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
Julio, a 9‐month‐old male, presents to the office for a well‐baby visit. He is accompanied by his mother, Lupita. Lupita is Spanish speaking, so a medical interpreter is used for the visit. Lupita has no concerns and states that Julio has been healthy since his last well‐child visit at 6 months of age. He has had no visits to the urgent care clinic or to the emergency room in the interim.
Diet: Julio’s nutrition history reveals that he is still being breastfed but that he is also being supple-mented with a low‐iron, milk‐based formula. Lupita states that she gives Julio low‐iron formula because formula that is not low‐iron makes him constipated. He eats a diet of regular food that the family eats. He eats fruits and vegetables daily. Lupita introduced finely chopped meats into Julio’s diet last week, and he has tolerated the addition well. Julio also enjoys Cheerios®, which he is able to grasp and bring to his mouth without assistance. He is not currently taking any multivitamins.
Elimination: Lupita states that Julio has 4–6 wet diapers daily and voids easily with a straight urine stream. He does not have any diarrhea or constipation since beginning the low‐iron formula.
Sleep: Julio is sleeping 10 hours at night and takes one 2‐hour nap daily. He does not have any problems falling asleep or staying asleep. At night, he has a bedtime routine that includes a bath and bedtime story read to him by an older sibling.
Development: Julio is crawling and pulling up to stand. He makes lots of vocalizations and is saying “da‐da,” although Lupita is not sure if he is just making sounds or referring to his father when he says “da‐da.” Julio has a beginning pincer grasp that allows him to eat small items such as Cheerios®.
Birth history: Julio is the product of a 40‐week gestation. He was delivered vaginally without complications. During the pregnancy, his mother had no falls or infections. Lupita did not drink alcohol, take over‐the‐counter or prescription medications (other than prenatal vitamins), use tobacco products, or use illicit drugs. Julio’s birth weight was 3500 g, and his Apgar scores were 9 at 1 minute and 9 at 5 minutes. Past medical history reveals that he was hospitalized at 4 months of age for bronchiolitis. He has had no episodes of wheezing since that time.
Social history: Julio was born to a 31‐year ‐old mother. He has 2 older siblings (7 and 9 years old). He lives at home with both parents and his maternal grandfather. The family is from Ecuador.
His mother works as a housekeeper, and his father works in construction. The family has a pet bird. There are no smokers in the home.
Family medical history: Julio’s mother has asthma and seasonal allergies. His 33‐year‐old father is healthy and has no history of chronic medical conditions. Julio’s maternal grandmother died at age 55 years from a myocardial infarction. His maternal grandfather has a history of Type 2 diabetes mellitus and obesity. His paternal grandparents are both deceased; both died in a motor vehicle accident several years ago.
Julio is not currently taking any over‐the‐counter, prescription, or herbal medications. He has no known allergies to food, medications, or the environment. He is up to date on required immunizations.
OBJECTIVE
Julio’s vital signs were taken in the office today. His weight is 6.0 kg, and his length is 64 cm. Julio’s temperature is within the normal range at 37°C (temporal). When observing his general appearance, he is alert, active, and playful. He appears well hydrated and well nourished.
Skin: His skin is clear of lesions. There is no cyanosis of his skin, lips, or nails. There was no dia-phoresis noted. Julio has good skin turgor on examination.
HEENT: Julio’s head is normocephalic. His anterior fontanel is open and flat (0.5 cm × 0.5 cm). Red reflexes are present bilaterally and pupils are equal, round, and reactive to light. There is no discharge noted. Pinnae are normal; tympanic membranes are gray bilaterally with positive light reflexes. Bony landmarks are visible, and there is no fluid noted behind the tympanic membrane. Both nostrils are patent. There is no nasal discharge, and there is no nasal flaring. Julio’s mucous membranes are noted to be moist when examining his oropharynx. He has 2 teeth present without evidence of caries. There are no lesions present in the oral cavity.
Neck: Supple and able to move in all directions without resistance. There is no cervical lymphadenopathy.
Respiratory: Respiratory rate is 22 breaths per minute and his lungs are clear to auscultation in all lobes. There is good air entry, and no retractions or grunting are noted on examination. No deformities of the thoracic cage are noted.
Cardiovascular: Heart rate is 102 beats per minute with a regular rhythm. There is no murmur noted upon auscultation; brachial and femoral pulses are present and 2+ bilaterally.
Abdomen: Normoactive bowel sounds are present throughout; soft and nontender. There is no evidence of hepatosplenomegaly.
Genitourinary: Genitourinary examination reveals normal male genitalia. Julio is uncircumcised, and his testes are descended bilaterally.
Neuromusculoskeletal: Good tone in all extremities; full range of motion of all extremities. His extremities are warm and well perfused. Capillary refill is less than 2 seconds, and his spine is straight.
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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