1. Issue: Cognitive Development Milestones
2
Category Cognitive Development Milestones
Issue-Pertinent Negative Mother says, “I try to like give him puzzles, I got him these, and
it’s like a jigsaw. And he loves cars
...
1. Issue: Cognitive Development Milestones
2
Category Cognitive Development Milestones
Issue-Pertinent Negative Mother says, “I try to like give him puzzles, I got him these, and
it’s like a jigsaw. And he loves cars, so I don’t understand why he
can’t do it. And see I give him the puzzle, look, he doesn’t even
know how to put it together. So that’s why we are here today at
the doctor’s office to make sure everything is right.”
Observations:
The child is playing on the mother’s phone and she has no
age-appropriate toys for him.
Mother is not holding the child, he is sitting on the table
unattended at times when she is looking at her phone.
The child is wearing a small tank top, shorts, and no shoes
and mom has a long-sleeved shirt, matching pants, and
new tennis shoes on and she reports that child is walking.
Mother gives jigsaw puzzle to the child and expects him to
solve it and expresses, “that’s why we are here today at the
doctor’s office, to make sure everything right.”
Pertinent Positive Observations:
The child has not been sick or had reactions to vaccines.
Vaccines up to date.
Mother is attempting to play and read with child when she
tells him to turn the pages in the book.
Mother is concerned about child’s development and is
seeking help.
Guidelines or Jean Piaget’s theory of cognitive development at 1-2 years old are
3
Recommendations ending the sensorimotor stage as a baby and starting to enter the
preoperational stage (Cherry, 2021). Piaget believed that children
play an active role in learning by observing and imitating and
interacting with the world around them to add upon existing
knowledge. Object permanence is achieved in the sensorimotor
stage as the child learns things continue to exist even out of sight.
Using the Bright Futures Guidelines, established by the American
Academy of Pediatrics, recommend developmentally appropriate
games, toys, interactions, and expectations of a 1–2-year-old
(Hagan et al, 2017). The mother should encourage cognitive
development with scribbling and using crayons, dropping objects
in and out of a container, throwing a ball while standing a few feet
away, stacking objects, turning book pages, drawing lines, and
using hands to turn toys or lids (Hagan et al, 2017).
Reference Cherry, K. (2021, July 30). Cognitive Development Milestones.
Developmental Psychology. Retrieved on January
29, 2022 from
https://www.verywellmind.com/cognitivedevelopmental-
milestones-2795109
Hagan, J. F., Shaw, J. S., & Duncan, P. M. (Eds.). (2017). Bright
futures: Guidelines pocket guide. American
Academy of Pediatrics.
Professional/Ethical
Communication by nurse
I see that you are reading books to your son and having him turn
the pages. That is a great way to interact and teach your son to
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