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DECLARATION BY CANDIDATES
Date:
Date:
Signature of Guide
ii
Principal
Research
Sharda University
Date:
Date:
iii
ACKNOWLEDGEMENT
First and foremost, we express a deep sense of gratitude to Almighty God who has
been our constant guide to every step of our life. This project is a result of dedicated
effort of many people, teachers, advisors, family members, and friends who
continually added creative insights and critical thinking at every step of this project.
It is our privilege to be part of the institute & would like to express our sincere thanks
& gratitude to Mrs. Pauline Sharmila, Principal, School of Nursing Science &
Research, Sharda University, Greater Noida for her timely help, valuable suggestions
and guidance throughout the project work.
The present study has been undertaken under the inspiring and expert guidance of Mr.
Dani PhilIp, HOD CUM associate Prof. Dept of Medical Surgical Nursing, SNS&R
Sharda University. We express our heartfelt gratitude to her, for her keen interest and
sustained patience till the completion of the project. It is indeed a great honor and
privilege for us to be guided by her.
We indebted to the experts who contributed their valuable time and efforts in
validating the tool.
We also extend our sincere thanks to our class Coordinator Mrs. Sunita Kumari for
showing her interest in our project.
We take this opportunity to thank the entire teaching faculty of school of Nursing
Science & Research, Sharda University, Greater Noida U.P, for their insightful
comments and suggestions given during different stages of project work.
We thank all the respondents for their wholehearted participation in the project work,
without whom our project work would be an incomplete one.
Last but not the least our gratefulness is extended to all those who are directly or
indirectly helped in the completion of the project work.
iv
TABLE OF CONTENT
CHAPTER
NO.
TITLE
PAGE
NO.
INTRODUCTION
2-7
REVIEW OF LITERATURE
9-14
METHODOLOGY
16-21
23-34
37-40
REFERENCES
41-43
ANNEXURES
45-68
LIST OF FIGURES
S.NO
4
5
CONTENT
SCHEMATIC PRESENTATION OF RESEARCH
DESIGN
DISTRIBUTION OF RESPONDENTS BY AGE
DISTRIBUTION OF RESPONDENTS BY
EDUCATION
DISTRIBUTION OF RESPONDENTS BY
OCCUPATION
DISTRIBUTION OF RESPONDENTS BY
INCOME
PAGE
NO.
17
26
26
27
27
28
DISTRIBUTION OF RESPONDENTS BY
7
28
CHILD DEVELOPMENT
8
DISTRIBUTION OF RESPONDENT BY
OBSTERTICAL HISTORY
DISTRIBUTION OF RESPONDENTS BY
KNOWLEDGE
vi
29
31
LIST OF TABLES
PAGE
S.NO
CONTENT
NO.
20
24-25
DESCRIPTION OF DEMOGRAPHIC VARIABLES
30
CHI
SQUARE
VALUE
SHOWING
THE
vii
32-33
LIST OF ANNEXURES
S.NO
CONTENT
PAGE
NO.
PERMISSION LETTER
45-46
CONSENT FORM
47
48
STRUCTUREDKNOWLEDGE QUESTIONNAIRE
ANSWER KEY
49-65
66
67-68
viii
ABSTRACT
STATEMENT OF PROBLEM
A DESCRIPTIVE STUDY TO ASSESS THE KNOWLEDGE ON DOMAINS
OF CHILD DEVELOPMENT AMONG THE MOTHERS OF SELECTED
RURAL AREAS OF VILLAGE PANCHAYTAN, GAUTAM BUDH NAGAR,
UTTAR PRADESH
OBJECTIVES:
Assess the knowledge of mothers regarding domains of child development.
Find the association between the knowledge scores of mothers and selected
variables like age, education, monthly income, type of family, area of living
and source of information.
METHOD:
A descriptive study was developed based on a questionnaire on mothers of infant up
to 12 months of age.
RESULTS:
A study conducted on domains of child development assesses the mothers
knowledge of child development and level of knowledge.
In general, mothers were quite knowledgeable about the ordering of developmental
abilities relative to one another, but were less knowledgeable about the
developmental timing of abilities.
Mothers' knowledge regarding cognitive development was stronger than their
knowledge about sensory, moral, biological and social development. Over all the
mean percentage on domains of child development was 56.41%. The result of chisquare test shows there was no significance association between selected
demographic variables and knowledge scores of the mothers.
CONCLUSION:
The study concluded that mothers judgments about the developmental
milestones depended on their children's current developmental stage and the mothers
were less accurate at estimating the timing of milestones.
ix
CHAPTER I
INTRODUCTION
CHAPTER I
INTRODUCTION
All children are born to grow, to develop, to live, to love, and to articulate their
needs and feelings for their self-protection.
(Alice Miller)
Back ground of the study
An infant is someone who becomes a child and then an adolescent, passing
through his parents lives and disappearing into an adult, a full fledge person, with a
life and a future all his own. No one can slow this process at any point in time. 1
The birth of an infant is one of the most awe-inspiring and emotional events
that can occur in ones life time. After nine months of anticipation and preparation,
the neonate arrives amid a flurry of excitement. Healthy and sturdy babies are likely
to evolve as physically and mentally strong adults with enhanced quality of human
resource development.2The health of a growing child is always a matter of great
concern to the parents. The physical health of a child is important because it is
associated with the mental and social development. 2
The child develops very fast in the infant stage. Growth is an essential feature
of life of a child that distinguishes him or her from an adult. In the postnatal life the
newborn infant reclines in a helpless manner with disorganized activity. As the age
advances he or she acquires better coordination of motor activity and reacts to his/ her
environment in a willful manner, until he blends into a fully integrated and
autonomous individual. The behavioral development of the child is a complex affair.
For a proper behavioral development, the child must be assured emotional and moral
stability- that is a home where he/ she will find bond of affection, regular discipline
and parents who accept him and are a model of balanced conduct. 3
Growth refers to measure of physical maturation evidenced by multiplication
of cells and increase of intracellular substances results in increase in the size of body
and its various organs measured in terms of centimeter, kilograms, etc. The
developmental milestones include motor development, sensory development,
Mothers are considered as the primary care givers and they can identify
various changes occurring in their children including the developmental delays. The
lifelong learning experience of becoming a mother starts when the mother-to-be is in
her progenitors womb, continues during childhood with the experience of being
raised by her parents, continues with the occurrence of pregnancy and having a baby,
and extends even further with the experience of
raising a child.
to underestimate the onset of all developmental abilities. That is, mothers predicted
that children's developmental abilities would appear earlier than they actually do.
During the clinical postings, the researcher found that many infants were
admitted in reference to global developmental delay. The reason behind this was that
mainly the caregivers did not have adequate knowledge on growth and development
and they were ignorant about milestone achievements. So the researcher felt that there
is an essential need to assess the mothers knowledge regarding the domains of child
development and to provide information to mother since they are the primary
caregivers.11
Objectives
The objectives of the study were to.
Assess the knowledge of mothers regarding domains of child development.
Find an association between the knowledge scores of mothers and selected
demographic variables like age, education, monthly income, type of family,
occupation, knowledge related to growth and development and obstetrical
history.
Hypothesis
The hypothesis was tested at 0.05 level of significance.
H1: There will be a significant association between mothers knowledge level
on domains of child development and variables like age, education,
occupation, monthly income, type of family, previous knowledge and
obstetrical history.
Assumptions
The study assumed that.
Variables
Primary outcome Variable
Knowledge of mothers regarding the domains of child development.
Demographic variable
Age of mother, education, monthly income, type of family, occupation, knowledge
related to growth and development, obstetrical history.
4. Mothers
A women in relation to a child or children to whom she has given birth.
Oxford Dictionary
In this study, it refers to mothers who have a child up to 12 months of age.
Delimitations
The study was delimited to mothers who have a child up to 12 months of age
staying in Panchayatan area.
Summary
This chapter dealt with the background and need for the study, statement of the
problem, objectives, assumptions, definition of terms, variables under study,
hypotheses and delimitations of the study.
CHAPTER II
REVIEW OF LITERATURE
REVIEW OF LITERATURE
A review of literature is one of the most important steps in the research
process. It is an account of what is already known about a particular phenomenon.
The main purpose of literature review is to convey to the readers about the work
already done the knowledge and ideas that have been already established on a
particular topic of research.17
Review of literature for the present study is organized in the following divisions;
Section I: Related to normal growth and development of an infant
Section II: Related to Mothers knowledge on domains of child development
10
walking and fine motor activity (building a tower of 3 cubes) in comparison with the
upper middle class. Observed disturbance in psychomotor development at an early
age may affect the abilities and achievements in later life. 22
Summary
This chapter dealt with the review of literature related to prevalence of developmental
and behavioral problems in children, mothers knowledge on domains of child
development and educational materials to improve knowledge.
13
CHAPTER III
RESEARCH METHODOLOGY
15
RESEARCH METHODOLOGY
This chapter describes the methodology adopted to gather valid and reliable
data for the study. It deals with a brief description of research approach, research
design, research setting, population, sample and sampling techniques, data collection
tools, data collection procedures and plans for data analysis.
Research approach
The present study was aimed to assess the existing knowledge of mothers regarding
domains of child development. To achieve this objective, survey approach was used.
Research design
A descriptive design was used in this study to assess the knowledge on domains of
child development among the mothers who have children up to 12 months of age
Research setting
The present study was conducted at village Panchayatan, Gautam Budh Nagar,
adopted by the Community Medicine Department of School of Medical science and
Research, Sharda University.
Population
The population consisting of all mothers having a child in the age group of up to 12
months of age who are staying in village Panchayatan,Gautam Budh Nagar.
16
40 mothers of infants
up to 12 months age
Purposive Sampling
17
Reports
Sampling criteria
Inclusion criteria:
The following criteria are set for the selection of sample:
Mothers:
Who are willing to participate in the study and available at the time of study.
Exclusion criteria:
Mothers:
Who are not willing to participate in the study and not available at the time of
data collection.
Sampling technique
Non probability purposive sampling technique was adopted to select the study
samples.
Ethical considerations
For collecting data, following steps were taken in terms of ethical clearance
18
19
Score Range
Criteria
24-30
Excellent
16-23
Good
8-15
Average
7 and below
Poor
20
Summary
This chapter dealt with the research methodology adopted for the study and includes
the description of research approach, design, setting, sample, sampling techniques,
data collection techniques, development and description of tools, plan for data
analysis.
21
CHAPTER IV
22
Section 2
Section 3
variables.
23
Sample
No
1.
2.
3.
4.
Demographic variables
Frequency
Percentag
e
17.5%
b. 21-35
33
82.5%
c. 36-40
0%
d. Above40
0%
a. No formal education
21
52.5%
b. Primary school
0%
c. Middle school
2.5%
d. High school
2.5%
e. Intermediate
17
42.5%
f. Diploma/undergraduate/postgraduate
0%
a. House wife
40
100%
b. Self employed
0%
c. Private job
0%
d. Government job
0%
Education.
Occupation.
0%
b.
5001-10000
12.5%
c. 10001-15000
31
77.5%
d.
10%
Above 15001
24
5.
6.
7.
Type of family.
a. Nuclear
34
85%
b. Joint
15%
c. Extended
0%
38
95%
b. No
5%
a. Primigravida
17.5%
b. Multigravida
33
82.5%
N=40
The table 2- show that the maximum number of subject 33(82.5%) belong to
the age group of 21-35 years, 7(17.5%) belong to the age group below 20 years with
regard to education, most of the response no formal education 21(52.5%) ,were
Intermediate 17(42.5%),were middle school 1(2.5%), and High school 1(2.5%).In
context of occupation every woman housewife 40(100%). With regards to monthly
family income most of respondent 31(77.5%) are earning 10001-15000 per month,
5(12.5%) respondents monthly family income is between5001-10000 per month.
Respondent are earning more than 15001 per month wheres only 4 (10%). In context
type of family Nuclear 34(85%) , belong to the joint family 6(15%),with regarded to
any previous exposure on knowledge related to growth and development of a child
YES 38(95%). and NO 2(5%). in context of the obstetrical history of the mothers
33(82.5%) multigravida mothers and 7(17.5%) primigravida mothers.
25
90
87.5%
80
70
60
50
<20 yrs
40
21 - 35 yrs
30
36 - 40 yrs
20
12.5%
>40 yrs
10
0%
0%
<20 yrs
21 - 35 yrs
36 - 40 yrs
>40 yrs
Figure 2: Bar graph showing percentage distribution of subject according to their age.
60.00%
52.50%
NFE
50.00%
PS
42.50%
MS
40.00%
HS
30.00%
I
20.00%
D/UG
10.00%
0%
2.50%
2.50%
MS
HS
0%
0.00%
NFE
PS
D/UG
26
100%
100%
80%
60%
40%
Housewife
self employed
20%
0%
0%
0%
private job
0%
Govermment job
77.50%
80%
70%
60%
<5000
50%
50001-1000
40%
10001-15000
30%
>150001
20%
10%
12.50%
10%
0%
0%
<5000
50001-1000
10001-15000
>150001
27
90
85%
80
70
60
50
nuclear
40
joint
30
extended
20
15%
10
0%
nuclear
joint
extended
NO
5%
Yes
YES
95%
No
28
90.00%
80.00%
70.00%
60.00%
82.50%
50.00%
Primigravida
40.00%
Multigravida
30.00%
20.00%
10.00%
17.50%
0.00%
Primigravida
Multigravida
29
Total
S.
Knowledge Aspects
no
Ques
tions
Max
Score
Knowledge Response
Mean
Mean
(%)
SD
4.57
57.12
1.63123
3.18
52.83
1.63
3.2
53.33
1.68
3.35
67.0
1.29
2.62
52.4
1.4266
16.92
56.41
development.
Total
30
30
30
4.626
70.00%
60.00%
67.00%
57.12%
52.83%
53.33%
52.40%
50.00%
40.00%
30.00%
20.00%
10.00%
0.00%
General
knowledge Knowledge Knowledge Knowledge
knowledge
regarding
regarding
regarding
regarding
regarding
sensory
social
Congitive
Moral
Biological Development development development development
Developmen
31
N=40
Chi-square
Variables
Level of Knowledge
value(0.05)
Signific
ance
Below
Above
Median
Median
= 2.32*
(df=3
21-35
15
18
tv: 7.815)
36-40
Above 40
No formal education
15
Primary school
Middle school
(df=5
High school
tv: 11.070)
Intermediate
10
Housewife
16
24
Self employed
Private job
(df=7
Government job
tv: 14.067)
NS
Education
Diploma/undergradu
ate, -postgraduate
= 1.48*
NS
Occupation
32
= 0*
NS
5001-10000
10001-15000
11
20
Above 15000
14
22
= 1.24*
NS
(df=3
tv: 7.815)
Type of family
Nuclear
= 0.17*
NS
Joint
Extended
(df=2
tv: 5.991)
0.058*
NS
(df=1
3.841)
Obstetrical history of the mother
Primigravida
Multigravida
14
19
= 0.41*
NS
(df=1
tv: 3.841)
Table 4; shows that there is no association between knowledge scores with selected
demographic variables.
(* = chi square, NS = Not significant)
(tv=table value, df= degrees of freedom)
33
Summary
This chapter dealt with the analysis and interpretation of the data collected
from 40 mothers on Domains of child development in selected village Panchayatan of
Gautam Budh District, Uttar-Pradesh. Both descriptive and inferential statistics were
used for analysis. Different graphs and figures were used to present the data.
The statistics employed were Mean, standard deviation, and chi square
analysis. The result of analysis revealed that the mother had inadequate knowledge
regarding domains of child development. The result shows there was no significance
association between selected demographic variables and knowledge scores of the
mothers.
34
CHAPTER V
DISCUSSIONS, IMPLICATIONS,
LIMITATIONS,
RECOMMENDTIONS
&CONCLUSION
36
Discussions
This chapter deals with discussion of the study with the appropriate review of
literature, statistical analysis and findings of the study based on objective of the
research study. A report of findings is never sufficient to convey their significance.
The meaning that researchers give to the results plays a rightful and important role in
the report. The discussion section is devoted to a thoughtful and insightful analysis of
the findings, leading to a discussion of their clinical and theoretical utility.
The present study is focused on to assess the knowledge on domains of child
development among the mothers of infants up to 12 months of age.
Descriptive Research design was used to conduct the study which is a type of
non-experimental approach. The target population for the study was selected from
village Panchayatan,Gautam Budh Nagar District, Uttar Pradesh. This population was
selected by purposive sampling technique which is a type of non-probability sampling
technique. The total samples under the study were 40 mothers of infant up to 12
months of age. The data collection was made through structured knowledge
questionnaire and demographic variables to assess the knowledge of mothers .The
findings of the study have been discussed with reference to the objectives and with
findings of other studies as under,
1. Demographic profile of mothers of infants up to 12 months of age.
2. Knowledge level of mothers of infants regarding the domains of development
3. Association between knowledge and attitude with selected demographic variable.
37
2(5%)
in
38
Nursing education:
Nurse as professional are committed to the development and implementation of
practice standard through ongoing acquisition critical application and evaluation of
relevant attitudes, skill and judgment of nurse are accountable and responsible for
their practice.
Nursing practice:
The finding of the study reveals that there is a need for understanding the needs
of nursing staffs, with various kinds of stress and maladjustment in working area.
Similarly the teachers working in college needs to focus on handling the stress in
working area. The staffs working in nursing colleges needs to provide counseling for
the students to handle their problem. In-service education regarding domains of child
development should be given to all the mothers.
Nursing administration
The concept of extended and expanded role of nurse offers many
opportunities for a nurse administrator to improve the living standard of women. The
nurse administrator should co-ordinate her work along with the preventive, creative
and rehabilitative aspect of care. The nursing administrators at various level of health
care delivery system should focus their attention to make public conscious about
domains of child development.
Nursing research
One of the main aims of the nursing research is to contribute knowledge to the
body of the nursing, to expand and broaden the scope of nursing. This is possible only
if nurses are taking initiative to conduct further research. The present study is just an
initial attempt and it will encourage and motivate health personal should know to do
many more research studies in this areas. The researcher can explore similar study in
39
Recommendations:
On the basis of findings of study, it is recommended that:
A study can be replicated on a larger sample thereby findings can be
generalized for larger population.
A study can also be conducted among other group.
A study can also be conducted in urban community.
Conclusion
There were meaningful gaps in knowledge of when infants between the ages
of birth and 12 months achieve physical, emotional, cognitive and social milestones.
Gaps in knowledge of infant development existed among the mothers. Thus the
investigators felt the need to educate antenatal mothers on developmental milestones
so that mothers can incorporate this knowledge in care and in identification of
developmental delay in their children
40
List of references
1. Marlow R Dorothy; Text book of Pediatric Nursing: 5th Edition; WB Saunders
Publishers; Philadelphia; 1988; 2nd chapter; Page no.335.
2. Singh and Jacob; Pediatric Nursing; 2nd Edition; N B brothers Publishers; Indore;
2003;Chapter 3rd; Page no. 1-13, 66-92.
3. Park K; Textbook of preventive and social medicine; 19th Edition; Bhanot
publisher; Jabalpur; 2007; Page no.391, 402.
4.
Redding A Barbara et al; The text book of pediatric nursing: 6th Edition. New
Delhi: Elsevier Publisher; 2007; Page no. 163-64, 573.
Salkind;
Child
Development;6th
Edition;
Rinchart
and
Winston
and
Cultural
Organization;
2010
[Cited
September
2010].
http://www.unesdoc.unesco.org/images/ 0021/002157/215729e.pdf
11. Jacqueline Shannon,et al;low-income adolescent mothers knowledge about
domains of child development;New York University;2002;
12. Human Growth and Development-A Matter of Principles [Internet]. Virginia:
Virginia cooperative Extension; 2009[Cited 2009 May 1].
http://www.pubs.ext.vt.edu/350/350-053/350-053.html
13. .Chellappa
MJ.;Text
Bangalore;1995; Page
book
of
Pediatric
nursing;Prithvi
Book
Agency;
no. 11-12.
14. Annual Report 2007-08. Ministry of Health and Family Welfare, Govt. of M \
India. URL:http://mohfw.nic.in/NRHM/State%20Files/.
41
33(6):728-737.
16. Marlow DR,et al;Text book of Paediatric Nursing; 6th Edition;W.B.Saunders
Publishers; Philadelphia;2004;Page No.163-182.
17. Suresh K Sharma; Nursing, Research and Statistics; 2nd Edidtion; Elsevier
Publisher; New Delhi; 2010; Chapter 5; Page No.101.
18. Sandeep Sachdeva,et al; Global Development Delay and its Determinants
Among Urban Infants and Toddlers;A Cross Sectional study;Indian Journal of
Paediatrics.(2010)
19. Meenakshi Malik, et al. Screening for Psychosocial Development Among
Infants in an Urban Slum of Delhi. Indian Journal of Pediatrics. (2007). 74(9) :
841-845.
20. Pradhan SK,et al; Screening for psychosocial development among infants in an
urban slum of Delhi; Indian Journal of Paediatrics 2007 Sep;
21. Kuklina EV,et al.;Early childhood growth and development in rural Guatemala.
Early Human Development 2006 Jul; 82 (7): 425-33
22. Yaqoob M,et al;Early child health in Lahore, Pakistan; XII- Milestones. Acta
Paediatr Suppl 1993 Aug; 82 (3): 151-7.
23. Child development: infant social development research study 19th Oct 2008.
24. DG Dogan , et.al. Mothers Knowledge of young child development in a
developing country.
33(6):728-737.
25. Reich Stephanie. What do mothers know? Maternal knowledge of child
\development .Infant Mental Health Journal. 2005 March/April; 26(2): 143-156.
26. S Catherine, et al. Low-income adolescent mothers' knowledge about domains
of child development. Infant Mental Health Journal, 2002 February; 23: 88-103.
Available from:
27. Bornstein H Marc,et al. Developmental Psychology. 1998 January;
28. LeMondaTamis, et al. Developmental Psychology. 1998 January; 34(1):
29. Katherine .et.al. Adolescent mothers knowledge of child development. Journal
of Youth and Adolescence. 1996 October ; ( 5). 651-666.
42
43
ANNEXURES
44
45
46
ANNEXURE-B
Date:
Place:
47
ANNEXURE-C
BLUE PRINT OF DISTRIBUTION OF ITEMS
Based on the literature review a blue print was developed and the items were
constructed as per the blue print. The areas included were -biological, sensory, social,
cognitive and moral development of the child.
The biological development consist of 8 items, sensory development consist of
6 items, social development consist of 6 items, cognitive development consist of 5
items and moral development consist of 5 items.
48
ANNEXURE-D
APPENDIX
Knowledge questionnaire on domains of child development
Date:
Code No.:
Dear Participants,
Instructions: please read every statement carefully and indicate the response that you
choose by placing a tick ( ) mark in the appropriate space given. Kindly answer
honestly as this will help us in analysis of data.
Part-A
SOCIO-DEMOGRAPHIC PROFILE
1. Name of the mother
2. Age of the mother (in years):
a. Below 20
b. 21-35
c. 36-40
d. Above 40
3. Age of your child (in months):
4. Education:
a.
b.
c.
d.
e.
f.
No formal education
Primary school
Middle school
High school
Intermediate
Diploma/undergraduate/postgraduate
5. Occupation
a.
b.
c.
d.
Housewife
Self employed
Private job
Government job
49
7. Type of family:
a. Nuclear
b. Joint
c. Extended
PART-B
KNOWLEDGE QUESTIONNAIRE ON DOMAINS OF CHILD
DEVELOPMENT (ENGLISH)
Instruction:
You are requested to read each question given below carefully and select the best
answer from the options given. Encircle the alphabet against the answer you choose
for each question. Please answer all the items
50
Biological development
1. What is the ideal birth weight of the new born baby?
a. below 2.5kg
b. 2.5 3.9 kg
c. 4.0 -4.5kg
d. above 4.5kg
2. The following factors may influence the growth and development of a child
EXCEPT
a. Climate
b. Income
c. Nutrition
d. Heredity
3. Which of the following developmental milestones would the mother expect her one
month old infant to perform?
a. Smiling and laughing aloud
b. Rolling from back to side
c. Holding a rattle briefly
d. Turning the head from side to side
4. The age in months at which the child should attain head control is
a. 0-2
b. 3-6
c. 7-9
d. 10-12
5. Infants stands without support at :
a. 6-7 months
b. 8-9 months
c. 10-11 months
d. 12 months
6. In which month the head circumference and chest circumference is same?
a. 4-6
b. 7-8
c. 9-10
d. 11-12
51
Sensory development
9. At what age the baby begin to see objects within a short distance?
a. From birth
b. 1 month
c. 2 months
d. 3 months
10. The age in months at which the baby begins to imitate the sounds of others is
a. 5-6
b. 7-8
c. 9-10
d. 11-12
11. At what age (in months) separation anxiety occurs in the infancy?
a. 2-3
b. 4-6
c. 7-9
d. 10-12
12. When does the baby have good color vision?
a. 0-1
b. 2-3
c. 4-5
d. 6-8
13. Which among the following can stimulate baby through touch EXCEPT?
a. Household objects.
b. Sleep
c. Toys
d. Massage
52
14. How do you develop the sense of touch to the new born infants?
a. Skin to skin contact.
b. Touching the babys cheek.
c. Stroke the palm.
d. All of the above.
Social development
15. Which of the following statement is related to social development during infancy,
EXCEPT?
a. Finger feeds themselves
b. Raises arm to be picked up
c. Defend territory
d. Recognizes mom and dad.
16. The age in months at which the baby recognizes the mother
a. 0-1
b. 2-4
c. 5-6
d. 7-8
17. The age in months at which the baby smiles at others is
a. 2-4
b. 5-7
c. 8-10
d. 11-13
18. The age in months at which the children start sharing their toys with their friends
a. 6
b. 12
c. 24
d. 36 and above
19. The age in months during which the child shows interest in their own mirror
images
a. Birth-3months.
b. 4-6 months
c. 7-12 months
d. 1 year and above
20. Between the ages of 3-6 months, the baby possesses the following characteristics
,except:
a. Enjoy looking at other babies.
b. Play games like peek-a-boo
c. Reconize the faces.
d. Cry when upset and seek comfort
53
Cognitive development
21. Cognitive processes involves the following, EXCEPT:
a. Thought process
b. Problem solving
c. Physical growth
d. Exploration
22. At what age (in months) the child begins to understand simple phrases and
commands supported by gestures like give it to mummy or wave bye-bye to daddy?
a. 2-5
b. 6-9
c. 10-13
d. 14-17
23. Which of the following statement is not related to cognitive development during
infancy?
a. Turns head towards the sounds
b. opens mouth for spoon
c. responds to own name
d. Demonstrates an understanding of shapes
24. At what age (in months ) the baby knows his name?
a. 2-4
b. 5-7
c. 8-9
d. 10-12
25. Infant may speak two or more words with meaning and indicates no by shaking
head at
a. 5-6 month
b. 7-8 month
c. 9-10 month
d. 11-12month
Moral development
26. What is meant by moral development?
a. Development of proper attitudes and behaviors towards the society
b. Development of the human mind
c. Ability to store, retain, and recall information and experiences
d. Development of nervous system
54
27. Which among the following factor does not influence the moral development of a
child?
a. Culture
b. Sickness
c. Family.
d. Peer group.
28.which of the following months does the child show preference for certain toys and
people?
a. Birth to 3 months
b. 4-7 months.
c. 8-12months
d. 13-15months.
29. The important moral development seen among the infant is:
a. Sense of right and wrong.
b. Sense of should and should not.
c. Internalize family values.
d. All of the above.
30. Most common moral development seen among infants less than 3 months is:
a.
b.
c.
d.
55
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61
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65
ANSWER KEY
S.NO.
KEY
S.NO.
KEY
16
17
18
19
20
21
22
23
24
10
25
11
26
12
27
13
28
14
29
15
30
66
Q2
Q3
Q4
Q5
Q6
Q7
Q8
Total
Q9
Q10
Q11
Q12
Q13
Q14
Total
Q15
Q16
Q17
Q18
Q19
Q20
Total
Q21
Q22
Q23
Q24
Q25
Total
Q26
Q27
Q28
Q29
Q30
Total
TOTAL
S1
S2
S3
S4
S5
S6
S7
S8
S9
S10
S11
S12
S13
S14
S15
S16
S17
S18
S19
S20
S21
S22
S23
S24
S25
S26
S27
S28
S29
S30
S31
S32
S33
S34
S35
S36
S37
S38
S39
S40
Q1
0
1
1
1
1
1
1
0
1
1
0
1
0
1
1
1
1
1
1
1
1
1
1
1
0
0
1
0
1
1
1
1
0
1
1
1
0
0
1
1
0
0
1
1
0
0
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
0
0
1
1
1
0
1
0
0
1
0
0
1
1
1
1
1
0
1
1
1
1
0
0
0
1
0
1
0
1
1
0
1
1
0
1
1
1
1
1
0
1
1
1
1
0
1
0
0
1
1
1
1
1
1
0
0
1
1
1
1
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
1
1
1
1
0
1
0
0
0
0
0
1
1
1
0
1
0
0
1
0
1
1
0
0
1
1
1
1
1
1
0
1
0
1
0
0
0
1
0
0
0
1
1
1
0
1
1
1
0
0
0
1
1
1
0
1
0
0
1
0
1
1
0
1
1
1
1
1
1
0
0
0
0
0
1
0
1
0
1
0
0
1
1
1
0
0
0
0
0
1
0
1
1
0
1
1
1
0
1
0
1
1
0
1
1
1
1
0
1
1
0
1
1
0
1
0
1
1
1
0
0
1
1
1
1
0
1
1
0
1
1
1
0
1
1
0
1
1
0
0
1
1
1
1
1
1
0
1
1
1
2
5
5
4
3
1
5
4
4
5
2
7
6
6
4
4
4
5
3
6
4
7
5
5
4
5
5
1
6
2
6
7
2
5
7
7
5
4
6
5
0
1
1
0
0
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
0
0
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
1
0
0
0
1
1
1
0
0
1
0
1
0
0
1
0
0
0
1
0
0
1
1
1
1
0
1
0
1
0
0
1
0
0
0
1
0
1
0
0
0
0
0
1
0
1
0
1
0
1
0
1
0
0
0
0
0
0
1
1
0
1
0
1
1
0
0
0
1
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
1
0
0
0
0
0
0
0
0
1
0
0
1
0
1
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
0
0
0
1
1
1
0
1
1
0
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
0
0
1
1
0
1
1
1
1
1
1
0
0
0
0
0
0
0
1
1
0
1
1
1
0
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
1
0
1
1
1
0
1
3
0
0
2
3
6
5
2
3
6
2
4
3
2
4
3
3
2
6
3
1
6
4
5
6
3
4
2
4
4
3
3
2
3
2
4
4
4
1
1
0
1
0
1
0
0
1
1
1
0
0
1
1
1
1
1
1
1
1
0
0
0
1
1
0
1
1
1
0
0
1
1
1
1
1
1
1
0
0
0
1
0
1
0
0
1
1
1
1
0
0
0
0
1
1
0
0
0
1
0
0
0
0
1
1
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
1
1
1
0
1
1
0
1
1
1
0
1
1
1
1
0
0
1
1
1
1
1
1
1
0
0
1
1
1
0
0
0
0
0
1
0
0
0
0
1
1
1
1
1
1
1
0
0
1
0
0
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
0
1
0
0
0
0
1
0
1
1
0
0
1
0
0
1
1
1
1
0
0
1
0
0
1
1
0
1
1
1
0
0
0
1
1
1
0
1
0
1
0
0
0
1
0
0
0
0
1
0
1
1
1
1
0
1
1
0
1
0
0
0
0
1
1
0
0
1
1
1
0
0
0
1
1
1
0
0
0
0
1
3
1
2
1
1
2
3
6
5
4
3
4
2
2
6
5
2
5
3
4
3
0
2
5
5
3
5
5
5
2
1
2
6
5
5
2
3
1
3
1
1
0
1
0
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
0
0
1
0
0
1
1
1
1
1
1
0
1
1
1
1
0
0
1
0
1
1
0
1
1
1
1
1
1
0
1
1
1
0
1
1
0
0
1
0
1
0
0
0
1
1
1
1
1
1
0
0
1
1
0
1
1
1
0
1
1
1
0
1
1
1
1
0
0
0
0
1
0
0
0
0
0
1
0
0
1
0
0
0
1
0
1
1
0
1
0
0
1
1
0
0
0
0
1
1
1
1
0
1
0
1
1
0
0
0
1
1
1
1
0
0
0
1
0
0
0
1
1
1
0
1
1
1
1
1
1
1
1
1
0
1
1
0
0
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
0
2
4
1
2
2
2
3
2
3
4
5
5
4
5
2
2
5
5
2
4
2
2
3
4
5
5
2
5
4
5
5
3
2
2
4
5
4
3
3
2
0
0
0
1
0
0
1
0
0
1
1
1
1
0
1
1
1
0
0
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
0
1
1
0
0
0
1
0
0
0
0
0
0
0
0
1
1
0
1
0
0
0
1
0
0
1
1
0
1
1
1
1
1
1
1
1
1
0
1
1
0
1
0
0
1
0
1
1
0
1
0
0
1
0
0
1
0
1
1
0
1
0
0
0
1
1
1
0
1
1
1
1
0
1
1
1
1
0
0
0
0
0
0
1
1
1
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
1
1
1
1
1
1
1
1
1
1
1
0
1
1
0
1
1
1
0
1
1
1
0
1
1
0
1
0
0
0
1
0
0
0
1
1
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
1
0
1
1
1
1
1
1
1
1
2
2
0
2
0
1
2
0
0
5
3
4
3
0
2
2
4
1
2
4
4
2
4
4
4
4
3
4
4
3
5
2
3
2
2
4
3
2
4
3
7
15
10
10
6
7
15
15
18
21
17
25
19
17
13
16
22
16
15
19
20
17
13
21
22
24
19
18
23
17
22
17
12
18
20
24
16
16
18
17