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GROWTH AND
DEVELOPMENT OF
A TWELTH MONTH
INFANT
Mrs. D. Melba Sahaya Sweety
Msc. Nursing
Pediatric Department
GIMSAR
PHYSICAL OR
BIOLOGICAL
DEVELOPMENT
PHYSICAL
OR
BIOGICAL
WEIGHT:-
10 + or – 1.5 Kg (22 + or – 3
pounds) Has tripled birth weight.
LENGTH :-
74.5 + or – 3 cm (29 + or – 1.5
inches) length has increased by
almost 50 percent from birth.
HEAD CIRCUMFERENCE :-
46 cm head circumference has
increased by on third since birth.
PHYSICAL
OR
BIOGICAL • Brain weight has increased rapidly
since birth, resulting in significant
developmental achievements
• Head and chest are equal in
circumference.
• Anterior fontanel closes between 12
and 18 months.
• Pulse :- 115 + or – 20
• Respiration :- 30 + or – 10
• Blood pressure :- 96/66 + or –
30/24
PHYSICAL
OR
BIOGICAL Reflexes :-
Babinski reflex disappear
Landau reflex disappear between
12 to 24 months.
 Teathing :-
Has 6 to 8 deciduous teeth
Lumbar curve and the
compensating dorsal curve develop
as walking continues.
Physiologic stability achieved and
maintained during first year.
GROSS MOTOR
DEVELOPMENT
Stands alone for variable length of
time
GROSS
MOTOR
Sits down from standing position
alone
GROSS
MOTOR
Walks in few steps with help or alone
(hands held at shoulder height for
balance)
GROSS
MOTOR
Improves competence in motor skills
through practice
GROSS
MOTOR
FINE MOTOR
DEVELOPMENT
Good pincer grasp
FINE
MOTOR
Picks up small bits of food and
transfers them to mouth enjoys
eating with fingers
FINE
MOTOR
Attempts to put a small pellet in to a
narrow-necked bottle but dos not
succeed
FINE
MOTOR
Releases one or more objects inside
another object or container
FINE
MOTOR
Attempts to put one block on top of
another but does not succeed
FINE
MOTOR
Turns pages in a book but usually
not one at a time
FINE
MOTOR
Drinks from a cup and eats from a
spoon but still requires some help
FINE
MOTOR
Holds crayon adaptively to make a
stroke or a make on a piece of paper
FINE
MOTOR
SENSORY DEVELOPMENT
Full binocular vision well
established
Follows Fast- moving object
with eyes
Discriminates simple geometric
forms: squares, circle
Visual acuity; 20/100 to 20/50
PSYCHOSOCIAL DEVELOPMENT
SENSE OF TRUST
• Clings to care giver,
usually mother
when fearful.
• To request for
affection such as a
kiss or a hug.
Responds
PSYCHOSOCIAL DEVELOPMENT
• Security. blanket or
favorite toy beginning
to provide comfort.
• Cooperates in
dressing Puts arms
through sleeves, feet
into shoes.
PSYCHOSOCIAL
DEVELOPMENT
ORAL STAGE
SPIRITUAL DEVELOPMENT
UNDIFFERENTIATED
INTELLECTUAL
DEVELOPMENT
COORDINATION OF
SECONDARY SCHEMAS
MORAL
DEVELOPMENT
PRECONVENTIONAL
MORALITY
LANGUAGE DEVELOPMENT
RECEPTIVE LANGUAGE
• Responds with
gestures or
action to more
complex verbal
requests such as
“Please Give It
To Me”
EXPRESSIVE LANGUAGE
May speak to or
more words
besides “mama”,
“papa”.
Imitates sounds
animals make
EXPRESSIVE LANGUAGE
 Continue using
jargons indicates “no”
by shaking head
 Understand
meaning of many
words than can be
spoken
PLAY
STIMULATION
Provide large crayons for
drawing
PLAY
STIMULATION
Provide stacking discs
or blocks
PLAY
STIMULATION
Provide object to place
inside a large container
PLAY
STIMULATION
Place infant in a walker for several
times per day to encourage the
walking
PLAY
STIMULATION
Encourage infant to push a chair
or stroller around
PLAY
STIMULATION
ouuuuuuuuuuuu
u

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