Infant Well Visit Zachary LaFontaine Shadow health Transcript
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Hi, I am Anthony, I will interview and examine you
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Greet |
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Hi.
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what is your relationship with the patient?
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Question  Struggling to meet your deadline?Get your assignment on Infant Well Visit Zachary LaFontaine Shadow health Transcript done by certified MDs and PhDs in the USA. ORDER NOW! |
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Yes, Zachary is my son.
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Why are you here today?
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We’re here for Zachary’s wellness visit. It was hard to work it into our schedule, but I know it’s important.
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Do you breastfeed your son? Infant Well Visit Zachary LaFontaine Shadow health Transcript
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I breastfeed Zachary. It’s important to me that I do. It’s been challenging–my mother helps me out with a lot of advice, but she never breastfed so it’s new for both of us.
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Do you give him both breasts?
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I feed Zachary about 10 minutes on each side. So that’s 20 minutes.
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Do you supplement with formula?
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Zachary only gets breastmilk, no formula at all.
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This is one area where Zachary and I do great. Feeding is never painful and he latches well.
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Do you prefer breastfeeding to formula?
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I want to only breastfeed Zachary. I know formula is an option, but that would be a last resort. I want to focus on giving my baby breast milk.
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How do you feel about your family life?
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I’m glad I live at home. It helps to be with my mom and dad. I do my best to take care of myself, but my focus is Zachary.
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Do you have enough time to breastfeed? Infant Well Visit Zachary LaFontaine Shadow health Transcript
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I just don’t have enough time to breastfeed. I want to, but I work and go to school. I’m so busy, and it’s just overwhelming to fit everything in, plus breastfeeding.
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Am sorry about that
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Empathize |
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That’s nice of you.
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What is your son’s feeding schedule?
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I try for 2-3 hours during the day and 3-4 at night. We don’t always manage it, though.
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Do you feed your son the same time every day?
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Zachary’s feeding schedule depends on what classes I have that day. So feedings change with the days of the week.
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What is your son’s sleep schedule?
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That’s a complicated answer. Zachary sleeps 16 hours a day on Monday, Wednesday, Friday and the weekends. I’m not sure about Tuesday or Thursday, I have class those days. I know my mom gives him an extra nap.
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You should ensure that your son sticks to sleep schedule
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Educate |
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Good to know.
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Do you sleep with your son?
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Zachary sleeps in a bassinet at night or sometimes in his cradleboard. He’s always swaddled and always on his back. I keep the bassinet empty and in my room, so I’m always nearby. I’m really afraid of SIDS or anything like that, so I did a lot of reading on sleep safety.
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How many times does your son urinate?
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He has about 5 or 6 wet diapers a day.
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How many times does he defecate per day?
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Usually three times a day, sometimes less than that.
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What is the consistency of your son’s feces:?
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They’re soft.
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Does your son smile?
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Zachary is a very happy baby. He smiles quite a bit. It’s nice coming home from school or work to see him.
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Does he track objects with eyes?
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He does, yes. He also loves staring at strangers. He seems curious about everything.
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| Infant Well Visit Zachary LaFontaine Shadow health Transcript | ||
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Am sorry about that
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Empathize |
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Thanks
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Inspected head circumference growth chart
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Inspected weight and length growth chart
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Inspected nose
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Inspected ears
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Frenulum attached middle of mouth floor. Appropriate length and movements. Appears thin. Palate meets at the midline completely. Tongue appears smooth and uvula located at midline.
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Inspected skin
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Inspected skin: diaper area
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Inspected genitalia Infant Well Visit Zachary LaFontaine Shadow health Transcript
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Assessed Musculoskeletal Barlow and Ortolani
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Assessed eyes: pupils
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Assessed Eye Tracking
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Assessed extremities
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Assessed grasp: Able to lift shoulders off table with expected head lag.
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Assessed Moro Reflex: Infant briskly abducts arms and legs symmetrically, then brings legs up against trunk.
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Assessed Tonic Reflex and neck range of motion.
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Assessed pulse
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Assessed Rooting Reflex: Infant turns head in direction of stimulus and opens mouth. Infant Well Visit Zachary LaFontaine Shadow health Transcript
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Infant response with sucking motion. Tongue protrudes past lips.
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Assessed neurological stepping/walking reflex
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Palpated abdomen
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Anterior fontanelle palpated is diamond-shaped, soft, flat, approximately 2-3 cm in width and 3-4 cm in length. Posterior fontanelle is triangle shaped 0.5-1 cm in size, soft, and flat.
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Auscultated Upper Right Abdomen: Abdomen rounded, appropriate for age.
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Auscultated Upper Left Abdomen: Abdomen rounded, appropriate for age.
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Auscultated Lower Right Abdomen: Abdomen rounded, appropriate for age.
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Auscultated Lower Left Abdomen: Abdomen rounded, appropriate for age.
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Auscultated Top Right Chest: Apical pulse palpated reveals rate steady and regular intervals.
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Auscultated Top Left Chest: Apical pulse palpated reveals rate steady and regular intervals.
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Auscultated Lower Left Chest: Apical pulse palpated reveals rate steady and regular intervals.
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Auscultated Upper Left Chest: Apical pulse palpated reveals rate steady and regular intervals.
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Auscultated Lower Left Chest: Apical pulse palpated reveals rate steady and regular intervals.
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Auscultated Upper Upper Right Chest
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Auscultated Upper Upper Left Chest
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Auscultated Upper Right Chest
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Auscultated Upper Left Chest
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Auscultated Lower Right Chest
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Auscultated Lower Left Chest
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Auscultated Upper Upper Left Back
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Auscultated Upper Upper Right Back
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Auscultated Upper Left Back
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Auscultated Upper Right Back
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Auscultated Lower Left Back
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Auscultated Lower Right Back Infant Well Visit Zachary LaFontaine Shadow health Transcript
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Exam Action |
Transcript of Zachary LaFontaine’s Infant Well Visit
Date: May 28, 2022
Your Avatar (Anthony): Hi, I’m Anthony. I’ll be conducting your interview and examination.
Daanis LaFontaine: Hi.
Your Avatar: What is your relationship with the patient?
Daanis LaFontaine: Zachary is my son.
Your Avatar: Why are you here today?
Daanis LaFontaine: We’re here for Zachary’s wellness visit. It was challenging to fit it into our schedule, but I know it’s important.
Your Avatar: Do you breastfeed your son?
Daanis LaFontaine: Yes, I breastfeed Zachary. It’s important to me. It’s been a bit challenging, and my mother gives me advice, but she never breastfed, so it’s new for both of us.
Your Avatar: Do you give him both breasts?
Daanis LaFontaine: I feed Zachary for about 10 minutes on each side, so that’s 20 minutes.
Your Avatar: Do you supplement with formula?
Daanis LaFontaine: Zachary only gets breast milk, no formula at all. This is one area where Zachary and I do well. Feeding is never painful, and he latches well.
Your Avatar: Do you prefer breastfeeding to formula?
Daanis LaFontaine: I want to exclusively breastfeed Zachary. I know formula is an option, but that would be a last resort. I want to focus on giving my baby breast milk.
Your Avatar: How do you feel about your family life?
Daanis LaFontaine: I’m glad I live at home. It helps to be with my mom and dad. I do my best to take care of myself, but my focus is Zachary.
Your Avatar: Do you have enough time to breastfeed?
Daanis LaFontaine: I just don’t have enough time to breastfeed. I want to, but I work and go to school. I’m so busy, and it’s overwhelming to fit everything in, plus breastfeeding.
Your Avatar: I understand.
Daanis LaFontaine: That’s nice of you.
Your Avatar: What is your son’s feeding schedule?
Daanis LaFontaine: I aim for 2-3 hours during the day and 3-4 at night, but we don’t always manage it.
Your Avatar: Do you feed your son at the same time every day?
Daanis LaFontaine: Zachary’s feeding schedule depends on my classes each day, so it varies with the days of the week.
Your Avatar: What is your son’s sleep schedule?
Daanis LaFontaine: It’s a bit complicated. Zachary sleeps 16 hours a day on certain days, but I’m not sure about Tuesdays and Thursdays because I have class. My mom gives him an extra nap.
Your Avatar: You should ensure that your son sticks to a sleep schedule.
Daanis LaFontaine: Good to know.
Your Avatar: Do you sleep with your son?
Daanis LaFontaine: Zachary sleeps in a bassinet at night or sometimes in his cradleboard. He’s always swaddled and on his back. I keep the bassinet empty and in my room, so I’m always nearby. I’m really afraid of SIDS, so I did a lot of reading on sleep safety.
Your Avatar: How many times does your son urinate?
Daanis LaFontaine: He has about 5 or 6 wet diapers a day.
Your Avatar: How many times does he defecate per day?
Daanis LaFontaine: Usually three times a day, sometimes less than that.
Your Avatar: What is the consistency of your son’s feces?
Daanis LaFontaine: They’re soft.
Your Avatar: Does your son smile?
Daanis LaFontaine: Zachary is a very happy baby. He smiles quite a bit. It’s nice coming home from school or work to see him.
Your Avatar: Does he track objects with his eyes?
Daanis LaFontaine: He does, yes. He also loves staring at strangers. He seems curious about everything.
Your Avatar: I understand.
Daanis LaFontaine: Thanks.
Your Avatar: Examined head circumference growth chart.
Your Avatar: Examined weight and length growth chart.
Your Avatar: Inspected nose.
Your Avatar: Inspected ears.
Your Avatar: Checked frenulum; it’s attached in the middle of the mouth floor, has an appropriate length and movements, and appears thin. The palate meets at the midline completely. The tongue appears smooth, and the uvula is located at the midline.
Your Avatar: Inspected skin.
Your Avatar: Inspected skin in the diaper area.
Your Avatar: Inspected genitalia.
Your Avatar: Assessed Musculoskeletal – Barlow and Ortolani.
Your Avatar: Assessed eyes – pupils.
Your Avatar: Assessed Eye Tracking.
Your Avatar: Assessed extremities.
Your Avatar: Assessed grasp – Able to lift shoulders off the table with expected head lag.
Your Avatar: Assessed Moro Reflex – Infant briskly abducts arms and legs symmetrically, then brings legs up against trunk.
Your Avatar: Assessed Tonic Reflex and neck range of motion.
Your Avatar: Assessed pulse.
Your Avatar: Assessed Rooting Reflex – Infant turns head in the direction of the stimulus and opens mouth.
Your Avatar: Infant responds with a sucking motion; tongue protrudes past the lips.
Your Avatar: Assessed neurological stepping/walking reflex.
Your Avatar: Palpated abdomen.
Your Avatar: Palpated anterior fontanelle; it’s diamond-shaped, soft, flat, approximately 2-3 cm in width, and 3-4 cm in length. Posterior fontanelle is triangle-shaped, 0.5-1 cm in size, soft, and flat.
Your Avatar: Auscultated various areas of the abdomen and chest for pulse and sounds.
Your Avatar: Auscultated upper left and right chest.
Your Avatar: Auscultated lower left and right chest.
Your Avatar: Auscultated upper left and right back.
Your Avatar: Auscultated lower left and right back.
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