MATERNITY/ NUR106
Human Growth and Development
Unfolding Case Study #1-1 Maddie
Maddie is a 6-month-old infant whose birth weight was 7 pounds 5 ounces, head
circumference was 16 inches, and her length was 21 inches. She presents to the clinic with
her parents for a well child visit.
Exercise 1-1: Calculation
You weigh Maddie at her visit and document her weight as 15 pounds, head circumference
as 16 inches, and length as 25 inches. You plot her measurements on the chart and
determine her percentiles for height and weight. What percentile is she in terms of weight
and length?
Exercise 1-2: Fill-in
How would you interpret these findings in relation to her percentile and other female infants
of the same age?
_________________________________________________________________________
___
You also listen to Maddie's heart and lungs and assess Maddie's gross motor development
during her visit.
Exercise 1-3: Multiple-choice question
Which findings would indicate that Maddie has met gross motor age-appropriate
milestones?
A. Maddie is able to pull herself to a stand.
B. Maddie can sit alone without support.
C. Maddie can roll from her back to her abdomen.
D. Maddie can grasp a rattle with her fingers.
Maddie's father asks you for suggestions about appropriate play for her.
Exercise 1-4: Select all that apply
Based on an understanding of growth and development, and safety, select all toys that
would meet Maddie's needs.
❑ Brightly colored latex balloons
❑ Push-pull toys
❑ Teething toys
❑ Books with bright pictures
❑ Brightly colored soft toys
❑ Stacking blocks
Maddie's parents are very attentive to your teaching and you provide them with literature
about age-appropriate activity. You also review with them home safety for a 6-month-old.
Their next visit is established in another 3 months when Maddie will be 9 months old. At that
time, you will prepare them for safety issues that involve a child that is more mobile.
Unfolding Case Study #1-2 Omar
, You go out to the waiting room to call in your next patient, Omar, and notice two toddlers
are sitting side by side in the playroom, each is playing with a truck. There is little interaction
between the two children.
Exercise 1-5: Multiple-choice question
The scenario described in Unfolding Case Study #1-2 is an example of:
A. Stranger anxiety
B. Regressive behaviors
C. Cooperative play
D. Parallel play
Fifteen-month-old Omar is taken to the examination room with his father. You know his
mom is a nurse and works days, so you have established a rapport with Omar's father from
the previous visits. Omar's father is unemployed and stays home with the children.
Exercise 1-6: Select all that apply
Which findings would indicate that Omar has met gross motor age-appropriate milestones?
❑ Walks well
❑ Stoops and recovers a ball
❑ Walks up steps
❑ Builds a tower of two cubes
❑ Jumps
Omar's dad asks you, "When should I introduce a cup for him to drink his whole milk?"
Exercise 1-7: Multiple-choice question
Based on an understanding of growth and development of a 15-month-old, you state:
A. "Omar should only be drinking low-fat milk."
B. "Omar can begin to drink from a cup now."
C. "Omar should still be drinking formula from a bottle."
D. "Omar will not have the necessary fi ne motor skills until he is 2."
You do parent teaching regarding development from 15 to 18 months with Omar's father
and provide him with written information. Omar's father is of Indian descent but was
educated in English in his native country and can read and write English well.
Exercise 1-8: Select all that apply
Which of the following teaching points should you make in your instruction?
❑ Potty training should be completed during this time.
❑ Offer the child push-pull toys.
❑ Allow the child to dress himself.
❑ Use child-resistant covers and cupboard closures.
❑ Gradually introduce table foods.
In order for you to provide the best instruction for parents who come to the clinic with their
children, you realize that you must fully understand the psychosocial milestones in human
growth and development. You are also asked to precept a student nurse today. The
Human Growth and Development
Unfolding Case Study #1-1 Maddie
Maddie is a 6-month-old infant whose birth weight was 7 pounds 5 ounces, head
circumference was 16 inches, and her length was 21 inches. She presents to the clinic with
her parents for a well child visit.
Exercise 1-1: Calculation
You weigh Maddie at her visit and document her weight as 15 pounds, head circumference
as 16 inches, and length as 25 inches. You plot her measurements on the chart and
determine her percentiles for height and weight. What percentile is she in terms of weight
and length?
Exercise 1-2: Fill-in
How would you interpret these findings in relation to her percentile and other female infants
of the same age?
_________________________________________________________________________
___
You also listen to Maddie's heart and lungs and assess Maddie's gross motor development
during her visit.
Exercise 1-3: Multiple-choice question
Which findings would indicate that Maddie has met gross motor age-appropriate
milestones?
A. Maddie is able to pull herself to a stand.
B. Maddie can sit alone without support.
C. Maddie can roll from her back to her abdomen.
D. Maddie can grasp a rattle with her fingers.
Maddie's father asks you for suggestions about appropriate play for her.
Exercise 1-4: Select all that apply
Based on an understanding of growth and development, and safety, select all toys that
would meet Maddie's needs.
❑ Brightly colored latex balloons
❑ Push-pull toys
❑ Teething toys
❑ Books with bright pictures
❑ Brightly colored soft toys
❑ Stacking blocks
Maddie's parents are very attentive to your teaching and you provide them with literature
about age-appropriate activity. You also review with them home safety for a 6-month-old.
Their next visit is established in another 3 months when Maddie will be 9 months old. At that
time, you will prepare them for safety issues that involve a child that is more mobile.
Unfolding Case Study #1-2 Omar
, You go out to the waiting room to call in your next patient, Omar, and notice two toddlers
are sitting side by side in the playroom, each is playing with a truck. There is little interaction
between the two children.
Exercise 1-5: Multiple-choice question
The scenario described in Unfolding Case Study #1-2 is an example of:
A. Stranger anxiety
B. Regressive behaviors
C. Cooperative play
D. Parallel play
Fifteen-month-old Omar is taken to the examination room with his father. You know his
mom is a nurse and works days, so you have established a rapport with Omar's father from
the previous visits. Omar's father is unemployed and stays home with the children.
Exercise 1-6: Select all that apply
Which findings would indicate that Omar has met gross motor age-appropriate milestones?
❑ Walks well
❑ Stoops and recovers a ball
❑ Walks up steps
❑ Builds a tower of two cubes
❑ Jumps
Omar's dad asks you, "When should I introduce a cup for him to drink his whole milk?"
Exercise 1-7: Multiple-choice question
Based on an understanding of growth and development of a 15-month-old, you state:
A. "Omar should only be drinking low-fat milk."
B. "Omar can begin to drink from a cup now."
C. "Omar should still be drinking formula from a bottle."
D. "Omar will not have the necessary fi ne motor skills until he is 2."
You do parent teaching regarding development from 15 to 18 months with Omar's father
and provide him with written information. Omar's father is of Indian descent but was
educated in English in his native country and can read and write English well.
Exercise 1-8: Select all that apply
Which of the following teaching points should you make in your instruction?
❑ Potty training should be completed during this time.
❑ Offer the child push-pull toys.
❑ Allow the child to dress himself.
❑ Use child-resistant covers and cupboard closures.
❑ Gradually introduce table foods.
In order for you to provide the best instruction for parents who come to the clinic with their
children, you realize that you must fully understand the psychosocial milestones in human
growth and development. You are also asked to precept a student nurse today. The
