Infants Growth and CDC Growth Chart

Consider the following patient scenario: *(1):A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weights 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart). (2): Describe the developmental markers a nurse should assess for a 9-month-old female infant. *(3): Discuss the recommendations you would give the mother. *(4):Explain why these recommendations are based on evidence-based-practice.

SAMPLE PAPER

Female Infant Growth

                        The developmental markers a nurse will look at in the scenario will vary among various children but plotting them in a growth chart and the calculation of percentile is used as the standard. The nurse is likely to use developmental markers such as baby weight, length and the head circumference. The weight will inform the weight gain by the child over a period of time and in relation to her peers (Dosman, Andrews, & Goulden, 2012). The head circumference will be critical since it will indicate the brain development of the child, whereas the length will be used to indicate the height gained by the child since the last visit to the clinic and facilitate comparison with the previous period. Thus, to facilitate comparison based on weight, height and head circumference, percentiles will be picked after the plot.

            Further, the nurse can use markers such as undertaking screening test to check for any developmental delays, ask pertinent questions to the caregiver such as the child eating habit, the motion patterns and number of sleeping hours. Other markers used includes physical examinations of the eyes, pulse rate and hips growth (Dosman, Andrews, & Goulden, 2012). The nurse will also examine the child immunization schedules and request for blood test. The questions the nurse will put across will be aimed at giving clue on the physical and cognitive development of the child. This is because at 9 months, the child should be able to crawl, get attracted to familiar sounds and people, fear being left alone, have pincer grasp and pronounce words such as mama.

            Based on the length of the child, weight and circumference of the head, the growth of the child cannot be said to be ideal. This is because the weight of the child at 5% is not within the similar limit of the length and circumference percentile of 25%. The data indicates that the infant weight is not commensurate with the growth of the head and length. Thus the child may be suffering from malnutrition or ill health (Canadian Task Force on Preventive Health Care, 2016). Therefore, the mother should consider having more screening test undertaken and put the infant on high protein diet to facilitate muscular growth and weight gain. This can be achieved through placing the child on infant formulas to boost development and medication if ill health is diagnosed. Also, the mother should focus on the supporting the child to allow proportional growth in both physical and cognitive abilities. The physical development to be observed should be the ability to distinguish objects and people, crawl, using both hands and walk.

            The child screening test undertaken will help the mother to get a clear picture on what is ailing her child and facilitate her in observing the administered treatment regimen. The recommended infant formula and feeding ration will help the mother to supplement the meal she is giving the child and boost the child’s immunity together with consumption of relevant nutrients. As such, the child will record improved weight gain that is commensurate to the length and head circumference when plotted in the chart to give the ideal percentile (Riverin, Li, Rourke, Leduc, & Rourke, 2015). The recommendation of observatory approach to the physical abilities growth will assure holistic growth of the child as compared with her peers. However, there is need for the mother to avoid generalized comparison of her daughter with others of similar age since genetic factors have influence on height and weight gain. Hence, it is critical to depend on the clinician’s advice and guidance.

References

Canadian Task Force on Preventive Health Care. (2016). Recommendations on screening for developmental delayCmaj188(8), 579-587.

Dosman, C. F., Andrews, D., & Goulden, K. J. (2012). Evidence-based milestone ages as a framework for developmental surveillance. Paediatrics & child health17(10), 561-568.

Riverin, B., Li, P., Rourke, L., Leduc, D., & Rourke, J. (2015). Rourke Baby Record 2014: Evidence-based tool for the health of infants and children from birth to age 5. Canadian Family Physician61(11), 949-955.


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