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.
The baby growth cart shows which percentile your child is in compared with others of the same age and gender. Percentiles are shown as curved lines.
For example, if your child is in the 70th percentile for length-for-age, this means 30 percent of babies the same age and gender are longer, and 70 percent are shorter.
But, this one point doesn’t provide the complete picture.
Your provider will assess several values over time to see the trend of how your child is growing in comparison to the average growth curve shown on the chart.
Try not to get too focused on a single number.
There is a wide range of healthy sizes and lengths, and many factors influence your child’s growth, including genetics, environmental factors, nutrition, activity levels, and health problems.
When babies have growth spurts also varies. For example, breastfed and formula-fed babies grow in slightly different patterns.
Breastfed babies typically put on weight more slowly than formula-fed babies, and formula-fed infants typically go through a growth spurt and gain weight more quickly after 3 months of age.
In terms of weight, the normal growth rate for a baby is to double in weight by 5 or 6 months and triple it by the time she’s 1 year old.
Your pediatrician is the best person to explain whether your child is on track.
As your baby grows, the diaper size that fits her perfectly will change, too. Take a look at our diaper size and weight chart to make sure that your baby’s diaper fits comfortably and has no leaks or blowouts.
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