case study

case study Order Description   Please use the following textbooks to gather your research: Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents (4th Edition)   Hay, W.W., Levin, M.J., Deterding, R.R, & Abzug, M.J. (2016). Current: Diagnosis and treatment: Pediatrics. (23rd ed.). New York, NY: McGraw-Hill Education.   Case Study #1: Nutrition Please develop the following case study and submit to the course instructor.   Mrs. Smith, mother of 5-month old Elizabeth, has noted a change in her eating pattern. Recently she has begun to require extra nursings in addition to the 8-12 breast-feedings she was already having. Her birth weight was 7.3 lb. Her weight today is 15.5 lb. Her elimination patterns are entirely normal. She has begun to awaken one additional time during the night to breastfeed. Mrs. Smith feels that Elizabeth may be ready for solid foods. 1. What demands do the rapid growth of infancy place on nutritional requirements? 2. List the importnat points to consider when evaluating an infant's readiness for solid foods. 3. What is the traditional age guideline for the introduction of solid foods? What is the rationale?   You note at today's visit that Elizabeth is able to sit with support, will intentionally mouth a toy, and has doubled her birth weight. 4. What do you recommend to Elizabeth's mother regarding the introduction of solid foods? 5. If appropriate to introduce solid foods, what guidelines would you give Mrs. Smith regarding the introduction of solid foods?   Elizabeth's older brother, age 3 years, has been a "fussy eater" since 18 months of age and takes a children's multivitamin plus mineral supplement. Mrs. Smith fears the same will happen to Elizabeth. She wants to know whether to give her a vitamin supplement. They live in a town with fluoridated water and do not receive fluoride supplementation. 6. What advice would you give Mrs. Smith at this time regarding vitamin and mineral supplementation? 7. What would you advise regarding fluoride supplementation?