RNSG 1412 (Ob/Pedi) - Exam 1, PPT|Pediatric Nursing
Assessment and Management: Growth, Development, Milestones,
Psychosocial Stages, Cognitive, Motor, Language, Nutrition,
Immunizations, Safety, Injury Prevention, Play, Tanner Staging, Infant,
Toddler, Preschool, School-Age, Adolescent, Physical, Fine Motor,
Gross Motor, Sensory, Cognitive, Social, Emotional, Moral, Sleep,
Parent Education, Family-Centered Care, Risk Assessment, Preventive
Interventions, Health Promotion, Standardized Screening Tools Exam
Questions Verified and Provided with Complete A+ Graded Rationales
Latest Updated 2026
Growth & Development: Defined
•Growth
•Measurable physical changes - increase in size, increase in weight
•Development
•Increased function or capability - increased vocabulary, toddler learning to walk, preschooler learning
to tie shoes
Growth & Development: Principles
•Occurs in an orderly sequence
•G&D are directional and predictable
•Individualized - each child is unique
•Progresses from generalized to focused
•Increasingly integrated and complex
,Growth & Development:Patterns
- cephalocaudal
- proximodistal
- general to specific
- differentiated from simple to complex
- occurs in spurts
Growth & Development:Influencing Factors
•Genetics
•Environment (exposures)
•Culture
•Nutrition
•Health status (disease states)
•Family (relationships/influences)
•Parental attitudes
•Environment
,•Prenatal exposure
•Family socioeconomic status
•Exposure to harmful substances
•Culture
•Habits, beliefs, language, values
•Nutrition
•Begins in the prenatal period
•Portion control
•Availability of healthy meals
•Health status
•Conditions may impact delivery of oxygen, nutrients, or hormones to organs impacting growth and
function
•Family
•Child and family are inseparable - caring for the child involves caring for the entire family
•Parental Attitudes
, •Impacted by education level, financial pressures, martial status, support system, childhood
experiences, child’s temperament
Growth & Development:Theories
•Piaget’s Theory of Cognitive Development
•Freud’s Theory of Psychosexual Development
•Erikson’s Psychosocial Theory (know for exam)
•Kohlberg’s Theory of Moral Development
Erickson’s Psychosocial Theory
•Lifelong series of conflict affected by social and cultural factors. Each conflict must be resolved to
progress. (McKinney et al., 2022)
•
•Children evoke defense mechanisms in stressful situations such as hospitalization. i.e. regression- a
reactivation of behavior related to an earlier stage of development (thumb sucking, bed wetting)
How can nurses reduce parent stressors
Erickson’s Psychosocial Theory - Birth to 18mos
Assessment and Management: Growth, Development, Milestones,
Psychosocial Stages, Cognitive, Motor, Language, Nutrition,
Immunizations, Safety, Injury Prevention, Play, Tanner Staging, Infant,
Toddler, Preschool, School-Age, Adolescent, Physical, Fine Motor,
Gross Motor, Sensory, Cognitive, Social, Emotional, Moral, Sleep,
Parent Education, Family-Centered Care, Risk Assessment, Preventive
Interventions, Health Promotion, Standardized Screening Tools Exam
Questions Verified and Provided with Complete A+ Graded Rationales
Latest Updated 2026
Growth & Development: Defined
•Growth
•Measurable physical changes - increase in size, increase in weight
•Development
•Increased function or capability - increased vocabulary, toddler learning to walk, preschooler learning
to tie shoes
Growth & Development: Principles
•Occurs in an orderly sequence
•G&D are directional and predictable
•Individualized - each child is unique
•Progresses from generalized to focused
•Increasingly integrated and complex
,Growth & Development:Patterns
- cephalocaudal
- proximodistal
- general to specific
- differentiated from simple to complex
- occurs in spurts
Growth & Development:Influencing Factors
•Genetics
•Environment (exposures)
•Culture
•Nutrition
•Health status (disease states)
•Family (relationships/influences)
•Parental attitudes
•Environment
,•Prenatal exposure
•Family socioeconomic status
•Exposure to harmful substances
•Culture
•Habits, beliefs, language, values
•Nutrition
•Begins in the prenatal period
•Portion control
•Availability of healthy meals
•Health status
•Conditions may impact delivery of oxygen, nutrients, or hormones to organs impacting growth and
function
•Family
•Child and family are inseparable - caring for the child involves caring for the entire family
•Parental Attitudes
, •Impacted by education level, financial pressures, martial status, support system, childhood
experiences, child’s temperament
Growth & Development:Theories
•Piaget’s Theory of Cognitive Development
•Freud’s Theory of Psychosexual Development
•Erikson’s Psychosocial Theory (know for exam)
•Kohlberg’s Theory of Moral Development
Erickson’s Psychosocial Theory
•Lifelong series of conflict affected by social and cultural factors. Each conflict must be resolved to
progress. (McKinney et al., 2022)
•
•Children evoke defense mechanisms in stressful situations such as hospitalization. i.e. regression- a
reactivation of behavior related to an earlier stage of development (thumb sucking, bed wetting)
How can nurses reduce parent stressors
Erickson’s Psychosocial Theory - Birth to 18mos
