Growth and Development Worksheet
Domain Physical
Growth
Trends
Motor Cognitive (Piaget) Psychosocial
Erikson
Safety Education
SAFE PADS
Atraumatic Nursing Care
Infant
0-12 months
Rapid growth:
Weight x2 at 6
months; x 3 at
12 months
Teething starts
4-6 mos
Reflexes replaced
by
Purposeful
movement and
disappear at 4-6
months except
Babinski (12 mos)
Sensorimotor (0-2 y)
Object permanence
Major Fears:
separation and
stranger anxiety
Trust v mistrust
Social smile 2
months
Suffocation (SIDS) •
Aspiration/choking •
Rear facing car seats
in back seat through
toddlerhood
Hold, swaddle and offer
pacifier for comfort. • Use soft
voice and create calm
environment • Maintain home
routines
Toddler
1-3 Years
13 - 35 months
Growth slows
Weight
4-6#/year
50% of adult
height at 2 yrs
Primary teeth
all erupted by 3
yrs
Organ
maturation
complete
Clumsy gross
motor skills
Preoperational 2-7
years
Magical thinking
Egocentric
Lacks understanding
of time, numbers,
(conservation)
Major fears: intrusive
procedures
(toddlers); body
mutilation
(preschoolers)
Autonomy v guilt
Do I want to do this?
Falls, Electrical
burns, Poisoning,
drowning,
Rear facing car seats
in back seat through
toddlerhood
Type of forward-
facing car seat
dependent on
stature and weight
of child.
• Play therapy: allow child to
explore medical equipment •
Give child age-acceptable
choices (e.g., do you want me
to listen to your belly or heart?
Do you want to sit on Mom or
Dad’s lap?) • Distract with play •
Lacks understanding of time —
reference to daily routine (e.g.,
before or after lunch) • Prepare
child immediately before
procedure • Use pictures and
magical thinking to prepare for
procedures • Comfort items
from home
Preschooler
3-5 Years
Integrated
movements;
refined motor
skills
Initiative v shame
Can I do this on my
own?
School-Age
6-12 Years
Stable growth
Weight
4-6#/year until
puberty begins
(8 yrs females;
9 years males)
Coordination of
movement
Concrete operations
Logic based on rules
and classification
Develop
understanding of
conservation
Industry v inferiority
Can I master this
skill?
Falls, drowning
automobile
accidents
(pedestrian/bike
riding); firearms
Use “first, then” language •
Answer questions in simple,
concrete language• Responds
to tools to relieve anxiety (deep
breathing, counting, etc) •
Answers questions honestly
with soft language “most kids
tell me this feels like a pinch” •
