Emma, eight months old, was born at 32 weeks gestation with fetal alcohol spectrum disorder and a heart murmur due to maternal alcohol abuse. She has lived with a foster mother, who would like to adopt her, since she was two months old. Emma has had multiple complications from her premature birth (e. g., needing to be tube fed via a nasogastric tube for the first eight weeks of life) that have necessitated the use of tubes in her nose and throat. This has resulted in an aversion to having anything placed in her mouth including a feeding tube or a spoon. Emma has been fed regular infant formula through a gastrostomy tube since she was two months old. Her current weight is 15 pounds 5 ounces and her length is 26”. Emma’s foster mother is looking forward to starting solid foods with Emma this week per her pediatrician’s advice.

In the essay section of this assignment make a list of 5 of your favorite physical activities. do you like swimming, rollerblading, riding your bicycle, hiking, or playing a sport? maybe you like to go walking around your neighborhood or around the mall. even dancing to music in your room counts as a physical activity. if you can't think of five activities you like to do, list as many as you can think of and write down things you would like to try in the remaining spaces. now that you've written down some of your favorite activities, set a schedule for when you will participate in these activities. try to do each one at least one time this week for a duration of at least 30 minutes. observe how you feel while you are participating in each activity, directly after you finish with the activity, two hours after the activity, and the day after the activity. do you feel better than you did last week when you weren't as active, or do you feel the same? do you have more energy during the day? can you sleep better at night? do you have the urge to be more active? do you feel more relaxed? record any changes to your mood that occur during this time