4. Biological growth
Children in the
preschool years grow
relatively slowly; they
become taller and
thinner without
gaining much weight.
5. WEIGHT AND HEIGHT
The preschool gains approximately 1.8 kg
per year.
At 3 years- 12.5-16.5 kg
At 4 years- 13.5-19.5 kg
At 5 years- 15.4-21.4
GROWTH AND HEIGHT OCCUR
AT A STEADY PACE.
At 3 years- 90.5-101.5 cm
At 4 years- 95-109 cm
At 5 years- 103—115 cm
6. integumentary
system
As the skin matures, skin problems
present in infants and toddlers
decrease. Because of the increased
activity of the melanin-forming cells,
the skin is better protected from the
harsh rays of the sun.
7. cardiovascular
system
By age 4 years, the heart size is four
times birth size and is now similar to
that of the adult heart. The pulse rate
continues to decrease and the blood
pressure increases slightly
9. BLOOD PRESSURE
AT 3 YR: 100/67 mm of Hg
AT 4 YR: 100/60 mm of Hg
AT 5 YR: 100/60 mm of Hg
10. Blood values
During the preschool years,
fat replaces the red bone
marrow of the long bones.
The total leuckocyte
count is slightly higher:
5000-13,000 from 4-6
years of age.
11. respiratory system
With growth, the length
of structures in the
respiratory tract has
increased and incidence
of infections decreases.
The respiratory
decreases slightly.
12. RESPIRATION RATE:
AT 3 YR: 25 +5 BREATH/MIN
AT 4 YR:24 + 4 BREATH/MIN
AT 5 YR: 22 + 3 BREATH/MIN
13. gastrointestinal system
The process of digestion is mature at this time, but the
gastrointestinal system is vulnerable to stress. During this period
the child has learned the defecation (passes of stool) process.
14. genitourinary system
The urinary system is nearly mature by age 5
years. The urine output in this age group is 600-
750 ml for a 24-hour period. Daytime bladder
control is achieved by the end of the preschool
period, with nighttime control still variable.
15. immune system
Adult level of immunoglobulin A (IgA) are reached
during the preschool years. IgA assists in
controlling local infection in the body.
nervous system
By age 5 years of age, the nervous system
comprises 1/20th
of the total body weight. The
child can handle some normal routine activity
own self.
16. Motor development
AT 3 YEARS OF AGE
Gross motor
Walks a straight line
Walks backward
Walks on tiptoes
Runs without looking at feet
Catches ball with extended
arms
Kicks a ball
jumps from a height of
several inches
17. Finemotor
Builds a tower of 9-10
blocks
Copies a circle
uses blunt scissors
with one hand to cut
shows preference for
handedness
puts beads on string
can help with simple
household task
18. AT4 YEARS OFAGE
Gross motor
runs on tiptoes
balances on one foot 3-5 seconds
jumps from greaterheights
pedals a tricycle quickly
catches a ball with extended arms and with
hands
climbs ladders, trees, playground equipment
alternates feet when descending stairs
20. AT 5 YEARS OF AGE
Gross motor
skips, alternates feet
jumps rope and jumps
over objects
walks a balance beam
imitates a dance steps
if taught
catches a ball smoothly
24.
AT 3 YEARS OF AGE
Beginning development of
sense of initiative
Negative counterpart:
guilt
Egocentric in thought and
25. Able to share but
expresses idea of
“mine”
Less dependent on
parents but needs
reassurance and
help
Tolerates short
separation from
parents
26. AT 4 YEARS OF AGE
sense of initiative
Egocentric- unable
to see others
viewpoints
Tends to be
impatient and
selfish
Usually separates
easily from
27. Physically and verbally
aggressive
Still has fears
Dreams and night
mares continue
Sexually curious
Jealousy of sibling may
be evident
More cooperative in
play although reminds
28. AT 5 YEARS OF AGE
Sense of initiative
Continues to be egocentric
Separates easily from
parents
Independent and
trustworthy
Has fantasies and day
dreams
Looks for parental
encouragement and
support
31. DEVELOPMENT
As per Freud’s
psychosexual theory,
preschoolers are in the
Phallic Stage in which
both, boys and the girls
experience a period of
attachment to the
parents of opposite sex
and hostility toward the
parent of the same sex.
Boys encounter the
33. Preschool children
continue in Fowler’s stage
of Intuitive-Projective
Faith. Children do not
follow a religion because
they understand it but
because it is expected of
36. Tries to please and
conforms to requests
Characteristics of
thought include
animism and realism
Able to follow
directional commands
Has a beginning
understanding of
37. AT 4 YEARS OF AGE
Sub-stage I and sub-stage
II
Classifies objects
according one
characteristics
Not able to conserve
matter
Obeys because parents
sets limits, not because of
39. Preschoolers conform to rules strictly for the purpose of self-interest
that is to avoid punishment and to have favors returned. This can be
interpreted to mean that although they believe in the sanctity of
laws, they are willing to accept changes in the rules, especially if
they are the beneficiary of the change.
At 3 years of age At 4 years of
age
Pre-conventional Morality Pre-conventional
morality
Stage I( 2-3 years) Stage 2 (4-7 years)
42. AT AGE OF 3 YEARS
Recept i ve l anguage
Can obey two prepositional
commands i.e. on, under
Expres s i ve l anguage
Uses 4- word, sentences-
asks why, uses plurals
Gives sex and full name
Names figures in a
picture
43. AT AGE OF 4 YEARS
Receptivelanguage
Understands directives (on, under, in back, in front)
Expressivelanguage
Names one ormore colors correctly
Uses “I”
Counts to 5
May use profanity forattention
Uses 3 to 7 word sentence
Has a vocabulary of 1500
44. AT AGE OF 5 YEARS
Receptivelanguage
Carries out instruction with three suggested tasks i.e. wash, dry,
sit down
Expressivelanguage
Names primary colors
Asks meaning of words
Counts to 10
Has a vocabulary of 21000
45. PLAY
PRE-SCHOOLERS I NTERACT WI TH
OTHERS DURI NG PLAY---
ASSOCI ATI VE PLAY.
PLAY SHOULD PROVI DE FOR
PHYSI CAL,MENTAL AND SOCI AL
DEVELOPMENT.
CONSTRUCTI VE,CREATI VE AND
46. PLAY PATTERNS
TOY PLAY
DRAMATIZATION
CONSTRUCTIONS
GAMES
READING
MOVIES,RADIO AND TELEVISION
47. PLAY STIMULATION-3YRS
LIKES THINGS THAT
MOVE,TALK,MAKE NOISE.
CRAYONS,PAINTS,TRANSPORT
ATION TOYS
PLAY TELEPHONE,RECORD
PLAYERS
SINGLE PUZZLES,SOAP
BUBBLES.
49. PLAY STIMULATION-5YRS
LOVES TO
TRANSPORT THINGS
IN TRUCKS,CARS.
CONSTRUCTION
TOYS,PAPER
DOLLS,BOOKS AND
PUZZLES
SIMPLE GAMES FOR
TEAM PLAY.
50. NEEDS OF
PREESCHOOLER
1. EMOTIONAL – SOCIAL NEEDS
LOVE AND SECURITY
GUIDANCE
DEPENDENCE PROGRESSING TO INDEPENDENCE
SENSE OF INTIATIVE ARE MAKING STRIDES IN
BECOMING INDEPENDENT IN SELF CARE
ACTIVITIES.
51. CONTD….
DISPLINE LEADING TO SELF CONTROL
SELFISHNESS
CHILDREN ARE NOT BORN WITH THE
ABILITY TO SHARE WITH
OTHERS.SLOWELY THEY LEARN THE
JOY GIVING AND OF SHARING WITH
OTHERS.
52. CONTD….
BEDTIME PROBLEMS -SLEEP
CHILDREN WHO RESIST GOING
TO BED,SUGGESTED
INTERVENTION LIKE
APPROPRIATE TIME FOR
SLEEP,IGNOREING CRYING OR
OTHER ATTENTION-GETTING
BEHAVIORS.
53. CONTD….
HURTING OTHERS
SMALL CHILDREN HURT
OTHERS AND ARE THEMSELVES HURT
WHEN THEY PLAY TOGETHER.IF
CHILDREN PERSISTENTLY TRY TO HURT
OTHERS,ADULT HELP IS NEEDED TO
PREVENT SERIOUS INJURY TO ANOTHER
CHILD.
55. HAZARDS OF PRESCHOOLER
PHYSI CAL HAZARDS
1. ACCI DENTS
I NFECTI ONS,BURNS,FR
ACTURES,CUTS
2. I LLNESS—
RESPI RATORY
3. OBESI TY
56. CONTD…
PSYCHOLOGI CAL HAZARDS
1. SPEECH
HAZARDS (STUTTERI NG)
CAUSES
HEARI NG LOSS,DEVELOPMENTAL
DELAY,LACK OF VERBAL
STI MULATI ON
57. INJURY PREVENTION
1.MOTOR VEHI CLE
AND PEDESTRAI N
I NJ URI ES
TEACH CHI LD NEVER
TO GO I NTO ROAD
ALONE
USE SAFETY
GATES,BI CYCLE
HELMETS AND SEAT
BELT.
58. INJURY PREVENTION CONTD…
2.DROWNI NG
TEACH CHI LD NEVER
TO GO I NTO WATER
WI THOUT ADULT.
PROVI DE
SUPERVI SI ON
WHENEVER CHI LD
NEAR WATER.
60. INJURY PREVENTION CONTD….
4.NEEDLE AND SHARP
I NSTRUMENTS
POI SONS,CHEMI CALS
KEEP THI NGS OUT OF
REACH
5.ELECTRI C SHOCK
DO NOT TOUCH THE
CHI LD TO ANY SWI TCH
BOARD
63. CARE OF CHILDDURING
HOSPITALIZATION ANDILLNESS
HELP THE CHI LDREN FEEL SAFE I N
THE STRANGE ENVI RONMENT
ALLEVI ATE FEAR AND ALLOW
EXPRESSI ON OF FEELI NGS
MAI NTAI N I DENTI TY AS A PERSON