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Case Study 03 - Cengage Learning

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3-1CASE Study 3:ToddlerTHE NERVOUS SYSTEMOverview:This case requires knowledge of otitis media, hearing impairment, the long-termeffects of second-hand cigarette smoke on a child s health, growth and development, as wellas an understanding of the client s background and personal from Thomson Delmar Learning s case Study Series: Pediatrics, by Bonita E. Broyles, RN, BSN,MA, PhD. Copyright 2006 Thomson Delmar Learning , Clifton Park, NY. All rights 2SETTING ClinicETHNICITY Spanish AmericanPSYCHOSOCIAL Routine exposure to cigarette smoke Parental anxietyETHICAL Possible nurse biasCase Study 3/30/06 4:18 PM Page 3-13-2Client ProfileIsabel is a 21 2-year-old toddler who lives with her parents and 13-month-old sister in a rural community.

3-4 (conductive and sensory-neural combined). Conductive hearing loss occurs when sound cannot be conducted through the middle ear struc-tures. This type of hearing loss is usually mild and temporary.

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