Identify the advantages of breast feeding to the mother (4) and infant (4) relevant to
the postnatal timeframe of six weeks. (4 marks)
List four discomforts or changes that women experience in pregnancy and for each briefly explain the physiological change that underpins the discomfort/change.
a) Chloe is planning to get pregnant and has a few glasses of wine every weekend. What is the current advice about alcohol intake for pregnant women? (1 mark)
b) Why should she be advised to take Folic acid prior to getting pregnant? (1 mark)
a) Specify four behaviours a nurse might observe in a child aged 5 years that are
likely to reflect separation anxiety (2 marks)
b) Describe four nursing strategies that may be employed to reduce separation anxiety for a hospitalised child aged 5. (4 marks)
Bronte is 4 months old, was born at full term and now weighs 7kg. Her parents have presented to the Emergency Department with Bronte saying she is irritable, not feeding well and has a running nose. Bronte appears very sleepy and is not interested in her surroundings. She is febrile [38.5 C] and has a pulse of 162 beats/min and respiratory rate of 48 breathes/min.
Referring to the clinical case above respond to the following questions.
1. a) Consider the evidence for fever management. Bronte’s mother is requesting medication for Bronte’s fever. Discuss the nursing management of fever that would appropriate to Bronte’s clinical care, given her age and weight and discuss why administration of anti-pyretic medication is not recommended routinely. You will need to consider journal research articles for this response.
2. b) Brontehasincreasedrespiratoryeffortevident.Statethephysicalsignsanurse would observe that would indicate this clinical finding? (2 marks)
3. c) Bronte’s mother expresses concerns that Bronte is not developing well and seems to only sleep and cry. She asks what is normal for a 4 month old. Briefly discuss the key parameters the registered nurse would consider to ascertain if Bronte’s growth and development is in the normal range? (4 marks)
4. d) Bronte has not had her 6 week immunisations yet. Bronte’s father is wanting this to happen before Bronte leaves hospital but Bronte’s mother is refusing at present because of the side effects and she says “we don’t go out much so Bronte is quite safe as she is not exposed to those illnesses and no one gets them anyway nowadays”. Please write a brief response to Bronte’s mother outlining the current views and evidence on immunisation, ignoring the financial incentives. (2 marks)
e) Outline further information would the registered nurse obtain from Bronte’s parents to ascertain her fluid status? (2 marks)
A family’s social characteristics may influence the potential risks that impact on children’s health.
Identify four (4) key family social characteristics that have been identified to negatively influence a child’s health and briefly explain how each identified social characteristic may impact on a child’s health. (6 marks)
Jess is a 15 year old,grade 10 student who has presented to the school nurse believing she may be pregnant. She has not told her parents and is not in a stable relationship with her boyfriend who is also a school student. She has only had sex a few times when drunk and did not use protection. The school nurse conducts a urine pregnancy test and the result is negative.
Referring to the clinical case above, please provide a written response to the following questions.
a) Identify two key health promotion topics that the school nurse should discuss
with Jess and briefly justify your selection of each key topic / discussion.
b) Discuss two developmentally appropriate communication approaches the school nurse would employ, pertaining to the interaction with Jess. (2 marks)
END OF QUIZ
The lifestyles and culture of India is developing drastically. The quantity of tenants in India is growing every year and this will specifically influence the FMCG business and its affiliations. Regardless of the way that people of India is extending every year the masses improvement rate is decreasing over some extend of time. In 2008 the masses advancement rate is 1.6%, in 2009 it is 1.5%. In 2010 the improvement rate is 1.3%. Regardless of the way that the figures didn't change unquestionably, the free market movement of the FMCG things will be affected as a result of advance in masses structure. There will be reduce mainstream and excellent competition as the birth rates and number of customers lessen. Specifically it is the change is lifestyle of Indian customers and social direct will impact the FMCG business in India. It will ask for another things and organizations over the time and will incite increase in enthusiasm for R&D of FMCG associations. By and by the world is looking with support need provoking extending place assets into sustenance creation. If the affiliations disregard to offer things and organizations according to changing lifestyle and direct then it will be troublesome for any relationship to make due in the market. Monetary: Current respite in overall monetary circumstance affected generally every industry over the world. There has been addition in joblessness and low purchaser spending power. This prompts clients not choosing to buy exorbitant things or organizations. This further pressurizes the RMCG associations to diminish the expenses for the things and organizations. Affiliations should review this money related ride and need to respond in like way, A productive affiliation will respond concurring changing money related conditions, customer and accomplice direct. A capable affiliation must think about the changing budgetary condition the country over and worldwide and ought to use a proper methodology to stay in the market. Political: Political components will influence the affiliation and industry and it is the commitment of the relationship to tail it. It is critical for the relationship to take after the authorizations completed nonconformance of which may incite honest to goodness repercussions on the affiliation. The governing body has completed certain restriction in the import courses of action. However charge special cases in arrangements and concentrate commitment are suited the little scale organizations. This will allow the SMEs to contribute continuously and will fabricate the amount of new members. Transportation and system workplaces are improving in urban and also in the nation zone which will help in movement compose. Mechanical: Movement in advancement bolster the age with update in nature of things and organizations rendered to the customers. Affiliations began to grasp e-business to upgrade check correspondence and market. Mechanical progress impacts the supply to chain and trades along the chain essential. Affiliations decreased costs with effective IT progresses and extended the rate of information trades. Advancement is having a key and colossal impact in the FMCG zone by working up the new packaging, extending benefit and longer time period of practical ease of use of sustenance things. Better, more grounded, more fruitful and speedier are the key segments that all creators in this part push for, as it drives bargains. The progress overhauls the arrangements by enabling the improves to convey things with engaging packaging and better correspondence. With progress in correspondence advancement and rising electronic long range informal communication framework it enables the relationship to grant better to the customers by upgraded publicizing endeavors. Overall examples: The money related crisis and respite had massively impacted the business FMCG items over the world. However rising economies like India, China and Brazil are not fundamentally affected and make sense of how to do well to recover quickly. A run of the mill design that was taken after finished the world in the midst of budgetary stoppage was trading down. Since, customers ended up being more careful hunting down more reasonable brands, unprecedented offers and refunds. This extra gigantic weight accessible costs in light of extraordinary contention and down trading. However rising economies like India, China and Brazil saw change in hypermarkets helping the advancement of FMCG grandstands in these countries. Substantial scale characteristic openings: India has Vast Rural Market with bigger piece of masses where the market is up 'til now unfamiliar market. India has poor work to give cost advantage over various countries. Various multinational associations are having inflicted significant damage advantage by outsourcing its thing necessities from its Indian association. Biological THREATS AND OPPORTUNITIES: Industry structure: The FMCG market of India isolated into two divisions the dealt with section and the cluttered portion. The formed part has simply couple of Indian associations and MNCS however the dislocated territory is swarmed by a various close-by players. Indian FMCG promote speaks to about Rs.460 billion where the market has been extraordinarily required by close-by and unbranded things. This has been a test for a few, dealt with players to adequately dispatch a thing and to include the bit of the pie. Course and store organize has moreover been a test as India's structure and transport systems not precisely steady with a considerable number retail outlets in the country. Regardless of the way that system and transportation structure is making starting late it is up 'til now considered as a test by various players. The FMCG part has a broad assortment of things including sweet shops, drinks, chemicals, toothpaste, can cleaning agents, shampoos, creams, powders, sustenance things, cigarettes. Regular characteristics of FMCG things are: The things consider need, comfort and excess. Cost and pay adaptability of intrigue moves across finished things and clients. Particular things are of little regard (little SKU's) but all FMCG things set up together record for a basic bit of the purchaser's budgetary arrangement. The buyer puts little vitality in the purchase decision. He now and again ever looks specific particulars. Brand loyalties or proposition of strong retailer/vendor drive purchase decisions. Limited load of these things (immense quantities of which are perishable) are kept by customer and needs to get them as regularly as could reasonably be expected, as and when required. Brand trading is as often as possible incited by considerable notice, recommendation of the retailer or verbal. Perceiving features of Indian FMCG Business FMCG associations offer their things particularly to customers. Genuine features that perceive this portion from the others join the going with: Plan and Manufacturing Low Capital Intensity as most by far of things in FMCG requires by and large little enthusiasm for plan, equipment and other settled assets. Principal development required for amassing is successfully available. Untouchable amassing is typical and the points of interest consolidate creation and stock organizing flexibility, versatility in controlling work costs and collaborations. Exhibiting and Distribution High Initial Launch Cost with gigantic enthusiasm for thing headway, measurable looking over, test advancing and dispatch. Making care for another brand requires tremendous beginning use. Tremendous Distribution Network as India has a considerable number retail outlets the country over making the collaborations limits troublesome for a few players. Contention Market is swarmed with various clamorous players. Proximity of various messy players and exceptionally gifted MNCs gives savage competition in the market to dispatch various new brands. This gives broad assortment of determination of brands for the customers. PORTER'S FIVE COMPETITIVE FORCES: Buyer POWER: The purchaser base of this industry is greater than some other industry and they have alongside zero impact on the cost of the thing. The buyer constantly has amazing choice of brands inside the thing class and they can move beginning with one then onto the following absent much effect. Along these lines, buyer control isn't precisely strong in this industry. Nevertheless, they have control when they offer hazard to move beginning with one brand then onto the following brand. In FMCG retailers should similarly considered for examination. Retailers can basically pick which brand to stock and customers don't demonstrate much excitement to delay if one brand of choice isn't available. So retailers can essentially settle on choice among brands and they have more buyer control than purchasers. Supplier POWER: Supplier control is practically nothing or limited in the FMCG business. The business constantly has great number of suppliers with exceptional size. There won't be any uniqueness in the thing or organization of suppliers and the maker can basically move from one supplier to other supplier. However creator faces some measure of supplier control due to the cost they have to cause while trading suppliers. Suppliers who do broad business with makers are continually obliged to their customers. Danger OF NEW ENTRANTS: Danger of new competitors is compelled in this industry. The new members generally consider close-by or little markets adding to the significant disordered fragment. Rough materials for by far most of the areas in FMCG industry can be viably gotten. The hypothesis won't be high for device and diverse assets required for most by far of the things in the business. Moreover the major development is adequately available. These segments can make the adjacent or little makes to enter adequately in the business. In any case, this industry requires high early on dispatch cost and assignment sort out is constantly a test. These factors go about as a block for any new members in the business and in every way that really matters give generally safe of new candidates. Peril OF SUBSTITUTES: The FMCG business bears a high peril of substitutes. The business has various made players with unbelievable number of adjacent produces. The things in the business can essentially be imitated and exhibited. The business has unusual state danger of substitutes in nation promote than in the urban. Level OF RIVALRY: The level of rivalry is high in the business. There are various overall players close by neighborhood creators. The business acknowledges low customer constancy. The customers reliably have wide determination of brands and the trading cost is continually minimum or immaterial. There will be simply slight qualification in the idea of brands. So the resistance is wild in the business to attract customers and hold them. Fundamental social affairs in the business: Among the FMCG associations in India Hindustan Unilever Limited is most given sustenance association to generally every segment in the business. Its opponents are simply considered certain areas however HUL faces firm competition from all adversaries in each part. The huge associations of fundamental social events in FMCG industry are Hindustan Unilever Limited, ITC Limited, Nestle India, Emami Limited, Colgate-Palmolive (India) Limited, Dabur India Limited, Procter and Gamble, Godrej Consumer Products Limited and Cadbury India. Overall Competition: India is a creating business division and has transformed into a hotspot for some multinational FMCG associations like HUL, Proctor and Gamble and Nestle. However family unit associations like Marico, Dabur and Emami are giving extraordinary competition to them. These associations progress into typical thing arrangement by offering characteristic things and made sense of how to have the market. For instance, Marico's pioneer picture Parachute Coconut Oil has no outside contention. The closeness of general competition is constrained to zones of where they can act and classes like ordinary things did not premium the overall players. Industry Threats: The dealt with players in the business are standing up to issues high degree of imitative things. The fraud things are seen especially in provincial markets and the Indian FMCG territory is losing broad measure of money in light of nature of fakes things. The business is going up against extending input costs in light of addition in cost of the unrefined materials as a result of overall money related stoppage and potential impact of rising crude oil costs Industry Opportunities: The FMCG region is the fourth-greatest division in the Indian economy and has been winding up widely completed the past couple of years in light of advancing lifestyle, buyer slants and high optional capital. The commonplace market is when in doubt extremely unfamiliar and gives perfect condition to improvement of the associations here. Evaluating HUL STRENGTHS AND WEAKNESS: VRIO Framework of Hindustan Unilever Limited: The estimation of HUL lies in their ability to offer assorted things and consider the particular bits in the business. The affiliation has worldwide aptitude and wealth of data to consider particular bits satisfying the customer needs. The affiliation is indicating lifted necessities of corporate direct towards its accomplices. The association comprehends that its specialists are the basic wellspring of achievement and especially devoted to their delegates. The affiliation empowers the open correspondence with customers to get feedback and upgrade its thing contributions. Inconsistency: The association acknowledges the high ground in its healthy creation system and movement orchestrate. Regardless of the way that the association resources are normal it acknowledges the high ground in its advantages used underway system and scattering organize. Imitability: The affiliation has gainful and phenomenal resources in its creation system and appointment mastermind that the contenders did not have inflicted significant damage advantage in emulating the benefit. The social associations engaged with resources are flighty that the contenders can't without a lot of an extend reflect and supervise well. Affiliation: The affiliation structure of HUL with its connected with boss over the association's the country over exercises gives speed and versatility in fundamental administration and execution. The affiliation utilize its benefits for viable organization. The association comprehends that its specialists are the basic wellspring of advance and all around concentrated on their agents. Examination of Corporate Strategies: Hindustan Unilever Limited has generous store system and allocation sort out covering in excess of 3400 wholesalers and 16 million outlets. HUL's business affiliation structure joins the Household, Personal Care and sustenances scattering masterminds together. By this the affiliation alters each one of the units of its relationship towards the common goal. Examination of Business Strategies: HUL shows wide grouping of things in different segments at different esteem centers. HUL examinations its methodology to upgrade its foothold in the dealt with foods characterization which is, all things considered, exhaust. HUL Strengths: The association has variety of things in each class giving wide bunch of choice to customers. Generous Distribution Network covering in excess of 3400 wholesalers and 16 million outlets. The Company acknowledges various reputed checks and influenced an overall assumed stamp to picture in the customers mind through business. Especially made quality organization. The association has outstandingly capable and especially made R&D resources. HUL Weakness HUL not prepared to battle effectively with adjacent opponent in the commonplace market: The Company's thing generally target regular workers and lower salaried class masses. So the upper desk class people terms the association's thing as a disgraceful thing with low quality HUL is over subject to Indian market and depends upon it for larger piece of pay age. This reveals the association subject to changes in atmosphere, political and monetary conditions and moreover makes it vulnerable against potential perils developing in India.>GET ANSWER