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Infant

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parameswar mahato
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19 views7 pages

Infant

Uploaded by

parameswar mahato
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Health ASSESSMENT OF INFANT

Date and time of assessment - Place of assessment –

A.IDENTIFICATION DATA

Baby’s name – Age –

Name of mother - Name of father –

Address –

Sex -

Birth weight –

B.FAMILY HISTORY

Introduction to child –

Family position of the child –

Religion – Language –

Schooling -

 Family tree –

 Sibling history -

C. PAST HEALTH HISTORY –


D. BIRTH HISTORY –

Child birth : Normal / Forceps /CS

Condition at birth : Normal / Asphyxiated

Any congenital malformation : Yes /No

E. DIETARY HISTORY –

Breast feeding –

Other mode –

Weaning –

Present diet –

F. IMMUNIZATION HISTORY
Name of the Schedule time Child’s due Inference
vaccine

G.BASIC PHYSIOLOGICAL DATA

Vitals Normal value Child’s value Inference


Temperature

Pulse

Respiration

H.Anthropometric measurements
Name of the Child’s value Normal value Inference
measurement
Height
Weight
Head circumference
Chest circumference
Abdominal circumference

I. PHYSICAL EXAMINATION

Nourishment –
Body build –
Activity –
Mental status –
Head –
Face –
Eye –
Nose –
Mouth –
Throat –
Ears –
Neck –
Thorax –
Lungs –
Heart –
Abdomen –
Male genitalia –
Female Genitalia –
Rectum & anus –

Extremities -
Spine & back –

J.DEVELOPMENTAL ASSESSMENT

Developmental milestone Actual age of Achieved


achievement Yes/ No
SELF HELP

 Finger – feed him self 8 – 12 months

 Extended arm or leg to help when being depressed 9 – 12 months

 May hold spoon when feeding 9 – 12 months

SOCIAL /EMOTIONAL

 Makes eye contact 0 -1 months

 Begins to develop a social smile 1 – 3 months

 Enjoy playing with other people& may cry


2 – 3 months
when playing stop

 Becomes more communicative & expressive with


face & body 2 – 3 months

 Enjoy social play


5 – 7 months
 Interested in mirror images
4 – 7 months
 Respond to other people’s expression and emotion
4 – 7 months
 Shy or anxious with strangers, cries, when mother or
father leaves 8 – 12 months

 Shows specific preferences for certain people & toys.


8 – 12 months

 Prefers mothers & or regular care provider overall


8 – 12 months
others.
 Enjoy imitating people in his play 10 – 12 months

 Repeated sounds or gestures for attentions 10 – 12 months


COGNITIVE DEVELOPMENT

 Respond to voice 0 – 1 months

 Watches face intently & follows moving objects 2 – 3months

 Recognize familiar object & people at a distance 3 months

 Start using hands & eyes in coordination


3 months
 Play peek a – boo
4 – 7 months
 Looks for a family member or pet when named
4 - 7 months
 Explore with hands & mouth & tract moving objects

 Look fallen toys & grasp object dangling front of him. 4 – 7 months

 Find partially hidden objects. 5 - 7 months

 Explore objects in the many different ways


(shaking, thrumming, dropping)
6 – 7months
 Enjoy looking at pictures and imitate gesture.
8– 10months
 Find hidden objects easily & play simple games
9 – 12 months

LANGUAGE: 9 – 12 months

 Makes sucking sound. 1 – 2 months

 Smile at the sound of voice. 2 – 3 months

 Cooing noise, vocal play. Begins at 3


months
 Attends to sound & startles to loud sound. 1 – 3 months

 Laughs & squeals out loud & distinguishes emotions 4 – 6 months


by tone of voice.
 Respond to sound by making & respond to spoken 5 – 7 months
“Bye“by waving.

 Syllable repletion begins localizes or turns toward 7 – 9 months


sound.

 Babies “dada “, “mama” & a bubbles with inflection. 8 – 10 months

 Says “mama “, “dada” for specific person. 9 – 12 months

 Respond to “no” by briefly stopping actively &


noticing adult. 9 – 14 months

 Respond to simple verbal requests.


12 months
 make simple gesture such as shaking head for “no” &
uses exclamations such as “oh”.

Remarks –

_______________________________ ______________________________

Signature of the Teacher Signature of the Student

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