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Growth and Development of the Preschool-aged Child (Nursing)

by Elizabeth Stone, PHD, RN, CPEN, CHSE, FAEN

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    00:00 All right, let's go over the important preschooler developmental milestones.

    00:06 We're going to review the growth, motor, cognitive and language milestones for the typical preschooler.

    00:12 Preschooler is age 3 to 5.

    00:15 Let's start with growth.

    00:18 Not much to say here, they're continuing the growth pattern that started in the toddler years.

    00:23 So they are gaining about 2.2 kilos or 5 pounds per year.

    00:29 All right, let's go on to motor milestones for the preschooler.

    00:33 The preschooler is moving all over the place.

    00:37 By age 4 their hopping and standing on one foot for up to about two seconds.

    00:41 They can catch a bounce ball, they can pour liquids, so now they can actually help retrieve their snacks and drinks.

    00:48 And they can cut and mash food with supervision.

    00:52 By 5, they can stand on one foot for at least 10 seconds.

    00:55 And they can start to do many things that are fun part of being an active preschooler such as hopping, tumbling, and doing a somersault.

    01:05 They often enjoy gymnastics classes at this age.

    01:08 Both my kids Greg and Jenna took tumbling classes and then eventually gymnastics classes.

    01:12 It's great for their growth and development.

    01:14 They can also swing and climb and use a fork and spoon correctly.

    01:20 And by 5 they should definitely be using the toilet independently.

    01:24 Let's move on to cognitive.

    01:27 So, Cognitive development.

    01:29 Remember Piaget from our other growth and development lectures.

    01:33 At this stage, the preschooler is in the pre-operational stage.

    01:37 And it's marked by the goal of symbolic thought.

    01:41 Remember the stage and the goal for each of Piaget stages.

    01:46 Symbolic thought means it's the ability to understand that a word or object can stand for something else.

    01:53 It can symbolize something else.

    01:55 These kids are not yet capable of logical or operational thought.

    02:00 They can't really problem solve.

    02:02 So this is when it gets really interesting to live with a young child.

    02:06 Their imagination is really on fire.

    02:09 The preoperational stage is when something called magical thinking and animism occur.

    02:15 Magical thinking refers to making cause and effect connections between two things that are totally unrelated.

    02:21 Such as, if they're bad, at home or at school, that they'll get a shot a doctor's office, they think the shot is a punishment for being bad.

    02:30 And that can actually, sometimes you really need to clarify that because obviously you don't want them to think that a shot is a punishment.

    02:36 It's not a very good habit to set up.

    02:38 Or if they wish for a new bike before they blow out their birthday candles.

    02:42 They might think that there's gonna automatically be a new bike showing up in the driveway the next morning.

    02:48 Animism is another fun way of thinking that preschoolers are known for.

    02:53 So this means, it's when they refer to it when they really believe that inanimate objects such as plants, foods, even the weather have lifelike qualities.

    03:04 For example, a preschooler may believe that the sky is sad when it's crying, or that a flower is happy because it's blooming.

    03:10 It's really really adorable.

    03:13 And fun fact, even as adults, not all of us grow out of magical thinking and animism.

    03:18 Many of us still hold on to some of our favorite magical thinking, especially in times of stress.

    03:24 We just have more grown up words for it.

    03:28 So if you avoid walking outside under ladders at all costs, or if you cross your fingers, when you really want something to happen, you're still practicing magical thinking.

    03:36 We all need a little magic in our lives.

    03:39 All right, let's get back to what the preschoolers actually learning.

    03:42 So by age 4, they should be able to name some colors and numbers and start to understand time.

    03:49 They also can understand "same" and "different" so it's a really good age to start giving them sorting puzzles, small puzzles or matching games.

    04:00 They can also use scissors, which is really exciting to them at least.

    04:04 And they can play some board games or card games with their family.

    04:08 By 5, they should be able to count about 10 objects and draw a person with at least six body parts even though you may not necessarily recognize what body parts they are.

    04:19 They can print some letters or numbers, and copy real shapes other than circles.

    04:25 All right, let's go over language milestones of the preschooler.

    04:29 By age 4, they should be able to say their first and last name, which helps keep them safe if they get lost.

    04:35 And at that point, they should also start understanding grammar and pronouns such as he and she.

    04:43 They can tell stories.

    04:44 They may be imaginary or they may be real stories, and they can repeat and sings short songs from memory.

    04:49 So you better be careful about what you let them hear.

    04:53 By 5, they can speak very clearly and then helps them as they began to prepare for kindergarten.

    04:59 They and also state their full name and address.

    05:03 They can use future tense when they're telling the stories, whether real or imaginary.

    05:08 And they can tell simple stories and full sentences.

    05:13 And that is it for preschoolers.

    05:15 We're going to move on to the next growth and development lecture which is school age.


    About the Lecture

    The lecture Growth and Development of the Preschool-aged Child (Nursing) by Elizabeth Stone, PHD, RN, CPEN, CHSE, FAEN is from the course Growth and Development – Pediatric Nursing.


    Included Quiz Questions

    1. Playing catch
    2. Somersaults
    3. Yoga balance poses
    4. Climbing a jungle gym
    1. The client is unable to state their first or last name.
    2. The client is unable to count to 10.
    3. The client is unable to copy shapes on a piece of paper.
    4. The client is unable to recall their home address.

    Author of lecture Growth and Development of the Preschool-aged Child (Nursing)

     Elizabeth Stone, PHD, RN, CPEN, CHSE, FAEN

    Elizabeth Stone, PHD, RN, CPEN, CHSE, FAEN


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