This document discusses child growth and development. It defines growth as a quantitative change that results in increased size and weight through cell division and protein synthesis. Development is defined as a qualitative change that involves the gradual expansion of capacities through maturation and learning. The document outlines several factors that can affect child growth and development, including prenatal factors like maternal nutrition, stress, illness and placental function, as well as postnatal influences such as nutrition, infections, trauma, socioeconomic status, family dynamics and access to healthcare services.

1. CHILD HEALTH NURSING
GROWTH &
DEVELOPMENT
BHARGAV MEHTA
MSC NURSING
HNS INSTITUTE

2. INTRODUCTION:
As children grow, their external dimensions change. Growth and
development usually referred to as a unit, express the sum of the
numerous changes that take place during the lifetime of an individual.

3. Growth andGROWTH AND DEVELOPMENT
GROWTH- An increase in number and size of cells as
they divide and synthesize new proteins, results in
increased size and weight of the whole or any of body
part. Growth as a quantitative change
DEVELOPMENT- A gradual expansion of the individual’s
capacities through growth, maturation and learning.
Development as a qualitative change.
ACCORDING TO WONG’S:-

4. Factors affecting growth
and development
Prepared by : Bhargav mehta
Lecturer (ped. dept)

6. Heredity
/ genetic
factors
environ
mental
Other
factors
Postnatal
environme
nt
Prenatal
environm
ent
Factors affecting growth and development

14. A. Prenatal environment:
1. maternal nutrition
2. emotional stress
3. toxic exposure
4. maternal illness
5. multiple pregnancy
6. mechanical problems
7. maternal hormones
8. placental factors
9. fetal factors
II. Environmental factors

16. B. Postnatal environment
1. nutrition
2. infections and infestations
3. chemical agents
4. trauma

18. 3. other factors
a. socio economic factors
b. cultural factor
c. emotional
d. climate & season
e. ordinal position in the family
f. availability of health services
g. educational level
h. Working mother
i. birth space
j. chronic diseases