Knowledge Of Mother Regarding Growth and Development of toddlers


BACKGROUND



“WHO TAKES THE CHILD BY THE HAND,

                     TAKES THE MOTHER BY THE HEART” (Alran, 2000)



     As plant needs soil and water to grow up, in the same aspect wellness means more than absence of disease. It is the positive approach to well being. Integrated method of functioning which is oriented towards maximizing the potential of which the individual is capable within the environment where he is functioning. (Dunn, 1977)

     The experimental study was done on average growth of toddler model and the aim of this study was to determine the rate at which toddler models increase in both height and weight. The period of study was 8 days. Study was conducted in 700 children age group between 3-5 years. The study suggests that there is delay in growth of children due to avoidance and lack of attention of parents. (Shore, 1997)

     The experimental study done on toddler percentile and the aim was to study toddler is growing in relation to national averages of the same age and sex. Study conducted in children age group 1-5 years (n=780) in 10 days period of time study stated that graph on pages shows delay in growth and development as normally it should be.  (Mosier, 1993)

     The survey conducted in 2002. Nature of study was exploratory and the aim of study was to determine risk factors for growth and development. The study concludes that there was effect of antenatal history of mother on growth and development of child. ( Rafiu, 2002)

     Similarly the descriptive study done on need for child care, the aim was to find out facilities for infants and fine centre for children 1-3 years and older on sample size 890, she found that toddler was developmental centered. (Sanchez, 1992)

     Another descriptive study was done on several reasons why caregiver and parents need to assess the development of new children. The aim of the study was to determine ratio among care givers regarding assessing growth and development of young children. The study conducted on parents and care givers (n=1000) it conclude that most of the care givers have avoidance in caring for younger children. (Jady ,2002)

       Children who have developmental disabilities that are suspected to results from exposed to an environmental agent should undergo complete evaluation include detailed history, physical examination and diagnostic work-up as:

-          birth history

-          early developmental milestones

-          neurodevelopment (heran, 2004)

  Above studies suggest that parents and caregivers have inadequate knowledge regarding growth and development of toddlers.















































NEED OF STUDY



      Toddlers are busy in active learning about concept such as size and shape.

      The explorative study done on toddler’s growth the aim was to find out ratio among toddlers related to increase in size, shape, number, classification, comparison and volume. The study conducted in 780 children, conclude that there were delay in growth and development in toddler. (Charksworth, 2003)

      As toddler move about and work with many things in their everyday environment. They learn about the properties of objects in meaningful ways. 

      Similarly, another study was conducted by on observation in a tribal village in India and middle class urban areas, regarding cultural development of toddler on sample size 1000 children, in 5 days period of time. Study stated that caregivers develop system of mutual collaboration for learning. It was part of larger research project. ( Rojoff 1993)

      The descriptive study was done on sensitive age group which responsible for environmental risk factors. The aim of study was to determine evidence that the fetus and young children are particularly vulnerable to environmental influence on sample size 600 children in 8 days period of time. It stated that environmental factors affect on toddler growth and development. (Edward, 2001)

       Families of children who have developmental disorder often have preconceived opinion about its cause and about what measures will improve their child’s condition.

       The international child growth standards for infants and young children confirm that children born anywhere in the world and given the optimum start in the life have the potential to develop to within the same range of height and weight (WHO, 2006).

      Similarly the descriptive study was done on awareness of parents regarding needs of children in response to psychosocial development, the aim of the study was to search and find out ratio among parents regarding psychosocial development in children. The study conducted in 1020 children. It concluded that parents are unaware regarding psychosocial development. (Shaw, 2003)

This is the time when toddler needs adult support and assistance for supporting their learning as well as building their confidence.

STATEMENT OF THE PROBLEM


 A study to assess the knowledge regarding growth and development of toddlers among mothers visiting in Dr. D. Y. Patil Hospital.



OBJECTIVE OF THE STUDY


 The objective of this study is:-


            To assess the knowledge regarding growth and development of toddlers.



OPERATIONAL DEFINITIONS


KNOWLEDGE                     


        According to Oxford dictionary knowledge means the clear and certain perception of that which exists.

            In this study it means awareness among mothers regarding growth and development in toddlers.

           

ASSESS


        According to Oxford dictionary it means evaluate or estimate the value, important or quality.

            In this study it means to evaluate knowledge among mothers regarding growth and development in toddlers.



GROWTH

      According to O.P. Ghai growth means progressive development or increase in size of child.

   In this study the growth and development in toddler.



  DEVELOPMENT

           According to O.P. Ghai development means growth to full size maturity as in progress of an egg to the adolescent.

       In this study growth and development in toddler.



 TODDLER

     According to O.P. Ghai toddler means a child who has only recently learned to walk.

In this study toddler is 1-3 year child.



MOTHER

     According to Taber’s cyclopedia medical dictionary mother means a female parent or a structure that gives rise to mother.

   In this study mother is the parent of the toddler.





ASSUMPTION

  In this study it was assumed that:

    1.   The mothers had inadequate knowledge about growth and development.

2.      Selected variables like age, sex, education, occupation, income of mothers were influenced knowledge among mothers regarding growth and development in toddlers.



INCLUSION CRITERIA

 The study included all the mothers visiting Dr. D. Y. Patil Hospital.



EXCLUSION CRITERIA

The study excluded those who are those who are not having children in age group in the age group 1-3 years of age and those who are not willing to participate.

CHAPTER II


                            REVIEW OF LITERATURE






          Review of literature is defined as broad comprehensive, in depth, systematic and critical review of scholarly publications, unpublished scholarly print materials, audio-visual materials and personal communication. (B.T. Basavanthappa)

          Review of literature for the present study is organized under following headings

·         Review of literature related to growth and development of toddler.

·         Review of literature related to assessment of knowledge of mother.



REVIEW OF LITERATURE RELATED TO GROWTH AND DEVELOPMENT OF TODDLER

       This study considered as major issue affecting a child’s growth and development. By various researchers it is proved on different focused header as in different variable and sample size.

       A cross sectional study done to assess the knowledge, attitude, and practice of mothers regarding parenting of children less than 3 years of age was conducted with 120 mothers from both rural and urban areas of South India. Mothers were interviewed in their homes using a structured questionnaire. (Thomas, 2007)

        The nutritional status of their children was assessed to assess their children's nutritional status, and the Thiruvananthapuram Development Screening Chart [TDSC] was used to assess the children's development. The majority of mothers had moderately adequate knowledge regarding parenting. The mother's level of education had a significant association (p < 0.05) with their practice and attitude. The study brought out the association between sociodemographic variables and knowledge, attitude, and practice of mothers and its impact on growth and development of their children. Results provide direction for nurses in developing better life style education and parenting. (Ahai, 2005)

          The study conducted to longitudinally assess observations of maternal and toddler limit-setting interactions at 12, 24, and 36 months. The final sample consisted of 126 mother-toddler dyads. Toddler behavior in a limit-setting context exemplified progressing skill in self-regulation from 12 to 36 months. Specifically, toddlers exhibited less persistence, increasing autonomy, and increasing ability to inhibit their behavior, with half of the toddlers classified as "autonomous-compliant" by 36 months of age. As a group, mothers also adapted their socializing behavior during toddler hood, decreasing their use of directive structure and distractions, and using more cognitive strategies. These findings provide validity for the Prohibition Coding Scheme and extend our knowledge base for guiding parents in their socializing strategies relative to developing self-regulation. Clinical implications and areas for further research are addressed.    (Houck, 2002)

         A study was done on Sample size was 126 mother-toddler dyads; the relationships between maternal limit-setting patterns at 12, 24, and 36 months were examined in relation to toddler self-concept and social competence at 3 years. Maternal limit-setting patterns differentiated toddler self-concept and social competence scores, demonstrating effects of socialization as well as cognitive maturation. Less optimal toddler outcomes at 36 months were associated with an inconsistent maternal limit-setting style and an indirect style. Children of mothers with a teaching-based pattern yielded the most positive outcomes. The result was Toddler Snack Scale (TSS) assesses the pattern of toddler social behaviors in relation to maternal behaviors during an eating episode. (Maus, 2002)

         Scale reliability was examined with a sample of 126 dyads at the child's ages of 36 months. Significant associations were found between TSS classifications and concurrent measures assessed with the Nursing Child Assessment Teaching Scale (NCATS), the Control-Autonomy Balance Scale (CABS), and the Adaptive Social Behavioral Inventory (ASBI). The scale identifies salient areas for parent-child assessment and intervention throughout infancy and toddler hood. The purpose of this study was to examine what aspects of the mother-child relationship are measured by the Nursing Child Assessment Teaching Scale (NCATS) (Spegman, 2005)

          A study done on racially heterogeneous sample of 128 mothers completed questionnaires measuring maternal depression, parenting self-efficacy, knowledge of developmental and parenting principles, and perceived difficult toddler temperament. The findings suggest that the NCATS taps cognitive the mother-child relationship and the cognitive factors may be culturally biased. (Gross, 2003)

         Another study was done to investigate African-American and Hispanic mothers' perceptions of their children's body size using a scale with child figure silhouettes and compare those perceptions with their children's actual body mass index. Method used was a set of child figure silhouettes was developed depicting 4 and 5 year-old African-American and Hispanic children. Body mass index was systematically estimated for each child figure on the set of silhouettes. Minority mothers with children enrolled in ten Head Start centers (n=192) were interviewed using the silhouettes, and height and weight measurements were taken on their children. Result was significant differences were found between mothers' perceptions of their children's body size and the actual body size of the children. However, half of the mothers of children above the 95th percentile for BMI wanted their children to be thinner. Conclusion was that minority mothers' perceptions of their children's body size may not be consistently biased in one direction. (Killon, 2006)

REVIEW OF LITERATURE RELATED TO ASSSESMENT OF KNOWLEDGE OF MOTHER:

       The study was done to quantify mother’s perceptions of their children's sizes and explore mother’s views of child growth, diet, activity, and health. Photographs of children from the Berkeley Longitudinal Growth Study (on Centers for Disease Control and Prevention [CDC] Web site) were used to stimulate discussion with mothers about child sizes. A descriptive, cross-sectional study examined mother’s perceptions of their children's size and their beliefs about child size, growth, and health. The convenience sample included 25 mother-child dyads of 3-year-old children at two Head Start Centers in a county on the Texas-Mexico border. All mothers self-identified as Hispanic.  Photographs of children were shown to elicit mother’s perceptions of children's body sizes. The children and mothers were weighed and measured and their body mass indices (BMIs) were computed. The mothers were interviewed about their beliefs on child health, growth, and feeding. Result was that no congruence was found between mothers' perceptions of child sizes in the pictures and their children's sizes. Conclusion was that using CDC photographs does not appear to be a useful way to educate mothers about child body sizes. A child who is happy, active, and can accomplish normal childhood activities is not considered by mothers as overweight, regardless of the child's BMI. (Reifsnider, 2006)

        This study examined how low-income mothers of children with growth delay define health for their children, and the behaviors they use to monitor their children's health.  Naturalistic design using Kleinman's Explanatory Model approach and interviews with 22 mothers. Result was that mothers consider nutritious food as a primary contributor to their children's health and consider healthy children to be chubby. Other indicators of health include children's energy levels, provision of nutritious food, and physical and mental activity balanced with rest. (Esral, 2000)

         Similarly another study done on Eating problems are a common cause of concern for the parents of toddlers, but few studies have examined the correlates of eating problems or the growth patterns associated with them in a large population-based sample. Our goal was to examine the distribution of eating behaviors in a large representative sample of toddlers and their mother’s approach to feeding. In addition, we describe the prevalence of parentally perceived eating problems and how they relate to specific behaviors, food preferences, and growth in the child. Method used was cross-sectional analysis of data from a United Kingdom population-based birth cohort, the Gateshead Millennium Baby Study, which included 455 questionnaires completed by parents when their children were aged 30 months. Results were eating perceived to be a problem by 89 (20%) parents. Eating a limited variety (79 [17%]) and preferring drinks to food (57 [13%]) were the most prevalent problem behaviors. Thirty-seven children (8%) were described by parents as definitely "faddy" (picky), and these children liked fewer foods and had higher eating restriction scores than those described as not faddy. Children who were described as having an eating problem gained less weight over the first 2 years; 11.1% had weight faltering compared with 3.5% in children not described as having an eating problem. Being faddy was only weakly associated with poor growth, and simply eating a limited variety was unrelated to growth. High milk consumption was associated with lower appetite but not with poor growth. Conclusion was eating problems are common in toddlers and in the majority are associated with normal growth, although weight faltering is more common in such children. Excessive milk-drinking may be a cause of low appetite at meal time. (Wright 2003)































                          CHAPTER III

RESEARCH METHODOLOGY

         Methodology of research indicates general pattern for organizing the procedure for gathering valid and reliable data for an investigation.

         This chapter deals with methodology adopted for assessing the knowledge regarding growth and development of toddler among mother visiting pad. Dr. D.Y.Patil hospital. It includes description, sample and technique, development of tool and data analysis.



RESEARCH APPROACH

         It is a systematic objective, method of discovering with empirical evidence and rigorous control.

          The present study was aimed at assessing the knowledge of mother regarding growth and development of toddler. This approach would help the investigator to evaluate the knowledge among mother regarding growth and development in toddler.

           The research method adopted was a descriptive approach.



RESEARCH DESIGN

            The research design is backbone of the structure of the study. It provides framework that supports the study and hold it together. In present study, the investigator selected to assess the knowledge of mother regarding growth and development in toddler visiting Pad. Dr. D.Y.Patil hospital.



RESEARCH SETTING

             It is location for conducting research, can be natural partially controlled or highly controlled.

            In this study, the research setting was D.Y.Patil Hospital.





POPULATION

            A population is a group whose members possess specific attribute  that one researcher is integrated in studying.

            The populations in this study were mothers having toddlers visited Pad.Dr.D.Y.Patil hospital.





SAMPLE AND SAMPLING TECHNIQUE

            According to Talbot sample is portion of sample that has been selected to represents the population of interest. Convenient sampling of nonprobablity sampling approach uses participants who are easily accessible to the researcher and who meets the criteria of the study.

            According to basvanthappa sampling is one process of selecting representative units of population for study in research.

             In this present study mothers who having toddlers were selected by convenient sampling.



SAMPLE SIZE

             The sample comprise of 100 mothers having toddlers visiting Pad. Dr. D. Y. Patil hospital .



DATA COLLECTION TECHNIQUE AND INSTRUMENTS

            Most important and crucial aspects of any research is data collection which provides answer to the question under study. Data collection relies on instruments.

               In the present study a structured questionnaire on knowledge regarding growth and development among mother having  toddlers was prepared.







DEVELOPMENT OF A TOOL

·         Review of research and non-research literature was used.

·         Opinion and suggestion was taken from experts who will help in determining the important area to be included.



TOOLS AND TECHNIQUE:

                             A structured questionnaire was prepared to assess the knowledge among mothers regarding growth and development in toddler. 



DESCRIPTION OF TOOL

Section I: - consists of 5 items on demographic data including age, education, occupation, number of children, monthly income.  .

Section II: - consists of 20 items related to growth and development in toddler on following area.

Meaning, Factors affecting in growth and development, Physical growths, Sensory and motor skills



PILOT STUDY

                            A pilot study was conducted on sample size 10 to assess the feasibility and appropriateness of the tool in Bhosari Hospital.



DATA COLLECTION

                           Official permission was taken from the Medical Superintendent and the Head of the department of each ward from Pad. Dr. D. Y. Patil hospital. The list of patient’s mother from hospital was taken and samples were selected by convenient sampling method.





 DATA ANALYSIS


  • The analysis was planned to include descriptive statistics.
  • The items in demographic data variables were computed in terms of frequency   

      and percentage.

·        The frequency has diagrams were plotted in standard deviation and calculated.

DATA DISSEMINATION


    The completed research project will be displayed in the college library for further reference.





























CHAPTER IV



ANALYSIS AND INTERPRETATION OF DATA




SECTION I DEMOGRAPHIC CHARACTERISTICS OF SAMPLE

The demographic characteristics of study were age, education occupation; number of children and monthly income are presented in table 1.

In this study, 20% mothers are in age group of 20-24 years, 48% mothers are in age group of 24-28 years and 32% mothers are in age group of 28-32 years.

In this study 45% mothers are primary educated, 25% mothers are educated up to 10th standard, 20% of them are educated up to 12th standard, and 10% of them are educated up to graduation.

In this study, majority of mothers i.e. 85% are housewives, 10% are office worker, 5% are self employed

In overall study population 20% of mothers having 1 child, 50% of mothers having 2 children and 30% of mothers having 3 children.

In this study 35% of mothers having their monthly income up to Rs. 2000, 30% of mothers have Rs. 3000 and 10% of mothers have Rs. 5000.



SECTION II DESCRIPTION OF KNOWLEDGE REGARDING various aspects of growth and development

Knowledge score of mothers are described in table 2.

In this study, 60.02% of mothers had knowledge about meaning of growth and   development, 70.69% mothers had knowledge about factors affecting growth and development ,30.69% mothers had knowledge about physical growth and 28.57% mothers had knowledge about sensory and motor skills.



























































TABLE 1

Frequency and percentage of mothers according to                                    demographic variables.

DEMOGRAPHIC VARIABLES
FREQUENCY
PERCENTAGE
AGE IN YEARS


20-24 year
20
20%
24-28 year
48
48%
28-32 year
32
32%
EDUCATION


<10TH
45
45%
10TH
25
25%
12TH
20
20%
Graduate
10
10%
OCCUPATION


           House wife
85
85%
Office worker
10
10%
Farmer
5
5%
NO. OF CHILDREN


1
20
20%
2
50
50%
3
30
30%
INCOME/MONTH


Upto2000
35
35
2000-3000
30
30
3000-5000
25
25
5000 and above
10
10









TABLE 2

Frequency and percentage of knowledge of mothers according to various aspects of growth and development.



ASPECTS OF GROWTH AND DEVELOPMENT
PERCENTAGE
(%)
Meaning
60.02
Factors affecting growth and development
70.69
Physical growth
30.69
Sensory and motor skills
28.57





























FIGURES                                                                                                  Percentage of mothers according to demographic variables:  


 Figure 1.1 Bar diagram showing percentage of mothers with respect to age




 Figure1.2 Bar diagram showing percentage of mothers with respect to education.






 Figure 1.3 Bar diagram showing percentage of mothers with respect to occupation.





 

 Figure 1.4 Bar diagram showing percentage of mothers with respect to   

                    No. of children.









Figure 1.5 Bar diagram showing percentage of mothers with respect to income/month






   



























FIGURE                                                                             Percentage of knowledge with respect to various aspects of growth and development




Figure 2 Bar diagram showing percentage of  knowledge with respect to various aspects of growth and development.





        











CHAPTER V



FINDINGS, CONCLUSION, NURSING IMPLICATIONS AND RECOMMENDATIONS



    This chapter presents findings and conclusion of this study. It also includes recommendations given by the investigator on the basis of findings of the study.



FINDINGS

    The study consisted of 100 mothers in age group of 20-32 years of age. DEMOGRAPHIC CHARACTERISTICS

In this study, 20% mothers are in age group of 20-24 years, 48% mothers are in age group of 24-28 years and 32% mothers are in age group of 28-32 years.

In this study 45% mothers are primary educated, 25% mothers are educated up to 10th standard, 20% of them are educated up to 12th standard, and 10% of them are educated up to graduation.

In this study, majority of mothers i.e. 85% are housewives, 10% are office worker, 5% are self employed

In overall study population 20% of mothers having 1 child, 50% of mothers having 2 children and 30% of mothers having 3 children.

In this study 35% of mothers having their monthly income up to Rs. 2000, 30% of mothers have Rs. 3000 and 10% of mothers have Rs. 5000.



KNOWLEDGE ABOUT GROWTH AND DEVELOPMENT

In this study, 60.02% of mothers had knowledge about meaning of growth and development, 70.69% mothers had knowledge about factors affecting growth and development ,30.69% mothers had knowledge about physical growth and 28.57% mothers had knowledge about sensory and motor skills





                     CONCLUSION

         This study shows that people don’t have adequate knowledge about growth and development in toddlers and there is need for educating people regarding it so that the child can become healthy. It also showed that people who were educated had more knowledge as compared to those who were less educated.

           

                   IMPLICATION

The findings of the study have implication for nursing practice, education, administration and research.

NURSING PRACTICE:

     Nursing is a process of action, reaction; interaction and transaction where by nurses assist individuals of any group to meet their basic needs in coping with their health status at some particular point in their life cycle. Nurses are responsible and accountable for professional behavior. It involves application of the nursing process and co-operation with appropriate concerning authorities within current legislation it affects the practice of nursing. Based upon the policies of the hospital nursing care is provided. So nursing practice should assure that all mothers have adequate knowledge regarding growth and development in toddler.



NURSING EDUCATION:

      Nursing education should include various sessions, programmes, seminars based on growth and development should be conducted for mothers having toddlers as it may add knowledge and it will help in prevention of delay in growth and development of toddler.



NURSING ADMINISTRATION

      Nurse dealing with mothers having toddlers to be well versed with growth and development of toddler. Nurse plays an important role in education of mothers. As an administrator, nurse should motivate her staff to participate in health education, preparation of Audiovisual aids and displaying it in the ward. Nursing as a profession is unique because it addresses the response of individuals and families to actual or potential problems in a humanistic and holistic manner. Nurses have many roles, such as care giver, decision makers, advocates and teacher. Because of the diversity of nursing role, nurses need a philosophy of nursing to guide their practices.



NURSING RESEARCH

      Nursing research is an essential aspect of nursing as it uplifts the profession and develops new nursing norms and a body of knowledge. Also proper practice by mothers to possess a wide array for prevention of growth and development in toddler.

Research is systemic search for answers to questions about facts and relationship       

      between facts. So there is a strong indication that every nurse should be involved in     

      research





               RECOMMENDATIONS



  1. A study to assess knowledge of mother regarding growth and development in toddler can be done on large sample.
  2. A comparative study to assess knowledge of mother regarding growth and development in toddler in urban and rural community.
  3. A study to assess effect of planned health teaching on knowledge regarding growth and development in toddler among mothers.
  4. A Study to assess the effect of information booklet   regarding growth and development in toddler among mothers.





















BIBLIOGRAPHY

TEXTBOOK

  1. Achar’s Textbook of Pediatrics 1999, Orient Longman Publication, 3rd edition, pp-640-645.
  2. Ghai O.P., Essential Pediatrics, 7th Edition, CBS Publications,Delhi, pp.2-4.
  3. Juneball, Buth Bindler, Textbook of Pediatrics Nursing, 1995, Prentice Hall Publication, pp.98-102.
  4. Marlow D.R., Textbook of Pediatrics Nursing, Churchill Livingstone Publication, 6TH Edition, pp.430-433.
  5. Nelson’s Textbook of Pediatrics, 17th edition, Behran Publication, pp.147-149.



JOURNALS

  1. Journal of Children’s Health and Environment Part-1, Feb.2007, 54:1.
  2. Journal of Pediatrics, June 2007, Official Journal of the American Academy of Pediatrics, Vol.119, No.1.
  3. Australian Journal of Advanced Nursing, Vol.8.
  4. Indian Journal of Pediatrics, Oct.2007, Vol.74.
  5. Journal of Tropical Pediatrics, Oct.2007, Vol.53.



INTERNET

  1. www.childcare.com
  2. www.medmatrix.org.
  3. www.emedicine.com
  4. www.biowizard.com
  5. www.nabi/minin.gov/entrez/quetry.com
  6. www.yourtotalhealth.ivillage.com



























































































































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CONSENT FORM



    I _______________________ hereby give my consent for my participation in the study titled “A study to assess the knowledge regarding growth and development of toddlers among mothers visiting Pad. Dr. D. Y. Patil Hospital.”



    I have been explained about this study and I am willing to participate.











  Date:   /12/07      





                                                                                              Signature

                 



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v½ 1 o”kkZr                                               c½ 2 o”kkZr

d½ 3 o”kkZr                                               M½ 3 o”kkZuarj



10½ 3 o”kkZps ewy ------------------- cksyk;yk f’kdrs-

v½ ,d v{kj                                c½ ,d ‘kCn

d½ ,d okD;                             M½ xks”V



11½ ewy dks.kR;k o;ke/;s ik;kP;k Vkpkaoj pkyk;yk f’kdrs\

v½ 1 o”kkZr                                               c½ 1&2o”kkZr

d½ 2&3 o”kkZr                                M½ 3 o”kkZuarj



12½ ,dk o”kkZP;k eqykae/;s fdrh nkr vlrkr\

v½ 1&4                                             c½ 6&10

d½ 10&12                                        M½ 12&14





13½ 18 efgU;kps ewy [kkyhyiSdh fdrh v{kjs cksyw ‘kdrs\

v½ 4 v{kjs                               c½ 10 v{kjs

d½ 18 v{kjs                                      M½ 50 v{kjs



14½ ,dk o”kkZps ewy [kkyhyiSdh dks.krh xks”V d: ‘kdr ukgh\

v½ vk/kkjkf’kok; clw ‘kdr ukgh 

c½ Lor% mHks jkg.;kpk iz;Ru d: ‘kdr ukgh

d½ vk/kkjkus pkyw ‘kdr ukgh       

M½ /kkow ‘kdr ukgh



15½ ,dk o”kkZP;k eqykps otu gs lk/kkj.k fdrh vlrs\

v½ tUekP;k fueiV                             c½ tUekP;k nqIiV

d½ tUekP;k frIIkV                                     M½ tUekP;k pkSiV



16½ rhu o”kkZps ewy [kkyhyiSdh dks.krh fØ;k d: ‘kdr ukgh\

v½ ,d iw.kZ okD; cksyw ‘kdr ukgh

c½ Ikkp ik;&;kao:u mM;k ek: ‘kdr ukgh

d½ orqZG dk<w ‘kdr ukgh            

M½ ik;&;k p<w ‘kdr ukgh



17½ ck&ck fdaok ek&ek ;klkj[ks ‘kCn ewy dks.kR;k o;kr cksyk;yk

    f’kdrs\

v½ 6 efgU;kr                                    c½ 12 efgU;kr

d½ 18 efgU;kr                                 M½ 24 efgU;kr



18½ ygku ewy dks.kR;k o;ke/;s R;kP;k eyew= foltZu fØ;soj fu;a=.k Bsow 

    ‘kdrs\

v½ nksu o”kkZr                               c½ vMhp o”kkZr

d½ rhu o”kkZr                                 M½ lkMsrhu o”kkZr



19½ 2 o”kkZps ewy [kkyhyiSdh dks.krh xks”V pkaxY;k izdkjs d: ‘kdrs\

v½ pepk uhV idMw ‘kdrs-              c½ psaMw Qsdw ‘kdrs-

d½ ,dk ik;kus yaxMh [ksGw ‘kdrs  × vls fpUg cuow ‘kdrs-



20½ ewy dYiuke; fopkj ----------------------- ;k o;ke/;s d: ‘kdrs-

v½ 3 o”kkZr                                               c½ 6 o”kkZr

d½ 9 o”kkZr                                     M½ 12 o”kkZr



























































                                   QUESTIONNAIRE



INSTRUCTIONS:-

1.           PLEASE GIVE INFORMATION ABOUT THE FOLLOWING.

2.           THE INFORMATION WILL BE KEPT CONFIDENTIAL.

3.           PLEASE TICK THE ANSWER YOU CONCIDER CORRECT AS @.

4.           DO NOT MISS ANY QUESTIONS.





                                           SECTION I



                                      DEMOGRAPHIC DATA



CODE NO:-

  1. AGE :-
  2. SEX :-
  3. EDUCATION :-
  4. DO YOU HAVE ANY PREVIOUS KNOWLEDGDE? IF YES FROM         WHOM?























                       SECTION II



  1. What is the meaning of growth?

             a) Increase in bone size                        b) Increase in weight        

             c) Increase in body size and tissue       d) Increase in height only



  1. From the following which is the factor responsible for delay in growth and development in 1-3 year child?

              a) Poverty          b) Heredity       c) Multiple pregnancy         d) All of the above.



  1. Is the antenatal care responsible for delay in growth and development?

             a) Yes               b) No              c) Don’t know                  d) Unsure



  1. Delay in growth and development can be considered as

             a) Delay in weight gain                      b) Delay in language speaking       

             c) Delay in skills and judgment         d) All of the above



  1. The maximum head size increases in toddler at the age of

              a) 12 months             b) 1-2 years         c) 2-3 years      d) Above 3years



  1. 1-3 year child normally take sleep in the whole day for at least

             a) 7-8 hours               b) 8-9 hours          c) 9-10 hours             d) 10-12 hours



  1. From the following which game does 18 months old child likes to play?

             a) Throwing a ball       b) Solve the puzzle                                                                                                

             c) Bicycle riding          d) Hide and seek     



  1.  In toddler primary teeth emerged at the age of

             a) 10 months            b) 1 year        c) 2 ½ years     d) 4 years



  1. 1-3 year child can walk-up and down the stairs by the age of 

            a)   1 year         b)   2 years     c)  3 years        d) Above 3 years



  1. Child learn to speak____ at the age of 3 years

            a) Monosyllabus              b) Bisyllabus            c) A sentence         d) A story



  1. A child learn to walk on tip of toes by the age of

             a) 1 year          b) 1-2 years        c) 2-3 years        d) Above 3 years



  1. The number of teeth present in 1 year old child

             a) 1-4                   b) 6-10                c) 10-12                   d) 12-14

  1. 18 months old child has vocabulary of ____

             a) 4 words        b) 10 words             c) 18 words                d) 50 words







  1. Child at 1 year can do all EXCEPT:

a) Sits up without support            b) Pulls himself to standing position                     c) Walks with support                 d) Running



  1. By the age of 1 year child weighs about

            a) Half of the birth weight               b) Twice to that of birth weight            

            c) Thrice to that of birth weight      d) Four times to that of birth weight



  1. A 3 year child can do all EXCEPT:

             a) Riding the tricycle                    b) Copying the triangle            

             c) Building a tower of 9 cubes     d) Knowing the age and sex



  1.  Words like Ba-Ba or Ma-Ma is said by the age of

             a)  6 months        b) 12 months       c) 18 months      d) 24 months



  1. Children usually learn to control over their bowel and bladder at the age of

            a)  2 years                        b) 2 ½ years          c) 3 years                        d) Not sure



  1. A child of 2 years can do well EXCEPT.

             a) Handles spoon well            b) Knows the full name

             c) Hop one foot                      d) Makes a cross



  1. Abstract thinking occurs at the age of

             a) 3 years         b) 6 years            c) 9 years         d) 12 years













































ANSWER KEY



1
c
2
d
3
a
4
d
5
b
6
c
7
a
8
a
9
c
10
d
11
c
12
b
13
b
14
d
15
b
16
b
17
c
18
b
19
b
20
a








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