NAVARRO, RUTH LAUREEN P.

BSN 2 - A

M7: Lesson 27: Check-in Activity

 My mother said that the Principle of Growth and Development is applicable to my

experience during my infancy period. These principles are really important to look after
my growth and development. The factors influencing my growth and development are:
genetics, gender, health, intelligence, environment, nutrition, and temperament.
M7: Lesson 28: Check-in Activity

 Of course, they are happy that I am not behind during my developmental milestones.
They said that I started to walk when I am 9 months old and it is a little advance for my
age that time. I am also grateful to my grandfather who taught and assisted me to walk.
M7: Lesson 29: Check-in Activity

7:00 AM 6 oz of breastmilk
8:00 AM 1 toasted bread with a side of banana
2 oz of water
10:00 AM 2 oz of yoghurt
2 oz of water
1:00 PM 6 oz of breastmilk
2:00 PM Applesauce
2 oz of water
4:00 PM Mashed potato
2 oz of water
6:00 PM 3-4 oz of family dinner w/ veggies and
meat
2 oz of water
8:00 PM 6 oz of breast milk
10:00 PM 6 oz of breastmilk

M7: Lesson 30: Check-in Activity

 Bath helps the baby to become clean and stay healthy by protecting the baby’s skin.
Bath has also emotional benefits because it can be relaxing and comforting to the baby.
Beyond the health and emotional benefits, bath time can be also a play time for the
parent and the baby.
PRECAUTIONS:
- Never leave your baby alone in a bath. Even an inch of water can be deadly for
a newborn.
- Put the water into a small tub. A small tub lets you control the water temperature
for baby's bath.
- Keep your baby warm. The temperature of the room where
you're bathing your baby should be about 100°F
 NAVARRO, RUTH LAUREEN P.
BSN 2 - A

- Handle with care.

 Sleep help protect your baby from sudden infant death syndrome (also called SIDS) and
other dangers, like choking and suffocation.
PRECAUTIONS:
- Do put your baby to sleep on his back on a flat, firm surface, like a crib mattress
covered with a tightly fitted sheet.
- Do put your baby to bed in his own crib or bassinet.
- Do make sure your baby’s bassinet, crib or play yard meets current safety standards.
- Do remove hanging window cords or electrical wires near where your baby sleeps.
- Do keep the room at a comfortable temperature.
- Don’t use sleep positioners. These sometimes are called nests or anti-roll pillows. 
- Don’t keep crib bumpers, loose bedding, toys or other soft objects in your baby’s
crib. They put your baby in danger of being trapped, strangled or suffocated
- Don’t use cribs with drop-side rails. Don’t put portable bed rails on a regular bed.
Babies can get stuck in rails and choke. Don’t try to fix a crib that has broken or
missing parts.
M7: Lesson 31: Check-in Activity
NURSING
ASSESSMENT DIAGNOSIS ETIOLOGY PLAN/GOALS INTERVENTION RATIONALE EVALUATION

Subjective: Risk for Full term Assess the vital Assess the vital To check if any Baby’s weight
Mother said, imbalanced breastfed signs. signs variation from will be
“I am feeding nutrition Temperature: normal range increased and
my baby related to Assess the 36.5°C as vital signs improved
breastfeed full term body weight, Pulse rate: represent any growth and
milk, she is breastfed. height, head, 120/min abnormality in development
able to crawl chest, and Respiratory body. should be
and stand abdominal rate: 30/min maintained on
with help of circumference. next check-up.
holding Assess body To check the
tables and Educate the weight, height, pattern as Prevention of
objects, but mother the head, chest, and growth and risk of
don’t look term weaning abdominal development malnutrition.
chubby as and explain the circumference and note if any
before” process, as per growth sign of growth Baby is more
and failure. curious and not
Objective: Assess the development, irritable at all.
Weight: 8 baby’s growth note if not
kgs, full term and accordingly. Baby has able to
breast-fed development complete
Educate the To reduce the developmental
Height: Assess the mother that chance of milestones.
 NAVARRO, RUTH LAUREEN P.
BSN 2 - A

100cm baby’s ability baby is fully malnutrition

or when she breastfed up to and improve
Temperature: gets fatigue 6 months after the
36.5°C check for that development
irritability and introduction of of child.
Pulse other signs. food
Rate:120 combination of
beats/min Provide a diet solid/semisolid
chart for the food which is
Respiratory baby and tell called weaning
Rate: 30/min parents to is to be done.
monitor
Baby is able weight. Educate the To increase
to crawl mother about the body
position the food that weight and
(push up to) can be enhance her
sit back down introduced in physiological
and can pick starting liquids function as
up a toy. then semisolid body needs
then solid food raise as body
to be grows.
introduced
gradually.

Explain the To reduce the

steps to prepare chance of risk
for weaning of secondary
food. infection
related to
malnutrition,
also to
prevent the
baby from
indigestion
and improper
food intake.

Enhance the To reduce the

clean and risk of
hygiene practice diarrhea and
while cooking as other
well as feeding infection.
the baby.

Health To enhance
education better health
related to improvement
Protein, energy, and growth of
NAVARRO, RUTH LAUREEN P.
BSN 2 - A

malnutrition, baby.
prevention and
causes to be
explained in
detail.

M7: Lesson 32: Check-in Activity

Do’s of Vaccination

- In cases of fever that develop post vaccination, it is advised to keep the patient as cool as
possible and avoid layers of clothing and blankets. It is also advised to keep him/her
adequately hydrated and give plenty of fluids.
- A small dose of paracetamol or ibuprofen can be given for the management of fever, body
pain etc., that may develop after the vaccination; however, it should be given cautiously and
as per the instruction given by an experienced physician.
- A cool washed cloth may be used for reducing the pain and soreness that may develop over
the site of injection.
- In case of any abnormal reaction or anaphylactic reaction post vaccination, the patient
should be immediately taken to the emergency room for further evaluation and
management. All abnormal reactions should be reported to VAERS – Vaccine Adverse Event
Reporting System. It is a government body that tracks reactions to vaccination.
- It is advised to follow a healthy diet for a few weeks prior to the scheduled vaccination. It is
recommended to give whole-food to children and avoid processed food and refined sugar
before receiving the vaccination.
- Do space out the vaccines and keep the vaccines apart from each other as much as possible.
- It is recommended to insist the nurse to remove the vials and load the injections in front of
the patient or the guardian for surety.
- It is advised to be careful while giving vaccination to children delivered via c-section and
children who have not been adequately breast fed as their gut flora may be compromised.
- Do’s for Yearly Vaccination for Influenza: It is recommended to receive flu shot prior to the
onset of flu season ever year. It is contraindicated only if the patient is on Rituximab. For
patients above the age of 65 years, it is suggested to get a high-dose flu vaccine instead of
the conventional flu shot.
- Do’s for Pertussis Booster: With the comeback of whooping cough, it is advised to
get whooping cough booster done as per the suggested guidelines.
- Do’s for Prevnar 13 and Shingles Vaccination: Individuals above the age of 60 years are
suggested to get pneumococcal vaccination and shingles vaccination done to reduce the risk
of acquiring shingles and pneumonia at that age.

Don’ts of Vaccination
NAVARRO, RUTH LAUREEN P.
BSN 2 - A

- Do not vaccinate infants and children when they are sick. It is advised to avoid live
vaccination when the immune system is weak.
- Do not take analgesics or fever reducer before taking the vaccination as this may reduce the
effectiveness of the vaccine.
- Avoid any vaccination that elicited adverse reaction in the past.
- Avoid vaccination such as influenza vaccination and pneumococcal vaccination in patients
who are on Rituximab.
- The vaccination schedule should not be restarted from the beginning even if the interval
between doses exceeded the recommended interval by months or years.
- Avoid thinking that moderate fever, malnutrition, and respiratory infection, cough, diarrhea
and vomiting are contraindications to vaccination

References:

https://www.fairview.org/patient-education/82221

https://www.marchofdimes.org/baby/safe-sleep-for-your-baby.aspx

https://www.epainassist.com/opioid-treatment/interventional-treatment/dos-and-donts-of-vaccination