GROWTH AND DEVELOPMENT

Age: 1 y/o___ Sex: Male____ CC: Vomiting, LBM ______________________________________________________

Medical Diagnosis: Urinary Tract Infection (UTI) __________________________________________________________

Stage Characteristics Actual Nursing Implications

Kohlberg  The child is smiley but cries
 STAGE 1: OBEDIENCE AND
when he needs something that’s
PUNISHMENT ORIENTATION why her mother scolded her
sometimes.
 In this stage, individuals focus
on the punishment they may get
from not obeying rules that are
laid out for them. They only

At this stage of moral reasoning, the individual think that something they do is
acts from belief that if they do something wrong if they get punished.
wrong, they will be punished.

Piaget  According to the child’s parent,  In this stage, the child’s play
 STAGE 2: The preoperational stage
the patient is very jolly and thinking is still based on
(2-1yo.old) energetic intuition and still not completely
logical. They cannot yet grasp
Understand the concept of counting and more complex concepts such as
may know some numbers. The child shows cause and affect, time, and
increasing curiosity and explorative comparison.
behavior; language skills improve

Erickson  According to the child’s parent,  During this stage, the child also
 STAGE 3: Psycho-social Conflict:
the patient is very active and feels that the world is
Initiative versus guilt
likes to watch coco melon. trustworthy. Unfortunately,
some kids knows the reality of
During the initiative versus guilt stage,
this world. The bad side of it.
children begin to assert their power and
control over the world through directing
play and other social interaction.

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Freud  STAGE 4: Phallic stage (3–6 years)
Corresponding to the age, the child derives
gratification from control over body
excretions
 According to the child’s parents,
the patient is quite lively.
 During this stage, encourage
the child to remove and put
on their own clothes, brush
their teeth, or assist with
hygiene
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