Developmental markers for a 9-month-old include transfers objects from one hand to another, feeds self finger foods, sits without support, pulls self to standing position and stands while holding on to a support. At this age they will also be beginning to drink from a cup with assistance, poke at objects with a finger, take objects out of a container, stand alone, cruise along furniture, and potentially take steps while hold on. (Green 2018) Although the nurse may not be able to personally assess all these areas in person, they can interview the parent to find out what the baby is doing at home. Developmental markers for a 9-month-old discussion post. During the interview, the nurse will assess the baby’s behavior in the office. Between 4 to 6 months, the infant makes vocalizations that sound like ah or oo. Babbling, laughing, and blowing bubbles characterize the vocalizations of a 6- to 9-month-old. By 9 to 12 months, the infant responds to simple verbal commands from others, such as no, and imitates sounds, such as mama or dada, but does not initially associate the sound with a mom or dad (CDC, 2017b). (Green 2018) Parent should also be informed what to do if their baby does not meet certain mild stones such as does not respond to own name, doesn’t seem to recognize familiar people, doesn’t look where you point, and can’t sit up with help or bear weight on legs with support. (CDC 2020)Nutrition wise the parents should be advised on what types of food and drink are age appropriate. Juice is not recommended for babies under one year old. Juice may make babies less hungry for healthy foods. It may also be bad for new teeth that are forming. Your baby’s main drink should still be breastmilk or formula but give your baby a little water in a cup to practice drinking from a cup. (Child profile 2020) A 9-month-old baby should have small, soft, finger foods that are easily chewed. Grapes and hotdogs should not be given to a baby as they pose a big choking hazard Developmental markers for a 9-month-old discussion post.
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At any age, but certainly during infancy and toddler ages the nurse will discuss safety issues with the parents or caregivers. Along with choking hazards, at 9 months key talking points will include car seat safety, preventing falls, staying with the baby during bath time the entire time to avoid a drowning accident.
As far as immunizations, there are not any due at this visit unless previously missed and this time should be used to make them up. Influenza vaccine is the only one that may come up if it is the appropriate time of the year. Developmental markers for a 9-month-old discussion post
Green, S. (2018). Health assessment, Foundations for effective practice Health Assessment of the Infant. Grand Canyon University. https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/1
CDC Important Milestones: Your Baby By Nine Months. (2020) retrieved from; https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html
Child profile Nutrition at 9 months retrieved from: https://cp.doh.wa.gov/
Topic 1 DQ 2
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) Developmental markers for a 9-month-old discussion post.
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.
Topic 1 DQ 2
Most babies by age 9 months for socialization and vocalization assessments “are able to clap hands, responds to own name, imitates gestures and sounds and begin to fear strangers” ( Ward, 2016) Developmental markers for a 9-month-old discussion post. Under motor, ward states that most children can sit without support, pull self-upright, feed self a cracker and can hold a bottle. In assition a 9 month old child should be able to control lips around a cup and use pincer grasp reflex ( ward, 2016). For cognitive and emotional the child will begin to imitate show interest in picture booksm ebhiy achievements, have strong urge toward independence.For the nutritional assessment, the child should be able to use a cup, hold own bottle, feed self a cracker, pick up cheerios using pincer grasp reflex (Ward, 2016). The child should be able to eat pureed foods and small cut up pieces of food as well. It is important to assess dietary intake such as eating behaviors and feeding problems. Usual appetite and preferences chewing, and swallowing problems should be evaluated. The child should also still be receiving either breastmilk or formula. It is important to also screen for anemia and lead blood test. According to CDC immunizations needed by 9 month are the 3rd dose of Hep B and inactivated poliovirus and influenza vaccine if in the flu season ( Sept-Oct) Developmental markers for a 9-month-old discussion post.The biggest concern for the 9 month old girl is her low weight. Disproportionate to her head size and length a look at eating habits should be questioned with the mother. Evaluating the other’s socioeconomic status and ability to provide ample nutrition for herself and her child. If there is an issue with finances the nurse should refer mother to health department for resources like WIC ( women, infant and children). Developmental markers for a 9-month-old discussion post
Green, S. (2020). Health Assessment: Foundations for Effective Practice. Retrieved January 16, 2021 from:https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/1
Ward, S. L., Hisley, S. M., & Kennedy, A. M. (2016). Maternal-child nursing care: Optimizing outcomes for Mothers, children, and families. Philadephia, Pa: F. A. Davis Company. Developmental markers for a 9-month-old discussion post
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