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Pg Observation

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Introduction and Background Information This observation Paper details information shared by parent of PG (Hispanic, Female, 8-Year-Old) on Prenatal Development, and Early Childhood development. Prenatal development, developmental milestones and information pertinent to PG were shared by Mother in an interview following an hour and half observation of PG’s interactions with peers and family members on the playground,
Prenatal development, labor and delivery PG's Mother was 36 years old when pregnant with PG. Mother stated when ultrasound was completed she was informed by radiologist that PG may have down syndrome. Family declined an amniocentesis and prepared for an infant with special needs. Mother reports due to this revelation …show more content…
PG was born with a cleft palate, and not Down syndrome.
Infancy
Mother reports during initial pediatric examination in hospital following delivery, PG stopped breathing and pediatrician resuscitated her. Mother reports this was scary for both parents. PG was born with a cleft palate. Mother stated this is also called an Orofacial cleft. An auditory examination was completed at the hospital. Pediatrician stated client had some hearing loss due to malformations in the ear canal. PG had small ear passageways, and failed the hearing test. Mother was unable to breastfeed, due to feeding difficulties; Liquids would come out of nasal passages, per Mother PG “would regurgitate milk from her nose”. PG was unable to suck because the area between her mouth and nose was open. In addition, mother stated PG was burning more …show more content…
Specialists included in PG’s care were; an audiologist, surgeon (plastic surgeon, an oral/maxillofacial surgeon, a craniofacial surgeon, pediatric dentist, geneticist, nurses, otolaryngologist, pediatrician, social worker, and speech-language pathologist.
It is expected that PG will continue to have Dental issues, and will require ongoing dental procedures. Long term effect is PG has a nasal sounding voice.
Otolaryngologist conducted Craniofacial surgery at 8 months and 30 months; palatoplasty, orthognathic surgery jaw and nasal reconstruction connected the muscles of the soft palate. Mother reported bleeding from PG’s mouth following oral surgery. Arm restraints were to prevent PG from touching her face area, which could have led to infection and stitch

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