Republic of the Philippines

MARIANO MARCOS STATE UNIVERSITY

COLLEGE OF HEALTH SCIENCES
Department of Nursing
Batac, Ilocos Norte

GROWTH
AND DEVELOPMENT
Tisha Dela Cruz
Jay Patrick L. Galapon
Princess Syra U. Ignacio
Kristine Juan
Ma. Ynez Kathlyn A. Luis
Clarissa Mae Pacis
Maria Ansherina D. Pascual
Aljon Mae L. Peralta
Ray Jethroland Quilala
Jerome Quines

BSN II-C
GROUP 3

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I.

PERSONAL DATA
Name of Child: Kyleigh S. Agustin
Date of Birth: October 31, 2010
Age: 5 years, 11 months, 28 days
Place of Delivery: Gaoat Hospital, Batac City
Weight: 13kg
Height: 100cm

Name of Parents
Mother:Zshallimar Agustin

Age: 35

Occupation:Load Retailer

Educational Attainment: College Graduate

Civil Status: Married

Religion: Roman Catholic

Monthly Income: P1,200.00

Father: Marlon Agustin

Age: 31

Occupation: Computer Shop Manager

Educational Attainment: College Graduate

Civil Status: Married

Religion: Roman Catholic

Monthly Income: P 6,000.00

Family Monthly Income: P 7,200.00
Siblings:
Name
Dwight Agustin

Age
1

Date of Interview: October 29,2016

II.

HEALTH HISTORY
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The child was delivered through normal spontaneous delivery. The child
experienced common illnesses such as fever, cough, colds and toothache. Whenever
the patient has mild fever, her mother usually relieves the fever by placing a cooling
pad on her forehead to lower the temperature of the child. The mother did not
mention any other remedy aside from this. However, if the fever persists to 2-3 days,
they would consult Dr.Bumanglag who usually prescribes Paracetamol syrup 1
teaspoon 3x a day until the temperature normalizes. According to the mother, the
fever usually disappears after taking the prescribed drug. Cough and colds were
managed by taking over the counter drugs like Neozep syrup which is given 1
tablespoon 3 x a day every after meal 2-3 days until the colds is gone. Also, her
mother gives her 1 glass of calamansi juice for snack whenever she has colds as told
by her grandmother. According to the mother, the cough and colds usually disappear
after taking these remedies. For toothache, it was managed by taking over the counter
drugs, Paracetamol 1 tablespoon as needed. And if the illnesses last for 2-3 days, they
would go to a physician for consultation. The child have not experienced any allergies
or being hospitalized.
The childs mother claimed that her child has completed all immunizations
required for her age. She showed the childs immunization record as evidence. The
following data regarding the childs immunizations were written on the said record as
follows:
DATE
11-10-10
12-22-11
1-26-11
2-9-11
3-2-11
8-3-11
4-18-12

IMMUNIZATIONS RECEIVED
BCG, Hepa B1 given
DPT1, P1, Hepa B2 given
DPT2,P2 given
Polio 2 given
DPT3, OPV3 and Hepa B3 given
MV
MMR

7-5-14
9-9-14
8-18-16

MMR
MR1, OPV
TT

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III.

FACTORS AFFECTING GROWTH AND DEVELOPMENT

A. Genetics/Hereditary
The child inherited her physical appearance mostly from her mother such as the
color of her eyes (black), nose, lips and hair. As claimed by the mother she inherited her
height and skin color from her father.
Hereditary disease present in the family is hypertension. The maternal
grandparents of the client were diagnosed to have hypertension. On the paternal side, the
family was not able to identify any disease which could be inherited by the client.
The client is an easy child because as claimed by the mother, she has regular
schedule when it comes to eating, sleeping and bathing. At first she exhibited discomfort
when she was introduced to new situation and people but its just a communication
reaction of children. The client has regular sleeping pattern during school days, and thus
sleeps at 8:30 pm 9:00pm and wakes at 6:00 am - 6:30 am. During weekends and
holidays, she has an irregular sleeping pattern. The client easily became accustomed to
the new environment and new people. As the examiner is doing the assessment, the client
remained interested and focused in the activity. She is non-distractible because as
reported by the mother, whenever she watches cartoons, her attention is hard to divert and
positive mood is the predominant quality of Kyleigh during daily activities.
ANALYSIS:
There is a genetic link for the development of hypertension that is in any person with
a family history of hypertension, several genes may interrupt with each other and the
environment to cause the blood pressure to elevate over time (Blach and Hawks, 2009).
In the case of Kyleigh whose maternal grandparents were both assessed with
hypertension, she may be predisposed to develop the disease later in life. Through
inheritance, Kyleigh and her family should monitor their health and adapt healthy
lifestyle, practices like proper diet and exercise to reduce the risk and postpone the
development of hypertension.
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B. Environment
Kyleigh and his family lives in a two-storey house made up of semi-concrete
materials. The house consists of 10 bedrooms, one living room, one kitchen, one dining
area and 1 playroom for the children. The other side of the road is an open canal and
trees. The left side of the house is their parking area and trees, also with the right side of
the house which is a vacant lot. Although the area of the house could not be estimated,
the grandmother claims that the house has enough space for Kyle and his brother to play.
The house, however, doesnt have a gate. Also, the house is just beside a barangay road
where tricycles and or other vehicles pass by. The family owns a television, a living room
set, refrigerator, electric fan, air conditioning unit, sound system, radio, dining room set
and 2 motorcycle. During the visit, it was observed that there were scattered toys in the
living room. Further, bags were seen scattered on the sofa and electric outlets do not have
covers. The family own a small sari-sari store. Since the location of the house is near the
university, and beside the barangay houses, most of their buyers were students. During
the visit, there were by-standers who were smoking and drinking alcohol beverages.
Kyleighs mother claimed that none in the family speaks bad language. However, she
usually hears the by-standers speaking bad words. In school, some children utter bad
words but Kyleigh would stay away from these children as mentioned by the mother. She
stays most of the time with her mother and grandmother who stay in the home with her
together with her younger brother. Since her father works as a server in a computer shop
from 8-10pm, it is during the night, weekends or holidays that Kyleigh and her father has
time to bond.
In general, the family members have a harmonious relationship with each other.
According to the grandmother, there were no conflicts experienced by the family. Neither
were there instances wherein they had serious conflicts with their neighbors. She claimed
that they would settle the conflict by talking to each other and come up with a realistic
situation.
ANALYSIS:

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The physical environment has a strong impact on both young children's learning and
development.

An the clients has no exposure to conditions that can lead to disease,

accident, or injury, including child abuse and neglect. The emotional environment shapes
personality and affects the development of self-esteem, identity, trust, the ability to enter
into intimate relationships, and personal resilience.

C. Health
During the interview and assessment, the client was physically healthy and was not
suffering from any illness. According to her mother, Kyleigh is taking her vitamins religiously.
However, when asked if said vitamin was prescribed, the mother said that was recommended by a
relative which she tried on Kyleigh and observed to be effective.
ANALYSIS:
Being a healthy child, she can performher activities of daily living and other activities.
That could help her achieve her full growth and development potential. However, her intake of
medicine (vitamins) with prescription may have adverse effects that could lead to disability which
may hinder growth and development or may affect her later in life. Thus, the family should be
taught or encouraged to such advice from an authorized doctor before taking medication. Selfmedication might have side effects as the client grows.

D. Nutrition
According to her mother, she likes all the foods that are presented on the table except
those which are bitter like bittermelon, most vegetables, and dinuguan. She is fond of eating meat
and eggplant omelette. She also loves eating candies and chocolates. She eats 3 meals and 2
snacks a day. The family take their breakfast between 7:00-7:30 AM, their lunch between 12:0012:30 PM, and their dinner between 6:30-7:00 PM they take their snacks at 9-9:30 am and 3-3:30
pm. Kyleigh has no food allergies. Her height is 100cm and her weight is 13kgs.

Table 1. Three Day Diet Recall

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DATE

BREAKFAST

October

26,

2016

AM SNACK

cup of rice, 1
fried

egg,

glass of milk

27,

2016

fried
tbsp.

egg,

corned

beef, 1 glass of
milk

2016

28,

saucer

ensaymada,
dutch

mill

3 pcs biscuit
(blueberry
biscuit),

bottle
(118.5mL)of
tropicana juice

cup of rice, 1
October

piece

(small)

cup of rice, 1
October

LUNCH

pancit

canton, 1 glass
water

PM SNACK

DINNER

cup of rice,
3

pcs

bite

sized

pork

chop, 1 glass

cup of rice, 1
1 pc biscuit, 1

chop

dutch

sinigangnabang

mill

(small)

us, 1 glass of

of water

water

cup of rice,

cup of rice, 2

piece

eggplant
omelette,

slices

of

bread, 1 glass

bowl

of orange juice

noodle soup, 1

glass of water

piecesputo

fried

1 pc biscuit, 1

flan, 1 glass

chicken (leg),

glass

orange juice

orangejuice

glass

water

of

chicken

glass of water

cup of rice,
3

pcs fried pork, 1

of

cup of rice, 1
piece

chicken

adobo (leg), 1
glass of water

ANALYSIS:
Based from the 3-day dietary recall, the dietary intake of Kyleigh maybe sufficient in
quantity but the quality is not sufficient, since the usual diet does not contain all the essential food
groups such as foods and vegetables. Hence, Kyleigh may not obtain the necessary nutrients to
support growth and development and to boost her immune system. This could lead to
susceptibility to certain diseases.
The family therefore, should be encouraged to practice healthy eating habits such as
inclusion of all essential nutrients in the diet and healthy food preparation to promote healthy
food preparation to promote health and prevent diseases. The client might develop diseases
because of her eating habits. She should maintain a healthy body by eating nutritious foods and
eating a balanced diet.
According to the Natural Food Service Management Institute (2000), poorly nourished
children have more problems fighting infections. They maybe sick and miss school more often

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and fail to keep up with classmates. Further, undernutrition results in decrease activity levels,
decreased social interactions, decreased curiosity and decreased cognitive functioning.

E.

Socio-economic Status
Illustration

The total monthly income of the family is P7, 200 which comes from the clients mother
and father. Her father manages a computer shop which earns P6,000.00 monthly and her mother
is self-employed which is a load retailer who earns P1,200.00.
They spend P2,500.00 for food in buying meat, canned goods and vegetables. They also
spend P400.00 for groceries in buying their necessities for hygiene like shampoo, soap and
toothpaste. For miscellaneous they spend P1, 020.00 for gasoline for their transportation. A total
of 3,100.00 is being spent for the clients education who is a grade 1 pupil at CAMES. They
spend P1,600.00 monthly fee for tuition and P1,500.00 per month for the allowance of the
client.
According to the clients mother, snacks and clothes are being given by her Lola and
aunt by the mothers side. The familys monthly saving is P 280.00.Their electric bill is being
paid by the grandmother of the client.
ANALYSIS:
The monthly income of the family is enough to support their needs. It is
evidenced by the saving earned at each month.

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F.

Race/Culture/Religion
The client is pure Filipino. Her mother is from Batac and her father is from Marcos Ilocos

Norte and now they are living together at Batac. All the members of the family including the
patient are Roman Catholics. They dont usually attend to church activities, also they dont pray
before meals. They dont have specificpractices in rearing children. But in disciplining Kyleigh,
they teach her not to utter bad words and theyll talk to her properly for the wrong doings to
make her realize that it is bad. Theyare aware of the different superstitious beliefs and practices
but they dont practice it. Based on the clients grandmother they dont practice such because
they are now more knowledgeable and they believe more on science and proven ways on how to
treat illnesses. As such they dont consult faith healers, hilots and others. They dont use any
herbal medicines in treating common illnesses in the family.
ANALYSIS:

Studies show that people who attend church are more likely to: have a strong
family unit, be married and less likely to be divorced or single, move out of poverty, have
sound moral judgement, lack in social problems such as suicide, drug use, out-ofwedlock births and crime, lack in the possibility of developing depression, have better
relationships with their parents (Fagan,1990).Since Kyleigh and the whole family dont
go to church then their family would more likely to develop these problems.
Parenting style refers to the way in which parents choose to raise their children.
The way that people parent is an important factor in their children's socioemotional
growth and development. In her research, Diana Baumrind (1966) found what she
considered to be the two basic elements that help shape successful parenting: parental
responsiveness and parental demandingness. In the case of Kayleighs mother, she has
both the mentioned elements. Being acquiescent to the clients special demands despite
the lack of religiousness and shes still fulfilling her role as a mother to Kyleigh.
G. Family Structure
Name

Sex

Age

Civil

Relationship

Occupation

Religion

Leni

Female

72

Status
Widowed

to the client
Grandmothe

Load

Roman

retailer

Catholic

Place

of

Residence

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Zshallinar

Female

35

Married

Mother

Male

31

Married

Father

Roman
Catholic

Marlon

Computer
shop
manager

Yanyan

Female

13

Single

Cousin

Kyleigh

Female

Client

Roman

Dwight

Male

Brother

Catholic
Roman

The clients family is an extended type of family which comprises, grandmother, father, mother,
cousin, brother and the client. Kyleigh is the eldest. They have harmonious relationship to one another.
Whenever she communicates with the member of the family, she respond and answer them with respect
like stating the words ate mama papa lola etc. Whenever her father goes to his work she kisses and
hugs her father and when the father has day off they go to fastfood chains and mall. The grandmother
gives all her desire whenever she request for it. The client and her brother are playmates they usually
play inside their home and they have a good relationship, because whenever the mother is out and her
grandmother is busy, she will usually take care of her brother. The relationship of the client with her
cousin is variable because sometimes they are having some mild conflicts with each other. But they dont
say bad words.
Analysis:

The child stays with his parents and his sibling. As stated by Dr. Dale Peterson of
the Wellness Clubs of America, a well-functioning family is the most secure, supportive
and nurturing environment for a child. The presence of a mother in the family as stated by
Charles Smith (Kansas State University) is the one who gives comfort and the father is
viewed as the Knight in shining armor who will keep them safe. According to Pilliteri the
position of the child in the family is the one of the contributory factors on a childs
growth and development. As the oldest child in the family she excels in language because
conversations are mainly with adults. The child also leads her younger brother and
become a role model. A healthy family relationship help all the family members fell safe
and connected with one another. When children receive love and support in a warm
family environment, they will be able to perform childhood tasks of exploring their world
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and learning new skills and according to Jaeger 2013, Extended family matters is that it
acts as a social resources to the immediate family and the may contribute resources which
alleviate the negative impact of these events on childrens well being

H.

Prenatal Influence
The mother found out that she is pregnant when her monthly period was delayed,
she immediately consulted Dr. Marasigan. She said that her pregnancy was
unplanned.She was given Tetanus Toxoid 1 at her 4 th month and Tetanus Toxoid 2 at
her 8th month of pregnancy. She took in vitamins such as urivic tablet and ferrous
sulfate once a day as prescribed by her Physician. She mentioned that shes fond of
eating fruits and vegetables when she was pregnant.
The mother didnt have any vices at all. The mother only suffered from

cough and colds during her pregnancy and she managed it by drinkingcalamansi juice 3x a
dayuntil the cough or colds is gone.

IV. DEVELOPMENTAL MILESTONES

A. ERIK ERIKSON
Erikson viewed life as tasks with a series of crises. He established eight (8) psychosocial
stages in an individuals life span. Each stage has positive and negative resolutions in which it can
affect the childs development. Erikson said that successful resolution is supportive to the ego
while failure to resolve the task damaging to the ego. And according to him also each stage in a
childs development, there is a task need to be achieved. The greater the achievement, the
healthier the personality of the individual.
Our client is 5 years old and she belongs to the pre-school age/ late childhood. According
to Eriksons theory, the developmental task for the pre-school age child is to achieve a sense of
initiative. A child with a well-developed sense of initiative has discovered that learning is fun and
focuses on how the child initiates to do things desirable. Providing opportunities to explore,
allowing her to play with clay, water, and medical equipment, and accepting their choices are the
examples of activities that will develop her initiative. Child who will successfully complete this
stage will gain the ability to be optimistic, gain self-confidence, and considering new ideas, while
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those who do not, will lack self-confidence, become pessimistic, over control and over restriction
of own activity, limited brainstorming, reluctant, and passive.
In this stage the client is expected to accomplish things as indicators of positive
resolution such as:

Beginning ability to evaluate own behavior

Learning how to do things and child initiates new activities

Consider new ideas

Developmental Fully
Task
Achieved
Beginning ability to
evaluate
own
behavior

Partially
Achieved

Not
Achieved

Cues

When
her
classmates
saying
bad
words, she will
tell to her mother
about it.
By saying thank
you
when
someone gives
her something

Learning ability to do
things
and
child
initiates new activities

She likes to draw

different figures.

Consider new ideas

ANALYSIS:

The child began to assert his power and control over the world through directing a play and
other interactions. According to Erik Erikson, a preschooler aged 3-6 years old is in the stage of
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Initiative vs. Guilt. The entire task that is expected to be done was achieved by the child. This
means that he has a positive resolution which is initiative.
V. PHYSICAL ASSESSMENT
Date of Assessment: October 29, 2016
A. General Survey
The client was seen in a sitting position on a bench last October 29, 2016.
She was properly dressed, clean and well groomed. She was wearing a light pink
dress, long socks and rubber shoes. The manner of her dressing was appropriate to
the weather, age and her gender. Her hair was long and properly tied and
fingernails are clean, no obvious deformity is seen and apparent wellness is
healthy. She has proportional limbs and trunk. She has a fair skin complexion and
body built is Ectomorph. The client appears to be shy. She has a gait that is
rhythmic and has coordinated movements. During the assessment, the client has
normal cognitive abilities and mentation for her to cooperate and answered all the
questions in a clear, coherent and soft voice. No signs of distress or painful facial
expression was seen. And she was conscious of her surroundings.
Vital Signs
Body Temperature: 36.9 C

(Left Axillary)

Pulse Rate: 81 bpm (Radial Pulse)

Respiratory Rate: 19 bpm
Height:100cm
Weight: 13 kg

B. Head-to-Toe Assessment
Head

Normocephalic
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Upright position

Hard and smooth without lesions and masses

Hair is black, smooth and evenly distributed

Temporal artery is elastic and not tender

Temporomandibular joint has neither swelling nor tenderness with no

limited range of motion.

Face

Face is symmetrical

Able to move facial muscles

Skin color is the same as the body complexion

Neck

Skin color is the same as the body complexion

Symmetric with the head centered without bulging masses

Thyroid cartilage, cricoid cartilage, and thyroid gland move upward as the
client swallows

No limited range of motion

Trachea is in midline

Neck move smoothly and controlled

40 degree lateral abduction, and 70 degree rotation

Eyes
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Distant Visual Acuity: 20/20 -2 OD, 20/20-1 OS

Near Visual Acuity: Distance equivalent to 20/20

No color blindness. Ishihara test can trace the lines using his index finger

Alignment is parallel and bilateral

The upper and the lower eyelid closed easily and meet completely when
close, with no redness, swelling, or lesions noted.

Eyelashes are evenly distributed

Eyebrows are symmetrical

Eyeballs are symmetrically aligned without protruding or sinking

Bulbar conjunctiva is clear, moist and smooth

Sclera is white

Palpebral conjunctiva is clear and free of swelling, lesions, or trauma

Lacrimal apparatus has no swelling or redness, it has no drainage

Puncta is visible without swelling or redness

Cornea is free from opacities also with the lens

Iris is round, flat, and black

Pupils are equally round and reactive to light accommodation (PERRLA)

Pupils are equal in size, 4mm

Ears

6 cm symmetrical

No discharges

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Auricles align with the outer canthus of each eye

Earlobes are attached

Skin is smooth without lesions, mass, or lumps

The auricle, tragus, and mastoid process is not tender

Whisper Test: Able to repeat the two-syllable word as whispered

Webers Test: Vibrations are equally heard in both ears

Rinne Test: Air conduction (AC) > Bone conduction (BC)

Romberg Test: Maintains position with minimal swaying

Nose and Sinuses

Same color with the face

Nose is in midline

No tenderness

No discharges

No nasal flaring noted

Nasal septum is in place

Patent airway

Nasal mucosa is dark pink, moist, and free of exudates

No bleeding, ulcers, perforated septum, or polyps

Not tender, a red glow trans illuminates the frontal and maxillary
sinuses
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Mouth

No distinctive odor

Lips are smooth and dry without lesions or swelling

Gums and buccal mucosa are pink, moist, firm, and no lesions

Stensens duct and Whartons duct are visible with salivary flow and no
redness, swelling, pain or moistness in area

Frenulum is in midline

No hyperplasia or blue-black line noted

20 teeth

16 dental caries (upper and lower)

Tongue is pale, moist, and with papillae present

Tongues dorsal surface is smooth and slight pale

Tongues ventral surface is smooth, shiny pink, with visible veins, and no
lesions

No lesions, ulcers, or nodules present in the tongue and buccal mucosa

Tongue has strong resistance

Throat is pink without exudate or lesions

Soft palate is pinkish and spongy

No redness, or exudate from the uvula and hard palate

Uvula is in midline and symmetric elevation of the soft palate

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Tonsils are not enlarged

Tonsils are pink and symmetric

Intact gag reflex

Shoulder

Symmetrically round, no redness, swelling, or deformity

The color is the same with the body

Clavicles and scapulae are symmetric

Reports no tenderness

Chest

Scapulae are symmetric and non-protruding

Shoulders and scapulae are at equal horizontal positions

Ratio of anteroposterior to transverse diameter is 1:2

Non-tender and no lesions are noted

Bronchovesicular breath sounds are auscultated on the posterior chest wall

at the apex of the lung at C7

Sternum is positioned midline and non-protruding

No use of accessory muscles are noted while breathing

Resonance was percussed over the scapula

Excursion is equal bilaterally

No adventitious sounds were auscultated

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Bronchophony: sound of the voice is heard but is unclear

Egophony: A is heard instead of E

Whispered Pectoriloquy: faint sound is heard

Areola and nipples are brown in color

No discharge, lumps, or masses present

No rash or infection noted on the axilla

No palpable nodes present in the axilla

Abdomen (No assessment)

Upper Extremities

Shoulders are symmetrically round with no redness, swelling, or

deformities.

Clavicles and scapulae are even and symmetric

No tenderness noted

Able to flex, extend, pronate, and supinate elbow

Palms are soft and has no presence of lesions

Pale nail beds

Fingernails are clean

Capillary Refill: Pink tone returns immediately to blanched nail beds when
pressure is released

Lower Extremities

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Smooth texture was observe with no lesions were noted

Both thigh and legs are proportional in size

Patella rests firmly in the femur

Ankles are non-tender

Active Patellar and Achilles reflex

Pale nail beds

Clean and well-trimmed nails

VI. RESULT OF MMDST

I.

2016 10 29
2010 10 31
05 11 - 28
Age line: 5 years, 11months, 28 days
PERSONAL SOCIAL SECTOR
No task to the right of the age line
A. Tasks intersecting by the age line
1. Separates from mother easily --- Passed by report
Cue: According to the clients mother, the child can be separated easily from her.
She claimed that child doesnt cry when left in school. Also, during the assessment, the
child was able to go along with examiner without her mother.
2. Dresses without supervision --- Passed by report
Cue: According to the mother, the child can put on her clothes even without
supervision.
B. Tasks to the left of the age line
1. Buttons up --- Passed
Cue:The child was able to button up the examiners uniform
2. Puts on clothing --- Passed by report
Cue:According to the mother, the child can put on her clothes by herself.
3. Washes and Dries hands --- Passed by report
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Cue:According to the mother, the child can wash, dries hands, and turns faucet
on and off.
Analysis:
On the PS (Personal-Social) sector, the child could perform all the tasks intersected by
the age line as well as the task on the left side of the age line, thus the child passed all the tasks. The child
then at this sector can get along with people and can take care of herself.

II.

FINE MOTOR ADAPTIVE SECTOR

No task to the right of the age line
A. Tasks intersected by the age line
1. Copies
--- Passed
Cue: The examiner let the child copy the figure and the child was able to copy
the shape.
2. Imitates/ Demonstrate
--- Passed
Cue: The child can copy the demonstrated square figure with straight lines with 4
corners.
3. Draws man in 3 parts --- Passed
Cue: As the examiner tell the child to draw a mans face, the child was able to
draw 3 body parts which is the head, nose, mouth.
4. Draws man in 6 parts --- Passed
Cue: The child was able to draw man in 7 parts; head, eyes, nose, mouth, body hands, and
feet.
1. Tasks to the left of the age line
2. Copies
--- Passed
Cue: The child was able to draw the cross line
3.Copies

--- Passed

Cue: The child was able to draw the circle without continuous motion
4.Picks longer lines --- Passed
Cue: The child picks the longer line

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Analysis:
Under the FMA (Fine Motor Adaptive) sector, the child was able to pass all the activities
intersected by the age line as well as the tasks at the left side of the age line. Thus, the child can
comprehend activities by using his sense of sight as well as drawing objects that had been tested by her
fine motor adaptive skills.

III.

LANGUAGE SECTOR
No task to the right of the age line
A. Tasks intersecting by the age line
1. Recognizes 3 colors --- Passed
Cue: The child can determine the colorsyellow, red and pink that is being asked by the

examiner
B. Defines 6 words --- Failed
Cue: The child can only define 2 out of 9 words, which are river made of (danum) and
banana color (yellow)
C. Composition of _ --- Failed
Cue: When the examiner asked What is spoon made of? the client answered
(Pinggan), What is table made of? the client answered (Jakamo) and What is door
made of? the client answered (Balay.).
A. Tasks to the left of the age line
D. Comprehends Cold, Tired, Hungry -- Passed
Cue: The examiners asked questions to the client; if what to do when shes cold the client
answered Agules., what to do if shes tired the client answered Agtugaw., and if what
to do when shes hungry the client answered Mangan.. The client can able to determine
what to do if she is cold, tired and hungry.

E. Opposite analogies --- Passed

Cue: The child can able to give the opposite analogies of words given. ( Mother: girl,
Dad: boy) (Ice:cold, Fire:hot) (Horse:big, Rat:small)

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F. Gives 1stand last name --- Passed

Cue:

When the examiner asked the name of the client, she can able to give her

complete name.
Analysis:
On the Language Sector, the child could pass 1 task but failed two which were intersected
by the age line. The child failed the tasks which are Defines 6 words and Composition of_
howeverthis is not a delay because the child has still the chance to master the skill up to the age of 6 and a
half for 25% on both tasks, a normal child can perform the task at the age of 5 years old and 11 months.
The child passed all the tasks before the age line. The child in this sector can comprehend well.

G. GROSS MOTOR SECTOR

No task to the right of the age line
A. Task intersecting by the age line
H. Backward Heel Toe --- Passed
Cue: She can walk backward heel to toe manner.
B. Tasks to the left of the age line
I. Balance on 1 foot for 10 secs --- Passed
Cue: She can stand on either one foot in 10 seconds.
J. Catches bounced ball--- Passed
Cue: As the examiner bounces the wall infront of the client the client has able to catch it
three times out of four.
K. Heel to Toe walk ---Passed
Cue: She can walk forward in heel to toe manner.

Analysis:
On the Gross motor sector, the task intersected by the age line, as well as the tasks on the left side
of the age line were passed by the child. The child can balance, catches and walk. Thus, the child has no
delays and according to the Encyclopedia of childrens health Children this age have gained an increase
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degree of self- consciousness about their motor activities that leads to increased feelings of pride and
success

GENERAL ANALYSIS:
In general, the child is growing and developing normally, since shealmost passed all the
sectors and has no delays in it. The sectors are namely the personal-social, fine motor adaptive, language
and gross motor.and though she partially achieved the tasks expected of her age, shes still in the process
of achieving those tasks and still has enough time to achieve these tasks. VII. Nursing Care Plan

NURSING PROBLEM
1. Hereditary disease
2. Imbalance nutrition
3. Impaired Dentition

Prioritization
1. Imbalance nutrition
2. Impaired dentition
3. Risk of hereditary disease

Nursing Care Plan No 1

Nursing Diagnosis
Imbalance nutrition less than body requirements related to intake of insufficient
nutrients to meet metabolic needsas evidenced by a body weight greater than 20% under
ideal weight.

Nursing Inference
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Due to poor eating habits

Nursing Goal
After 3 days, the client will be able to adopt in eating the planned meal with well
balance diet.
Nursing Intervention
Rationale
Determine current eating patterns by having a To monitor and increase awareness to foods
food diary
that contribute excessive intake
Develop a daily meal plan with well-balance To decrease the possible risk of acquiring
diet, increase the calories and fat and decrease diseases
cholesterol intake.
Discuss food likes and dislikes

Incorporating the food preference of the

child will promote cooperation of the child
to eat the planned meal

Evaluation
After a week of having the client eat the meal plan possible risk of acquiring diseases related
to high cholesterol intake decreases.
Nursing Care Plan No 2
Nursing Diagnosis
Impaired dentition related to faulty eating habit as manifested by presence of dental
caries.

Nursing Inference
Dental caries is caused by the action of acids on the enamel surface. The acid is produced
when sugars in foods or drinks react with bacteria present in the dental plaque on the tooth
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surface. The acid produce leads to loss of calcium and phosphate form the enamel. Thus,
impaired dentition.

Nursing Goal
After 2-3 hours of imparting health teachings to the mother, she will be able to
demonstrate the proper ways of tooth brushing and able to guide the child in terms of intake
of sweets.
Nursing Intervention
Rationale
Evaluate the current status of dental hygiene To determine the need for instruction or
and oral health
coaching
Document the presence of factors affecting To determine possible interventions and
dentition
treatment needed
Provide appropriate diet for optimal nutrition, To minimize tooth decay and improve oral
offer low-sugar, low-starch snacks and limit health
sugary foods
Increase fluids as needed

To enhance hydration and general wellbeing of oral mucous membranes.

Evaluation
After 3 hours of imparting health teachings to the mother, she was able to demonstrate
the proper ways of tooth brushing and able to guide her child in terms of intake of sweets.

Nursing Care Plan No 3

Nursing Diagnosis
Risk for hereditary disease (high blood)
Nursing Inference
There are two copies of each gene: one that originally came from the egg of the mother and
one from the sperm of the father and these two copies are slightly different from each other. And
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because there are two copies, a gene with a defect that may cause a certain disease to be passed
through generation. And, if the immune system is low immunological surveillance will not be
carried out and cells like cytotoxic T cell, macrophages, natural killer cells and other cells that
can prevent the development of the infected body cell.
Nursing Goal
After three hours of giving health teachings to the parents, they will be able to identify ways
on how to prevent hereditary diseases.
Nursing Intervention
Rationale
Plan meal that can help to prevent the buildup of To prevent the stimulation of the cells that
potentially toxic substances
will potentially develop into disease
Guide the parents of the client in determining the To identify properly what should be done to
factors to be able to identify ways to prevent the risk of decreases the risk into acquiring the disease
hereditary disease
Advise to have a frequent check-up

and to give support

To monitor the health status of the child

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