PEDIATRIC NURSING NOTES

GROWTH AND DEVELOPMENT

GROWTH – increase in body size
- ht, wt, bone size, dentition
- Growth hormone somatotropin

ANTERIOR PITUITARY GLAND (STORES & SECRETES HORMONES)
GH/ somatotropin
TSH
Prolactin
Aadrenocorticotropic hormone
LSH
FSH
MSH

POSTERIOR PITUITARY GLAND (PPG)
Oxytocin
ADH/ Vasopressin

Hypothalamus- responsible for the production

Development- Increase capacity to function at more advance level

PATTERNS (TRENDS) OF GROWTH & DEVELOPMENT
1. Directional Pattern
a. Cephalocaudal
b. Proximodistal – from the center of the body; symmetrical – gross & fine motor development
i. Gross Motor- grasping 5th month
ii. Fine motor – pincer grasp 9th month
c. Mass to specific- master simple operations a complex ones
2. Sequential Pattern
3. Secular Pattern – universal trends in the rate and age of maturation
a. Accelerated growth – infancy & adolescence
b. Decelerated growth

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