knowt logo

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