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University of St.

La Salle
College of Nursing

Milestone of Growth and Development Worksheet


NCM 107 Skills Laboratory

Year/Section________ Client’s Name (Initial only) __________________


Group _____________ Address _________________________________
Date ______________ ________________________________________

Age of Client________ Stage of Development ______________________


Gender ____________

Normal Patterns of Growth and Actual Manifestation/Characteristics Rationale


Development (Normal or Not Normal)
1. Physical Growth
Sexual Maturation
Teeth Development

2. Motor Development
Gross Motor
Fine Motor

3. Developmental Milestones
Focus on:
A. Language Development
B. Emotional
Form of socialization
Form of play
C. Cognitive Development
D. Moral Development
E. Spiritual Development

4. Age-Specific Health Promotion Identify health needs and problems


Measures experienced by the client
A. Safety
B. Nutrition
C. Development in Daily
Activities

5. Nursing Care Plan:


One Actual
One Risk
(If no actual problem, then
make 2 risk problems)

6. Recommendations

7. References/Sources

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Signature of Parent or Guardian
Prepared by: Noted by:

Ms. Ma. Fe V. Juen Ms. Barbara Ruth Myla F. Lim


Level 2 Chairperson

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