Consider the following patient scenario:
A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart).
Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.
Nursing health assessment of the infant includes, physical, psychomotor and psychosocial components. From birth to first year of life infants grow very fastly and changes occur in their growth and development rapidly, which is known as milestone (Green, 2018). For 9 month old infant, During assessment nurse should be able to address for developmental milestone like, able to grasp blocks, transfer objects from one hand to another, able to crawl, able to sit without support, able to stand alone, able to get into sitting position, able to take steps by holding furniture, feed self by holding finger food. Nurse should ask some questions regarding immunization history, developmental history, feeding history, and also question regarding safe home environment. At this stage children have fear from strangers and start crying easily. They feel safe and comfortable with their parents or caregiver (Green, 2018).
During assessment , if nurse notice any delay in any of component like physical growth, psychosocial development or any other developmental milestone, it alerts the nurse for further health issues, safety concerns and health promotional needs.
Nurse should give recommendations to the mother of nine-month-old baby for food and nutrition like: start give solid food like crackers, noodles, whole wheat toast, brown rice, soft tortilla, small pieces of fruits or cooked vegetables. Breast feed and puree food continuation also help to maintain good nutritional status. Nurse should educate the mother regarding introduce only one food item at a time and observe for allergies and reactions (Green, 2018).
American Academy of Pediatrician recommend that primary care physician should perform developmental surveillance at each well child visit,which promote healthy development as well as helpful to identify children who may have developmental problems. In surveillance they need to use check list, which helpful to detect possible developmental disorders before parents become aware of it. Ages of milestone should be evidence-based to represent all developmental sections. Evidence-based recommendations and treatments help to promote good health development as well as early detection of possible problems.
References
Green, S. Z. (2018) Health Assessment of The Infant. Retrieved from https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-assessment-foundations-for-effective-practice-lephp
Dosman, C. F., Andrew, D., & Goulden, K. J. (2012). Evidence-based-milestone ages as a framework for developmental surveillance. Pediatric & Child health, 17 (10), pages 561-568. https://doi.org/10.1093/pch/17.10.561
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