1. Pediatric Growth & Development Presented by Marlene Meador RN, MSN, CNE

2. Health Maintenance Prevent disease or injury- known potential hazard (nutrition, rest, activity) Preventive Health Use individual/family’s strengths to reach higher levels of wellness. (immunizations, safety laws & codes, research)

3. Causes of Morbidity 1-4 years5-14 years15-19 yrsall deaths congenital malformations motor vehicle injuries Cancer HomicideFirearms HomicideCongenital malformations SuicideSuffocation Diseases of the heart HomicideCancerDrowning SuicideHeart diseasePoisoning

4. Quick question: What disease do you think is responsible for the most morbidity in children?

5. Type 1 Diabetes Type 1 diabetes is the most common serious chronic illness of childhood. This illness is twice as common as all childhood cancers combined.

6. What areas of development does play enhance? Physical Cognitive Emotional Social Moral

7. Periods of Greatest Growth? Page 904 Fetal Birth-infancy Puberty

8. What factors influence growth? How? Genetics Environment Culture Nutrition Health status Family

9. How do we measure growth? Charts Comparison to self over time X-rays Teeth Ht, wt, and FOC Length of bones (what do we measure) (Birth weight doubles by 5 th month, triples by 1 year)

10. Differentiate: Cephalocaudal Proximo-distal Prehensile behavior

11. Piaget Intelligence (ability to solve problems) vs Habituation (time between infant’s response and cessation of the response) The shorter the habituation, the higher the potential intelligence…these children get bored by repetition… fast thinkers

12. Emotions: feelings, impulses, physiological responses and reactions (internal & external) What criteria does a nurse use to document emotions? What do you document?

13. Subjective- joy anxiety, content, anger Objective- facial expressions, laughter, crying, changes in VS

14. Stages of Play What stage in childhood do these stages represent? Practice play- peek-a-boo? Riding a bike? Symbolic play- playing a princess or cowboy? Games- board games, competitive sports?

15. Give examples of the types of play: Solitary Parallel Associative Cooperative Onlooker

16. Why is it important for the nurse to understand appropriate play for developmental stage?

17. Review Handout Pages 890-895 What are priority concepts of this chart?

18. Nutritional Needs for Growth Infancy- breast milk is best… Why? Toddler- physilogic anorexia (p. 933) food presentation preferences Preschool- food jags School aged- what teaching techniques would you use to teach these children? What developmental stage? Adolescent- what additional information regarding growth spurt?

19. What teaching should the nurse include regarding: Bottle feeding? Dental caries- prevention and treatment? Eruption of teeth (deciduous & permanent) Orthodonture Oral hygiene

20. Contact Marlene Meador RN, MSN, CNE for any questions or concerns regarding this lecture content. Mmeador@austincc.eduMmeador@austincc.edu