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
Siobhan is a 4‐day‐old infant in the office with her mother for an initial visit and weight check. Her mother states that Siobhan has a rash on her chest and arms that has been intermittent for the past 2 days. There do not seem to be any triggers for the rash. Siobhan’s mother has washed all of the baby’s clothes in a hypoallergenic cleanser only and has not used any moisturizers on the skin since the baby was discharged from the hospital. The rash also appears when Siobhan is clad in only a diaper. The rash does not appear to cause discomfort for Siobhan. Siobhan’s mother has not found anything that makes the rash better or worse.
Birth history: Siobhan is the product of a 40‐week gestation. Her birth weight was 3600 g. Further questioning about Siobhan’s birth history reveals that the mother’s pregnancy was normal. She had no infections, falls, or known exposures to environmental hazards. She did not use alcohol, take prescription medication (other than prenatal vitamins), use tobacco products, or use illicit drugs. During labor, Siobhan’s mother received a narcotic analgesic 1 hour prior to birth. Siobhan was deliv-ered via spontaneous vaginal delivery and her Apgar scores were 7 at 1 minute and 9 at 5 minutes.
Social history: Siobhan was born to a single, 18‐year‐old mother. Siobhan’s father is involved but does not reside in the household. Siobhan lives in a 2‐bedroom apartment with her mother and maternal grandmother (MGM). The MGM is able to help Siobhan’s mother provide care. Siobhan’s mother receives several governmental subsidies such as the Women, Infants, and Children (WIC) Supplemental Nutrition Program, Temporary Assistance for Needy Families (TANF), and Medicaid. Educationally, Siobhan’s mother is completing coursework for her high school diploma. Siobhan’s father is also a high school student. There are no smokers in the home. The family has a dog.
Diet: Siobhan is being fed a milk‐based formula—2 oz every 3–4 hours.
Elimination: 6–8 wet diapers daily with 3–4 yellow, seedy bowel movements.
Sleep: Sleeps between feedings.
Family medical history: PGF (age 40): asthma; PGM (age 38): obesity, high cholesterol, hyperten-
sion; MGF (age 36): sickle cell trait; MGM (age 34): bipolar disorder; mother (age 18): sickle cell
trait; father (age 17): eczema.
Medications: Currently taking no prescription, herbal, or over‐the‐counter medications.
Allergies: No known allergies to food, medications, or environment.
OBJECTIVE
Vital signs: Weight: 3690 g; length: 44 cm; temperature: 36.8°C (rectal).
General: Alert, well‐nourished, well‐hydrated baby.
Skin: Scattered 1‐cm, yellow‐white papules on an erythematous base on the trunk, upper arms, and thighs; lesions are nontender to touch; lanugo over shoulders; no cyanosis of lips, nails, or skin; no diaphoresis noted; good skin turgor.
Head: Normocephalic; anterior fontanel open and flat (0.3 cm × 3 cm); posterior fontanel open and flat (0.5 cm × 0.5 cm).
Eyes: Red reflex present bilaterally; pupils equal, round, and reactive to light; no discharge noted.
Ears: Pinnae normal; tympanic membranes gray bilaterally with positive light reflex.
Nose: Both nostrils patent; no discharge.
Oropharynx: Mucous membranes moist; no teeth present; no lesions.
Neck: Supple; no nodes.
Respiratory: RR = 28; clear in all lobes; no adventitious sounds noted; no retractions; no defor-mities of the thoracic cage noted.
Cardiac/Peripheral vascular: HR = 120; regular rhythm; no murmur noted; brachial and femoral pulses present and 2+ bilaterally.
Abdomen/Gastrointestinal: Soft, nontender, nondistended, no evidence of hepatosplenomegaly.
Umbilical cord is in place without signs and symptoms of infection.
Genitourinary: Normal male; testes descended bilaterally; circumcision healing well.
Back: Spine straight.
Extremities: Full range of motion of all extremities; warm and well‐perfused; capillary refill <2 seconds; negative hip click.
Neurologic: Good suck and cry; good tone in all extremities; positive Moro, rooting, plantar, palmar, and Babinski reflexes.
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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