GROWTH AND DEVELOPMENT STUDY OF

NEONATES
Identification data:-
Name of the child:-
Child’s Father/Mother’s name:-
Age of the child:-
Developmental stage:-
Gender:- Date of Admission:-
C.R No:-
Ward:-
Bed Number:-
Diagnosis:-
Name of surgery:-
Date of surgery:-
Name of the relative:-
Date of Assessment:-
Adress:-
 Physical Assessment Performa
S Assessment Feature Normal Child Remarks
No Value value
.
1 Anthropometric
measurement
 Head circumference
 Chestcircumference
 Abdominal
circumference
 UMA Circumferance
 Crown to rump length
 Head to heal lenghth
 Birth weight

2 Vital signs
 Axillary temp
 Apical heart rate
 Respiration
 Oscillometric BP

3 General Appearance
 Posture

 Skin

 Head

 Eyes

 Ear

 Nose

 Mouth &Throat

 Neck

 Chest

 Lungs

 Heart

 Abdomen

 Back & Rectum

 Extremities
 Neuromuscular system (Reflexes)
S.no Assessment Normal Value Child Remarks
features Value
1 Reflexes of eye
 Blinking

 Pupillary

reaction

 Doll’s Eye

2 Reflexes of nose
 Sneez

 Glabellar
3 Reflexes of
Mouth
 Rooting

 Sucking

 Gag
  Extrusion

 Cough
4 Reflexes of
extrimities
 Grasp

 Babinski
5  Mass reflexes

 Moro’s

 Perez

 Tonic neck

 Glant reflex

 Dance &

Stepping

 Crawl
 GROWTH AND DEVELOPMENT STUDY OF
INFANTS
Name of the child:-

Child’s Father/Mother’s name:-

 Age of the child:-

Developmental stage:-

Gender:-

Date of Admission:-

C.R No:-

Ward:-

Bed Number:-

Diagnosis:-

Name of surgery:-

Date of surgery:-

Name of the relative:-

Date of Assessment:-

Adress:-

S.No Assessment feature Normal values Child’s Remarks

value
1 Physical/Biological
development:-
 Weight :- 0-4 mon:-
5-8 mon:-
9-12 mon:-
Head circm.:- Till 3mon:-
3-12 mon:-
Chest circm.:- At birth:-
1st year:-
Height :- At birth:-
During 1st year:-
Vital signs :- Apical heart rate
Resp:-
Oscillometric
BP:-
Dentition :-
Posterior Fontanel:-

Expected Weight
calculation
formula:-

2 Motor
 Development
Gross motor:- 3 Mon;-
5 mon:-
8 mon:-
9 mon:-
10 mon:-
11 mon:-
12 mon:-
Fine motor :- 4 mon:-
5 mon:-
7 mon:-
9mon:-

3 Sensory 2 mon:-
development 3 mon:-
4 mon:-
5 mon:-
6 mon;-
7 mon:-
8 mon:-
9 mon:-
10 mon:-
11mon:-
 12mon:-

4 Language 2 mon:-
development 3 mon:-
4 mon:-
5 mon:-
6 mon;-
7 mon:-
8 mon:-
9 mon:-
10 mon:-
11mon:-
12mon:-

5 Social development 2 mon:-

3 mon:-
4 mon:-
5 mon:-
6 mon;-
7 mon:-
8 mon:-
 9 mon:
10 mon:-
11mon:-
12mon:-

6 Psychosocial
development:-
Trust versus 1 mon:-
mistrust:- 2 mon:-
3mon:-
4 mon
5 mon:-
6 mon;-
7 mon:-
8 mon:-
9 mon:-
10 mon
11mon:-
12mon
7 Psychosexual Oral stage (0-
development 1yr)
8 Spiritual Undifferentiated
development (0-1 year)

9 Moral development Pre conventional

morality Stage
(0-2 year)

10 Intellectual Sensorimotor
development stage(0-2 year)
Substage 1(birth
to 1 mon)
Substage 2(1-4
mon)
Substage 3(4-8
mon)
Substage 4(8-12)

11 Play stimulation Onlooker Plan

(1-3 mon)

Solitary
 Play(Playpen)4-
7 mon

8-12 mon

GROWTH AND DEVELOPMENT STUDY OF

TODDLER
Identification data:-
Name of the child:-
Child’s Father/Mother’s name:-
Age of the child:-
Developmental stage:-
Gender:- Date of Admission:-
C.R No:-
 Ward:-
Bed Number:-
Diagnosis:-
Name of surgery:-
Date of surgery:-
Name of the relative:-
Date of Assessment:-
Adress:-

S.No Assessment feature Normal values Child’s Remarks

value
1 Physical/Biological
development:-
Weight :- 1-3 year:-

Head circm.:-

Chest circm.:-
 Height :-

Vital signs :- Apical heart

rate
Resp:-
Oscillometric
Dentition :- BP:-

Expected Weight
calculation formula:

2 Motor Development
Gross motor:-
15 Mon:-
18 mon:-
24 mon:-
Fine motor :- 30 mon:-
15 Mon:-
18 mon:-
24 mon:-
30 mon:-
3 Language 15 Mon:-
development 18 mon:-
24 mon:-
30 mon:-

4 Social development 15 Mon:-

18 mon:-
24 mon:-
30 mon:-

5 Psychosocial
development:-
Autonomy versus
shame &doubt(1-3
years):-

6 Psychosexual Anal stage (1-

development 3yr)
7 Spiritual Intuitive-
development projective

8 Moral development Pre

conventional
Stage 0
(0-2 year)
Stage 1(2-
3years)

9 Intellectual Sensorimotor
cognitivedevelopmen Substage 5(12-
t 18mon)
Substage 6(18-
24 mon)

10 Sensory development Visual Acuity:-

20/40
11 Play Stimulation Parallel play
Creative play
 motor play
Quit play
Dramatic play

GROWTH AND DEVELOPMENT STUDY OF

PRE-SCHOOL
Name of the child:-
Child’s Father/Mother’s name:-
Age of the child:-
Developmental stage:-
Gender:-
Date of Admission:-
C.R No:-
Ward:-
Bed Number:-
Diagnosis:-
 Name of surgery:-
Date of surgery:-
Name of the relative:-
Date of Assessment:-
Adress:-

S.No Assessment feature Normal values Child’s Remarks

value
1 Physical/Biological
development:-
Weight :- 3year
4year
5year
Head circm.:- 3-6year
Height :- 3year
4year
5year
Vital signs :- Pulse rate
Resp:-
BP:-
2 Motor
Development 3year
Gross motor:- 4year
5year
6year
Fine motor :- 3year
4year
5year
6year

3 cognitive 3year
development 4year
5year
6year

4 Language 3year
development 4year
5year
6year
5 Psychosocial
development:- 3year
Sense of initiative 4year
5year
6year

6 Psychosexual phallic stage (3-

development 6yr)

7 Spiritual
development
8 Moral development
9 Intellectual Sensorimotor
cognitive Substage 5(12-
development 18mon)
Substage 6(18-
24 mon)

10 Sensory Visual Acuity:-

development 20/20
11 Play Stimulation
 GROWTH AND DEVELOPMENT STUDY OF
SCHOOL AGE
Name of the child:-
Child’s Father/Mother’s name:-
Age of the child:-
Developmental stage:-
Gender:-
Date of Admission:-
C.R No:-
Ward:-
Bed Number:-
Diagnosis:-
Name of surgery:-
Date of surgery:-
Name of the relative:-
Date of Assessment:-
Adress:-
S.No Assessment feature Normal values Child’s Remarks
value
1 Physical/Biological
development:-
Weight :- 6year
7year
8-9year
10-12 year
Height :- 6year
7year
8-9year
10-12 year
Vital signs :- 6-8 yr
Pulse rate
Resp:-
BP:-
8-10 yr
Pulse rate
Resp:-
 BP:-
10-12 yr
Pulse rate
Resp:-
BP:-
Dentition
Exp.Wt. Cal Age in
Formula yr*7.5/2*100

2 Motor
Development
Gross motor:- 6-8year
8-10year
10-12year
Fine motor :- 6-8year
8-10year
10-12year

3 Intelectual 6-8year
development 8-10year
10-12year
4 Language 6-8year
 development 8-10year
10-12year
5 Self care
development:-
Feeding skills

Grooming and
dressing skills
6 Psychosexual Latency stage
development (6-12yr)

7 Spiritual Mythical-litral
development fath

8 Moral development
9 Intellectual Sensorimotor
cognitive Substage 5(12-
development 18mon)
Substage 6(18-
24 mon)

10 Sensory Visual Acuity:-

development 20/20
11 Play Stimulation 6-8year
8-10year
10-12year
 GROWTH AND DEVELOPMENT STUDY OF
ADOLESCENTS
Name of the child:-
Child’s Father/Mother’s name:-
Age of the child:-
Developmental stage:-
Gender:-
Date of Admission:-
C.R No:-
Ward:-
Bed Number:-
Diagnosis:-
Name of surgery:-
Date of surgery:-
Name of the relative:-
Date of Assessment:-
Adress:-

S.No Assessment feature Normal values Child’s Remarks

 value
1 Physical/Biological
development:-
Weight :- Early adolsc.
Male
Female
Middle adolesc
Male
Female
Late adolesc
Male
female
Height :- Early adolsc.
Male
Female
Middle adolesc
Male
Female
Late adolesc
Male
female
Vital signs :- Temp
Pulse rate
 Resp:-
BP:-
Secondary sexual Boys
development Girls

Expected weight Age in

calculation formula year*7.5/2*100
2 Motor
Development
3 cognitive
development
4 Language
development
5 Psychosocial
development:-
Identity versus role
confusion (12-18)

6 Psychosexual Genital stage

development (12-18yr)

7 Spiritual Synthetic
 development conventional
faith

8 Moral development
9 Intellectual Formal
cognitive operational
development Thought
10 Sensory Visual Acuity:-
development 20/20
11 Play Stimulation