Name: Jaimee Lorraine Marzo Address: 013 Narra St.

, Kayquit, Indang, Cavite Birth date: January 02, 2006 Actual Age: 4 year, 1 months, 7 days Computation for Actual Age: 2010 -2006 0004 02 01 01 09 02 07

Metro Manila Developmental Screening Test: Tasks Administered o Personal – Social - Buttons Up - Plays Interactive Games - Uses Spoon, Spilling Little - Puts on clothing - Washes and Dries Hands - Dresses with Supervision - Separates from mother easily - Dresses without supervision

o Fine Motor Adaptive
- Copies + - Copies O - Draws man in 3 parts - Picks longer line - Copies □ - Imitates □ – demonstrated - Draws man in 5 parts o Language - Comprehends cold, tired, hungry - Comprehends 3 prepositions - Opposite analogies - Uses plurals - Gives first and last names - Recognizes 3 colors - Defines 4 words - Comprehends o Gross Motor - Balance on 1 foot for 10 seconds - Hops on 1 foot - Catches bounced ball - Heel-to-toe walk - Balance on 1 foot for 5 seconds - Backward heel-toe walk

METRO MANILA DEVELOPMENTAL SCREENING TEST o Personal – Social  Buttons up The child fails this test. The examiner asks the child if she knows how to button her clothes. The child says no. The examiner lets the child button her dress but the child doesn’t really know how to. She says that her mother does it for her that’s why she doesn’t know how to button her clothes.  Plays Interactive Games The child passed this test when she said she plays Tag (tayaan) with her classmates. She also said she likes playing hide-and-seek with her classmates sometimes.  Uses spoon, spilling little The child passed this test. She said she can eat by herself without any help from her parents. She also said she spills some rice when eating.  Puts on clothing The child passed this test. The examiner asked the child if she knows how to put on her shoes. The examiner takes off the child’s shoes and lets the child put it on. The child knows how to put on her shoes correctly and in the right foot.  Washes and dries hand The examiner asked the child if she can wash her hands. The child said her mother washes her hands but she dries them herself. The examiner asked again if, by any chance, she can wash her hands without anyone helping her. The child answers no. The child failed the test.  Dresses with supervision The examiner asked the child if she can dress herself in any way, example, her underpants or her blouse. The child said her mother does it for her and that she doesn’t do anything because her mother does it all. The child fails the test.  Separates from mother easily The examiner asked the child if she’s used to being left with someone else or being left alone. The child said that she is used to being left alone because both her parents go to office/work. She said she doesn’t cry because her mother always tells her to behave and that she will be back to pick her up. The child passed the test.  Dresses without supervision The examiner asked the child if she can dress herself in any way, example, her underpants or her blouse. The child said her mother does it for her and that she doesn’t do anything because her mother does it all. The child fails the test. o Fine Motor Adaptive  Copies + The examiner showed a picture of + and told the child to draw one too. The child passed when she drew/ copied it.  Copies O The examiner showed a picture of O and told the child to draw one too. The child passed the test when she drew/ copied it.

 Draws man in 3 parts The examiner asked the child to draw a man and a woman. The child was able to draw a man and a woman with three parts, consisting of head, trunk, upper and lower extremities. The child passed the test.  Picks longer line The examiner showed the child a picture of two parallel lines in different lengths, where one is longer. The examiner then asked the child which line is longer and the child answered/picked the one on the right. The examiner turned the picture in different directions and still, the child answers correctly. The child passed the test.  Copies □ The examiner showed the child a picture of □ and told the child to imitate the picture. The child passed the test. She was able to make a closed □ on the third trial.  Imitates □ – demonstrated The examiner showed the child a picture of □ and told the child to imitate the picture. The child passed the test. She was able to make a closed □ on the third trial.  Draws man in 6 parts The examiner asked the child to draw a man/ a woman. She was able to draw a woman with head, trunks, upper extremities, lower extremities, and ears. She was not able to draw a man in 6 parts, only 5 parts. The child failed the test. o Language  Comprehends cold, tired, hungry The examiner asked the child what she does whenever she’s cold, tired, or hungry. She answered jacket, upo, and kain, respectively. The child passed the test.  Comprehends 3 prepositions The examiner asked the child to put the block on the table, under the table, in front of the chair, and behind the chair. The examiner repeated each questions thrice. The child was able to do all of what the examiner said. The child passed the test.  Opposite Analogies. The examiner asked the child: If fire is hot, ice is what? If mother is a woman, then father is a? If a horse is big, then what about the mouse? The child answered yellow, lalaki, and liit, respectively. The child was able to answer 2 out of 3 questions correctly. She passed the test.  Uses plurals The examiner asked the child what she was holding. The child answered “laruan” instead of “mga laruan”. The examiner repeated the question for 3 times. Her answer was still the same. The child failed the test.  Gives first and last name The examiner asked the child what her full name is. The child was only able to answer her first name. The examiner asked the child the same question thrice. The child still doesn’t know her last name. The child failed the test.  Recognizes 3 colors

The examiner placed all the colored wooden blocks in front of the child. The examiner asked the child what color is at each block. The child was able to point out the colors yellow, blue, and green correctly.  Defines four words The examiner asked the child what is a ball, a river, a house, a banana, a curtain, a desk, a roof, a fence, and a street. The child answered bilog, sa dagat, tira si mama at papa, kain, a pause, sulat, andun sa house po, gate, and tawid respectively. The child was able to answer seven questions correctly. The child passed the test.  Comprehends The examiner asked the child what is a spoon made of? A shoe made of? A door made of? The child wasn’t able to answer the question. The child failed the test. o Gross Motor  Balance on 1 foot for 10 seconds The examiner demonstrated to the child how to stand on 1 foot. The child imitated the examiner and did it for 12 seconds. The child passed the test.  Hops on 1 foot The examiner told the child to hop on one foot. The child was able to hop for 5 times. The child passed the test.  Catches bounced ball The examiner asked the child if she knows how to catch a ball. At first, the child refuses to play, but eventually liked playing it too. The child can catch a bounced ball. The child passed the test.  Heel-to-toe walk The examiner demonstrated how to do this and the child imitated her for 5 steps. The child passed the test.  Balance on 1 foot for 5 seconds The examiner demonstrated to the child how to stand on 1 foot. The child imitated the examiner and did it for 12 seconds. The child passed the test.  Backward Heel-toe walk The examiner demonstrated how this is done. The child imitated it for 4 steps. The child passed the test.

INTERPRETATIONS  PERSONAL – SOCIAL The child is still very dependent to her mother in terms of self-care. She still does not know how to dress herself and she never tries to. She can’t even wash her hands without her mother. On the other hand, the child plays interactive games with her playmates and she knows how to eat by herself without spilling much.  FINE MOTOR ADAPTIVE The child can imitate/ draw things she saw or those that she has an idea with. She’s good in hand-eye coordination.  LANGUAGE The child can now understand questions with what, how and why. She was able to pass almost all of the test items.  GROSS MOTOR The child has well developed motor skills. She was able to pass all the test items in this sector.  GENERAL INTERPRETATION The child has a well developed fine-motor skills, language skills, and gross motor skills. However, four delays can be seen in her personal-social skills. Her development status is questionable.

OTHER ASPECTS OF PRESCHOOLER ASSESSMENT NUTRITION The child eats rice, bread, fruits, vegetables, meat, and fish. She has no food preference/particulars. o PLAY The child is very imaginative and she knows how to play interactive games. She said she only plays by herself when she’s at home. A recommended toy is modeling clay. Role modeling is also a good play that will not only let her imagination run wild but it will also teach her some things. o ELIMINATION PATTERNS She voids not less than 4 times a day, yellowish in color. She defecates at least once a day, every the morning, light brown in color, moist but formed. o DENTAL HEALTH The child has a complete set of deciduous teeth. She brushes her teeth once a day, daily. o o o REST AND SLEEP PATTERNS She sleeps at an average of 10-12 hours. She doesn’t takes a nap in the afternoon.

COGNITIVE The child has centering, and time and distance orientation. She also knows how to answer questions with what, how, and why. SOCIALIZATION The child interacts with people, although she’s still a bit shy. She’s polite and modest with people. She plays with her classmates. o

THEORIES ON GROWTH AND DEVELOPMENT Sigmund Feud Psychosexual Theory According to Freud, preschoolers are in phallic stage where a child learns sexual identity through awareness of genital area Erik Erikson Psychosocial Development According to Erikson’s theory, a preschooler’s developmental task is to develop initiative. When initiative fails, guilt ensues. The child might develop a low self-esteem and a bad self-concept. Jean Piaget Cognitive Development In Piaget’s theory, a preschooler is in Preoperational Thought wherein thought becomes more symbolic. Child is also egocentric, time and distance orientation, and centering. Lawrence Kohlberg Moral Development In Kohlberg’s theory, the preschooler is in Preconventional (Level 1Stage 2): Individualism. This is the point when a child will do something for another if the child will get something in return. This is also the time when a child likes to imitate things.

 In relation to Freud’s
theory, the client is aware of her gender. She can differentiate a man from a woman when the examiner asked her to draw a man and a woman.

In relation to Erikson’s
theory, the client does not have initiative in selfcare, specifically in dressing and hygiene. She became dependent of her mother so that she will not commit any mistakes.

Piaget’s cognitive
development applies to the child. Proofs are her centering. She also answers most questions logically and correlatively, a proof of the child’s developing intellect. She can answer questions with what, how, and why.

 In relation to Kohlberg’s theory, the client is very egocentric that she only speaks whenever the examiner mentions that they will play later.

HEAD – TO –TOE ASSESSMENT General Appearance - Gait - Posture - Body Built - Mood - Speech - Temperature - Pulse Rate - Respiratory Rate - Height - Weight Skin Color Texture Moisture Turgor Edema Temperature Color Angle Shape Capillary Refill Distribution Thickness Scalp Lesions Infestations Dandruff Shape Fontanels Concussions Lesions/ Lacerations - symmetrical bilaterally aligned, with knocked knees - erect - ectomorph - happy - slow but clear - 36.6o C - 84 bpm - 34 cpm - 88.5 cm - 14 kg - brown, darker in parts exposed to sunlight - smooth, intact - not dry - good turgor - non-pitting skin - warm to touch - pinkish - 160 degrees - rounded, clean cut - comes back in <3 seconds - evenly distributed - thick for age - no scalp lesions, scalp is intact - no presence of infestations -no presence of dandruff - round and symmetrical - both fontanels are closed - no concussions - no lesions/ lacerations, skin are intact

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Nails -

Hair -

-

Skull -

-

Eyes -

-

-

Vision Acuity - 20/20 vision Use of Glasses/ Corrective Lenses - doesn’t use corrective lenses Shape - round Light Accommodation - with good light accommodation Discharges -no discharges Lid Margins - aligned Eye Lash Distribution - evenly distributed Conjunctivas - pinkish Sclera - white Pupils - reactive to light Eye Movements - equal and well coordinated

Ears -

-

-

Texture Alignment Discharges Hearing Deficits Lesions Infections Piercing

- smooth - aligned to canthus - no discharges - child hears well even whispered words - no presence of lesions, skin is intact - no ear infections - one on each ear - symmetrical, midline - no discharges - no lesions, skin is intact - no polyps - no nasal flaring - no obstructions - pinkish, smooth, moist - pinkish - no dentures - complete set of deciduous teeth - almost all teeth - no mouth sores - once a day, every morning - no lesions, skin is intact - enlarged, pinkish - midline, not enlarged, pinkish - midline, symmetrical - no observed hoarseness in voice - no reports of sore throat - no reports of pain/ stiffness - no difficulty in swallowing - no lumps

Nose and Sinuses - Symmetry - Discharges - Lesions - Polyps - Nasal Flaring - Obstructions Mouth - Lips - Gums - Dentures - Teeth - Dental Caries - Mouth Sores - Dental Habits - Lesions - Tonsils - Uvula Throat and Neck - Symmetry - Hoarseness - Sore Throat - Pain/Stiffness - Dysphagia - Lumps

Breast/ Axilla - Symmetry - symmetrical - Nipples, Areola, Discharges - no discharges - Pain - no reported pain - Tenderness - no reported tenderness - Lumps - no lumps - Rashes - no rashes Chest and Respiratory - Symmetry - Breathing patterns - Chest pain - Dyspnea - Orthopnea - symmetrical - regular - no reports of chest pain - no reports of difficulty in breathing - no orthopnea

Cardiovascular and Peripheral - Color of Extremities - no changes in color of extremities

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Heart Murmurs Chest Pain

- no heart murmurs - no reports of chest pain - slimmer/ flat - smooth - no presence of ascites - no reports of abdominal pain - no reports in change in appetite - once a day in the morning - no changes in stool color - moist but formed, light brown in color - no distention - no lesions, skin are intact - minimal white discharges - yellowish - not less than 4 times a day - no difficulty in voiding - no reports of flank pain

Abdominal/Gastrointestinal - Shape - Texture - Ascites - Pain - Appetite - Usual bowel habits - Changes in stool color - Stool Characteristics - Distention Reproductive - Lesions - Discharges Genitourinary - Urine color - Voiding patterns - Dysuria - Flank Pain

Musculoskeletal - Joint stiffness - no joint stiffness, joints can be flexed without difficulty - Range of Motion - full range of motion - Deformities, dislocations, and fractures - no deformities/ dislocations/fractures - Pain - no reports of pain - Weakness - child is active and attentive Hematological - Bruising - Bleeding Lymph Nodes - Enlargement - Tenderness - no bruises - no bleeding present - not enlarged - non-tender

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