In: Nursing
A nurse is assessing a 9month old infant which of the following findings should the nurse report to the provider as a delay in development.
A. using a pincer grasp to pick up blocks
B. requiring support to sit for prolonged periods
C. turning to head toward the parent's voice
D. reaching for the mother and saying, mama.
Answer:
OPTION B
Why Option B is correct?
Many babies master the skills of sitting independently between 7 to 9 months of age. At 3-4 months of age, babies can hold their heads on their own. When they get 6th months old, they can sit in a tripod position with little help. A 6-9 months old baby can sit alone without any support. So, if a baby requires support to sit at the 9 months old age is an indication of delay in development.
Why not option A?
The pincer grasp is described as holding small objects between the index finger and thumb using pads and tips of fingers. This grasp usually develops between 8-12 months of age. So, this can't be an indication of delay in development as mentioned 9-month-old baby can hold the blocks.
Why not option C?
Recognizing outside sound by fetus starts early in 25-29 weeks of pregnancy. A Fetus responds to his mother's voice as they are closest to them physically and internally through the vibration of his mother's vocal cords. Most of the babies respond to their mother's voice at 32 to 34 weeks of pregnancy and their response increases while reaching towards the term. So, this can't be an indication of delay in development as your infant turns his head toward the parent's voice.
Why not option D?
Babies can recognize familiar faces by 3 months of age and typically begins to crawl between 6 and 10 months. They can understand a few basic words like "no" and "bye-bye by the age of 9 months. They can make consonant sounds and tones of voices by this age but uttering simple words like "mama" and "dada" by the end of 12 months or more. So, this would be an early sign to check-in a 9-month-old baby.
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