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)
A mother comes in with 9-month-old girl. The infant is 68.5cm in length
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.
Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.
DQ 1: Expert Answer and Explanation
Health Assessment for Infant
For a 9-month female infant at 25th percentile of height and head circumference, yet only in the 5th percentile in terms of weight demystifies that the infant is underweight. The CDC provides essential developmental markers that a nurse should consider when assessing the nine-month-old female infant (CDC, 2019). For instance, at the age of 9 months, the infant ought to have developed social and emotional markers such as being afraid of strangers, recognizing favorite toys, and being clingy to familiar adults.
Communication makers include the ability to copy sound or gestures, use finders to point, and understanding “no.” In terms of the cognitive and physical development, the infant should be able to watch the path of a falling object, put items in mouth, move objects from one hand to the other, sit without support, crawling, and standing while holding on to something (CDC, 2019). The assessment can also include the nutritional and dieting aspect of the infant.
As a nurse, I would recommend improvements regarding nutrition and diet, increased movements, and mental alertness. The recommendation is in light of the infant’s underweight appearance. I would first discuss with the mother the importance of a proper diet and nutritional value to the growth of the baby both physically and mentally (Green, 2018). I will also inquire about the breastfeeding routines if the infant is being given other formulas that improve their growth.
It is essential for the mother to comprehend the relevance of breastfeeding and the type of food that an infant can begin to eat after the six months following the delivery. It is also essential to offer the mother nutrition awareness materials such as handouts so that she can refer and offer the child with appropriate meals for weight gain.
CDC. (2019). What developmental milestones is your 9-month-old reaching? Retrieved 18 May 2020, from https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html
Green, S. (2018). Health assessment: Foundations for effective practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/
Alternative Expert Answer
Developmental Markers for a 9-Month Old Baby
When assessing a 9-month old female infant for any developmental issues, a nurse has to look at the developmental markers for a child at this age. On average, a female baby at this age weighs 8.2 kg. For a child at this age, still, their average length is 70.1 cm, and the size of their head is 44.5 cm. Although a baby starts to crawl when they reach this age, not all crawl when they hit 9 month after birth, and they may start walking after the 12 month.
The baby also sits, babbles and express interest in picking things. Additionally, they reach for objects while sited, and they may pool themselves up using tables or chairs (Tandon, 2017). The child may express anxiety when separated from their parents. When examining this child, the nurse would need to take to consideration the fact that a baby at 9 months can respond to their name, and they know their parents (Breiner et al., 2016).
The baby in the case seems to be experiencing the developmental issues. The baby’s weight is 6.75 kg which is lower than the average 8.2 kg. Their length is 68.5 cm, and this is slightly below the average length of 70.1 cm for female babies at this age. The circumference of her head is also slightly lower than that the average. As a nurse, I would recommend to the parent to encourage the baby to move. This would be important in helping build the baby’s muscles.
The parent may hold the baby’s hands and pull them while they walk together (Tandon, 2017). It is also important for the parent to consider feeding the child a meal rich in protein so that the child gets to meet her nutritional needs. This would help her gain weight. These recommendations can translate to better clinical outcomes because a number of studies link practice and nutrition to the improved child development (Tandon, 2017).
Breiner, H., Ford, M. A., Gadsden, V. L., & National Academies of Sciences, Engineering, and Medicine (U.S.). (2016). Parenting matters: Supporting parents of children ages 0-8. Washington: National Academies Press.
Tandon, M. (2017). Early Childhood Mental Health: Empirical Assessment and Intervention from Conception through Preschool, An Issue of Child and Adolescent Psychiatric Clinics of North America. Amsterdam: Elsevier.
DQ 2: Expert Answer and Explanation
Child Abuse and Maltreatment
Child neglect is the most common form of child abuse that school going children go through. The maltreatment has the capacity to negatively affect all aspects of their lives while in school. Poor grades and low self-esteem are some of the negative results of this form of maltreatment in school-going children (Zeanah, & Humphreys, 2019). Physical abuse is the second form of child maltreatment that is common in school-going children. Physical abuse may present itself in different forms. Beatings, stabbing, punching and kicking are ideal examples of physical abuses meted upon school going children.
There are different warning signs that a nurse or parent may use to tell when a school-going child is going through some form of abuse. For example, such a child may opt to stay away from other kids; isolation. The presence of physical marks on the body of the school-going child is another warning sign. Importantly, a negative change in behavior can also be used.
Some of the cultural variations of health practices that can be confused for child abuse are as follows. The branding of children using hot iron in multiple places on their bodies. The branding is done in order to identify the child as one of the tribesmen (RE, 2018). Some cultures allow parents and adults to instill discipline to children through beatings. The beating can be misidentified for physical abuse.
Having said that, child abuse cases are supposed to be reported to child welfare offices within the state for the right action to be taken against the perpetrators of such heinous acts. Relatively, a nurse is required to keep records of the child abuse cases reported to him or her. Such records can be used by the authorities to serve evidential purposes when bringing the child abuser to justice. The nurse ought to be willing to testify.
RE, D. (2018). Cultural health care or child abuse? The Southeast Asian practice of cao gio. Davis RE1. doi: DOI: 10.1111/j.1745-7599.2000.tb00173.x
Zeanah, C. H., & Humphreys, K. L. (2019). Child Abuse and Neglect. doi: doi: 10.1016/j.jaac.2018.06.007
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Developmental Markers for a 9 Month Old Female Infant
As a parent or caregiver, it’s important to keep track of your child’s developmental milestones to ensure they are growing and developing properly. In this article, we will discuss the developmental markers for a 9 month old female infant.
At 9 months old, your little one is starting to show their personality and developing their own set of skills. From crawling to babbling, there are many milestones to watch out for.
Physical development is an important aspect of your child’s growth. Here are some physical developmental markers to keep an eye on:
By 9 months old, many infants are starting to crawl. This milestone is important as it strengthens their muscles and helps them develop coordination.
Some babies may be able to stand with support at 9 months old. This is a major milestone as it shows they are developing strength in their legs.
At this age, babies are starting to develop their pincer grasp. This means they can pick up small objects between their thumb and forefinger.
Cognitive development is an essential part of your child’s growth. Here are some cognitive developmental markers to keep an eye on:
By 9 months old, your child should understand object permanence. This means that they know an object still exists even if it’s out of sight.
Your child should be babbling by 9 months old. This is a sign that they are starting to understand language and developing their own communication skills.
Responding to their name
At this age, your child should be able to respond to their name. This is an important milestone as it shows they are developing social and communication skills.
Social development is another important aspect of your child’s growth. Here are some social developmental markers to keep an eye on:
At 9 months old, your child may start to experience separation anxiety. This is a normal part of development and shows that they are forming strong attachments to their caregivers.
Playing with others
Your child should be starting to play with others at this age. This is an important milestone as it shows they are developing social skills and learning how to interact with others.
Mimicking sounds and gestures
Your child may start to mimic sounds and gestures at 9 months old. This is a sign that they are starting to understand communication and developing their own communication skills.
Keeping track of your child’s developmental milestones is an essential part of ensuring they are growing and developing properly. By monitoring their physical, cognitive, and social development, you can ensure that they are hitting important milestones at the right time.
What Does It Mean When a Baby Is in the 25th Percentile?
As a new parent, you are probably excited and anxious to track every milestone your baby reaches. One important aspect of monitoring your baby’s growth is by looking at percentiles on a growth chart. But what does it mean when a baby is in the 25th percentile? In this article, we will delve into what percentiles are and how they are calculated. We will also explore the significance of percentiles in tracking your baby’s growth, and what it means if your baby is in the 25th percentile.
Percentiles are a way of comparing your baby’s growth to that of other babies of the same age and sex. They are a useful tool in monitoring your baby’s growth and development. Percentiles are used in a variety of areas, from education to healthcare, and they play an important role in determining if your baby is growing at a healthy rate.
What is the 25th percentile?
The 25th percentile is a statistical measurement that represents the value below which 25% of babies fall. It is important to note that percentiles are not the same as percentages. Percentiles are based on a range of values, while percentages are based on a single value.
Percentiles are calculated using growth charts, which plot your baby’s weight, height, and head circumference against other babies of the same age and sex. The growth chart displays a curve that represents the average growth pattern for babies in that age group.
Understanding Growth Charts
Growth charts are an important tool in monitoring your baby’s growth. They provide a visual representation of your baby’s growth patterns and are used by healthcare professionals to determine if your baby is growing at a healthy rate.
There are different types of growth charts, including those for weight, height, and head circumference. Growth charts are usually divided into percentile ranges, with the 50th percentile representing the average growth rate for babies in that age group.
What Does It Mean When a Baby Is in the 25th Percentile?
As a new parent, you are likely to become familiar with growth charts at your baby’s regular checkups. These charts are used to track your baby’s growth in relation to other babies of the same age and sex. One term you may come across on these charts is “percentile.” If your baby is in the 25th percentile, it means that they are larger than 25% of babies of the same age and sex, and smaller than 75% of babies of the same age and sex.
In this article, we will discuss what it means when a baby is in the 25th percentile, normal growth patterns, possible reasons for being in the 25th percentile, what to do if your baby is in the 25th percentile, and other percentiles and what they mean.
Normal growth patterns
Babies grow at different rates and follow their own growth pattern. However, there are general trends in terms of growth that doctors and pediatricians look for in order to make sure that babies are growing at a healthy rate. In general, newborns lose some weight in the first few days after birth, but they should regain this weight within the first two weeks of life. From there, they will gain weight at a steady rate of approximately 5-7 ounces per week for the first few months. After the first six months, the rate of weight gain will slow down, but babies will continue to grow in height and head circumference.
Possible reasons for being in the 25th percentile
If your baby is in the 25th percentile, it may be due to genetics, or it could be related to their health and nutrition. For example, if you or your partner are smaller in stature, it is possible that your baby will also be smaller in stature. Additionally, if your baby is not getting enough calories or nutrients, they may grow at a slower rate. Other factors that can affect growth include premature birth, chronic health conditions, and genetics.
What to do if your baby is in the 25th percentile
If your baby is in the 25th percentile, it is important to remember that this is still considered a normal range. However, if you are concerned about your baby’s growth, there are a few things that you can do. First, make sure that your baby is getting enough calories and nutrients. If you are breastfeeding, make sure that your baby is latching properly and getting enough milk.
If you are formula feeding, make sure that you are following the recommended guidelines for mixing and feeding. Additionally, make sure that your baby is getting enough sleep and physical activity. Finally, make sure that you are attending all of your baby’s regular checkups so that your pediatrician can monitor their growth and development.
Other percentiles and what they mean
In addition to the 25th percentile, there are several other percentiles that are commonly used on growth charts. The 50th percentile is considered average, which means that half of all babies of the same age and sex are larger and half are smaller. The 75th percentile means that your baby is larger than 75% of babies of the same age and sex, and smaller than 25% of babies of the same age and sex. The 95th percentile means that your baby is larger than 95% of babies of the same age and sex, and smaller than 5% of babies of the same age and sex.
In conclusion, being in the 25th percentile on a growth chart simply means that your baby is larger than 25% of babies of the same age and sex, and smaller than 75% of babies of the same age and sex.