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Pediatric Growth & Development

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

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Pediatric Growth & Development

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  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

  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 5th 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.edu

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