Peds session 3: Growth, Development and Assessment

Session 3: Growth development and assessment


Growth and development is relatively predictable

  • Fast for the first two years, the slow until puberty where growth speeds up again.
  • Factors that affect growth and development
    • Genes, environment, nutrition, disease processes, family and human interaction.


Theories of growth and development.

  • Piaget
    • Periods of cognitive development
  • Erikson
Age Stage Psychosocial Crisis Psychosocial Strength Influence from


0 – 1 year Infancy Trust versus mistrust Hope Maternal
2 – 3 years Early childhood Autonomy versus shame/doubt Willpower Both parents or adult substitutes
4 – 5 years Preschool Initiative versus guilt Purpose Parents, family, friends


6 – 11 years Middle childhood Industry versus inferiority Competence School
12 – 18 years Adolescence Identity vs confusion Fidelity Peers
18 – 35 years Young adulthood Intimacy versus isolation Love Spouse/lover/



  • Piaget

There are growth curves for everything, and many disease processes

  • Compare to self over time.
  • Height, weight, head circumference ect.
  • Denver Development test II
    • Not an intelligence test
    • Screening test
    • Measures – social skills, fine and gross motor, and language
    • Used from birth to 6 years.
    • Share the information once the test is over



  • Crucial to the development of of children.
  • Helps develop interpersonal skills.
  • Functional play
  • Symbolic play
  • Games
  • Solitary play



  • Needs to be age appropriate
  • No honey for infants because of botulism risk.
  • Give the kid vitamin supplements if they are only eating one or two specific things.


Ped assessment


  • Assess Growth and development
  • Interaction with environment
  • Components
    • Appearance, history, vitals, measurements, vision and hearing,\.
  • Similar to adult assessment
  • Head circumference assessment – just above ear and brow line to the back of the head.
  • The ears and kidneys develop together so if there are issues with ear structure there may be a similar issue in the kidneys.
  • Tanner staging is the pubescent stages
  • MSK we are looking for scoliosis, and other abnormalities that are affecting the child
  • Neurologic soft signs
    • Seizure signs – zone out during an activity
    • Clumsy – could be a sign of disease process starting
    • Toe stepping – autism, and other neurological conditions
    • Decreased Motor coordination after developing it
    • Rapid movements – facial twitching
    • Loss of skill
    • Reduction of muscle strength

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