NLE Paediatric Nursing — Growth & Development Across ChildhoodConcept Map

Concept

Principles of Growth and Development

Sub Concepts

• Cephalocaudal development (head-to-toe)
• Proximodistal development (center-to-periphery)
• Sequential and orderly progression
• Individual variation in rate
• Critical/sensitive periods

Relationship To Central

Foundational framework for understanding how children grow and develop

Concept

Physical Growth Parameters

Sub Concepts

• Weight milestones
• Length/Height progression
• Head circumference and fontanelles
• Tooth eruption

Relationship To Central

Measurable indicators of growth across childhood

Concept

Developmental Theories

Sub Concepts

• Erikson's Psychosocial Stages
• Piaget's Cognitive Stages
• Freud's Psychosexual Stages

Relationship To Central

Psychological frameworks for understanding cognitive, psychosocial, and psychosexual development

Concept

Developmental Milestones

Sub Concepts

• Gross motor milestones
• Fine motor milestones
• Language development
• Primitive reflexes

Relationship To Central

Age-specific skills and achievements that define normal development

Concept

Play and Social Development

Sub Concepts

• Solitary play (infant)
• Parallel play (toddler)
• Associative play (preschool)
• Cooperative play (school-age)
• Therapeutic play

Relationship To Central

Age-appropriate play patterns reflecting cognitive and social maturation

Concept

Nutrition and Feeding

Sub Concepts

• Exclusive breastfeeding
• Introduction of complementary feeding
• Food safety guidelines
• Nutritional milestones

Relationship To Central

Nutritional needs and practices that support growth and development

Concept

Anticipatory Guidance and Safety

Sub Concepts

• Infant safety (SIDS, choking, falls)
• Toddler safety (poisoning, drowning, burns)
• Preschool safety (traffic, stranger danger)
• School-age safety (sports injuries, helmets)
• Adolescent safety (MVCs, risk behaviors)

Relationship To Central

Prevention of age-specific injuries through parent education and environmental management

Concept

Filipino/DOH Context

Sub Concepts

• DOH breastfeeding and complementary feeding guidelines
• ECCD framework
• Operation Timbang growth monitoring
• RHU developmental screening
• RA 9173 nursing practice standards

Relationship To Central

Application of growth and development principles within Philippine healthcare system

To

Developmental Milestones

From

Principles of Growth and Development

Strength

strong

Relationship

Milestones are the observable manifestations of cephalocaudal and proximodistal principles in action

To

Anticipatory Guidance by Age

From

Developmental Theories

Strength

strong

Relationship

Understanding each theory stage guides the type of guidance and safety teaching appropriate for that age

To

Nutrition and Feeding

From

Physical Growth Parameters

Strength

strong

Relationship

Adequate nutrition directly supports normal physical growth; feeding practices must match developmental stage

To

Play and Social Development

From

Developmental Milestones

Strength

strong

Relationship

Type of play and social interaction capabilities are milestone indicators of cognitive and social maturation

To

Developmental Milestones

From

Primitive Reflexes

Strength

strong

Relationship

Reflex disappearance is an early neurologic milestone; persistence indicates developmental concerns

To

Anticipatory Guidance by Age

From

Erikson's Theory

Strength

strong

Relationship

Each Erikson stage shapes the developmental needs and potential conflicts that guide parenting guidance

To

Communication with Children

From

Piaget's Cognitive Stages

Strength

strong

Relationship

Cognitive stage determines the language, explanations, and reasoning level appropriate for the child

To

Filipino/DOH Context

From

Anticipatory Guidance by Age

Strength

moderate

Relationship

DOH follows WHO anticipatory guidance principles in immunization and well-baby visit protocols

To

Physical Growth Parameters

From

Growth Monitoring

Strength

strong

Relationship

Operation Timbang and RHU growth charts use standard growth parameters to identify deviations

To

Developmental Milestones

From

Nutrition and Feeding

Strength

moderate

Relationship

Feeding development (sucking at birth progresses to self-feeding by toddlerhood) follows gross/fine motor milestones

To

Developmental Milestones

From

Safety and Prevention

Strength

strong

Relationship

Each new motor or cognitive skill creates specific injury risks requiring age-appropriate prevention

To

Erikson's Psychosocial Stages

From

Freud's Psychosexual Stages

Strength

moderate

Relationship

Both theories map to same age groups but Freud emphasizes instinctual drives while Erikson emphasizes social tasks