Growth & Development second Month

1. GROWTH AND
DEVELOPMENT FOR
SECOND MONTH INFANT
Mrs.Melba Sahaya Sweety M.Sc Nursing
Pediatric Department
GIMSAR School and college of Nursing

2. • Posterior fontanel
closed at 6 to 8 weeks
of age

3. GROSS MOTOR
DEVELOPMENT

4. Legs fixed prone position: arms
flexed, hips flat, legs extended,
head in mid position or side

5. No head droop when suspended
in prone position

6. Less head lag when pulled from
a supine to a sitting position

7. Lift head when lying prone
almost 45 degrees above a flat
surface

8. Hold head erect in Mid position

9. Hold head erect when held
upright

10. Turn from side to back

11. FINE MOTOR
DEVELOPMENT

12. Hands may be open

13. Holds a Rattle briefly when
placed in the hand

14. SENSORY
DEVELOPMENT

15. • Turns head to side
when a sound
occurs at ear level
• When on back
follow a dangling
object or a moving
light beyond the
midline of vision

16. • Beginning Binocular
fixation and
convergence to
objects nearby.
• Eyes follow moving
person nearby

17. SENSE OF TRUST
• Distinguishes mother
or primary caregiver
from others.
• Eye-to-Eye contact
Smiling and
Vocalization
especially the mother

18. • Smiles back in
response to another’s
smile
• Has learned that
crying brings
attention

19. PHYCHOSOCIAL
DEVELOPMENT

20. PHYCHOSEXUAL DEVELOPMENT:
Oral Stage
SPIRITUAL DEVLOPMENT :
Undifferentiated
INTELLECTUAL DEVLOPMENT :
Sensorimotor stage
Primary circular reaction

21. MORAL DEVLOPMENT :
Preconventional morality
LANGUAGE DEVELOPMENT:
• Receptive
Language:
• Alert expression
when listening

22. Expressive
Language:
• Crying become
differentiated varying
with the reason for
crying eg., Hunger,
sleepiness, or pain.
• Responds vocally to
caregiver’s voice;
“ah,” “eh,” “uh”,
coos..

23. PLAY
STIMULATION

24. • Offer a rattle
• Pull from supine to
sitting position

25. • Hold or Dangle toy
in front of infant to
encourage eye
movement.
• Place in vertical
infant seat so that
environment can be
viewed from a
different angle

26. • Outing in carriage or
car if not done
earlier.
• Change Patterns of
objects from bright
and shiny to dull and
dark for further
simulation.

27. THANK U

33. Organizing Nursing Service at
Various Levels

34. Or ga n iza t ion a l set up of dir ec t or a t e gen er a l of
h ea l t h ser vic es
D GH S
A D.DG(PH ) A D.DG (N ) A D.DG(H )
A D G
(C OM M UN ITY
N URSIN G SERVIC E)
A D G
(N URSIN G EDUCA TION
A N D RESEA RCH )
A D G
(H OSPITA L
M A N A GEM EN T
SERVICE)
D A D G D A D G D A D G
N SG.SUPD T
PRIN C IPA L TUTOR
SC H OOL OF
N URSIN G
C OM M UN ITY A N D
N URSIN G OFFIC ER
PH N SUPERVISOR SEN IOR TUTOR D y.N sg Su pd t
PH N TUTOR A sst .N sg .Su pt
L H V
A N M
C L IN IC A L IN ST W A RD SISTER
STA FF N URSE

35. ORGAN IZATION AL SETUP OF N URSIN G SERVICE AT
C EN TRAL LEVEL
SEC RETA RY H EA L TH
A d n s
(CH N N URSIN G)
A D N S
( N sg ED U A N D RESEA R)
A D N S
( H OSP N sg SERVICES)
D A D N S
(C OM M UN ITY
N URSIN G SERVIC E)
D A D N S
(N URSIN G ED UC A TION
A N D RESEA RC H )
D A D N S
(N URSIN G
SERVIC E)
D is t N s g Of f ic er D A D N S
N SG.SUPD T
PRIN C IPA L
SC H OOL OF
N URSIN G
PH N u r sin g
Of f ic er
PH N A t PH C SEN IOR TUTOR D y.N sg Su pd t
L H V (H o s a n d
C o mm)
TUTOR A sst .N sg .Su pt
A N M
C L IN IC A L IN ST
D IREC TOR N URSIN G SERVIC ES
JOIN T / Dy.D IRECTOR OF N URSIN G SERVICES
W A RD SISTER
STA FF N URSE

36. ORGAN IZATION AL SETUP OF N URSIN G SERV ICE AT
STATE LEV EL
D IREC TOR N URSIN G SERVIC ES
D M O D N O D H O
A D N O
(H o s p a n d N s g ed u )
A D N O
(C OM M UN ITY
)
D is t PN O
PRIN C IPA L
TUTOR
N s g Su pd t /
D y N S
A s s t .N s g Su pd t PH N SUPERVISOR(c h c )
W A RD
SISTER
TUTOR PH N (ph c )
STA F F N URSE
C L IN IC A L IN ST
D y .D IREC TOR N URSIN G SERVIC ES
L H V / H S
A N M
A D N S
D y.A D N S

37. DISTRICT LEVEL
DHS
ADHS
NURSING SUPDT GRADE -I
NURSING SUPDT GRADE -II
STAFF NURSE
HEAD NURSE

38. HOSPITAL LEVEL
DIRECTOR (HOSPITAL)
CNO
NURSING SUPERINTENDENT
Asst .NURSING SUPERINTENDENT
STAFF NURSE
NURSING SISTER

39. METHOD OF PATIENT CARE
DELIVERY
TRADITIONAL METHOD
CASE METHOD
FUNCTIONAL METHOD
TEAM METHOD
MODULAR METHOD
PRIMARY METHOD
PROGRESSIVE METHOD
ADVANCED METHOD
CASE MANAGMENT

40. MERITS OF PROGRESSIVE
PATIENT CARE
• Efficient Use Of Personnel and equipment
• Clients receive best care
• Use nursing skills and expertise
• Clients move towards self care
• Efficient use and placement of equipment is
possible
• Personnel have greater probability to function
towards their fullest capacity

41. DEMERITS OF PROGRESSIVE
PATIENT CARE
• Discomfort to clients
• Continuity of care is difficult
• Long term nurse client relationship are difficult
• Greater emphasis is placed on comprehensive
written care plan
• Difficulty in meeting administrative needs

42. Factors influencing the quality
patient care
• The total number of the patient to be nursed
• Degree of illness of patient
• Types of service
• Total need of the patient
• Method of patient care
• Physical facilities
• Method of performing nursing procedures
• Standard of nursing care

43. Thank u