PART 1

CASE # 2
Competency Appraisal 1
Pediatric Nursing
RLE 3B

MILESTONES
Expected of a 11-month old:
Gross motor: Cruises, almost ready
to walk
Fine motor: Puts objects in a
container, preference for one hand
Recognizes the mother as
important
Fear of separation

Moves from prone to sitting

Points at objects
Understand NO
Responds to own name
Plays peek a boo

Ericksons
Psychosocial
Trust vs. Mistrust
Trusts the mother or primary
caregiver

Freuds Psychosexual
Oral
Puts things inside mouth
Thumb-sucking

Fowlers Faith
Stage 1: Primal Faith
Prelinguistic and preconceptual
It embodies trust between infants
and parents attachments,
mutuality, love, trust.

Piagets Cognitive
Coordination of Secondary Scheme
10-12 months
Experiment new ways of attaining
a goal
Explore environment
Uses memory

Kohlbergs Moral
11 months; Preconventional Stage
0
Child does right to gain parents
approval

Praise child for right actions

Consistency helps build sense of
security

CASE

Angelo, an 11-month old infant was

referred to Dr. Rizal by Nurse Conchitina.
He has been having diarrhea for 5 days
and had fever since 2 days ago. The
caregiver assigned to him also noticed
that he lost his appetite even for his usual
favorite of thin lugao with a small
amount of sugar and milk which has been
his usual food. For the past weeks, he is
noticed just to be sitting quietly against
the side of his crib and would not even
smile when spoken to. Lately, he was

Question # 1

Give at least two (2) problems that

you could derive from the case
scenario related to Angelos
growth and development.

Answers
Loss of appetite
Inappropriate choice of food
Inactive baby
Diarrhea

Question # 2

What developmental milestones

are expected from a 11-month old
child which is evidently not yet
done by Angelo? What could be
the possible contributory factor to
this delay?

Answers
Does not make different sounds
Does not respond and smile
Inconsistency of caregivers
Ability to walk holding onto furniture
Lack of nutrition

Question # 3

What could have been done to

prevent those problems?

Loss of appetite
Loss of appetite
Offer: colorful bite-size food or
finger food
Let child eat on his own
Remove distractions
Offer food in presentable manner

Inappropriate choice of
food
Lugaw with added oil
Mashed vegetables or beans
Steamed tokwa
Flaked fish
Pulverized roasted dilis
Finely ground meat
Eggyolk
Bite-size fruits

Inactive Baby
Clean and safe household things
Respond to childs sounds and
interests
Tell child names of things and
people
Play with the child
Stimulate the child to do gross and
fine motor activities