5 mm.

Objectively: the general condition of the child is satisfactory, t – 36.6 °C, active. Sleep is not disturbed. Sucks well, does not spit up. Tissue turgor is satisfactory. Muscle tone – hypertonicity of the extremities predominates.

The head is rounded, the bones of the skull are of normal density. The skin is clean, pale pink. The mucous membrane of the mouth is clean, pink. Respiratory rate – 28 per minute, heart rate – 136 per minute. The abdomen is soft. Stool – 2 times a day, urination – 15-20 times a day.

For the past period did not hurt. Has been on mixed feeding since 2 months (mother’s hypogalactia) – “Nan” mixture – 100.0 per 1 feeding. The mother was treated for hypogalactia.

Reviewed by experts:

– neuropathologist: practically healthy;

– orthopedist: diagnosis – healthy.

In the general analysis of urine – no pathology.

In the general blood test: Hb – 115 g / l, Er – 4.5 x 10 12 / l, CP – 0.8.

Rickets is being prevented.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Ticket number 20.

1. Give a detailed answer to the question posed:

What is the significance of massage and gymnastics, hardening for the health of children?

2. You are invited to complete the task, which consists of a problem statement and a source. In the task formulation, you will be asked to complete tasks.

Incentive: You are a local nurse in a children’s polyclinic, you carry out medical examination of a child for 12 months.

Target wording:

1. Estimate FR by centile tables. Describe the neuropsychic development of the child.

2. Determine the risk group, health group.

3. Make a plan for dispensary observation in the 2nd year of life.

Source:

Diana K., 12 months old There are no complaints.

Genealogical history: maternal grandmother had coronary artery disease.

Social history: good.

Biological history: Pregnancy proceeded against the background of the threat of termination at 20 weeks, 26 weeks. Childbirth at 36 weeks. Apgar score at 1 minute – 6 points, at 5 minutes – 8 points. Cried after sucking mucus from the upper respiratory tract. Birth weight – 3560 g, length – 52 cm. Pregnancy I, childbirth I. The child is desired.

The child was breastfed for up to 2 months, then artificially fed due to hypogalactia in the mother. All complementary foods were introduced by age. Prevention of anemia, rickets was carried out; received treatment from a neurologist.

NPR: Az – 12 months, Ac – 12 months, Dr – 12 months, Do – 12 months, Rp – 12 months, Ra – 12 months, N – 10 months.

Anthropometry: BR closed, teeth – 2/4, weight – 10200 g, length – 75 cm, approx. Goal. – 46 cm, approx. gr. – 48 cm.

Resistance: a child at 1 year of age suffered 3 acute respiratory diseases.

Functional state: behavior without deviations. The condition is satisfactory. Responds positively to inspection. The skin is clean. The subcutaneous fat is well developed. Tissue turgor is preserved. Muscle tone is sufficient, the child walks independently. Heart rate – 126 per minute, respiratory rate – 32 per minute. The abdomen is soft, stool 1 time, urination – 15-16 times.

Examinations of specialists: neuropathologist – Ds: healthy. ENT doctor, dentist, orthopedist – healthy. The ophthalmologist is at risk for myopia. The surgeon is healthy. Laboratory studies – no pathology. Feces for eggs of worms – negative. Scraping for enterobiosis was negative.

3. Protection of the practice report.

Considered at the meeting

pediatric cycle

Protocol No.______

from “___” _________ 2012

CMC Chairman

Malova O.M.____________

Topics of UNIRS in the course of work experience

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