NRS 434 A mother comes in with 9-month-old girl

Sample Answer for NRS 434 A mother comes in with 9-month-old girl Included After Question

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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.

A Sample Answer For the Assignment: NRS 434 A mother comes in with 9-month-old girl

Title: NRS 434 A mother comes in with 9-month-old girl

According to the CDC (2020) a 9-month-old baby should be able to do a few things that is important and will indicate how the baby progress for her age. Social and Emotional: Baby may be afraid of strangers and attached with those familiar with them. Language/Communication: Understands “no” and make different sounds that seems like “mama”, Cognitive: plays peek-a-boo, can hold cereal between pointer finger and thumb. Physical development: sits by themselves without support, crawls. (Green, 2018) These are` some of the developmental markers for a 9-month-old baby.

Various assessments are done to ensure that the baby is on the right track developmental wise. It is important for parents to be part of the assessments so they can understand what to look for. Before any recommendations can be given to the mother, assessment will be done in order to give appropriate information. I would talk to the mother and enquire about the baby’s feed regiment. I would also have to know if the mother was breast feeding. We will discuss feeding schedules and if the mother was breast feeding. It is important to know if she produces enough milk to satisfy the baby and how often. Once all the information is collected, we can recommend food that is nutritious for the baby, draw up a schedule to ensure that the baby eat, and drink as scheduled.

References

Center for Disease Control and Prevention

(CDC). (2020). Important milestone: Your baby by nine months. Retrieved from https://www.cdc.gov/ncbddd/actearly/milestone/milestone-9mo.html

Green,S.Z. (2018). Health assessment: Foundation for effective practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundation-for-effective-practice/v1.1/

James Lokko

replied toValencia Classen

Jan 28, 2022, 11:20 PM

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Replies to Valencia Classen

Hello Valencia, it is true that feeding program of the baby are among the factors that ne must consider. For the case of breastfeeding mothers, we must understand the amount of milk the mother was producing since its fundamental in the development process of the child. I am impressed you have discussed an important factor that most people don’t think s impotant, especially with the diverse family set up that we have today.

Ethel Kunaka

replied toJames Lokko

Jan 29, 2022, 3:30 PM

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Replies to James Lokko

James,

Thank you. When babies or children present with underweight the first thing that comes to mind is feeding although they maybe underlying medical conditions,it is important to rule out those. For the breastfeeding mothers to be able to produce breast milk they should take themselves balanced meals , be well hydrated and have they their minds relaxed. Stress affects milk production so education on that should be given.

Lily Polsky

replied toValencia Classen

Jan 30, 2022, 2:04 AM

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Replies to Valencia Classen

Valencia,

What questions would you ask the parents?

Dr. Polsky

Neelam Rautela

Posted Date

Jan 28, 2022, 9:44 PM

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Replies to Valencia Classen

As per the CDC growth chart, a 9-month-old girl who weighs 6.75 kg represents 5th percentile on CDC growth chart. The head circumference of 43 cm and length of 68.5 cm for 9month-old represents 25th percentile per CDC growth chart which is normal and nothing to be concerned about. A 9-month-old should have several fine motor skills such as banging objects on the table, transfer objects from one hand to another and feeds self-finger food. They should also have gross motor skills such as able to crawl, sit without support, able to get into sitting position, pulls self to standing position, stands while holding onto a support and making stepping movement (Green, 2018). If this 9-month-old girl has developed age-appropriate milestones then it is not that concerning. I will recommend to the mother to continue breastfeeding, monitor her food intake and introduce some solid food as in fruits such as a banana. I will encourage the mother to keep her immunization up to date to prevent infection. Mother should be advised to seek early medical help if she runs fever, vomiting or any other sickness that can cause baby to lose further weight.

Failure to thrive is a condition commonly seen by primary care physicians. Prompt diagnosis and intervention are important for preventing malnutrition and developmental sequelae. Medical and social factors often contribute to failure to thrive. Either extreme of parental attention (neglect or hypervigilance) can lead to failure to thrive. About 25 percent of normal infants will shift to a lower growth percentile in the first two years of life and then follow that percentile; this should not be diagnosed as failure to thrive. Many infants with failure to thrive are not identified unless careful attention is paid to plotting growth parameters at routine checkups. A thorough history is the best guide to establishing the etiology of the failure to thrive and directing further evaluation and management. All children with failure to thrive need additional calories for catch-up growth Krugman, 2003). In this scenario mother should be encouraged to make a calorie chart for the infant to ensure proper growth and development.

References

Green, S. Z. (2018). Grand Canyon University (E.D). Foundations for Effective Practice. https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/1

Krugman, S. D., & Dubowitz, H. (2003). Failure to thrive. American family physician, 68(5), 879–884.

Thomas Leen

replied toNeelam Rautela

NRS 434 A mother comes in with 9-month-old girl

Jan 29, 2022, 3:50 AM

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Replies to Neelam Rautela

Neelam,

When thinking of failure to thrive most of us would immediately jump to an older adult that is small and fragile. Personally, I never thought about infants and babies having this same presentation. Though we learn about it in nursing school, failure to thrive for children gets pushed to the back of our minds, but like you said is more common than we’d think. I agree, these findings are not terribly concerning if other developmental milestones are being met. I did not know hypervigilance could also cause failure to thrive. Great work!

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Performance Category	100% or highest level of performance 100% 16 points	Very good or high level of performance 88% 14 points	Acceptable level of performance 81% 13 points	Inadequate demonstration of expectations 68% 11 points	Deficient level of performance 56% 9 points	Failing level of performance 55% or less 0 points
Total Points Possible= 50	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic topics.	Presentation of information was exceptional and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was good, but was superficial in places and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was minimally demonstrated in all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in one of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in two of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in three or more of the following elements Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
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	10 Points	9 Points			6 Points	0 Points
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	8 Points	7 Points	6 Points	5 Points	4 Points	0 Points
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