GROWTH AND DEVELOPMENT ASSESSMENT OF

TODDLER (1-3Years)

IDENTIFICATION DATA

Name of the child: Anamika

Chronological age: 2years 6 months 16 days

Developmental stage: toddler

Mother’s name: Asha Devi

Father’s name : Ravi Kumar

Sex: Female

Date of birth: 20/6/2021

Date of assessment: 6/12/23

IPD NO.: 10466

Ward no: paediatric OPD

Diagnosis: Diarrhoea

Informant: Parents

Address: Safdarjung Enclave

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 IMMUNIZATION STATUS- child is immunized with all the vaccination till date

s.no Assessment Normal value Child value Remarks

features
1 Physical/biological Weight :
Development  Gain is 1.8-2.7kg/year 13.6 kg Normal
 At 2yrs -12kg
 2-3 years 4times the birth.

Height:
 Increases about 90.5cm Normal
 At 1-2years- 9-12cm/year
 2-3years- 5-6.5cm/year

 1-2years anterior fontanel closes. Anterior fontanel Normal

closed
 Dentition:
 Full set of 20 temporary teeth. 16 temporary Normal
dentition
 Legs appear bowed.(tibial torsion) Bow legs Normal

 Head circumference 46cm Normal

44-50cm

 Chest circumference
48-53cm 50 cm Normal
 Exceeds the head circumference.

 Mid arm circumference

12.5-13.5cm 13cm Normal

 Pulse 110/min Normal

110 +_ 20

 Respirations 26bpm Normal

26—28 bpm

 Expected weight calculation formula

= age in year X 2+8 12kg Normal
Child weight is
13.6 kg

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2. Motor Gross motor:
development  Walks sideways and backwards She walk sideways Child is
 Moves quickly from place to place. and quickly from active
 Sets himself in small chair place to place, can
 Climbs on furniture sit on chair
 Pulls n pushes toy Plays with toys
 Kicks large ball without falling Jumps well with
 Jumps well in place with both feet off both legs
floor
 Rides a walker or pedal car

Fine motor:
 Builds a tower of 6-7 cubes
 Scribbles in more controlled way Can imitate a Normal
 Imitates a circular and horizontal stroke circle and
 Turns pages of book one at a time horizontal strokes
 Opens door by turning door knob tries to eat with
 Puts book into hole spoon and drinks
 Eats with spoon, turns spoon in mouth well with glass
 Plays with food
 Drinks well from a small glass held in one
hand
 Removes most of own clothing
3. Sensory Visual acuity:20/40 Recalls visual Normal
development  Accommodation well developed images and
 Inserts square object into its appropriate identifies color
place or hole
 Recalls visual images
 Identifies various shapes
4. Psychosocial Sense of autonomy vs. doubt/shame
development  Separation anxiety Separation anxiety Normal
 Coping decreased in unfamiliar present
environment Temper tantrum
 Begins to imitate parents doing house present shows
chores possessiveness
 Autonomous behavior increases and share her toys
 Begins to have temper tantrums with sibling
 Cannot share possessions
 Beginning to show early signs of
individuality and independence
 Beginning of possessiveness
 Cannot share belongings

5. Psychosexual Anal stage Toilet training normal

development  Obtains pleasure from controlling started and
bladder and bowel movements sometimes holds

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  Getting toilet trained gives them a sense urine
of accomplishment and independence
 Pleasure on touching the genitalia.
6. Spiritual Intuitive projective faith Follows religious Normal
development  Imitates religious behavior such as activities
bowing the head in prayer performed in
 Unable to understand family
7. Cognitive Sensory motor stage
development Sub stage V(12-18month)
Tertiary circular reaction
 Child develops variations of old Normal
responses in approaching a new
object.

Sub stage VI(18-24months)

 Invention of new means through mental Attention span –
combinations short
 Concept of objet permanence fully
developed
 Can differentiate self from objects
 Short attention span
 Begins to think

Preoperational stage(2-7years)
Pre-conceptual stage (2-4years) Preoccupation
 Preoccupation with symbols in language, with symbols in
dreams, fantasy language, dreams,
 Very early understanding of past, fantasy
present and future Very early
 Increasingly aware of causation while understanding of
only experiencing the effect past, present and
 Symbolic thought begins future
 Begins causal thinking Increasingly aware
of causation while
only experiencing
the effect
Symbolic thought
begins
Begins causal
thinking

8. Moral Pre-conventional morality(kohlberg)

development Stage-0(0-2years)
 The good is what I like and want Can sense right Normal
Stage-1(2-3years) and wrong
Punishment obedience orientation
 If punished for doing it, it Is wrong

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  If not punished , it must be right

10. Play stimulation Parallel play: Has a favorite toys

 Has a favorite toy or transitional object. Has interaction Normal
 Little social interaction with other with other
children
Motor play
 Large hollow wooden blocks
 Balls Pulls toys ,
 Pulls toys running and plays
 Low swing with arms & back with sibling
 Rocking chair Enjoys listening to
 Running and chasing games short stories
Creative play Love sto see
 Manipulative play materials such as clay cartoon in TV
 Finger paints
 Brush paints
 Record player & cords
 Toys to take apart

Quite play
 Sand toys
 Stuffed animals &dolls to drag, sit upon,
hug
 Enjoys hearing stories illustrated with
pictures
 Takes favorite toy to bed.

Dramatic play
 Imitates parental actions in play
 Enjoys playing with dolls

HEALTH TEACHINGS

 Advised for plenty of fluids to prevent dehydration.

 Advised about the prescribed medication
 Advised for the light and boiled diet like khichdi and rice dal .
 child’s motor skills and induce physical growth. Arrange for play dates that
can encourage sharing and interacting
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 Nurture her ‘Independent’ self. Encourage your child to express their
feelings and let out emotions. Accept their natural behavior and let your
children know that you are there to guide them.

 Do NOT leave your toddler near or around water (for example, bathtubs,
pools, ponds, lakes, whirlpools, or the ocean) without someone watching
her. Fence off backyard pools. Drowning is the leading cause of injury and
death among this age group.
 Block off stairs with a small gate or fence. Lock doors to dangerous places
such as the garage or basement.
 Ensure that your home is toddler proof by placing plug covers on all unused
electrical outlets.
 Keep kitchen appliances, irons, and heaters out of reach of your toddler.
Turn pot handles toward the back of the stove.
 Keep sharp objects such as scissors, knives, and pens in a safe place.
 Lock up medicines, household cleaners, and poisons.
 Do NOT leave your toddler alone in any vehicle (that means a car, truck, or
van) even for a few moments.
 Store any guns in a safe place out of his reach.
 Keep your child’s car seat rear-facing as long as possible.
 Give your child water and plain milk instead of sugary drinks. After the first
year, when your nursing toddler is eating more and different solid foods,
breast milk is still an ideal addition to his diet.
 Your toddler might become a very picky and erratic eater. Toddlers need
less food because they don’t grow as fast. It’s best not to battle with him
over this. Offer a selection of healthy foods and let him choose what she
wants. Keep trying new foods; it might take time for him to learn to like
them.
 Limit screen time and develop a media use plan for your family.external
icon For children younger than 18 months of age, the AAP recommends
that it’s best if toddlers not use any screen media other than video chatting.
 Your toddler will seem to be moving continually—running, kicking,
climbing, or jumping. Let him be active—he’s developing his coordination
and becoming strong.
 Make sure your child gets the recommended amount of sleep each night:
For toddlers 1-2 years, 11–14 hours per 24 hours (including naps)

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BIBLIOGRAPHY

1. Ball Jane Etal, “Pediatric Nursing, Caring for Children”, 2nd Edition, Page No: 62.

2. Paul Vinod etal. “Ghai Essential Paediatrics”, 9th Edition, CBS, Page: 7- 53.

3. Khanna Kumud etal. “Textbook of Nutrition & Dietetics”, 2nd Edition, Elite, Pg No: 410-
421

4. https://parenting.firstcry.com/articles/8-month-old-baby-food-ideas-chart-recipes-and-
feeding-tips/

5. https://www.stanfordchildrens.org/en/topic/default?id=infant-feeding-guide-90-
P02694