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 : Lanz Emil  : 1 year 2mo. : Male

: Sitio Mabilog, Culiat


 : E.D.  
30 yrs.
 
 
 : College Graduate  

Housewife
 
 : A.D  
38 yrs.
 
 
 : College Graduate  

Preacher






: 2 ± M7, M1 yr 2 months

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Follow-up checkup for the condition of baby Lanz since his
hospitalization last June 2010.
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Baby Lanz has no present illness.

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A.   
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Parent E.D. is a 30-year old G2 P2 woman residing in Sitio
Mabilog, Culiat, Quezon City. She had her menarche when she was 12
years old and since then she has been having her monthly periods
regularly. When she got pregnant in 2009, carrying baby Lanz, she had
regular pre-natal consultations with her OB-Physician in Perpetual
Succor Hospital in Manila. However, during her first trimester (10th
week) she was hospitalized in New Era General Hospital for
Ä  

with fever and hypertension. Her physician initially
 advised the intake of amoxicillin but she claims that her situation didn¶t
get better, so she was given an IV hydration treatment of ciprofloxacin.
She was discharged after 7 days.


B. %
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After 38 weeks of pregnancy, Parent E.D. delivered her second
baby boy through a normal spontaneous delivery with a cephalic
presentation in Perpetual Succor HospitalonJune 3, 2009 around 8:00
pm. Baby boy Lanz, as they named him, weighed 8.15 lbs and
measures 53 cm in length.


C.   

 


During Parent E.D.¶s first trimester (10th week), she was
hospitalized in New Era General Hospital for Ä  

 with fever
and hypertension (150/110mmHg). Her physician initially advised the
intake of amoxicillin but she claims that her situation didn¶t get better,
so she was given an IV hydration treatment of ciprofloxacin.
Aside from this, no other known maternal complications were
present throughout the rest of her pregnancy period.


D. 
  

 


Parent E.D. claims that there were no neonatal complications for
Lanz. She says he wasn¶t even under an incubator care after delivery
and that they were already discharged the next day.


E. " 
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When baby Lanz was 9 months old, he had a fever and cough.
Coincidentally during this period, it was also his schedule for his
measles vaccine. Parent E.D. failed to mention this to the health center
 nurse prior to vaccination hence, baby Lanzdeveloped pneumonia and
was confined to New Era General Hospital for 7 days.


F.  
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Baby Lanz has parents who both have histories of asthma and
allergy to specific seafood (shrimp, clams, crabs). However, none in
their family has history of TB, cardiopulmonary problems and
hypertension.


G. 
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Parent E.D. has been exclusively breastfeeding baby Lanz
because of what she has read on her parenting books. She plans on
introducing bottle feeding to Lanz before he turns 2 years old.
She started introducing thin lugao and mashed or soft food to Lanz
when he was 6 months old. And she let him drink orange and
calamansi fruit juices, and included in his meals vegetables and fruits
when he turned 1 year and meat now that he¶s 1 year and 2 months
old. She doesn¶t give him eggs and seafood yet because it might
cause allergic reactions to him.


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6-04-09 7-21-09 9-01-09

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10-05-09 12-15-09 2-01-10

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03-03-10 Spiked Fever, Difficulty
of Breathing








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According to Parent E.D., baby Lanz is not under any medications
aside from the multivitamins they take in the family.

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Parent E.D. recalled the growth and development of her baby Lanz
without difficulty because she cherishes these moments very much,according
to her. She remembers that baby Lanz first learned to turn over or roll in bed
when he was 4 months, to crawl when he was 5 months and to sit without
outside support for a short while when he was 6 months old. Baby Lanz
learned to stand and walk with support from tables and walls when he was 7
months old. He was almost 1 year old when he learned to walk alone and run
around the house. Parent E.D. recalls that baby Lanz had his first grown baby
tooth when he was 11 months old and his first words were   and 

(referring to his older brother) when he was 5 months old. Now that he¶s 1 year
and 2 months old, his longest words are baby and food.
Baby Lanz¶s development, when compared to that of an average infant is
closely similar and normal except on the development for teething and for
speaking words. On average infants, teething starts from 4-6 months while
baby Lanz¶s mother reported that his started sprouting when he was to turn 1
year. Also, for average infants by the age of 1 year they are able to ramble
short and of no sense sentences while for baby Lanz¶s longest words are baby
and food.
This analysis may be affected on the accuracy of what the mother has
reported. Additionally, the slight delay on the above-mentioned may be
affected by the type of environment that the infant lives in. Perhaps the infant
does not hear much words or sounds to copy or imitate when inside the home.
However, what may be a delay in expressing words may be diverted in the
advancement of other forms of non-verbal languages like his facial expressions
and the ability to understand simple words like yes and no from his parents.

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Temp: 36.3 PR:128 RR: 34bpm

Head Circumference (birth): 37cm Chest Circumference(birth): 36cm
Actual Weight: 8.5 Kgs Actual length(birth): 53 cm
IBW: 9-11 kgs IBL(birth): 53-55cm


The general condition of baby Lanz includes no apparent deformities
physically, no loss of appetite during meals, fevers, chills and fatigue and
no weight loss. Skin is without rashes, lesions and discolorations;head is
without deformities, masses, lumps, globular in shape and without
reported headaches and dizziness.For the eyes, pupils are black, and
sclera is white, without discolorations, eyelid skin intact with sunken
eyeballs and symmetrical. Nose has no deformities and inflammation, no
discharges and external structure symmetrical. There is presence of full
grown baby teeth, lips is symmetrical, pale and dry, and tongue and
mucous membrane is pinkish in color. Chest is symmetrical in
expansion,respiratory rate is normal upon observation (34bpm) Spine
vertically aligned and no tenderness or masses noted at his back.
Abdomen is round, hard and distended and with presence of peristalsis.
Extremities are equal in size and symmetrically without edema formation,
bruising or lesions.












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Parent E.D. has prepared herself for pregnancies and parenthood
by buying and obtaining childbirth and parenting books from her parents
and loved ones. She also claims that her basic knowledge on these terms
is also influenced by what her own mother and in-law, and her physician
has taught her.

A. Baby Bath
She gave baby Lanz his first water bath exactly 14 days after birth.
Using a damp cloth, she only washed the head, armpits, buttocks and
genitals while the abdomen and extremities are wiped with baby oil.
She says that she did this to facilitate the healing of the umbilicus.
Parent E.D. is aware of the parts of the baby that need special
attention in bathing. She is also responsible for following her
physician¶s advice in bathing a baby.

B. Cord Care
She doesn¶t believe that babies need 


 for the umbilicus
because she didn¶t read it on her books and she knows that it will
normally fall off after 14 days. She wipes it with drops of ethyl
alcohol and baby oil.
Parent E.D. is not an old-fashion mother who believes in old
traditions. Rather, she seeks advice from her physician and her
parents, also from parenting books which are updated and revised
periodically. This way, she remains up to date on what is still suitable
for taking care of a baby¶s cord.
C. Diaper Rash
She recalls that baby Lanz had a diaper rash when she tried
changing his diapers from cotton to plastic. The rash lasted for 3 days,
and while at it, she didn¶t let baby Lanz wear any diapers at all. She
wipes his buttocks and genitals with lactacyd after urinating and
pooping and lets him wear underwear and shorts. She went back to
her previous cotton-soft diapers after the incidence.
Experimenting on the suitable diapers for her baby Lanz is not an
argument for she is just trying to know what suits her baby¶s
comfortability the most. Also this only shows that she is a practical yet
responsible mother, for she tried another brand of diaper (a cheaper
one), yet when it gave her baby rashes, she immediately took care of it
and went back to the old one.

D. Feeding
She breastfeeds at most of every 3/4 hours a day and includes
mashed or soft food in baby Lanz¶s daily meals. She cleans her breast
with luke warm water before breastfeeding and uses both breasts for
feeding, interchangeably at a given time. She says that baby Lanz just
simply turns his head away and cries when he¶s not getting enough
milk and ³    ´ or goes away if he¶s already full.
In supplementary feeding, she doesn¶t always introduce new food
to baby Lanz, because she still doesn¶t know on which foods he will be
allergic to.
Considering their history of asthma and allergies to seafood, it is
just right for parent E.D. to be cautious on the supplementary foods
she gives to her baby Lanz. Additionally, with a background of basic
 knowledge for childbirth and parenting, she is able to apply them well
on breastfeeding.

E. Immunizations
As she read from her books, she understands the purpose of
immunizations when she said that what¶s injected is a form of
weakened strain of that microbe that prevents certain infections
and produces immunity. She was also able to enumerate most of
the vaccines given.

F. Handling
Parent E.D. says that her baby Lanz is very ³

´ when she is
out of his sight, especially when she¶s cooking or washing the clothes.
When he¶s crying she gets him to her arms and cuddles him and when
he¶s almost out of control she puts him to sleep.
This may have been a result of too much cuddling or ³ ´ during
the early months of baby Lanz thus, he may have become too much
attached to his mother who is a housewife and has all the household
time for her and for her baby. Putting him to sleep when crying may not
be that effective when outside the home, and cuddling him more might
grow the attachment more. Perhaps gradual training for baby Lanz with
his mother out of his sight may help when there will be a periodic
substitute to watch over his needs (transient yaya, older brother, or
father)