Milestone of Growth and Development Worksheet

NCM 107 Skills Laboratory

Name: Cris Anne S. Alvarez Yr./Sec: BSN 2-D Date: September 16, 2018

Client’s Name (Initials only): N M E

Age of Client: 3 years and 2 months Address: 2nd Road Lirio, Brgy. Taculing, Bacolod City, Neg.Occ

Sex: Female Stage of Development: Preschool

Normal Patterns of Growth Actual Manifestation/Characteristics Rationale

and Development (Normal or Not Normal)
1. Physical Growth The client has a height of 86 cm and a
weight of 9.8 kg. The circumference of the
head measures 49 cm, 45 cm for the
abdomen, and 47 cm for the chest. For
circumference of the arm, it measures 15
cm and for the wrist it measures 9.5 cm.
Regarding the vital signs of the client, the
temperature is 36.4 °C, with a pulse rate of
66 beats per minute, and a respiration rate
of 23 cycles per minute. To determine the physical growth of a
child if it falls under the normal
Sexual Menstruation The client’ stage of development is manifestation or characteristics of a
preschool and has not yet reached puberty preschooler.
therefore, the client does not manifest
sexual menstruation.

Teeth Development The client has 20 deciduous teeth however,

the middlemost four teeth at the upper jaw
has become rotten or there is presence of
plaque due to excessive eating of
chocolates and candies.

2. Motor Development
Gross Motor The client is capable of running, walking,
jumping, skipping, alternates feet on stairs
or even stand on one foot. The client is also
capable of throwing overhand. To enable children to perform every day
functions since it is very crucial in self-
Fine Motor The client can dress or undress herself care activities
independently. She can do simple buttons
however, she can’t lace her shoes and still
need the support of her parents.
3. Developmental Milestone The mother has verbalized that the child
Focus on: can utter 500 words or more in a day. The
a. Language Development words or that she speaks the most include
“Mama”, “Papa”, “Manang”, and “No”. The
questions that she commonly asks include
“Diin papa?”, “Obra papa?” and “Lakat ta
ma?”. Sometimes the client imitates words
that she has heard from her parents or her
siblings like “nano” and “ikaw bala”. The
client is very active in speaking as the client
always asks whenever she sees something
that she’s curious about.
Language is an important skill that allows
a person to communicate. A delay in
language skills can cause frustration for a
child as well as miscommunication about
what she may be trying to convey.
Language development is important to a
child in order to adequately exchange
information with others in a meaningful
way.

b. Emotional

- Form of socialization The client is capable of socializing with

other children her age. Sometimes she
become involved in arguments whenever
she feels like she is being bullied.
To decrease the likelihood of children
- Form of play The client’s form of play is interactive. She from getting in trouble or experiencing
enjoys playing in groups. She is happy most emotional problems.
of the time as verbalized by the mother.
She becomes quiet and sad if she was
scolded and becomes angry when she feels
like someone is bullying her.

c. Cognitive Development The cognitive skills of the client include To help children to think about and
asking questions. As it was mentioned understand the world around them
before, the client always asks questions
whenever she sees something that she’s
curious about. The client can also recognize
numbers and capable of counting numbers
from 1 up to 10. The client can also identify
basic colors, like red, yellow, blue, green,
and black. Also, the client can demonstrate
the ability to follow commands from her
 parents for example, when her mother
orders her to bring her shoes and give it to
her mother, the client did not have little or
no trouble in following simple commands.

d. Moral Development The client can determine right from wrong
based on her parent’s rule. The mother
teaches the client good morals like don’t hit
other children because it’s bad, don’t play
with food, share your toys with others, and
don’t fight with your sisters.
To help children develop proper
attitudes and behaviors toward other
people in society, based on social and
cultural norms, rules, and laws.

e. Spiritual Development The mother has introduced God to the Spirituality is an important dimension of
client and she knows that He exists and the holistic development of children,
real. The mother always brings the client much like autonomy, resilience and
whenever she goes to church. The mother responsibility.
teaches the client how to pray and lets her
be the prayer leader before meals as a form
of religious training.

4. Age-Specific Health
Promotion
a. Safety The mother teaches client preventive
measures for example to avoid possible
motor vehicles, the mother teaches the
client not to cross the streets or hold hands
with a grownup when crossing the streets.
The mother also advised the client not to
run when taking the stairs. The mother also
makes sure that she does not drink
medication of front of the client to prevent
imitation of it and the most famous advise
which is to not talk to strangers or take
candies from strangers.

b. Nutrition The mother prepares healthy and appealing To identify areas related to care of the
food in the eyes of a preschool. The client preschool-age child that could benefit
drinks a lot of water which is about 5 parents to meet the preschooler’s
glasses a day. The mother always makes growth and development needs.
sure that the client takes her vitamins every
day. The client is still being breastfeed by
the mother but only once in a day every
evening before she goes to sleep.

c. Development in Daily The client has often mastered the basic

Activities skills needed for most self-care activities.
This include feeding, dressing, washing and
brushing teeth.
The client can dress herself independently
and can-do simple buttons. The client
sleeps at 8 in the evening and wakes at 8 in
the morning. The client is capable of
washing and drying her hands as well as
brushing her teeth but with supervision.
 Evaluation:

The client has normal patterns of growth and development. She does not manifested
characteristics that are considered abnormal. The client’s parents prioritize the safety and health of the
client.

Recommendation (for Identified alteration in G and D and wellness/normal G and D)

Although many preschoolers do well in brushing their own teeth, parents must check that all tooth
surfaces are cleaned. They should floss the teeth, because this is a skill beyond a preschooler’s motor
ability. Encourage client to eat apples, carrots, celery, chicken, or cheese for snacks rather than candy or
sweets is yet another way to attempt to prevent tooth decay.

__________________________

Signature of Parent or Guardian

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