Infant health supervision 6–12 months — formative SAQs

SAQ 1 — Structure the 9-month visit (10 marks)

A first-time caregiver brings a 9-month-old for routine review. The infant appears well in the waiting room. ^[1]

Questions

1. List the essential domains you will cover in this health-supervision visit. (4 marks) ^[1]
2. Give four high-yield anticipatory guidance points specific to emerging mobility and feeding at this age. (4 marks) ^{[2] [3] [5]}
3. Name two situations in which you would abandon the preventive checklist and convert to acute care. (2 marks) ^[1]

Model answer

Domains (4). Growth (weight, length, OFC plotted); developmental surveillance with observation; nutrition/complementary feeding and iron risk; safe sleep; injury/passenger safety; oral health; immunisation status; family psychosocial/perinatal mood and social determinants. Award marks for coherent domain coverage rather than exact wording. ^{[1] [6]}

Anticipatory guidance (4). Examples: advance iron-rich complementary foods and textures while continuing breastmilk/formula; avoid unmodified cow’s milk as main drink before 12 months; safe sleep (back, firm flat surface, no soft bedding); injury prevention (small objects, stairs, water, hot drinks); rear-facing car seat within limits; no honey under 12 months. ^{[2] [3] [5]}

Conversion triggers (2). Any two: lethargy/mottling/respiratory distress; suspected sepsis; severe dehydration; active seizure; major injury/safeguarding emergency; infant too unwell for vaccines. ^[1]