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. Using 300-350 words APA format with references

Introduction

Assessing developmental milestones is crucial in monitoring the growth and progress of infants. This paper will discuss the developmental markers a nurse should assess for a 9-month-old female infant based on the patient scenario provided. Additionally, recommendations will be given to the mother based on evidence-based practice. Developmental markers refer to the skills and abilities that children typically acquire within a specific age range. Understanding these milestones allows healthcare professionals to identify any potential delays or abnormalities in a child’s development.

Gross Motor Skills

At 9 months of age, a nurse should assess the infant’s gross motor skills. This includes evaluating the infant’s ability to sit without support, roll from back to stomach, and crawl. The nurse should observe if the infant attempts to pull themselves up to a standing position while holding onto furniture, as well as their ability to cruise along furniture while standing. These milestones indicate normal development and are important for future motor skills, such as walking (CDC, 2020).

Fine Motor Skills

Fine motor skills involve the coordination of smaller muscle groups, particularly in the hands and fingers. At 9 months, a nurse should assess an infant’s ability to grasp objects, such as a small toy, using a pincer grasp. The nurse should also observe if the infant can transfer objects from one hand to another. These skills are important for self-feeding and other activities requiring hand-eye coordination (CDC, 2020).

Language and Communication

The nurse should assess the infant’s language and communication skills. At 9 months, a normally developing infant should be babbling and producing a variety of sounds. The infant should respond to their name and show interest in engaging with others through play. Additionally, the nurse should assess if the infant is trying to imitate sounds or gestures, such as waving goodbye (CDC, 2020).

Cognitive Skills

Cognitive development refers to a child’s ability to think, learn, and solve problems. At 9 months, a nurse should assess an infant’s cognitive skills by observing their ability to explore objects, such as shaking, banging, or dropping toys to see what happens. The nurse should also assess if the infant is able to search for hidden objects or imitate simple actions, such as clapping hands. These milestones indicate normal cognitive development at this age (CDC, 2020).

Social and Emotional Development

Social and emotional development involves an infant’s ability to interact and form relationships with others. At 9 months, a nurse should observe an infant’s response to familiar and unfamiliar individuals. The infant should show interest in social interactions, smile or laugh in response to positive interactions, and demonstrate separation anxiety when separated from their primary caregiver. These are important indicators of healthy social and emotional development (CDC, 2020).

Recommendations to the Mother

Based on the assessment of the 9-month-old female infant in the provided scenario, several recommendations can be made. Firstly, it is important for the mother to continue providing opportunities for gross motor skill development. This can be achieved by allowing the infant to practice sitting independently and encouraging them to crawl and explore their environment safely. The mother should ensure there is sufficient support for the infant to pull themselves up and cruise along furniture to promote walking readiness. Providing safe, age-appropriate toys and objects for the infant to manipulate will further support the development of fine motor skills.

To promote language and communication development, the mother should engage in conversational interactions with the infant. This can involve talking to the infant using simple words and sentences, and responding to their babbling and attempts at communication. Reading to the infant and exposing them to different sounds and words will also be beneficial.

In terms of cognitive development, the mother should provide a stimulating environment that encourages exploration and problem-solving. This can involve offering a variety of toys and objects for the infant to manipulate, as well as engaging in simple play activities that require imitation and problem-solving.