The infant in the provided scenario describes them as being in the lower end of the growth chart that is provided per the CDC. Physically the weight, length and circumference are all lower than the expected readings. With all these details the nurse should provide education regarding the infants nutrition. According to the CDC, infants should be mostly consuming fruits and vegetables that have been pureed, at least for three meals a day. It is also important to note not to be giving infants things they can choke on such as nuts and uncut grapes. (Green,S 2022).
Centers for Disease Control and Prevention. (2023a, June 6). Important milestones: Your baby by nine months. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.htm
Green, Z. S. (2022). Health Assessment of the Infant. Health Assessment: Foundations for Effective Practice. Grand Canyon University. https://bibliu.com/app/#/view/books/1000000000584/epub/Chapter1.html#page_17
NRS-434VN – Developmental markers for a 9-month-old female infant post 2
A nurse should assess the following developmental milestones for a 9-month-old infant. (CDC, 2023).
Social/Emotional milestones: Is shy and fearful to strangers, shows several facial expressions, looks when you call her name, and smiles or laughs when you play peek-a-boo.
Language/Communication Milestones: Lifts arms up to be picked up, Makes a lot of different sounds like mama and baba.
Cognitive Milestones: Looks for objects when dropped out of sight (like his spoon or toy), bangs two things together.
Movement/Physical Development Milestones: Moves things from one hand to her other hand, sits without support, Uses fingers to “rake” food towards himself.
Our scenario already described about the 9 months old female infants that she is at the bottom of the chart as per CDC growth chart. This baby is unhealthy as her length, weight and head circumference is lesser than the other baby. Along with these measurements the nurse should perform the detail assessment of the baby. The first recommendations the nurse would give is about the nutritional status of the infant. Each baby develops in their own time and at their own pace. But as based on the above scenario, babies need three meals a day making puree from fresh fruits and vegetables. Foods with iron are especially important at this age. At this age, it is also important to lower the crib mattress. Safety is important. (Gordan S, 2022). These recommendations should be evidence based. The nutritious foods help in proper growth and development. Safety is important to prevent from accidents as at this age baby can crawl.
CDC,2023. Centers for Disease Control and Prevention. Important Milestones: Your Baby By Nine Months. https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html.
Gordan S. 2022. Verywell family Your 9-Month-Old Baby’s Development and Milestones. https://www.verywellfamily.com/your-9-month-old-baby-development-and-milestones-4172786.