Name: Hannah Joy Martinez

Address: 362 Brgy Sampaloc 1, Pala-pala, Dasmarinas, Cavite

Birth date: November 25, 2008
Actual Age: 1 year, 2 months, 7 days

Computation for Actual Age:

2009 13 32
2010 02 02
-2008 11 25
0001 02 07

Metro Manila Developmental Screening Test: Tasks Administered

o Personal – Social

- Imitates housework
- Uses spoon, spilling little
- Helps in house, Simple Tasks
- Drinks from cup
- Removes Garment
- Plays ball with the examiner

o Fine Motor Adaptive

- Scribbles spontaneously
- Tower of two cubes
- Tower of four cubes
- Dumps cheese curls from bottle – spontaneously
- Dumps cheese curls from bottle – demonstrated

o Language

- Three words other than mama/papa

- Points to one named body part
- Combines two words
- Names one picture
- Follows directions

o Gross Motor

- Kicks ball forward

- Walks well
- Walks backward
- Walks up steps
- Stoops and recovers
- Throws ball over hand
- Balance on one foot for one second
- Jumps in place
 METRO MANILA DEVELOPMENTAL SCREENING TEST

o Personal – Social

 Imitates housework
The caregiver reports that the child imitates housework like sweeping the floor, or
throwing the trash.

 Uses spoon, spilling little

The caregiver reports that the child can eat on her own and she uses spoon
when eating. The caregiver also reports that the child does not spill much when
eating.

 Helps in house, Simple Tasks

The caregiver reports that the child helps in house sometimes and can do simple
errands. Upon conducting this task, the child hands over the blocks to her aunt when
she was asked to.

 Drinks from cup

The caregiver reports that the child is able to drink from a cup or a glass without
handle. While in the area, the examiner observed that the child can drink from her
glass without spilling much. She was very careful when handling the glass filled with
water.

 Removes Garment
The caregiver reports that the child can remove her clothes even when she’s not
told to. She states that the child can take off her shirt and her shorts without any
assistance.

 Plays ball with the examiner

The child was told to play with the examiner. The examiner handed the ball over
to the child. The child hesitates at first but in the end, throws the ball towards the
examiner.

o Fine Motor Adaptive

 Scribbles spontaneously
The examiner got some paper and a pencil and placed it in front of the child. The
child suddenly picked up the paper and scribbled lines all over the paper.

 Tower of two cubes

The examiner put the wooden blocks in front of the child. The child suddenly
picked up the blocks and stacked them up as high as she can. She held them for a
long time until she’s sure that they’re steady, then let go of her hand. She was able to
stack up as high as five.

 Tower of four cubes

The examiner put the wooden blocks in front of the child. The child suddenly
picked up the blocks and stacked them up as high as she can. She held them for a
long time until she’s sure that they’re steady, then let go of her hand. She reached a
tower of four cubes on her second trial. She was able to stack up as high as five.

 Dumps cheese curls from bottle – demonstrated

The examiner put three cheese curls in the glass bottle. The child put one
cheese curl in the bottle too, and then dumps all the cheese curls out of the bottle.
  Dumps cheese curls from bottle – spontaneously
The examiner put three cheese curls in the glass bottle. The child put one
cheese curl in the bottle too, and then dumps all the cheese curls out of the bottle.

o Language

 Three words other than mama/papa

The caregiver reports that the child can speak three related words other than
mama/ papa.

 Points to one named body part

The child pointed to her eyes when the examiner asked her where her eyes
were. In the same manner, the child pointed to her nose when her grandmother
asked her where her nose was.

 Combines two words

The caregiver reports that the child can combine two related words for others to
understand her. The examiner also heard the child say “ate laro” to her cousin.

 Names one picture

After three attempts, the child failed to name any pictures appropriately. The child
was only able to mimic the sounds made by the pictured animals.

 Follows directions
The child was able to follow directions when the examiner told her to hand over
the blocks to her caregiver and to put down the blocks on the floor. However, when
the examiner told the child to put the blocks on the table, the child handed over the
blocks to her.

o Gross Motor

 Kicks ball forward

A ball was placed in front of the child. The examiner instructed her to kick the
ball. At first attempt, the child picks up the ball and throws it to her grandmother. She
hesitates the second time, but then kick the ball towards the examiner.

 Walks well
The examiner observed that the child can walk well without assistance or without
holding onto objects.

 Walks backward
The caregiver reports that the child is able to walk backward without falling. The
examiner observed that the child could walk backwards for three or more steps, then
stops.

 Walks up steps
The caregiver reports that the child can walk up the stairs of their neighbor (about
20 steps high), holding onto its railings.

 Stoops and recovers

The examiner placed the ball on the floor. The child picked up the ball without
falling out of her balance.
 Throws ball over hand
The examiner handed over the ball to the child. The examiner first showed the
child how the overhand throw was then instructed the child to throw the ball using an
overhand throw.

 Balance on one foot for one second

The child, after three attempts, failed to balance on one foot on either foot. She
was having a difficulty standing on only one foot.

 Jumps in place
The child, even without being told, was jumping all over the place.
INTERPRETATIONS

 PERSONAL – SOCIAL
The child is more interactive with other people although there is a slight anxiety
when meeting strangers. She shows independence as evidenced by using the spoon by
herself when eating, drinking from cup, and removing her garments by herself. She can
also imitate adults like doing housework. She can do simple tasks like running an errand.

 FINE MOTOR ADAPTIVE

She is able to scribble spontaneously and voluntarily. She attempts to imitate
letters. She can make a tower of up to 4 cubes. She can hold a spoon well but she still
has problem controlling her hand movements. She is able to open doors and small
bottles.

 LANGUAGE
The child is able to say 2-3 related words. She is still slurry when making sentences.
She sometimes uses nonverbal cues for the adults to understand her more.

 GROSS MOTOR
She can walk alone and can walk upstairs and seats in chairs she can reach without
assistance. She can run and jump. She can remove her garments without assistance. She
can recover from stooping.

 GENERAL INTERPRETATION
The child is of normal development in relation to her age. She has no delays in any of
the four sectors of development. Though there are two failed tests in two different
sectors, the child was able to pass all the other tests in her age line.
 OTHER ASPECTS OF TODDLER ASSESSMENT

o NUTRITION
The child is on the weaning process. She can eat rice, bread, meat, fruits, and
vegetables, although her diet is composed mostly of milk. She is also fond of eating candies
and sweet food.

o PLAY
She is used to parallel play. She seldom shares her toys to her playmates but plays
willingly with adults. Recommended toys/ plays are blocks, and play-house or any play that
imitates adults (e.g. cooking/ other household chores)

o ELIMINATION PATTERNS
She voids not less than 5 times a day. Her usual color of urine is light yellow. She still
voids in bed. She defecates at least once a day in the morning. Her fecal consistency is moist
but formed, yellow to light brown in color.

o DENTAL HEALTH
She lost her two deciduous teeth (upper central incisors). She has dental caries on
almost all of her teeth. She merely brushes her teeth.

o REST AND SLEEP PATTERNS

She sleeps at an average of 10-12 hours. She sometimes takes a nap in the
afternoon.
 THEORIES ON GROWTH AND DEVELOPMENT

Sigmund Feud Erik Erikson Jean Piaget Lawrence Kohlberg

Psychosexual Theory Psychosocial Cognitive Development Moral Development
Development

According to Freud, According to Erikson’s In Piaget’s theory, In Kohlberg’s theory,

toddlers are in the anal
stage where elimination is
a way of discovery and
exerting independence.
Their main gratification is
through elimination. Here,
a child learns how to
control urination and
defecation.
theory, a toddler’s toddlers are in a transition
developmental task is to between sensorimotor
develop autonomy: a sense stage and preoperational
of independence and thought. One of the
decision making. When subdivisions in this
autonomy is not developed, transition is the tertiary
it may result to shame and circular reaction where
doubt and may never thrive the child is able to
to do anything on her own, experiment and use trial
thus, not overcoming and error to discover new
dependence and properties and
developing a low self- characteristics of objects
esteem. or events. The child is
also capable of space
and time perception and
permanence.
toddlers are included in
Pre-conventional Stage
level 1 where a child
begins to formulate a
sense of right and wrong.
However, the child’s
orientation of right and
wrong is centered on
what his parents tells him
so to avoid punishment.

 In relation to Freud’s In relation to Erikson’s  Piaget’s cognitive  Kohlberg’s theory

theory, the child is now
toilet trained. She can
void/ pass out stool by
herself without any
assistance. She still
voids in bed at night
and still needs further
toilet training.
theory, the child has development applies applies to the child
developed her sense of to the child. Proofs are because although she
autonomy. It showed when the child dumps has developed a sense
when she does the cheese curls from of autonomy, she still
housework without being the bottle and when relies mostly on what
told to, the child stacks the her mother or her
voiding/defecating blocks as high as she caregiver agrees to
without any assistance, can. say. A common
or taking off her punishment in her
garments even without setting is a pinch on
being asked to. She the arm or a slap on
even eats with a spoon her back.
on her own.
 HEAD – TO –TOE ASSESSMENT

General Appearance
- Gait - wide based gait
- Posture - lordotic
- Body Built - small, with absence of baby fats
- Mood - happy and actively participating
- Speech - speaks 2-3 words, slightly slurry
- Heart Rate - 110 bpm
- Respiratory Rate - 30 cpm
- Height - 88.5 cm

Skin
- Color - brown, darker in parts exposed to sunlight
- Texture - smooth
- Moisture - not dry
- Odor - no odor
- Thickness - thick for age
- Turgor - good turgor
- Edema - non-pitting
- Temperature - warm to touch

Nails
- Color - pinkish
- Angle - <160 degrees
- Shape - rounded, clean cut
- Capillary Refill - comes back in <3

Hair
- Distribution - evenly distributed
- Thickness - thick
- Scalp Lesions - no scalp lesions
- Infestations - no presence of infestations
- Dandruff -no presence of dandruff

Skull
- Shape - round and symmetrical
- Fontanels - both fontanels are closed
- Concussions - no concussions
- Lesions/ Lacerations - no lesions/ lacerations

Eyes
- Vision Acuity - 20/20 vision
- Tearing - no reports of tearing
- Use of Glasses/ Corrective Lenses - doesn’t use corrective lenses
- Shape - round
- Light Accommodation - good light accommodation
- Discharges -no discharges
- Lid Margins - aligned
- Eye Lash Distribution - evenly distributed
- Conjunctivas - pinkish
- Sclera - white
- Pupils - reactive to light
- Eye Movements - well coordinated
Ears
- Texture - smooth
- Alignment - aligned to canthus
- Discharges - no discharges
- Hearing Deficits - no reports of hearing deficits
- Lesions - no presence of lesions
- Infections - no ear infections
- Piercing - one on each ear
- Ear Cleaning - twice a week

Nose and Sinuses

- Symmetry - symmetrical, midline
- Discharges - no discharges
- Lesions - no lesions
- Polyps - no polyps
- Nasal Flaring - no nasal flaring
- Obstructions - no obstructions

Mouth
- Lips - pinkish, smooth, moist
- Gums - pinkish
- Dentures - no dentures
- Toothaches - had reports of toothaches
- Teeth - two upper deciduous incisors are absent
- Dental Caries - almost all teeth
- Mouth Sores - no mouth sores
- Dental Habits - merely brushes her teeth
- Lesions - no lesions
- Tonsils - not enlarged
- Uvula - midline, not enlarged, pinkish

Throat and Neck

- Symmetry - midline
- Change in voice - no change in voice
- Hoarseness - no hoarseness
- Sore Throat - no reports of sore throat
- Pain/Stiffness - no reports of pain/ stiffness
- Dysphagia - no difficulty in swallowing
- Lumps - no 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 - symmetrical
- Breath sounds - no breath sounds
- Breathing patterns - regular
- Chest pain - no reports of chest pain
- Dyspnea - no reports of difficulty in breathing
- Orthopnea - no orthopnea
Cardiovascular and Peripheral
- Color of Extremities - extremities are warm to touch
- Heart Murmurs - no heart murmurs
- Chest Pain - no reports of chest pain
- Heart Disease - no reports of heart disease

Abdominal/Gastrointestinal
- Shape - prominent abdomen (pouchy belly)
- Texture - smooth
- Pain - no reports of abdominal pain
- Appetite - no reports in change in appetite
- Usual bowel habits - once a day in the morning
- Changes in stool color - no changes in stool color
- Stool Characteristics - moist but formed, yellow to brown in color
- Distention - no distention
- Flatulence - no reports of flatulence

Reproductive
- Lesions - no lesions
- Discharges - white and minimal

Genitourinary
- Urine color - light yellow
- Voiding patterns - not less than 5 times a day
- Dysuria - no difficulty in voiding
- Urine Retention - good urine retention
- Flank Pain - no reports of 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

Hematological
- Bruising - no bruises
- Bleeding - no bleeding present

Lymph Nodes
- Enlargement - not enlarged
- Tenderness - non-tender