1
Pediatric Clinical Pearl Case Study
Chamberlain University College of Nursing
NR 602: Primary Care of the Childbearing and Childbearing Family
, 2
Pediatric Clinical Pearl Case Study
1. Issue: Cognitive Development Milestones
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
Pediatric Clinical Pearl Case Study
Chamberlain University College of Nursing
NR 602: Primary Care of the Childbearing and Childbearing Family
, 2
Pediatric Clinical Pearl Case Study
1. Issue: Cognitive Development Milestones
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
