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Pediatric Nursing

Growth and Development

Growth- increase in physical size of a structure or whole.
-quantitative change.

Two parameters of Growth

1. weight- most sensitive measure of growth, especially low birth rate.
Wt doubles 6 months
3x 1yr
4x 2-2 ½ yrs

2. Height- increase by 1”/mo during 1st 6 months
- average increase in ht - 1st year = 50%
stoppage of ht coincide with eruption of wisdom tooth.

Development- increase skills or capability to function
- qualitative

How to measure development

1. Observe child doing specific task.
2. Role description of child’s progress
3. DDST- Denver development screening test.
MMDST (Phil) Metro Manila Developmental Screening Test.
DDST measures mental

4 main rated categories of DDST
1. Language communication
2. personal social-interaction
3. fine motor adaptive- ability to use hand movement
4. gross motor skills- large body movement

maturation- same with development “readiness”

Cognitive development –ability to learn and understand from experience to acquire and retain knowledge. To respond to a new situation and to solve problems.

IQ test- test to determine cognitive development
Mental age x 100 = IQ
Chronological age

Average IQ – 90-100
Gifted child- > 130 IQ


Basic Divisions of Life
I. Prenatal stage from conception- birth

II. Period of infancy
1. Neonatal- 1st 28 days or 1st 4 weeks of life
2. Formal infancy- 29 day – 1 year


III. Early childhood
1. Toddler – 1-3 yrs
2. Pre school 4-6 years

IV. Middle childhood
1. School age- 7 – 12 yrs

V. Late childhood
1. Pre adolescent 11 – 13 yrs
2. Adolescent 12 - 18 – 21

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