1 12. C. GROWTH AND DEVELOPMENT ASSESSMENT FORMAT FOR SCHOOL AGE CHILD 1.

. Demographic Profile Name of the child: Date of Birth: Sex: Date of admission: Hospital number: Reason for hospitalization: 11. History of the child Past history: Present History: Family history: Antenatal history: Natal history: Neonatal history: 111. Growth and Development

Area of Assessment A. Vital Signs Temperature Pulse Respiration B. Biological Development Height Weight Head Circumference Chest Circumference Mid arm circumference C. Physical and Motor Often returns to finger feeding More aware of hand as a tool Likes to draw, print , colour Vision reaches maturity More cautious in approaches to new performance Repeats performance to master them Jaw begins to expand to accommodate permanent teeth Always on the go; jumps, chases and skips Dresses self completely Uses cursive writing Puberscent changes may begin to appear

Findings specific to the child

Interpretation

2 Area of Assessment Reminder of teeth will erupt and tend toward full development D. Cognitive Development Develops concept of numbers Knows whether it is morning or afternoon Defines common objects in terms of its use Knows right and left Says which is pretty and which is ugly of drawings of faces Reads from memory Can copy a diamond shape Develops concept of time, reads ordinary clock or watch correctly More mechanical in reading Gives similarities and differences between two things Counts backward from 20 to 1 Repeats days of the week and months of the year Describes common objects in detail Reads more; may plan to wake up early just to read Reads classic books, but also comics More aware of time Can grasp the concepts of parts and whole Understands concept of space, cause and effect Produces simple painting or drawings Writes brief stories Write short letters to friends Uses telephone for practical purpose Reads for practical information or own enjoyment E. Adaptive Able to cuts, folds and pates paper toys Takes bath without supervision Reads from memory, enjoys oral spelling game Likes table games, checkers Tries out own abilities Brushes and combs hair acceptably without help Likes to help and have a choice Makes use of common tools such as Findings specific to the child Interpretation

3 Area of Assessment hammer, saw and screwdriver Uses household and sewing materials Helps with routine house hold activities such as dusting and sweepings Likes pictorial magazines Likes school; wants to answer all the questions Is afraid of failing a grade Is more critical to self Makes useful articles or does easy repair work Cooks or sews in small way Raises pets Is responsible for a through job of cleaning hair, but may need reminding to do so F. Personal Social Cooperate better Has great need for children of own age Will cheat to win Often jealous of younger brother or sister Does what adults are seen doing Is more independent Has own way of doing things Increases socialization Is becoming a real member of the family group Takes part in group play Boys prefer playing with boys, girls prefer playing with girls Spends a lot of time alone does not require a lot of companionship Is easy to get along with at home Likes the reward system Dramatizes Is more sociable Is better behaved Is interested in boy girl relationship but will not admit it Likes to compete and play games Shows preference in friends and groups Plays mostly with groups of own sex but is beginning to mix Findings specific to the child Interpretation

4 Area of Assessment Compares self with others Enjoys organizations, clubs and group Sports Loves friends, talks about them constantly Chooses friends more selectively; may have a best friend Enjoys conversation Develops beginning interest in opposite sex Is more diplomatic Likes family Likes mother and wants to please her in many ways Demonstrated affection Likes father, who is admired and may be idolized Respects parents G. Spiritual Development Findings specific to the child Interpretation

1V. Conclusion and Remarks

5 12.A. GROWTH AND DEVELOPMENT ASSESSMENT FORMAT FOR INFANTS 1. Demographic Profile: Name of the infant: Date of Birth: Sex: Date of admission: Hospital number: Reason for hospitalization: 11. History of the infant Past history: Present History: Family history: Maternal history: a)Antenatal history: b)Natal history: Neonatal history: 111. Growth and Development Area of assessment Findings Interpretation specific to the child A. Vital Signs a. Temperature b. Pulse c. Respiration B. Biological Development a. Height b. Weight c. Head Circumference d. Chest circumference e. Anterior fontanel f. Posterior fontanel g. Reflexes i. Dolls eye reflex ii. Dance reflex iii. Crawling reflex iv. Parachute reflex v. Labyrinth righting C. Gross Motor a. Can turn head from side to side when prone; lifts head momentarily from bed. b. Can maintain head in same plane as rest of body when held in ventral suspension c. Able to raise head and shoulders from

6 prone position to a 45 degree angle Balance head well in sitting position Able to sit for longer periods when back is well supported Roll from back to abdomen Sit leaning forward on hands Sit steadily unsupported Creep on hands and knees Stand while holding onto furniture, sits by falling down Walk with one hand held

d. e. f. g. h. i. j.

k. D.Fine motor Grasp reflex strong Actively hold rattle Grasp objects with both the hands Take objects directly to mouth Drop one cube when another is given Transfer objects from one hand to the other Release objects at will Pincer grasp develops Attempt to build two block tower E.Sensory Follow light to midline Turn head to side when sound is made Visually pursues a dropped object Can localize sounds made above the ear Has taste preferences Can follow rapidly moving object F.Language Make small, throaty sounds Coos, babbles Make consonant sounds Begins to imitate sounds Produce vowel sounds dada,baba Respond to simple verbal commands Says three to five words Imitate animal sounds G. Socialization / Cognition Watch parents face intently as she or he talks to infant Demonstrate social smile in response to various stimuli. Can recognize familiar faces and objects Enjoy social interaction with people

7 Show interest in strange stimuli Smile at mirror image Able to discriminate strangers from family Discover parts of body Recognize parents ;begins to fear strangers Begin to imitate Briefly searches for a dropped object Imitate simple acts and noises Demonstrate dislike of food by keeping lips closed Respond to word no Begin to show fears of going to bed and being left alone Imitate facial expression Repeat action that attracts attention and cause laughter Play interactive games such as pat-a-cake Demonstrate independence in dressing, feeding Look at and follow pictures in a book Roll ball to another on request Shake head for no May develop habit of favorite toy Search for an object even if it has not been hidden , but search only where object was last seen

8 12. B. GROWTH AND DEVELOPMENT ASSESSMENT FORMAT FOR TODDLER 2. Demographic Profile: Name of the child: Date of Birth: Sex: Date of admission: Hospital number: Reason for hospitalization: 11 History of the child Past history: Present History: Family history: Maternal History Antenatal history: Natal history: Neonatal history: 111. Growth and Development Area of Assessment Findings specific Interpretation to the child D. Vital Signs Temperature Pulse Respiration E. Biological Development Height Weight Head Circumference Chest Circumference Mid arm circumference Abdominal circumference Anterior fontanels Control of Sphincter F. Gross Motor Walks with out help Creeps up stairs Kneels without support Cannot walk around corners or stops suddenly without losing balance Assumes standing position without support Cannot throw ball without falling Runs clumsily, falls often Walks up stairs with one hand held Pulls and pushes toys Jumps in place with both feet

9 Area of Assessment Seat self to chair Throw ball over hand without falling Go up and down stairs alone with two feet on each step Run fairly well, with wide stance Pick up object without falling Kick ball forward without overbalancing Jump with both feet Jump from chair or step Stand on one foot momentarily Take a few steps on tiptoe G. Fine Motor Constantly casting objects to floor Build tower of two cubes Holds two cubes in one hand Release a pellet into a narrow necked bottle Scribble spontaneously Use cup well but often rotates spoon Build tower of three or four cubes Turns pages in a book two or three at a time In drawing, imitates vertical and circular strokes Turn doorknob, unscrews lid Build tower of eight cubes Add chimney to train of cubes Good hand finger coordination, hold crayon with fingers rather than fist In drawing, imitate vertical and horizontal strokes, make two or more strokes for cross, draw circles H. Sensory Able to identify geometric forms, places round object into appropriate hole Binocular vision well developed Displays an intense and prolonged interest in pictures Accommodation well developed in geometric discrimination; able to insert square block into oblong space I. Language Use expressive jargon Say four to six words, including names Ask for objects by pointing Findings specific to the child Interpretation

10 Area of Assessment Understand simple commands May use head shaking gesture to denote no Use no even while agreeing to the request Use common gestures, such as putting cup to mouth when empty Say 10 or more words Point to a common object, such as a shoe, Or ball, and to two or three body parts Form gesture - word combinations Form gesture gesture combinations Has a vocabulary of approximately 300 words Use two or three word phrases Use pronouns I, me, you Understand directional commands Give first name; refers to self by name Verbalize need for toileting, food or drink Talk incessantly Able to remember and imitate arbitary sequences of manual actions / gestures Give first and last name Refer to self by appropriate pronoun Use plurals Name one colour J. Socialization Tolerate some separation from parent Less likely to fear strangers Beginning to imitate parents, such as cleaning house, folding clothes May discard bottle Manage spoon but rotates it near mouth Kiss and hugs parents; may kiss picture in a book Express emotions; has temper tantrums Great imitator Takes off gloves, socks and shoes and unzips zippers Beginning awareness of ownership May develop dependency on transitional objects Stage of parallel play Findings specific to the child Interpretation

11 Area of Assessment Has sustained attention span Pulls people to show them something Increased independence from parent Dress self in simple clothing Develop visual recognition and verbal self reference Develop awareness that feelings and desires of others may be different and begin to explore implications and consequences Separate more easily from parent In play, put things away; can carry breakable objects, pushes with good steering Begin to notice sex differences; knows own sex May attend to toilet needs without help expect wiping Emotions expand to include pride, shame guilt and embarrassment K. Spiritual Development Assimilate behaviours associated with divine Findings specific to the child Interpretation

!V. Conclusion and Remarks

12 GROWTH AND DEVELOPMENT ASSESSMENT FORMAT FOR PRESCHOOLER

3. Demographic Profile: a. Name of the preschooler: b. Date of Birth: c. Sex: d. Date of admission: e. Hospital number: f. Reason for hospitalization: 11. History of the infant Past history: Present History: Family history:

111. Growth and Development Area of assessment L. M. Vital Signs Temperature Pulse Respiration Biological Development Height Weight Head Circumference Chest circumference

Findings specific to the child

Interpretation

N. Gross Motor Rides tricycle Jumps off bottom step Stands on one foot for a few seconds Goes upstairs using alternate feet May try to dance, but balance may not be adequate Skips and hops on one foot Catches ball reliably Throws ball overhead Walks downstairs using alternate footing

13 Skips and hops on alternate feet Throws and catches ball well Walk backward with heel to toe Balance on alternate feet with eyes closed

D. Fine motor Builds tower of 9 or 10 cubes Places small pellets in narrow-necked bottle Copies a circle Uses scissors successfully to cut picture Copies a square Ties shoe laces Use pencil very well Copies diamond or triangle Print few letters E.Sensory Follow light to midline Turn head to side when sound is made Visually pursues a dropped object Can localize sounds made above the ear Has taste preferences Can follow rapidly moving object F. Language Has vocabulary of 900 words Use complete sentence of three or four words Repeats sentence of six syllables Asks many questions Has vocabulary of 1500 words Use sentences of four or five words Know simple songs Name one or more colors Has vocabulary of 2100 words Uses sentence of 6-8 words Names four or more colours Describe drawing or pictures Knows names of days, week, months

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G. Socialization Dresses self almost completely Pulls on shoes Has increased attention span Feeds self completely Knows own gender and gender of others Play is parallel and associative Tends to be selfish and impatient Has mood swings Play is associative Take pride in accomplishments Eager to do things right and to please others Cares for self, occasionally need supervision in dressing or hygiene

H. Cognition Is egocentric in thought and behaviour Has beginning understanding of time Has improved concept of face Understands time better Unable to conserve matter Is beginning to develop less egocentrism and more social awareness Begins to question what parents think Is more able to view others perspectives May begin to show understanding of conservation of numbers Use time oriented words with increased understanding

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