and Pediatric Nursing
, Study guide 1 Peds
Chapter 20: Caring for the developing child
Describe the principles inherent in the developmental process:
- Principles of childhood growth and development: Although children all grow at
different paces and have different strengths and weakness. Development occurs in
an orderly fashion and each child should progress through predictable stages
within a certain time frame.
o Growth refers to a continuous adjustment in size. Growth spurts tend to be
followed by periods of rest because it takes plenty of energy to continue
the growth process. The periods of rest allow the child to master their
current growth status before they spurt into the next.
o Development refers to the ongoing process of adapting throughout the
life span.
o Cephalocaudal: development of the head first then progresses to the toes.
o Proximodistally: development from center to peripheral.
o Gross to fine motor skills: Gross motor skills like running, jumping, or riding a
bike. While fine motor skills are eating, coloring or buttoning a shirt.
o Touchpoints: idea created by T.Barry Brazelton that are defined as “in the
first three years of life the child’s spurts in growth result in disruption on
the family system”
▪ An early touchpoint involves a 4-month old who becomes
increasingly aware of his surroundings. This will disrupt meals
because baby will
search out sounds it had heard. It will disrupt sleep because at night
time baby might awaken at night.
▪ Periods of regression that occur just before periods of growth.
▪ Brazelton and sparrow (2002) went on to develop specific aspects
about the touchpoints that related to temperament, learning,
moral
development, relationships, independence, and separation issues for
each of the years from 3-6. Responding to touchpoints help the
parents to help the child to develop in a healthy manner
▪ This system pretty much supplies the parents with what to expect
at each developmental stage so the parent knows the child more
than
anyone else.
Identify and explain the theories of growth and development:
Growth and development theories: explain, describe, and predict the various aspects of
growth and development. A developmental domain allows understanding of the total child in
relation to the mind, body and spirit. Growth and development requires energy, how that child
expends that energy is dependent on family, individual, and social factors.
Psychosocial developmental theories:
- Sigmund freud, psychosexual: focused on the influence of instincts. Instincts
are psychosexual in nature, meaning that a child progresss through
developmental stages based on resolution of conflicts surrounding urges and
rules.