WEEK 14 MCHN Nursing Process for Promotion of Normal

Growth and Development

Outcome Identification and
Assessment of the Family Planning
with an Infant Setting realistic outcomes for infant care based
on the family's circumstances is crucial. Parents,
especially first-timers, need time to adjust, and
Nursing Assessment: suggested activities should seamlessly fit into
The initial assessment involves interviewing the their lifestyle. For example, if language exposure
primary caregiver, covering crucial areas such is needed, working parents could encourage
as nutrition, growth patterns, and development. their child's caretaker to talk more to the infant.
An infant's height, weight, and head Additional evening activities, such as reading
circumference serve as vital indicators of nursery rhymes, can contribute to enhanced
growth, requiring measurement and plotting on language skills.
standard growth charts. Quick yet thorough
physical assessments are essential, keeping in Implementation
mind the baby's potential fatigue or hunger. The
Teaching new parents about infant care and
presence of the primary caregiver helps
safety is a key intervention. Anticipatory
maintain the infant's calmness during
information delivery allows parents to prepare
assessments.
for the evolving needs of their growing infant.
Emphasize comprehensive infant care rather
Nursing Diagnosis than focusing on isolated elements.
During the assessment of the infant and family,
emphasis is placed on fundamental needs like Outcome Evaluation
sleep, nutrition, activity, and the parents'
Regularly evaluate expected outcomes during
adaptation to their new role. Some nursing
each visit to track changes in parents'
diagnoses may include:
understanding of infant care. Ensure a holistic
understanding, not limited to specific elements.
- Ineffective breastfeeding related to maternal
Examples of expected outcomes include:
fatigue
- Disturbed sleep pattern (maternal) related to
- Mother expressing fatigue but feeling able to
the baby's need to nurse every 2 hours
cope with sleep disturbances
- Deficient knowledge related to normal infant
- Parents stating five daily actions to encourage
growth and development
bonding
- Imbalanced nutrition, less than body
- Father articulating adjustments to new roles as
requirements, related to infant's difficulty sucking
parents
- Health-seeking behaviors related to adjusting
- Parents vocalizing appropriate techniques to
to parenthood
stimulate infants
- Delayed growth and development related to a
- Infants displaying age-appropriate growth and
lack of stimulating environment
development
- Risk for impaired parenting related to long
- Infant metrics (weight, height, head, and chest
hospitalization of the infant
circumference) within acceptable norms.
- Readiness for enhanced family coping related
to increased financial support
- Social isolation (maternal) related to lack of
adequate social support
- Ineffective role performance related to new
responsibilities within the family

BONDOC, C.K. BSN 2-18

WEEK 14 MCHN Nursing Process for Promotion of Normal
Growth and Development
Outcome Identification and
Planning
Assessment of the Family Outcome Planning:
To address concerns during the toddler period,
with a Toddler emphasize family education and anticipatory
guidance. Encourage realistic goal-setting for
parents to navigate the rapidly changing needs
Nursing Assessment: of their toddler and cope with typical behaviors.
Regardless of whether the toddler is attending a Managing expectations is crucial to prevent
routine checkup or seeking care for a specific frustration and promote enjoyment of
health concern, the assessment initiates with a parenthood.
meticulous health history. Inquiring about the
toddler's ability to carry out daily activities
provides insights into developmental progress
Implementation
and the child-parent relationship. Careful Teaching Strategies:
observation is vital, as parents may become When teaching about typical toddler behavior,
emotionally involved, affecting their objectivity in guide parents to view a toddler as a visitor from
describing health concerns. Parents, being daily a foreign land, eager to participate but unfamiliar
observers, offer valuable information on subtle with customs and language. Teach
signs that a child might not be feeling well. problem-solving methods applicable to various
situations that may arise. Emphasize the
importance of learning strategies applicable
Nursing Diagnosis throughout the child's growth, avoiding
Nursing diagnoses related to the normal growth short-term solutions that may lead to recurring
and development of toddlers often revolve issues.
around parental eagerness to understand these
parameters and address safety or care issues. Health Visits and Communication Skills:
Examples include: Utilize health visits to teach healthy coping
techniques and model effective communication
- Health-seeking behaviors related to normal skills with toddlers. Providing guidance on
toddler development handling current issues and preparing for future
- Deficient knowledge related to the best method challenges ensures a holistic approach to
of toilet training parenting.
- Risk for injury related to the impulsiveness of
the toddler
- Interrupted family process related to the need
Outcome Evaluation
for close supervision of a 2-year-old Frequent Evaluation:
- Readiness for enhanced family coping related Due to the rapid changes and skill acquisition
to the parents' ability to adjust to the new needs during the toddler period, frequent evaluation of
of the child expected outcomes is necessary. Examples of
- Readiness for enhanced parenting related to expected outcomes include:
increased awareness of poison prevention
- Disturbed sleep pattern related to the lack of a - Parents stating the child maintains a consistent
bedtime routine bedtime routine within the next 2 weeks.
- Parents confirming childproofing their home
before the next clinic visit.

BONDOC, C.K. BSN 2-18

WEEK 14 MCHN Nursing Process for Promotion of Normal
Growth and Development
- Grandmother expressing modification of - Imbalanced nutrition related to the child's many
activities to conserve strength for caring for the food dislikes
toddler granddaughter within 1 week.

Assessment of the Family Outcome Identification and

with a Preschooler Planning
Outcome Planning:
Preschool presents a challenging stage for
Nursing Assessment: many parents as children transition from infancy
Routine assessment of preschoolers involves to not yet ready for formal school. Planning for
obtaining a health history and performing both expected outcomes involves establishing a
physical and developmental evaluations. schedule for discussing normal preschool
Preschoolers may exhibit limited verbal development during health maintenance visits.
communication during health assessments, Addressing accident prevention, street-crossing
resorting to baby talk or babyish actions if safety, and providing opportunities for
stressed. A detailed history of their usual adventurous or messy play are crucial elements
performance level is crucial for accurate of the plan.
evaluation. Assess weight and height using
standard growth charts, keeping in mind Implementation
potential variations for children from different
ethnic or cultural backgrounds. General Teaching Strategies:
appearance, activity levels, dental health, and Preschoolers imitate moods and actions, making
the occurrence of upper respiratory infections role modeling an essential nursing intervention.
should also be evaluated. Demonstrating that health assessment is
enjoyable may involve suggesting activities like
listening to their heart or coloring during the
process. Accident prevention is best taught
Nursing Diagnosis through role modeling, such as always crossing
Preschooler-focused nursing diagnoses typically streets at the corner and ensuring seatbelts are
revolve around health promotion. Examples in place before starting the car.
include:
Outcome Evaluation
- Health-seeking behaviors related to
developmental expectations Continuous Evaluation:
- Readiness for enhanced parenting related to Continuous and frequent evaluation of expected
parent's pride in the child outcomes is necessary during this cognitive and
emotional growth period. Parents may not
Other nursing diagnoses encompass: observe significant physical growth, so
evaluating specific areas helps them recognize
- Risk for injury related to increased progress. Examples of expected outcomes
independence outside the home might include:
- Delayed growth and development related to
frequent illness - Child stating the importance of holding a
- Risk for poisoning related to the child's parent's hand while crossing streets.
maturational age - Parent expressing realistic expectations of a
- Parental anxiety related to a lack of 3-year-old's motor ability by the next visit.
understanding of childhood development

BONDOC, C.K. BSN 2-18

WEEK 14 MCHN Nursing Process for Promotion of Normal
Growth and Development
- Mother reporting that she has prepared a - Delayed growth and development related to
4-year-old for a new baby by the next visit. speech, motor, psychosocial, or cognitive
concerns

Assessment of the Family

Outcome Identification and
with a School-Age Child Planning
Outcome Planning:
Nursing Assessment: Considering school-age children's preference for
Utilize both history and physical examination to small or short-term projects, identify outcomes
assess the growth and development of and plan care accordingly. Define behavior
school-age children. Include inquiries about problems before identifying outcomes and
school activities and progress. For children aged planning interventions. Parents often need to
10 years or older, consider conducting part of accept certain problems as consistent with
the interview without their parents present, normal growth and development.
allowing them to contribute to their own health
history. During the physical examination, respect Implementation
the child's modesty by providing a cover gown.
Teaching Strategies:
Parents often express concerns about School-age children are keen on learning about
behavioral issues or conflicts during yearly adult roles, observing attitudes and actions.
health visits. Some may feel a sense of losing When providing care, explain the "hows" and
contact with their children during these years, "whys" as children are more comfortable when
potentially misinterpreting normal changes in they understand the rationale behind
behavior. It is crucial to allow both the parent procedures. Cooperation may be hindered until
and the child to express concerns, and, when a satisfactory explanation is given.
necessary, seek input from school personnel or
counselors. If the issue is related to a medical Outcome Evaluation
condition, assess its impact on the entire family's
functioning. Yearly Health Visits:
Yearly health visits covering both physical and
psychosocial development are crucial during the
Nursing Diagnosis school-age period. Parents can reflect on
Common nursing diagnoses relevant to problems identified in previous visits and discuss
school-age growth and development include: their resolution. Ensure that emerging problems
are not overshadowed by fading concerns.
- Health-seeking behaviors related to normal Examples of expected outcomes may include:
school-age growth and development
- Readiness for enhanced parenting related to - Parent stating they allow the child to make their
improved family living conditions own decisions about spending allowance.
- Anxiety related to slow growth pattern of child - Child listing books read together with parents
- Risk for injury related to deficient parental in the past 2 weeks.
knowledge about safety precautions for a - Child expressing understanding of their normal
school-age child growth, even if they are the shortest in their
- Imbalanced nutrition, more than body eighth-grade class.
requirements, related to frequent consumption of - Child avoiding injury from sports activities
snack foods during summer recess.

BONDOC, C.K. BSN 2-18

WEEK 14 MCHN Nursing Process for Promotion of Normal
Growth and Development
Assessment of the Family Implementation
with an Adolescent Teaching Strategies:
Adolescents respond better when they help plan
tasks. They are less likely to comply with tasks
Nursing Assessment: imposed on them. Patience is vital, and
interventions should be evaluated from an
Adolescents often don't come for routine health
adolescent's standpoint before teaching begins.
visits unless they are unwell or need a physical
High self-esteem is essential for goal
examination for athletic clearance. When
accomplishment, and interventions should align
accompanying their parents, obtaining a health
with the adolescent's perspective.
history separately from parents is crucial to
promote independence and responsibility for
self-care. During physical examinations, be Outcome Evaluation
mindful of adolescents' self-consciousness.
Evaluation of Expected Outcomes:
Provide health assurance and offer information
Evaluation should not only focus on whether
about their changing bodies, fostering a positive
desired outcomes have been achieved but also
and informative environment.
on whether adolescents are pleased with their
success. Self-esteem is crucial for future goal
Nursing Diagnosis attainment. Examples of outcome criteria might
include:
Various nursing diagnoses are applicable to
adolescents and their families, including:
- Client stating she feels good about herself
despite being the shortest in her class.
- Health-seeking behaviors related to normal
- Client reporting not consuming alcohol in the
growth and development
last 2 weeks.
- Low self-esteem related to facial acne
- Parents expressing increased confidence in
- Anxiety related to concerns about normal
parenting an adolescent.
growth and development
- Client stating she maintains high self-esteem
- Risk for injury related to peer pressure to use
despite persistent facial acne.
alcohol and drugs
- Readiness for enhanced parenting related to
increased knowledge of teenage years

Outcome Identification and

Planning
Outcome Planning:
Respecting adolescents' strong desire for
independence and autonomy is crucial in
planning care. Including them in the planning
process ensures that the plan is agreeable and
accepted. Establishing contracts, such as
agreeing to take medication daily, may be
effective. Adolescents are present-oriented, so
programs with immediate results are more likely
to be successful. Teaching about long-term
health benefits should be geared toward
specific, short-term advantages.

BONDOC, C.K. BSN 2-18