The nine-month-old infant anthropometric measurements indicate that she is in the 25th percentile for height and head circumference and 5th percentile for weight. This is an indication that the baby is underweight. There is no proportionality in weight and height. The developmental markers at nine months include sitting without support, crawling, making different sounds, trying to pick up food and feed herself, using furniture to support herself, and even drinking from a cup with help (Milichap, 2007). Moreover, assessment of the infant’s ability to laugh and blow bubbles is checked. The developmental screening test is used for the assessment of language development, and the general appearance assessment is necessary to determine nutritional information and mental alertness.
I would give recommendations from a nutrition perspective. I would advise the mother to continue breastfeeding and using baby formula until the baby is twelve months old. Breast milk is an important source of energy and can provide half of the child’s energy needs up to the age of twelve months. Besides, I would provide reading materials on baby nutrition at nine months. The materials will help the mother know the expected nutritional needs for the baby to keep it healthy. I will also encourage the mother to exercise safe use of baby formula including preparation and storage. Safe usage of baby formula will help in preventing any hygiene-related infections. I will advise her to avoid giving the baby cow’s milk until the baby is twelve months because cow’s milk may cause iron loss from the gastrointestinal tract. Moreover, the mother should prefer healthy and iron-fortified baby cereals to see an improvement in body weight gain. Iron is important in baby development and helps in powering the baby’s brain development. Iron will also help in neurological development of the baby.
Identification of developmental milestone is essential to enable identification of children who might experience developmental delays. There are many screen-based assessment tools that healthcare personnel can use to identify those at risk of the delays. These include the child’s development inventory and parental evaluation of the child’s development (Gowers, 2002). There is a need for parental education on the development milestones to enable them to raise alarm in case of any issues.
Gowers, C. (2002). Should Parents be Told about Baby Milestones? Early Years Educator, 4(1), 6-7.
Milichap, J. (2007). Infant Developmental Milestones and Later Cognitive Function. AAP Grand Rounds, 18(6), 64-64.