ANDo the following DQ in 250-300 words and then reply to the two students in 140+ words.
References should be from 2019 to date and have a doi link
Make sure the reference has an open access
APA
DQ
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.
REPLY TO THE FOLLOWING STUDENTS
VT
As a nurse, it’s important to assess certain developmental markers or milestones for a 9-month-old
female infant. These include whether she can sit on her own or with minimal assistance, if she
recognizes her name and plays peek-a-boo, crawls quickly, starts to walk or make stepping
movements, feeds herself with finger foods, and transfers objects from one hand to the other. It’s also
important to consider the infant’s growth chart since birth, taking into account the body build and
height of both parents. Typically, by six months, birth weight has doubled, and by twelve months, it
has tripled, with an additional growth of 10 to 12 inches in length. By age 2, the head will only make
up one-fourth of the body, down from one-third at birth (Green, 2022). It is common practice to use
growth “reference” charts, such as those from the Centers for Disease Control and Prevention, to
assess newborns’ general health and nutritional status. However, it’s important to note that these
charts are limited to the American demographic (Jayasinghe et al., 2021).
When educating parents, about caring for 9-month-old infants, various crucial evidence based practice
aspects must be covered, including growth and development, feeding and nutrition, immunizations
and preventive care, motor skills and mobility, safety and injury prevention, and communication and
cognitive development. The main objective of nurse education on caring for 9-month-olds is to
promote infant health and growth while addressing their unique needs. Nurses can offer valuable
support to infants and their families by understanding the critical areas of infant care. I would
reassure the parents that their child is healthy. If their baby behaves appropriately and continues to
stay within the same percentile or slightly lower without sudden declines, there is nothing to worry
about. It is perfectly normal for a baby to be in the 25th percentile, and we will continue to monitor
her growth.
CM
In order to track a girl’s development and make sure she’s on track to hit major milestones,
we need to look at her progress at 9 months. Physical, mental, and emotional milestones can
all be used as indicators of progress (Sheldrick et al., 2019). Medical personnel who keep tabs
on these indicators will be able to spot any problems or delays early and act accordingly.
Every child grows and learns at their own rate, therefore it’s important to avoid making
comparisons between your infant and others of the same age (Sheldrick et al., 2019).
Gross motor abilities, such as sitting alone, crawling, or pulling up to stand (Sheldrick et al.,
2019), are indicators of development that a nurse should look for in a 9-month-old girl. The
nurse should also check the patient’s fine motor skills, such as the patient’s ability to use her
thumb and forefinger to pick up small objects and the patient’s ability to use a spoon to feed
herself. The nurse should also evaluate the infant’s social and emotional development by
watching how she reacts to familiar and unfamiliar faces, her name, and other people
(Lobermeier et al., 2022).
According to the data, the mother should make sure her 9-month-old is getting a healthy,
well-rounded diet (Lobermeier et al., 2022). Introducing a wide range of solid meals can help
your kid get the nutrients they need to thrive, so I think it’s a good idea to do so. As your baby
gets older, it will benefit their motor skills and general development if you encourage physical
exercise like supervised tummy time, crawling, engaging play dates, and supported standing.
It is also important for the mother to maintain her own health and wellbeing by regularly
visiting a pediatrician and keeping an eye on her baby’s developmental milestones
(Lobermeier et al., 2022).
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