I.

OBJECTIVES

KNOWLEDGE
1. Describe the interaction between parents and child.

2 Identify basic principle and development of preschoolers.

3. Distinguish the factors that contribute to the development of

preschooler.

4. Construe variables influencing how preschooler perceive there

Health status

5. Plan appropriate health promotion activities to the preschooler.

SKILLS

1. Assess a preschooler for normal growth

2. Implement nursing care r/t normal growth and development of the

preschooler, such as preparing preschooler for an invasive
procedure.

3. Explain the role of play in the development of the preschooler.

4. Integrate the knowledge of preschooler growth and development

with nursing process.

5. Use critical thinking to analyze additional ways in which growth

and development problems of the child can be prevented.

ATTITUDE
1. Show respect with the belief of the preschoolers’ family.

2. Provide confidentiality with the preschoolers’ identity.

3. Demonstrate emotional maturity in dealing with the case study.

4. Be objective in decision making such as I respond to preschoolers

complains.

5. Manifest initiative and resourcefulness.

 II. SOCIO-DEMOGRAPHIC PROFILE

Child’s name: JAY NORBE

Date of birth: APRIL 10, 2005
Weight: 15.5 KG
Father’s name: JOEL NORBE
Father’s occupation: PRIVATE DRIVER
Mother’s name: GINA MERCURIO
Mother’s occupation: HOUSEWIFE
Childs number of siblings: 2
Physical handicapped/ impairment if any: None
Sex: Male
Age: 4 YR. OLD
Height: 2 ½ FT.
Father’s age: 47 YRS. OLD
Educational attainment: COLLEGE GRADUATE
Mother’s age: 31 YRS. OLD
Educational attainment: HIGH SCHOOL GRADUTE
Childs birth order: 1ST

III. FAMILY COMPOSITION

The family N. composes of four, father’s name was J.N a 47 yrs. Old and a private driver
, mother’s name was G.M who is 31 yrs. old and is a plain housewife, she is the one who
takes charged in taking care of the children. J.N is the eldest and is 4 yr. old. M.N her
younger sister was 1 yr. old.
IV. HOME CONDITION
A. HOME CONDITION THAT IS DETRIMENTAL TO THE CHILD

The house is inside a compound, since it is an apartment, boarding house, there are a lot
of student who would usually enjoyed talking and teasing with him. As his auntie would
tell who is the one caring for him” student’s that are transient boarding are bringing him
to outside where he can play as well to the children outside, so the only concern if where
will he be going or some things where he can do without our consent. Because usually
stays inside the house and plays to his toys.
I believe that it is detrimental to the child because it in danger the condition and
safety, without knowing what is the consequences and what will happen.
Condition of the home that may be detrimental is seen and is present because
there apartment is near on the main road wherein it is a walk away in a very small
distance. This condition would again in danger his safety if something will happen
unintentionally and if the child without knowing is on the middle of danger.
B. CONDITION TO THE NEIGHBORHOOD

It is okey coz’ the houses were far from each other, so there are no chance that the child
will be expose to any wrong act and wrong words that would influence him and as will
induce harm, hence the neighborhood is just fine in contributing to the growth and
development of the child. However the child is usually with other people, especially
students or there boarders that would talk to him, enjoy and make fun, because he is so
chubby and cute at that there would be a time that he is exposed to different individuals
that may influence him, whether in action or in words.

C. DISTANCE OF HOME TO DAY CARE

It is not far, it is just a 5-7 minute away from their apartment they had no difficult of
going to the center, so definitely it never been a problem to them, they can save money in
there transportation and even they can come on time.
D. NAME OF GUARDIAN

Father’s name was J.N a 47 yrs. Old and a private driver , mother’s name was G.M who
is 31 yrs. old and is a plain housewife,
E. PRESENCE OF EXTENDED FAMILY

P.J is the only child and they are actually leaving at Manapla, since they own an
apartment here in Bacolod they’ve decided to stay here. His companion was just his
father and her auntie that takes care of Him. There are no extended family that is present
and is residing in there house and that may involve in child’s development and growth.
V. FAMILY HEALTH CONDITION

A. HEALTH BELIEFS

The family believed that every time sickness is present, his father will always brought
him to the hospital, they never let the condition worsen, as her auntie was saying “they
don’t give chance to just take for granted the disease. The child is urgently brought to the
hospital and is given an appropriate action. Because they can afford of any things
necessary for wellness and better health, they can also give the best health service he can
acquire.
B. HEALTH PRACTICES

For their health practices, “prevention is better than cure” at the very moment the child is
having a very good healthy lifestyle, he ate nutritious food that made him stout and cute
chubby little boy. They practice readiness whenever illness and accident is present, they
never let things get worsen and worsen and may in danger the health and condition of the
child.
C. HEALTH CONDITION

He is healthy though he weighs heavy and looks obese at his age, his auntie would
verbalized that he loves to eat nutritious food like ’las-wa”. He is far from any disease
and has a least risk to acquire some of the disease. Because for the family, his health is
really important and is well maintained.
 VI. PRESCHOOLER HEALTH PROMOTION PRACTICE

A. NUTRITION
There are no problem in nutrition because as obviously seen in him , he is very healthy as
he always ate nutritious food. Every time the menu for the day is delicious , he would
always request 3 rice in a meal , and it is amazing that he can finish eating it all. He also
consumes a lot of time just eating so in the morning he cannot attend the class when
supposed to be he belongs to am session, his auntie just send him to school on the
afternoon session.
He loves to eat, as I also observed and confirmed by her Auntie ’Borg’ ate 2-3
preparation of the snack, so the contribution of money is added as well only to cater his
love for food.
B. REST/SLEEP

In times of rest and sleep, he has adequate sleep, he would crave for sleep sometime after
eating. Anyways, sleep on his daily circadian rhythm which are appropriate, he sleeps the
normal time and waked up adequate as to satisfy his need to rest and sleep.
C. ACTIVITY

P.J would usually sets on the corner and do his own thing than participating in the
activity like dancing and signing , he would prefer to play on his set his toys and
imagining characters upon playing. However if he was task to do something like writing
or coloring he would do it.
D. PLAY

His form of play is very creative and is highly imaginative because he would usually take
to himself and talk to the character he made. As part of this he is a type of child that is not
well interactive to some of the children, he is always on his own every time he plays. I
remember once he saw a toy and it is so strange in appearance so he associate it as a
monster, and upon seeing him, he talks to it and play as if it was real.
Play is a form of motivation and molding. This contribute to the child’s behavior
and socialization so P.J’s form of enjoying and playing somehow could contribute on
how he will be molded as an individual.
E. LITERACY

P.J is eager to learn but is hesitating to perform, he is an average learner, he always try
his best to make an output and even if his works are not really good he wanted to learn
more.
F. TELEVISION
His watching of T.V is one of the problem that his father wanted to lessen, because he
would always watch television and even cry to watch more even if too late and it requires
him to go to bed.
G. DENTAL HEALTH

Concerning his dental health, they are as well ready in this, especially if the child has a
toothache or is having some tooth decay they would bring him to the dentist and tries to
check his teeth condition. If there are problem they would usually consult it to the
appropriate individual’.

VII. SAFETY AND INJURY PREVENTION

A. HOME SAFETY

The water supply is safe to the child, he never undergone any anomalies concerning the
use of water like skin diseases or amoeba at that. He is as well safe on the drinking water
because it is being bought in the water center and is a mineral water without tendency to
harm his health.
B. PLAY SAFETY
The one who takes care of him make it a point that he is staying inside there house, doing
his playing inside, with few of his friends that would be invited to join him play so that
his safety even if he is playing is maintained.
C. WATER SUPPLY
As what I had define in there water supply, it is safe for the child, the water is not a
problem and a threat to the health and condition of the child. This doesn’t alter the
wellness and does not affect. As there drinking water was safe to drink because the
family makes it to the point that the health of the child is not risk to acquire any disease
or sick involving the water supply.

VIII. GROWTH AND DEVELOPMENT OF PRESCHOOLER

Topic Book View

A. Physical Growth In preschool period:

A young child’s physical growth first begins as muscles gain strength with
use and children gradually develop coordination. The development of
muscular controlis the firdt in this process.

• The average weight gain is 3-5 pounds (1.5-3 kg) per yeat
• Average weight of a 5- 6 years old child is 45 lbs. (20.4 kg)
• 3 years old less than 45 lbs.
• Average height is 2-4.5 inches (6-8cm) per year.
• Average 4 years old child is 40.5 inches (101.25 cm).
• Deciduous teeth is present, baby teeth start to fall out and replaced
by the permanent teeth.

B. Motor development In preschool period:

(movement- gross and fine Gross motor development in the 3-6 years old should include:
motor: body control and skills)

• Becoming more skilled at running, jumping, early throwing and

kicking
• The ability to catch a bouncing ball
• The ability to pedal (3 years old) a tricycle but perhaps not steer
well becoming able to steer well around age 4.
• The ability (at around 4 years old) to hop on one foot, followed with
balancing on one foot for up to 5 seconds
• The ability to perform a heel-to-toe walk.

Fine motor development milestone should include:

• The ability to draw a circle upon request at about 3 years old.

• Drawing a person with three parts.
• Beginning use of childrens blunt-nose scissors.
• Self dressing (with supervision)
• The ablilty to draw a square at the age of 4 years old.
• The use of scissors progressing to cutting s straight line.
• The ability to put on clothes properly.
• Managing spoon and fork neatly while eating.
• Spreading with a knife at about age 5.
• The ability to draw a triangle

C. Cognitive Development In preschool period:

Jean Piaget, the psychologist credited with forming the theory of cognitive
development in the late 1920s, created a list of what kids at each stage are
capable of, and what they are not quite ready to do yet. Here’s what he
found for preschoolers, the preoperational stage:

• A preschooler can speak in a complex sentences but his thought

process wont always seem logical to outsiders. For example, he may
 OBSERVATIONAL
CASE STUDY OF THE
PRESCHOOLER
SUBMITTED TO: MR. AURORA
C. MAULEON R.N.

SUBMITTED BY: EULA DEE V.

GRANADA S.N.3