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Growth and Development nursing notes

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This document provides detailed class notes on growth and development in nursing, with a focus on child development and pediatrics. It covers key stages of child development, essential pediatric care practices, and strategies for monitoring and promoting healthy growth. Ideal for nursing students and professionals, this resource enhances understanding and skills in pediatric nursing and child development.

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Julia Andrea C. Quiao
BSN2-I

NCM 207 GROWTH &
DEVELOPMENT Cognitive Development
ability to:
❏ Introduction - learn or understand
💚•💚•💚•💚•💚•💚•💚•💚•💚•💚•💚•💚
DEFINITION

Growth - physical change and increase in size
- includes height, weight, dentition, and bone age.

Development - an increase in the complexity of function
and skill progression

- an increase in skill or the ability to function or a

qualitative change

Maturation - An increase in competence and adaptability PRINCIPLES OF GROWT
- To function at a higher level DEVELOPMENT
Psychosexual development - Developing instinct or
sensual pleasure ✓G&D are continuous processes fro
- Freudian theory conception until death

✓G&D proceed in an orderly manne

✓Children pass through the predic

stages at diff. rates

✓ All body systems do not develop

same rate = Ex: neural tube - dev

of gestation

nervous system - neural processing

during infancy and childhood, reac
Psychosocial
about age 15.
Development
- Erikson’s stages
✓ Dev’t is cephalocaudal = head to
of personality
✓ Dev’t proceeds from proximal to
development
body parts = from center to outer

,💚•💚•💚•💚•💚•💚•💚•💚•💚•💚•💚•💚💚•💚•💚•💚•💚•💚•💚•💚•💚•💚

FACTORS AFFECTING GROWTH &
DEVELOPMENT

1. GENETICS - Family history of diseases may be

inherited

- Chromosomes carry genes that determine

physical characteristics, intellectual

potential, and personality.

- Sex, race, and nationality

1a. Gender – girls are born lighter & shorter

than boys

1b. Health – a child who inherits genetically

transmitted disease may not grow as

rapidly or develop as a fully healthy child
4. TEMPERAMENT - the way
1c. Intelligence – children with high

intelligence do not generally grow faster

physically than other children



2. NUTRITION - The greatest influence on physical

and intellectual development.

- poor maternal nutrition may limit growth &

intelligence potential

3. ENVIRONMENT

3.1 Harmful Pre-Natal Env’t
a. Nutritional deficiencies

b. Mechanical problems their internal and external e

c. Metabolic endocrine disturbances - inborn characterist

d. Medical treatment - not developed by sta

e. Infectious diseases/illness during = Ex:

Eczema, Vaginal Yeast pregnancy REACTION PATTERNS
f. Faulty placental implantation/malfunction - Activity Level – level of ac

, 💚•💚•💚•💚•💚•💚•💚•💚•💚•💚•💚•💚💚•💚•💚•💚•💚•💚•💚•💚•💚•💚
- Mood Quality – a happy child has a positive mood METHODS OF STUDYING
quality

- Adaptability - the ability to change one’s reaction CROSS-SECTIONAL STUDIES
to stimuli over time - Participants of different age

same time.
5. CULTURE - habits, beliefs, language, values, and LONGITUDINAL STUDIES
attitudes of cultural groups influence the child’s - One group of people studied
G & D

PATTERNS OF GROWTH
6. HEALTH – illness, injury, or other congenital
DEVELOPMENT
conditions can affect G & D
A. Directional Trends
7. FAMILY - the purpose of the family is to provide
1. Cephalocaudal - head to tail
support and safety for the child
2. Proximodistal - near to far / cen
7.1 Parental Attitudes
3. Differentiation - from simple to
7.2 Child-rearing Philosophies
operations and functions



STAGES OF HUMAN DEVELOPMENT


STAGES AGE

NEWBORN Birth to 28 days


INFANCY 1 to 12 months


TODDLER 1 to 3 years


PRESCHOOL-AGE 3 to 6 years


SCHOOL-AGE 6 to 12 years


ADOLESCENCE 12 to 20 years


EARLY ADULT 20 to 40 years


MIDDLE ADULT 40 to 65 years

, 💚•💚•💚•💚•💚•💚•💚•💚•💚•💚•💚•💚💚•💚•💚•💚•💚•💚•💚•💚•💚•💚
E. Individual Differences DEVELOPMENT OF ORG
- Rates of growth vary

Respiratory, digestive, renal & m
BIOLOGIC GROWTH & PHYSICAL circulatory tissue

DEVELOPMENT - Pattern for general growth p

in childhood

Linear growth or height
- occurs as a result of skeletal growth Neurologic tissues
Weight - Grow rapidly in the 1 st 2 y
- Birthweight is a reflection of intrauterine Env’t - Brain reaches mature pro
- In general,

- it doubles by 4-7 mos. Lymphoid tissues
- triples by the end of the 1 st yr - Grow rapidly during infan
- by 2-2.5yrs birthweight quadruples

Skeletal growth & maturation
Bone Age - Provides the best estimate
- determined by comparing the mineralization of

ossification centers MOTOR DEVELOPMENT

Dentition Gross Motor Skills F
- Major stages:
Balance, Coordination Smal
1. Growth
move
2. Calcification
finge
3. Eruption

4. Attrition Physical strength, progressive Scrib

movement dres


Walking, running, jumping, Hold

skipping etc.



- process wherein children lea

integrate their muscles in pu

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