Answer 2 for NRS 434 Describe the developmental markers a nurse should assess for a 9-month-old female infant
Nine-month old infant currently in the 25th percentile for head and height circumference with only 5th percentile when it comes to the weight of the infant showcases that the baby is currently underweight and the infants body is not proportionate when it comes to the comparison of their circumference and height (Stein‐Zamir, Volovik, Rishpon, & Sabi, 2008). The developmental markers when it comes to the assessment of the infant includes banging table objects, the feeding of self-finger foods by the infant, sitting without support, crawling and pulling oneself to the standing position (Bondas, 2006). These markers will be generally used to describe the development of the 9 months old child. There are other developmental markers for the 9 to 12 months old baby as well which include drinking via a cup, pointing at the different objects and formation of a sitting position all by itself, standing without help and walking alongside the furniture. Nurse should additionally assess for the ability of the baby to laugh, babble and blow bubbles. Tools for usage in developmental screening include Denver Developmental Screening Test for assessment of language development and motor development. Pamphlets or online resources like http://wwww.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html can be provided for parent to understand more about child development.
References:
Bondas, T. (2006). Paths to nursing leadership. Journal of Nursing Management, 14(5), 332–339.
Stein‐Zamir, C., Volovik, I., Rishpon, S., & Sabi, R. (2008). Developmental dysplasia of the hip: Risk markers, clinical screening and outcome. Pediatrics International, 50(3), 341–345.
Sample Answer 3 for NRS 434 Describe the developmental markers a nurse should assess for a 9-month-old female infant
When assessing a nine month old child, there are many milestone markers that need to be assessed. This child in particular is below average in size therefore it is important to pay close attention to developmental milestones to ensure the infant is growing properly. Regarding fine motor skills, watching for body motions such as transferring objects from one hand to the other, banging objects, feeding self with fingers, crawling, and sitting unsupported. Gross motor skills that should be assessed include stepping motions, cruising, and scribbling with crayons. A thorough assessment should include making notes on nutritional status, alertness, and behaviors such as stranger anxiety and responding to verbal commands (GCU, 2018).
The mother of this infant should be encouraged to continue routine checkups to monitor the growth and development of the infant. Studies have shown that incorporating both developmental monitoring and developmental screening can detect issues in children at an early age to provide for early intervention strategies and reduce long term effects or complications of issues. It has been shown that “early intervention receipt prevalence was higher for children receiving both developmental monitoring and screening” (Barger, B. et al. 2018). Continuous, routine monitoring of developmental milestones is important in tracking an infants growth progress. Educating parents on the developmental markers of infants at every stage in development is crucial in ensuring early detection of any issues that could arrive.
Resources
Grand Canyon University (Ed). (2018). Health assessment: Foundations for effective practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/
Barger, B., Rice, C., Wolf, R., & Roach, A. (2018). Better together: Developmental screening and monitoring best identify children who need early intervention. Disability and Health Journal, 11(3), 420–426. https://doi-org.lopes.idm.oclc.org/10.1016/j.dhjo.2018.01.002
