Assignment: Development Markers Based on the CDC (2020)
Assignment: Development Markers Based on the CDC (2020)
Reply 19-month old development markersBased on the CDC (2020), a 9-month-old baby should be able to do at least these things listed below as examples:Social and Emotional – May be afraid of strangers and attached with those familiar to themLanguage/Communication – Understands “no” and makes different sounds that seem like “mama” or “dada”Cognitive – plays peek-a-boo, can hold cereal between pointer finger and thumbPhysical Development – sits by themselves without support, crawlsRecommendations with EBPThere are so many assessments that would need to be made to ensure the baby is growing properly. If the baby’s birth weight, height, and head circumference were in the 5th percentile when born and developing on schedule, then the baby may just be small. If on the other hand, the infant was born in the 60% percentile and is now in the 20% for weight, that would be of concern. If that were the case, I would go over the infant’s daily intake and feeding schedule; also assessing if the mother is breastfeeding. If she is breastfeeding, it would be important to recommend foods that are nutritious for the baby and ensuring she is feeding often enough and producing enough milk. Not eating enough or the right foods could delay the baby’s growth and by 9 months, the infant should be eating baby foods and if drinking juice it should be 100% fruit juice (Green, 2018). If the mother was unable to produce enough milk, refer her to an appropriate formula and even information to have food supplement if the family is unable to afford. The WIC program is helpful to provide healthy choices. Based on the American Academy of Pediatrics (AAP) (n.d.) suggests that babies at age 9 months eat less fruits and vegetables because the baby can start feeding themselves and snack on non-nutritive snacks (baby cookies, etc.) instead of fruits and vegetables. “After 9 months, offer 2-3 healthy and nutritious snacks per day” consisting of fruits and vegetables (AAP, n.d.). I would also provide information and websites to access for more information.References American Academy of Pediatrics (AAP). (n.d.) Infant food and feeding. Retrieved from https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/HALF-Implementation-Guide/Age-Specific-Content/Pages/Infant-Food-and-Feeding.aspx Centers for Disease Control and Prevention (CDC). (2020). Important milestones: Your baby by nine months. Retrieved from https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html Green, S.Z. (2018). Health assessment: Foundations for effective practice.Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/ Reply 2Consider 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.Developmental markers are physical, communicational, emotional, and cognitive. ( Centers for Disease Control and Prevention, 2020) Physical markers such as height, weight, and head circumference are measurements of development. Average weight of a 9-month-old girl should be between 18-19 lbs., height should be around 27-28 inches, and head circumference around 44cm. ( Centers for Disease Control and Prevention, 2020) Other physical markers include the 9 month old being able to complete tasks such as crawling, sitting without support, pulling self to standing, stands while holding a support, and making stepping motions. (Green, 2018) Understanding of the word no, makes sounds such as mama and dada, copying sounds, and using fingers to point, are typical communication for a 9 month old. ( Centers for Disease Control and Prevention, 2020) Emotional markers include being afraid of strangers, being clingy to familiar adults, and having favorite toys. ( Centers for Disease Control and Prevention, 2020) A 9 month old with normal development in cognition will watch the path of falling items, looks for others when they hide, plays peek-a-boo, puts things in mouth, moves things from one hand to the other smoothly, and is able to pick up small items between thumb and index finger. ( Centers for Disease Control and Prevention, 2020) Another developmental marker is assessing dental health and the impact of teething.Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.Recommendations to the mother would depend on the answers to the other developmental questions. Assessment of nutritional intake would be key in understanding why the child is lacking in weight. A thorough evaluation of the patient’s history and overall health would be needed to make appropriate recommendations. With the information provided this patient could be referred to the WIC program for assistance with access to food if that is an issue for the patient. Another recommendation would be to start the child on solid foods if they have not started them already. “First solid should be a single-grain iron-fortified baby cereal, such as rice with breastmilk, formula, or water via spoon.” (Green, 2018) By the age or 8 months on the child can eat small pieces of more solid type foods such as crackers, noodles, cooked vegetables, and more. (Green, 2018) If the child is teething and that is causing a lack of interest in food. The nurse can suggest items to ease the child’s teething pain such as a frozen teething ring or cool soft foods. Ensuring proper diet and care for the child are very important to maintain overall health and wellness.ReferencesCenters for Disease Control and Prevention. (2020, June 9). Retrieved from CDC 24/7: Saving Lives, Protecting People: https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.htmlGreen, S. Z. (2018). Grand Canyon University. Retrieved from Health Assessment Foundations for Effective Practice: https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/#/chapter/1
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.