PGIMER NO - 2020
Child Health Nursing (Pediatrics)
Easy

n infant scoots before crawling, and crawls before standing. This trend of growth and development is called?

Appeared in: PGIMER NO - 2020

Explanation

  • The sequential trend principle posits that development follows a definite, predictable, and orderly sequence.
  • Each new skill or ability builds on the one acquired before it.
  • The example in the question—scooting, then crawling, then standing—perfectly illustrates this principle of acquiring motor skills in a specific order.
  • While the rate of development can vary between children, the sequence of milestones remains consistent.

Why Other Options Were Wrong

  • Option A: Directional trend refers to the physical direction of maturation (head-to-toe or center-to-periphery), not the order in which different skills are acquired.
  • Option C: Rate of development refers to the speed or pace of achieving milestones, which is individual for each child. The question is about the universal order of milestones, not the speed.
  • Option D: Developmental tasks are the specific milestones themselves (e.g., walking, talking). The question asks for the name of the principle that governs the order of these tasks.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Principles of human growth and development as background academic context rather than a clinical decision trigger.
  • Nurses use their understanding of sequential trends to perform developmental screenings (like the Denver Developmental Screening Test) and assess if a child's development is on track.
  • Knowing the predictable sequence allows nurses to provide anticipatory guidance to parents, helping them understand what to expect next and how to create a safe, stimulating environment for their child.
  • What if? If a child shows a significant deviation or reversal in the sequence (e.g., was able to sit but now cannot), it is a red flag for a potential neurological or developmental issue that requires immediate investigation.
How to Approach the Question
  • First, identify the core concept in the question stem. The question describes a specific order of events: scooting -> crawling -> standing.
  • Recognize that the question is asking for the name of the principle that describes this orderly progression of skills.
  • Evaluate each option: 'Directional' refers to physical direction (head-to-toe). 'Rate' refers to speed. 'Developmental tasks' are the skills themselves.
  • Conclude that 'Sequential trend' is the only term that specifically describes development happening in a predictable order or sequence.
  • This process of elimination based on the precise definition of each term leads to the correct answer.
Concept Tested & Keywords
  • Concept Tested: Principles of human growth and development
  • Stem keywords: infant, scoots, crawling, standing, growth and development
  • Lead-in keywords: trend, is called
  • Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

Question ID

QUNBnSBvqUbz-4Cj2bJRwf

Reference Book

E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 1 (pp 36-238 of 713) p. 76-78

E6 Nursing Fundamentals Potter Perry 12e Part 1 p. 163-165

Practise the full PGIMER NO - 2020

Attempt every question from this paper in a timed mock, then review the full solution for each one.