Math-in-CTE Lesson Plan Lesson Title: Newborn Assessment Author(s): Lyn Gray, RN & Jeanie Wilson, RN Matthew Hagen Phone Number(s): 503-353-5920 Lesson # 4 E-mail Address(es): [email protected] [email protected] [email protected] Occupational Area: Health Sciences CTE Concept(s): Perform well baby checkup and physical examinations. Math Concepts: Complete math conversions: kilograms (kg) to pounds (lb) and centimeter (cm) to inches (in); Determine circumference;Use proportions. Learning Objective: The students will be able to: perform height, weight, head circumference, and chest circumference of an infant; convert metrics to US Customary system (English) of units. Common Core SS Math Standard: 6.RP.3. Use ratio and rate reasoning to solve real-world and mathematical problems, e.g., by reasoning about tables of equivalent ratios, tape diagrams, double number line diagrams, or equations. Solve unit rate problems including those involving unit pricing and constant speed. For example, if it took 7 hours to mow 4 lawns, then at that rate, how many lawns could be mowed in 35 hours? At what rate were lawns being mowed? Use ratio reasoning to convert measurement units; manipulate and transform units appropriately when multiplying or dividing quantities 7.RP.2. Recognize and represent proportional relationships between quantities. Decide whether two quantities are in a proportional relationship, e.g., by testing for equivalent ratios in a table or graphing on a coordinate plane and observing whether the graph is a straight line through the origin. Identify the constant of proportionality (unit rate) in tables, graphs, equations, diagrams, and verbal descriptions of proportional relationships. Supplies Needed: Baby, measuring tape, baby scale, paper, pencil, calculator, lab sheet and quiz Math-in-CTE Technical Assistance TEACHER NOTES (and answer key) THE "7 ELEMENTS" 1. Introduce the CTE lesson. The teacher begins her class by “hooking” students with a role play situation of a mother bringing her baby into the doctor’s office for a routine, well-baby checkup. The teacher selects a student from the classroom to come up and role play the mother of the infant, while the teacher plays the nurse. During the role play, the nurse explains to the mother that in order to determine if the infant is developing correctly, the child must have various assessments performed. These will include: height, weight, and measuring head/chest circumference. Some of these measurements will need to be converted from metrics to English units or vice versa. 2. Assess students’ math awareness as it relates to the CTE lesson. As a review, can anyone properly demonstrate how to read a measuring tape? What is circumference? How do you weigh a baby? How do you measure the height and weight of a baby? How do you measure head/chest circumference? How many cm are in an inch? How many lbs are in a kg? How do you convert from one unit to another? Teacher selects student from the class to come up and role play the mother of the infant. The teacher demonstrates how to weigh and measure the infant in order to find data needed to determine if the baby is developing normal. The teacher will also explain that these measurements may need to be converted from metric units to English units or vice versa. Metric units are normally used in documenting information on medical records. English units often provide a better understanding for the parent. Ask various students to volunteer to answer questions asked by teacher: Can anyone properly demonstrate how to read a measuring tape? What is circumference? How do you weigh a baby? How do you measure the height of a baby? How do you measure head/chest circumference? How many cm are in an inch? How many lbs are in a kg? How do you convert from one unit to another? Math Information: Reading of tape measure: Remember a tape measure has two sides, one side measures inches and the other side measures centimeters. On the side that measures centimeters, the longer marks represent centimeters (cm), and the shorter marks represent millimeters (mm). 10mm = 1cm Circumference: the distance around a circle An infant’s Rounding/Conversions: head/chest circumference should be measured to the nearest ½ a cm. When measuring an infant’s length, the reading will be taken to the nearest ¼ of an inch. An infant’s weight will be measured in lbs. and oz. This weight often has to be converted into kg for medical records and medication Math-in-CTE Technical Assistance administration. 1 inch = 2.54 cm 1 kg = 2.2 lbs 1lb = 16 oz 3. Work through the math example embedded Before you show them how to solve a proportion talk briefly about the idea of in the CTE lesson. proportional relationships. Now, we will go step by step and perform the Ask the question: assessments on the infant. We will also learn how to perform some simple conversions from If 1 out of every 3 boys loves me then how metric units to English units and vice versa. many out of 6 love me? Write it on the board as 1 = 2 3 total Measurements of the baby were as follows: 6 total What is wrong with this statement? If every human has 2 hands then 5 humans would have a total of 13 hands? Write the proportion on the board. Weight – 7 lbs 4 oz 1 human = Length/height – 18 in 2 hands 5 humans 13 hands Head Circumference – 37.5 cm Chest Circumference – 40 cm If a patient gets 3 aspirin every 4 hours then how many aspirin would they get over a period of 16 hours. Write the proportion on the board Now onto the example: Take the baby, place on scales and obtain weight reading in lbs and oz. Note: When weighing a baby, you need to always take their clothes off. Also, never leave a baby on a scale unattended. Weight = 7 lbs 4 oz 1. To get at the idea of what is right or wrong ask if 7 lbs 4 oz is equal to 7.4 oz. NO! 2. So first we need to convert oz into lbs. 7 lbs 4 oz = 7 lbs 4/16 oz Since 1lb = 16 ozwe can convert oz into lbs 4 oz= 1 16oz4 or .25 So 7 lbs 4 oz = 7.25 lbs Math-in-CTE Technical Assistance 3. This allows us to be able to set up a proportion to obtain weight in kg for medical records and medication purposes. Since 1 kg = 2.2 lbs we can write the proportion 1 kg = x kg 2.2 lbs 7.25 lbs To solve we cross multiply to get (7.25)(1) = (2.2)(x) 7.25 = 2.2 x 7.25 = 2.2 x 2.2 2.2 x = 3.295 … or 3.30 The infant’s weight in kg is 3.3 kg Point out that a student could check their work the equation backwards. So the student could multiply their answer by 2.2, because 1 kg = 2.2 lbs. (3.30)(2.2) = 7.26 lbs 4. Lay the baby onto the table supine (on their back). Measure from the top of the head to the infant’s heel. Take the reading. Height = 18 inches 5. Convert 18 in to cm 1 inch = 2.54 cm 1 in 2.54 cm = 18 in x cm (1)(x) = (2.54)(18) x = 45.72 cm or 46 cm if rounded to the nearest whole number. It would be 45.7 if rounded to the nearest tenth. 6. Measure the circumference of the head by: placing the measuring device around the largest area of the head, Math-in-CTE Technical Assistance beginning above the eyebrows and ears, and continuing around the back part of the head. Head Circumference = 37.5 cm 7. Measure the circumference of the Chest by: lining the tape up with the nipple line, and continuing around the baby’s back. Chest Circumference: 40 cm 4. Work through related, contextual math-inCTE examples. We will now examples: work through other related 1. A can of green beans has 6 servings. There are 3 fat grams per serving. How There are many areas within the medical field where conversions, ratios and proportions could be used to solve a problem. Below are a few examples. 3 fats = 1 serving x fats 6 servings (1)(x) = (3)(6) Many fat grams are in the entire can of 18 1x = beans? 1 1 X = 18 fats per can of beans 2. A doctor prescribes for Mrs. Brown to take 1 tab = x tabs 20 mg 40 mg 40 mg of Lasix PO q am. The pharmacy only has 20 mg tablets. How many tablets (20)(x) = (40)(1) would Mrs. Brown need to take every 40 20x= morning? 20 X = 2 tablets q am Math-in-CTE Technical Assistance 20 5. Work through traditional math examples. These are sample problems that will performed in the regular math classroom. be Solve the various problems: 1. Jason’s rental car gets 24 miles per gallon. The tank holds 18 gallons. How Many miles can be he travel on one tank of gas? 2. Ribbon for a sewing project cost $0.08 per inch. How many inches of ribbon can you purchase for $2.00? If there are 2.54 cm in 1 in, how many cm are you purchasing? x 24 miles= 1 gal 18 gal 24(18) = x (1) X = 432 miles First find total inches: $0.08 1 in = $2.00 x in 0.08(x) = 1 ( 2.00) X = 25 in. 2.54 cm = __x__ 1 in 25 in 2.54(25) = x (1) x = 63.5 cm 3. Sally buys a package of 6 candy bars for $3.30 and then sells the candy bars at the school play for 75 cents each. How much money does Sally earn on each candy bar? (Note: Only 29.35% 17 year olds answered this correctly) 4. Grape Crush Soda costs 75¢ for one 48 ounce can. At the school carnival Joan sells cups holding 6 ounces for 15¢. How much money does the school make on each can? (Only 22.16% 17 year olds answered this correctly) Math-in-CTE Technical Assistance In English…”If six candy bars costs $3.30 then 1 candy bar costs _____ dollars” 1 candy bar 6 candy bars= $3.30 x 6x = $3.30 X = .55 Now what operation do you use next? Subtraction. .75 – .55 = .20 How would you solve this? 5. CALCULATING CIRCUMFERENCE WITHOUT A TAPE. Lindsey wants to have a chain-link fence installed around the horse walk on her farm. The walk is in the shape of a circle with a radius of 12 feet. The fence will cost $7.00per linear foot and can be purchased only by even increments of feet. How much will It cost to fence the circumference of the horse walk? Circumference = 2πr Π = 3.14 C = 2(3.14)(12) C = 75.36 feet cost: 75.36 (7) = $532 6. Students demonstrate their understanding. Now that we have discussed how to obtain height, weight, head circumference and chest circumference on an infant, the class will go into the lab and practice these skills. The lab will be set up into stations. A few baby models will be set up around the room. One station will have a scale and others will have measuring tapes. Students will be instructed to rotate from station to station, obtaining height, weight, head circumference and chest circumference on the infant models. Lab stations set up with various size baby models. Teacher will measure each model before hand and have a key made out with correct answers. The students will rotate in the lab through each station measuring dolls. Students will record information onto lab sheet. The teacher will then go over correct answers with students and explain any questions that may arise. (See Attached) 7. Formal assessment. Teacher/made quiz. (See Attached) Math concepts will be assessed after all students have completed the lab exercises. The student will demonstrate competence of math skills by completing a quiz for a test grade. Math-in-CTE Technical Assistance Name: ___________________ NEWBORN ASSESSMENT Student materials needed: notes, paper, pencil Using the infant model at each station work with your partner(s) to answerthe following questions. The teacher will tell you when to rotate to another station. Each person in your group will need to fill out their own lab sheet. Station Question 1 Measure the chest circumference of the infant in cm. 2 Measure the head circumference of the infant in cm. 3 Measure the weight of the baby in pounds/ounces. 4 Using the information from station 3, convert to kg. 5 Measure the height of the baby in centimeters. 6 Using the information from station 5 convert to inches. Record your answers below. 1. 2. 3. 4. ________ ________ ________ ________ 5. ________ 6. ________ Name: _____________________ Math-in-CTE Technical Assistance Quiz- Newborn Assessment Using the following scenarios, answer the math questions below. A mother carries her baby to see Dr. Seuss for a check-up. Upon arrival, Dr. Seuss’ nurse performs routine measurements on the baby. She finds that the baby weighs 8 lbs 2 oz. The baby’s length is 23 in. The circumference of the chest is 43cm. The circumference of the head is 39 in. 1. How much does the baby weigh in kg? Round to nearest tenth. 2. Convert the baby’s length from inches to cm. Round to nearest whole number. 3. What is the head circumference in inches? Round to the nearest whole number. 4. Explain how to measure the circumference of the baby’s chest? . Math-in-CTE Technical Assistance Answer Key for Quiz 1. 3.7 kg 2. 59 cm 3. 17 in 4. The measuring tape will placed along the nipple line and carried around the back of the baby’s body. Math-in-CTE Technical Assistance
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