PEDIATRICS A. Growth and development: Growth is an increase in phyoiul in and development is an increase in capability or Development does not always follow growth and chronological age. Chronological age and developmental age are two different things. Cephalocaudal development is development that moves from the heos downward through the body and towards the feet. Proximodistal development is development that moves from the Center of the body outward to the extremities. 1. Play and Toys: Play is the "work" of children. It's how they learn new things, socialize and learn to use coping skills. In addition to growth and developmental level, you must also think about the client's disease when choosing toys. For a child with a heart defect, would you give them something to do that will get them excited and increase their heart rate? No because that would the workload on the heart, and we NEVER want to increase the workload on the heart of a client with heart disease. NCLEX CRITICAL THINKING EXERCISE: You are taking care of a 5 month old baby. What toy is most appropriate for the Infant? 1. Rattle 2. Stuffed animal they can grasp 3. Puzzle with big pieces 4. Nursery rhyme CD When a baby is born, they have an grasp reflex.