PEDIATRIC NURSING
GROWTH AND DEVELOPMENT
Growing - complex phenomenon of a structure or whole
GROWTH
Increase in physical size of a structure or whole
Quantitative
2 parameters
Weight - most sensitive measurement for growth.
Weight gain:
2x = 5 – 6 mos.
3x = 1 year
4x = 2 – 2½ years
Height
ESTROGEN - responsible for increase in height in female.
TESTOSTERONE - responsible for the increase in height in male
Stoppage of height coincide with the eruption of the wisdom teeth.
DEVELOPMENT
Increase in the skills or capacity to function
Qualitatively
How to measure development:
By simply observing the child doing simple task
By noting parent’s description of the child’s progress
Measure by DENVER DEVELOPMENTAL TEST (DDST)
Main Rated Categories
LANGUAGE - ability to communicate
PERSONAL/ SOCIAL - ability to interact
FINE MOTOR ADAPTIVE - ability to use hand movements
GROSS MOTOR SKILLS - ability to use large body movements
MATURATION
Synonymous with development
Readiness/ learning is effortless
COGNITIVE DEVELOPMENT
Ability to learn and understand from experiences, to acquire and retain knowledge, to respond to a new situation and to solve problems
LEARNING - change of behavior
IQ= [Mental Age/ Chronological Age] x 100
Normal IQ range = 90-100
GIFTED CHILD IQ LEVEL - 130
BASIC DIVISIONS OF LIFE
Prenatal
Conception to birth
Infancy
Neonatal first 28 days
Formal Infancy 29th – 1 year
Early Childhood
Toddler 1 – 3 y/o
Preschool 4 – 6 y/o
Middle Childhood
School Age 7 – 12 y/o
Late Childhood
Pre – adolescent 11 – 13 y/o
Adolescent – 12 – 13 y/o to 21
PRINCIPLES OF GROWTH AND DEVELOPMENT
Growth and development is a continuous process (WOMB TO TOMB PRINCIPLE)
begins from conception and ends with death
Not all parts of the body grows at the same time or at the same rate (ASSYCHRONOUS GROWTH)
Each child is unique
Growth and development occurs in a regular direction reflecting definite and predictable patterns or trends
Directional Terms
Cephalocaudal/ Head to Tail - It occurs along bodies long axis in which control over head, mouth and eye movemens and precedes control over upper body torso and legs
Proximo – Distal/ Centro – distal
Progressing from center of the body to the extremities
Symmetrical/ Each side of the Body
Develop at the same direction at the same time and at the same rate
Mass – Specific
Differentiation – SIMPLE TO COMPLEX; BROAD TO REFINED.
Sequential Trend
Involves a predictable sequence of growth and development to which the child normally passes
Locomotion
Creeps → Stands → Walks → Run
Language and Social Skills
Cry → coo
Secular Trend
Refers to the worldwide tend of maturing earlier and growing larger as compared to succeeding generation
BEHAVIOR → most comprehensive indicator of developmental stages
act @ your age
PLAY → universal language
A great deal of skills is learned by practice
There is optimum time for initiation of experience or learning
Neonatal reflexes must be lost first before development can proceed
persistent primitive infantile reflexes is a possible case of cerebral palsy
PATTERNS OF GROWTH AND DEVELOPMENT
Renal → digestive → circulatory → musculoskeletal
childhood
Brain → CNS → Neurologic Tissue rapidly grows with in 1 – 2 years
Brain achieves its adult proportion @ 5 years
Rapid growth and development of brain from1 – 2 years
Malnutrition may result to Mild Mental Retardation
Lymphatic System (Lymph Nodes)
Grows rapidly during infancy and childhood
Provide protection against infection
TONSIL reach its adult proportion @ 5 years
Reproductive
Grows rapidly during puberty
RATES OF GROWTH AND DEVELOPMENT
Fetal and Infancy
Period of most rapid growth and development
Prone to develop anemia
Toddler
Period of slow growth and development
Toddler and preschool
Period of alternating rapid and slow growth and development
School Aged
Slower growth and development
Least to develop anemia
Adolescent
Period of rapid growth
Two Primary Factors Affecting Growth and Development
Heredity
Race
Sex
Intelligence
Nationality
Environment
Quality of Nutrition
Socio Economic Status
Health
Ordinal Position in the family
Parent – Child Relationship
*Universal Principle: F are born < wt. than M by 1 oz.; F are born < lt. than M by 1 in.
THEORIES OF DEVELOPMENT
Developmental Task
A skill or growth responsibility arising at a particular time in the individual’s life.
The successful achievement of which will provide a foundation for the accomplishments of the future tasks
SIGMUND FREUD’S PSYCHOSEXUAL THEORY
1856 – 1939
An Austrian Neurologist
Founder of
1st to introduce Personality Development
GROWTH AND DEVELOPMENT
Growing - complex phenomenon of a structure or whole
GROWTH
Increase in physical size of a structure or whole
Quantitative
2 parameters
Weight - most sensitive measurement for growth.
Weight gain:
2x = 5 – 6 mos.
3x = 1 year
4x = 2 – 2½ years
Height
ESTROGEN - responsible for increase in height in female.
TESTOSTERONE - responsible for the increase in height in male
Stoppage of height coincide with the eruption of the wisdom teeth.
DEVELOPMENT
Increase in the skills or capacity to function
Qualitatively
How to measure development:
By simply observing the child doing simple task
By noting parent’s description of the child’s progress
Measure by DENVER DEVELOPMENTAL TEST (DDST)
Main Rated Categories
LANGUAGE - ability to communicate
PERSONAL/ SOCIAL - ability to interact
FINE MOTOR ADAPTIVE - ability to use hand movements
GROSS MOTOR SKILLS - ability to use large body movements
MATURATION
Synonymous with development
Readiness/ learning is effortless
COGNITIVE DEVELOPMENT
Ability to learn and understand from experiences, to acquire and retain knowledge, to respond to a new situation and to solve problems
LEARNING - change of behavior
IQ= [Mental Age/ Chronological Age] x 100
Normal IQ range = 90-100
GIFTED CHILD IQ LEVEL - 130
BASIC DIVISIONS OF LIFE
Prenatal
Conception to birth
Infancy
Neonatal first 28 days
Formal Infancy 29th – 1 year
Early Childhood
Toddler 1 – 3 y/o
Preschool 4 – 6 y/o
Middle Childhood
School Age 7 – 12 y/o
Late Childhood
Pre – adolescent 11 – 13 y/o
Adolescent – 12 – 13 y/o to 21
PRINCIPLES OF GROWTH AND DEVELOPMENT
Growth and development is a continuous process (WOMB TO TOMB PRINCIPLE)
begins from conception and ends with death
Not all parts of the body grows at the same time or at the same rate (ASSYCHRONOUS GROWTH)
Each child is unique
Growth and development occurs in a regular direction reflecting definite and predictable patterns or trends
Directional Terms
Cephalocaudal/ Head to Tail - It occurs along bodies long axis in which control over head, mouth and eye movemens and precedes control over upper body torso and legs
Proximo – Distal/ Centro – distal
Progressing from center of the body to the extremities
Symmetrical/ Each side of the Body
Develop at the same direction at the same time and at the same rate
Mass – Specific
Differentiation – SIMPLE TO COMPLEX; BROAD TO REFINED.
Sequential Trend
Involves a predictable sequence of growth and development to which the child normally passes
Locomotion
Creeps → Stands → Walks → Run
Language and Social Skills
Cry → coo
Secular Trend
Refers to the worldwide tend of maturing earlier and growing larger as compared to succeeding generation
BEHAVIOR → most comprehensive indicator of developmental stages
act @ your age
PLAY → universal language
A great deal of skills is learned by practice
There is optimum time for initiation of experience or learning
Neonatal reflexes must be lost first before development can proceed
persistent primitive infantile reflexes is a possible case of cerebral palsy
PATTERNS OF GROWTH AND DEVELOPMENT
Renal → digestive → circulatory → musculoskeletal
childhood
Brain → CNS → Neurologic Tissue rapidly grows with in 1 – 2 years
Brain achieves its adult proportion @ 5 years
Rapid growth and development of brain from1 – 2 years
Malnutrition may result to Mild Mental Retardation
Lymphatic System (Lymph Nodes)
Grows rapidly during infancy and childhood
Provide protection against infection
TONSIL reach its adult proportion @ 5 years
Reproductive
Grows rapidly during puberty
RATES OF GROWTH AND DEVELOPMENT
Fetal and Infancy
Period of most rapid growth and development
Prone to develop anemia
Toddler
Period of slow growth and development
Toddler and preschool
Period of alternating rapid and slow growth and development
School Aged
Slower growth and development
Least to develop anemia
Adolescent
Period of rapid growth
Two Primary Factors Affecting Growth and Development
Heredity
Race
Sex
Intelligence
Nationality
Environment
Quality of Nutrition
Socio Economic Status
Health
Ordinal Position in the family
Parent – Child Relationship
*Universal Principle: F are born < wt. than M by 1 oz.; F are born < lt. than M by 1 in.
THEORIES OF DEVELOPMENT
Developmental Task
A skill or growth responsibility arising at a particular time in the individual’s life.
The successful achievement of which will provide a foundation for the accomplishments of the future tasks
SIGMUND FREUD’S PSYCHOSEXUAL THEORY
1856 – 1939
An Austrian Neurologist
Founder of
1st to introduce Personality Development