Developmental Task
Developmental Task
DEVELOPMENTAL MILESTONES
are major markers of growth and development that serves as the basis of assessing developmental
delay or advancement
1. Period of Infancy
Play: Solitary play
Alert: In choosing toys the priority is safety and it must be age- appropriate
Goal of Play- Sensory Development
Fear: “Stranger anxiety”- begins by 6-7 months, peaks by 8 months and diminishes at 9 months.
Milestone
Neonate
a) Largely reflex
b) Complete head lag
c) Cry without tears
d) Hands fisted
e) Visual fixation on human face
1 Month
a) Dance reflex disappear
b) Looks at mobile
2 Months
a) Holds head up when in prone position
b) Social smile
c) Baby coos
d) Closure of the posterior fontanel (2-3 months)
3 Months
a) Holds head and chest up when in prone position
b) Hand regard
c) Grasp and tonic neck reflexes disappear
d) Follows object past midline
4 Months
a) Turn from front to back
b) Needs space to turn
c) Head control complete
d) Laughs aloud
e) Babbling sound
5 Months
a) Turn both ways
b) Teething rings
c) Moro reflex disappear ( 4-5 months)
d) Handles rattles well
6 Months
a) Reaches out in anticipation of being picked up
b) Eruption of the first temporary teeth ( 2 lower incisor)
c) Sits with support
d) Says with vowel ”ah, eh”
e) Handles bottle well
7 Months
a) Beginning of fear of strangers (6-7 months)
b) Transfers object from hand to hand
c) Likes objects that are good in size for transferring
8 Months
a) Sits with support
b) Peak of stranger anxiety
c) Plantar grasps reflex disappears (8-9 months)
9 Months
a) Creeps and crawl
b) Combines 2 syllables ”mama or dada”
c) Needs space for creeping
d) Neat pincer grasp reflex
10 Months
a) Pull self to stand
b) Peek-a boo
c) Understand the word “no”
d) Responds to own name
e) Pats a cake since they can clap
11 Months
a) Stands with support
b) Cruising
c) One word + mama & dada
12 Months
a) Stands alone
b) Takes the first step
c) Drinks from a cup
d) Cooperative in dressing
e) Pots and pan
f) Push-and pull toys and nursery rhymes
g) Walks with assistance
h) Says two words + mama & dada.
B. Toddler
1. Play- Parallel play- two toddlers playing separately
2. Significance: Provide2 similar toys such as waddling ducks to pull, truck to push, squeaky frog
to
squeeze, building blocks and pounding peg.
3. Goal of Play: Motor development
4. Fear: Separation Anxiety- begins by 9 months and peaks by 18 months
3 Phases of Separation Anxiety:
A Protest- Characterized by anger. May scream and call the mother to come back
B. Despair- characterized by being withdrawn and does not want to talk.
C. Denial- exhibited by ignoring the parents
How to prevent Separation Anxiety
Do not prolong the goodbyes and say goodbye firmly
15 Months
a. Plateau Stage
b. Walks alone- lateness in walking is a sign of mild mental retardation.
c. Puts pellets in bottles
d. Scribbles the pencil voluntarily
e. Seat self on chair
f. Creeps upstairs
g. 4-6 words
18 Months
a. Bowel control achieved
b. Height of possessiveness.
c. No longer rotates the spoon
d. Can run and jump in place
e. Walks up and down the stairs holding on to a persons 'hand or railing
f. 7-20 words
g. Can name body part
h. Typically places both feet on the same step before advancing
24 Months
a. Terrible twos
b. Can open door by turning door knobs
c. 50- 200 words (2 words sentences)
d. Day time bladder control achieved
30 Months
a. Makes simple lines and strokes or cross with a pencil
b. Can jump down from a chair
c. Knows full name
d. Copies a circle
e. Holds up fingers to show age
f. Temporary teeth complete-20 deciduous teeth ( last to erupt posterior molar)
36 Months
a. Trusting three
b. Can do tooth brushing with little supervision
c. Unbuttons buttons
d. Draws a cross
e. Learns how to share
f. Knows full name and sex
g. Speaks fluently
h. Night time bladder control achieved
i. 300 t0 900 words
j. Rides a bicycle
Character traits
Rigid ritualistic and stereotypic
Negativistic, their favorite word is “No” as their way to search for independence
Nursing Significance:
Limit questions, offer options
Temper tantrums- ignore the behavior
They have physiologic anorexia
C. Pre-school
1. Play: Cooperative and Associative Play such as role playing
2. Fear: Fear of castration and body mutilation, fear of dark places and witches, fear of lightning
and t
thunder, fear of ghosts.
Milestones
4 years old
a. Furious fours- as they are noisy, aggressive And stormy
b. Button buttons
c. Copies square
d. Jumps or skips
e. Laces shoes
f. Vocabulary of 1500 words
g. Knows the four basic colors
5 years old
a. Frustrating fives
b. Copies a triangle
c. Copies square
d. Draws a six part man
e. Imaginary playmates
f. Vocabulary of 2100 words
6 years old
a. Years of constant motion
b. Clumsy movement
c. Recognizes all shapes
d. First grade teacher becomes authority figure
e. Beginning interest in God
f. Temporary teeth begin to fall while permanent teeth begin to appear. First permanent teeth is
the
first molar last to appear is wisdom tooth or third molar
Character Traits
Curious, creative imaginative and imitative
Presence of Complexes:
Oedipal Complex- identification of pre-school boy o his father and attachment to
his mother
Electra Complex- is the identification of the pre-school girl to her mother and
attached
D. School Age
Play: Competitive Play
Fear: School Phobia
Can be prevented by orienting the child to the new environment
Significant Person: Teacher, peer of the same age
Significant Development:
Prone to bone fracture- green stick fracture because bones are still porous
They have normal vision
Milestones
7 years old
Age of assimilation
Copies a diamond
Enjoys playing and teasing
Quieting down period
9 years old
Coordination improves
Tells time correctly
Hero worship
Stealing and lying are common
Take care of body needs completely
Teacher finds this age group difficult to handle.
10 years old
Age of special talents
Writes legibly
Ready for competitive games
More considerate and cooperative
Joins Organization
Well mannered with adult
11-12 years old
Pre-adolescent period
Full of energy and constantly active
Secret language is common
Sharing secret with friends
Sense of humor is present
Sociable and considerate
Character Traits
Industrious
They love to collect objects
They can’t afford to lose; they cheat
They are modest.
D. Adolescent Period
Milestones
1. Fear: Fear of obesity, death, acne, homosexuality and replacement from friends
2. Significant Person: Peers from opposite sex
Significant Development
Experience conflict between his need for sexual satisfaction and societal expectation
Their core concern is the change in body image and acceptance of the opposite sex.
There is distinctive odor- due to stimulation of the apocrine glands
Nocturnal emissions or “wet dreams” is hallmark of adolescence
Sperm is viable by age 17
Scrotum and testis increase in size up to 17 years old
Breast and female genitalia increases in size up to 18 years old
Sexual Maturation
GIRLS BOYS
Increase in the size of the breast and Increase in the size of testis and penis.
genitalia
Widening of the hips Deepening of the voice
Appearance of pubic hair and axillary hair Development of the muscles
Menarche-onset of menstruation Appearance of pubic hair and axillary
hair
Production of visible sperm
Personality Traits
Idealistic, rebellious and reformers
Very conscious of body image
Adventurous
Common Problems
Alcoholism
Smoking
Drug Addiction
Pre-marital sex resulting to pregnant adolescents.
Young Adulthood
Selecting a mate
Learning to live with marriage partners
Starting a family and rearing children
Managing a home
Getting started in an occupation
Taking civic responsibility
Finding a congenial social group
Middle Adulthood
Accepting and adjusting to physical changes
Attaining and maintaining a satisfactory occupational performance
Assisting children to become responsible adults
Relating to one’s spouse as a person
Adjusting to aging parents
Achieving adults social and civic responsibility
Late Adulthood
Adjusting to decreasing physical strength and health
Adjusting to retirement and reduced income
Adjusting to death of a spouse
Establishing an explicit affiliation with one’s age group
Adjusting and adapting social roles in flexible ways
Establishing satisfactory physical living arrangements.