1. What should be addressed?

2. My Decision Map

3. Decision Map Case Study # 1 Relative information from WOW screens Megan Age 22 No pregnancy discomforts Receiving prenatal care Has questions about breastfeeding

4. Decision Map Case Study # 2 Relevant information from WOW screens Kayley Age 2 weeks, 4 days Birth weight = 7 lbs. Current weight = 8 lbs. Wt/Age = 33.36% Ht/Age = 20.05% Wt/Ht = 73.24% Mom feels she is nursing around the clock (10 times a day) Pediatrician and family pushing formula Mom feels baby is eating too little and growing too slow Supplementing with formula 3 oz. two times a day Ann, mom, admits to skipping feedings due to stress and exhaustion

5. Decision Map Case Study # 3 Relevant information from WOW screens Sofia Age 2 Child refuses to eat sometimes Wt/Age = 16.6% Ht/Age = 28.43% Wt/Ht = 27.43% Grandmother is primary caregiver Mom feels child’s size/growth is just right Lives with mom at Grandmother’s home If child won’t eat saves food for later Mom concerned about grandmother following child and trying to get her to eat

6. Decision Map Case Study # 4 Relevant information from WOW screens Brenden Age 4 Ashley, mom, concerned about Medical Assistance Wt/Age = 33.36% Ht/Age = 9.85% Wt/Ht = 71.23% Drinks soda, fruit flavored drinks or sweetened tea Feels child’s size/growth is just right Mom feels child eats fine Feels child eats just enough Mom concerned about how child is growing

7. Decision Map Case Study # 4 Relevant information from WOW screens Sheyla Age 3 Ashley, mom, concerned about Medical Assistance Wt/Age = 89.62% Ht/Age = 25.14% Wt/Ht = 98.81% Drinks fruit juice 24 oz/day Drinks whole milk 8 oz/day Feels child’s size/growth is too big/growing too fast Mom feels child eats too much Feels child eats too much. Mom concerned about how child is growing

8. Decision Map Case Study # 5 Relative information from WOW screens Jayla Age 3 Wish she would eat more Wt/Age = 2.8% Ht/Age = 26.11% Wt/Ht = 3.67% Dental caries Rotten teeth (no dentist) Child eats: dinner and snack (clarify) Sue (mom) concerned about STDs Feels child eats: Too little Fruit juice 16 oz. per day