Perinatal Infant Toddler and Preschool Clients
1. What specific objectives has your local health department developed for mothers and infants to help achieve the
goals listed in the Healthy People 2020 document? How do your county’s statistics compare with those of others in your state on (1) IMRs (collectively and by specific ethnic groups), (2) incidence of LBW and VLBW infants,
and (3) incidence of birth defects?
2. Using the Internet, locate national websites that give you current information about progress toward meeting
some of the Healthy People 2020 goals with infants, toddlers, and preschool-aged children. Are we making
progress? What can a P/CHN do locally to promote meeting these goals? What needs to be done on the regional,
state, or national level?
3. Describe three different maternal–child populations in your county. What are their most pressing health needs?
Do any existing services target these populations? How well, in your judgment, are clients’ needs being met?
Interview a city or county P/CHN and other public health professionals to help you find answers.
4. Sonia, an 18-year-old woman, is single and 14 weeks pregnant. Her first prenatal visit was made at the urging of
her aunt, who uses the clinic. Sonia reluctantly admitted to the clinic nurse that the pregnancy was unplanned.
She consumes alcohol two to three times a week, frequently as much as six 12-ounce cans of beer and 16
ounces of wine, and she smokes one pack of cigarettes a day. She has tried a variety of street drugs in the last 3
months but does not use any on a regular basis. The clinic nurse believed that Sonia might not return for regular
prenatal care and made a referral to the P/CHN for follow-up home visits to assess Sonia’s home environment
and teach prenatal care and preparation for the infant. You have been assigned the case. Design a plan of care
to address Sonia’s needs. What specific services and programs might you recommend? What barriers might exist?
How would the prenatal and postpartum teaching delivered to Sonia differ from care needed by other single
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