Problem
Case Study: Baby Jasper-6 months old Baby Jasper was born term, measuring 52 cm in length and 3600 g in weight, with an unknown head circumference. He was breastfed until 3.5 months and then switched to formula. He takes approximately 700 ml of formula each day. Jasper has been increasinglyfussy and is difficult to settle. His 42 year old mother is a primipara and is very upset and worried. She states he has a dirty diaper only about every 5 days now but he has a wet diaper about 4 times each day. She has tried feeding him cereals and pureed vegetables but he seems uninterested. She sometimes puts a bit of cereal in his bottle. Jasper's measurements are as follows:
GESTATIONAL AGE AT BIRTH______39_______WEEKS DATE AGE LENGTH (cm) WEIGHT (g) HEAD CIRC. (cm) COMMENTS 2010-03-15 Birth 52 3600 2010-05-20 2 months 60.5 6000 2010-07-14 4 months 65 5900 Formula initiated at 3.5 months 2010-09-21 6 months 66 6100
Task
a) Which chart(s) would you use to monitor growth?
b) What pattern of growth are you seeing in this child?
c) How would you interpret the growth curve?
d) What additional information would you consider?
e) What conclusions would you draw from the measurements and pattern of growth on the growth chart? 6. How would you monitor growth and what actions/next steps would you take?