BY: GROUP 2

PROBLEM:
• EVALUATING SERIOUSNESS OF ILLNESS
• DIFFERENTIATING TIREDNESS FROM ILLNESS
• EVALUATING NUTRITIONAL INTAKE
• AGE-SPECIFIC DISEASES TO BE AWARE OF
• TODDLERS TYPICALLY ANSWER ‘’NO’’ TO ALMOST ALL
QUESTIONS
• TEND TO WHINE OR SLEEP WHEN THEY ARE EITHER TIRED OR
ILL
• NORMALLY FUSSY EATERS COMPARED TO INFANTS
• TO ASSESS SPEECH DEVELOPMENT IN THIS PERIOD
• SPEEKS IN TWO-WORD SENTENCES
• 20 DECIDOUS TEETH PRESENT AT 2.5 YEARS
• CHEST CIRCUMFEREMCE BECOME BIGGER THAN HEAD
CIRCUMFERENCE AT 2 YEARS
• ‘’POUCHY’’ ABDOMEN FROM WEAK ABDOMINAL MUSCLES
• NOTICEABLE LORDOSIS
• ‘’BABY FAT’’’BEGINS TO DISAPPEAR
• WIDE-BASED GAIT
AGE (MONTHS) FINE MOTOR GROSS MOTOR
15 HOLDS A SPOON WELL WALKS ALONE WELL’CAN
BUT MAY STILL TURN IT SEAT SELF IN CHAIR, CAN
UPSIDE DOWN ON THE CREEP UPSTAIRS
WAY TO MOUTH
18 NO LONGER ROTATES A CAN WALK UP AND
SPOON TO BRING IT TO DOWN STAIRS HOLDING
MOUTH ONTO A PERSON’S HAND
OR RAILING
24 CAN OPEN DOORS BY WALKS UP STAIRS ALONE
TURNING DOORKNOBS, STILL USING BOTH FEET
UNSCREW LIDS ON SAME STEP AT THE
SAME TIME
30 MAKES SIMPLE LINES OR CAN JUMP DOWN FROM
STROKES FOR CROSSES CHAIRS
WITH A PENCIL
LANGUAGE PLAY
4-6 WORDS CAN STACK 2 BLOCKS; ENJOYS BEING
READ TO; DROPS TOYS FOR ADULT TO
RECOVER
7-20 WORDS, USED JARGONING; IMITATES OTHERS, BEGINS PARALLEL PLAY
NAMES 1 BODY PART
50 WORDS, 2-WORDS SENTENCES PARALLEL PLAY EVIDENT
VERBAL LANGUAGE INCRERASING SPENDS TIME PLAYING, IMITATES PARENTS
STEADLY ACTIONS
The mental skills or behaviors that help children access
information, solve problems, reason, and draw conclusions
12 months 18 months
Explores things in different ways like Knows what ordinary things are; for
shaking, banging, throwing example telephone, brush, spoon
Finds hidden things easily Points to get the attention of others
Looks at the right picture or thing when Shows interest in a doll or stuffed animal
it's named by pretending to feed
Copies gestures Point to one body part
Starts to use things correctly (like drinks Scribbles on his own
from a cup, brushes hair) Can follow 1-step verbal commands
Bangs two things together without any gestures; for example, sits
Puts things in a container, takes things out when you say "sit down"
of a container
Lets things go without help
Pokes with index (pointer) finger
Follows simple directions like "pick up the
toy"
24 months 36 months
Finds things even when hidden under two Can work toys with buttons, levers, and
or three covers moving parts
Begins to sort shapes and colors Plays make-believe with dolls, animals, and
Completes sentences and rhymes in people
familiar books Does puzzles with 3 or 4 pieces
Plays simple make-believe games Understands what "two" means
Builds towers of 4 or more blocks Copies a circle with a pencil or crayon
Might use one hand more than the other Turns book pages one at a time
Follows two-step directions like, "Pick up Builds towers of more than 6 blocks
your shoes and put them in the closet." Screws and unscrews jar lids or turns door
handles
• Doesn't copy others
• Doesn't point to show things to others
• Doesn't know what to do with common things, like a brush,
phone, spoon
• Doesn't follow simple directions
• Doesn't play pretend or make-believe (at 3 years)
• Loses skills she once had
• Erik Erikson Psychosocial Development Erikson described the
time that an individual experiences a psychological challenge
as a crisis Refers to the emotional and psychological changes
across the life cycle that occurs in the context of the individual’s
social environment.

• trust vs mistrust
• autonomy vs shame and doubt
• Dietary intake
• Exposures
• Toileting
• Physical activity
• Screen time
• Sleeping
• Dental care practices
• Unintentional Childhood Injuries
• Health Promotion of Toddlers
• Play During Toddlerhood (Parallel Play)
• Childhood Nutrition
• Injury Prevention during Toddlerhood
POTENTIAL ACCIDENT PREVENTION MEASURES
Motor Vehicles • Maintain child in car seat
• Supervise toddler
• Teach safety with pedaling toys
Falls • Secure windows
• Place gates
• Raise crib rails
• Do not allow child to walk with sharp
object in hand or mouth.
Aspiration • Examine toys
• Do not feed toddler popcorn, peanuts,
etc.
Drowning • Do not leave toddler alone
Animal Bites • Supervise child
Poisoning • Never present medication as candy
• Never take medication in front of child
• Secured medication and poisons in locked
cabinets.
• Know the names of house plants
• Hang plants
• Post telephone number of nearest poison
control center
Burns • Buy flame-retardant clothing
• Cook on the back burners stove if possible
• Use cool-mist vaporizer
• Keep screen in front of heater
• Monitor toddlers
• Cover electrical outlets with safety plugs
• Do not leave toddlers

General • Know whereabouts of toddlers at all times

• Be aware in frequency of accidents
• Be aware some children are more active
 TODDLER NUTRITION
NOC: Knowledge, Diet
• Describe recommendations for child intake
NIC: Teaching, Toddler Nutrition
• Instruction on nutrition feeding practices during the first years of
life (McCloskey & Bulecheck,2000)
1. Plan 1 or 2 weeks of psychological “readiness” activities, which will help
your child realize the task of toilet training is a step toward growing up.
2. Check the training pants
3. Purchas a potty chair that sits on the floor or an infant seat that is placed
on the regular toilet.
4. Put your child on the potty chair or toilet at regular intervals
5. Praise your child if he does urinate or defecate
6. Be careful not to flush the toilet while the child is sitting on it.
7. Do not allow the child to remain on a potty chair for much longer than 10
mins.
8. If your child is not ready or does not successfully use the potty on a fay to
day basis, have him return to diapers for a short period of time
9. Some toddlers have difficulty remaining dry at night until 3 to 4 years old.
10. Do not wake your child during the night and carry him to the bathroom to
void.
Assessment Temper Tantrum Breathe Holding Seizures
PROVOCATION Usually provoked Usually provoked Not provoked
APPERANCE OF Child holds breath, Child breath out, Child slumps to floor
CYANOSIS becomes cyanotic, becomes cyanotic, first then becomes
then slumps to floor then slumps to floor cyanotic
Try to determine the reason for the behavior:
• Do tantrum always occur just before bedtime?
• Do tantrums occur every time you go shopping?
• Do you give either material or emotional bribes?
• Do you punish the child?
AREA:
• Nutrition
• Dressing Changes
• Medication
• Rest
• Hygiene
• Pain
• Stimulation
• Elimination
ASSESSMENT NURSING PLANNING IMPLEMENTA RATIONALE EVALUATION
DIAGNOSIS TION
Subjective Deficient Short-term Goal 1. Assess the mother's - To obtain baseline -After 2 hours of
- After 2 hours of way of toilet training. data nursing intervention,
Data: knowledge nursing 2. Assess the child's - To determine the the parents
“Tinatanggiha related to intervention, the physiologic and child's readiness to understands more
mother will cognitive aspects. do toilet training about the toddler's
n ng anak ko toilet training understand more 3. Encourage - To acknowledge the development.
ang pag as manifested about her toddler discussion of the problem and identify
and potty training mother's feelings the ways to solve the - After 2 hours of
gamit ng by child's - After 2 hours of regarding unmet problem nursing intervention,
potty trainer" refusal to nursing expectations when - To understand the the patient
intervention, the discussing setting process of the child's demonstrates
as verbalized potty trainer. mother will personal goals. development effective way of
by the mother demonstrate 4. Discuss about the - To avoid pressure potty training.
effective wat od toddler's to the child, and have
potty training development in daily a sense of autonomy. - The mother begins
Objective activities including to demonstrates the
Long-term Goal toilet training. effective way of
Data 5. Discuss with the toilet training.
- 2 years -The mother will mother about the
begin to demonstrate effective way of
old the effective way of potty training.
RR: 28 toilet training 6. Encourage the
parent to have a
Temp: 36.5°c patience in her child's
Weight: 12 development.

kg.