GROWTH AND DEVELOPMENT

Client Assessment

Instruction:

1. Visit each client on a monthly interval from Term 1 to 4

2. Fill up the necessary information required for the interview and physical
examination.

3. Check [ / ] each box if development milestone is observed.

Cross [ X ] if it is not observed. Write NO for no opportunity, and R for
refused.
 Checklist for Growth and Development for Infant
Name: C_la_i_re K_. _Pa_d_e_n
Sex: Female [ / ] Male [ ]
Birth Date: _A_u_g_u_s_t_2_9_,2_0_2_1
Birth Weight: 7.9 pounds
Head Circumstance: 3_6 cms. Chest Circumstance: 38 cms.
Address:P_u_ro_k_7 Pediatrician: Dr. Asesntista
B_u_ta_d_o_n_K_a_p_at_a_g_an_,_L_a_na_o_d_e Father: Roel Paden
_l_Norte
Mother: C_le_a_r_je_n_e_P_a_d_e_n

ASSESSMENT 9/14/2021 10/8/2021 11/10/2021 12/10/2021

I. Physical Assessment
- weight 3.6 kg 4.3 kg
- height 48 cm 51 cm
- number of teeth 0 0
- drooling Present Present
- posterior Lanugo Lanugo
- temperature 36.6 36.4
- pulse 121 122
- respiration 38 38
- BP x no pedia cuff
available
x no pedia cuff
available
II. Motor Control
- Head sags when supported / /
- Lifts head when held against mother’s shoulders / /
- Can turn his head to the side when in prone position / /
- Can push with feet against a hard surface to move / /
oneself forward
- Shows “dance” reflex when held / /
- Well-developed tonic neck reflex / /
- Holds hands in fist / /
- Can lift head & chest when lying on his abdomen / /
- Moro reflex present / /
- Can turn from side to back x x
- Holds hands up infront of him x /
- Can hold rattle for a brief period of time x x
- Plays with hands and knees x x
- Reaches for shiny objects x x
- Can hand carry the object to mouth at will x x
- Holds back straight when pulled to sitting position x x
- Reaches for objects which are beyond his grasp x x
- Grasp with whole hands / /
- Hitches x x
- Plays with his feet and puts them in his mouth x /
- Can transfer a toy from one hand to the other x x
- Holds his bottle x x
- Can put nipple in & out at will / /
- Creeps x x
5.4 kg 6.3 kg
55 cm 61 cm
0 0
Present Present
Smooth skin Fine
36.3 36.2
124 122
37 36
x no pedia cuff
available
x no pedia cuff
available
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
x /
/ /
/ /
/ /
/ /
x /
x x
x x
/ /
x x
/ /
x NO
x x
/ /
x /
 Date Date Date Date
- Raises himself to sitting position x x x x
- Pulls himself to his feet x x x x
- Picks object fairly well x x x x
- Releases a toy / / / /
- Bring hands together x x x /
- Stands erect x x x x
- Walks with help x x x x
- Holds crayon x x x x
- Drinks from cup glass x x x x
- Eats from spoon x x x x
- Cooperates in dressing x x x x
- Takes off his socks / / / /
III. Vision
- Stares indefinitely at surroundings / / / /
- Follows object to midline of the vision x x x /
- Follows a moving light object with eyes x x / /
- Shows binocular coordination x x x /
- Voluntarily winks at objects x / / /
- Threatens his eyes x x x x
- Recognizes familiar objects x x / /
- Stares at rattles placed in hand / / / /
- Arms activated on sight or dangling toy / / / /
IV. Vocalization & Socialization
- Utters small throaty sounds x / / /
- Smiles indefinitely x / / /
- Shows social smile in the response to another’s smile x x x /
- Pays attention to speaking voice x x x x
- Laughs aloud x x x /
- Smiles in response to another’s face x x x /
- Cries when scolded x x x x
- Coos and gargles when talked to x / / /
- Vocalizes his/her displeasure when desired object is x x
x x
taken from him/her
- Babbles / / / /
- Fears strangers x x x /
- Makes polysyllable vowel sounds x x x x
- Says “Da-da” x x x x
- Says “m-m-m” when crying x x x /
- Pays attention to his name x x / /
- Plays simple games like “peek-a-boo” and “pat-a- x x
x /
cake”
- Recognizes meaning of “no” x x / x
- Loves rhythms x x x /
- Shows egocentrism x x x x
 Checklist for Growth and Development for Toddler

Name: Je_u_n_e_R_e_a_t_h_e_r _D_.

_B_a_h_il Sex: Female [ ] Male [ / ]
Birth Date: _A_u_g_u_s_t _2_6_, 2_0_2_0 Birth Weight: 2.8 kg
Age: 1 ye_a_r Father: _J_o_v_e_n_T_._B_a_h_il
Mother: R_iz_z_i _A_. _B_ah_i_l Pediatrician: _D_r_. _A_id_e_le_n_n
W_o_n_-_B_a_ja_n_d_i _
Address: _B_lk_._8_L_o_t_2_1_G_a_r_d_e_n_G_r_o_o_v_e_, S_a_l_it_ra_n_,_D_a_smariñas, Cavite

ASSESSMENT 9/08/2021 10/08/2021 11/10/2021 12/9/2021

I. Physical Assessment
- weight 11 kg 12 kg
- height 88 cm 89 cm
- number of teeth 8 8
- anterior fontanel closed closed
- abdomen protrudes / /
- temperature 36.4 36.3
- pulse R R
- respiration 37 36
- BP x no pedia cuff x no pedia
available cuff available
II. Motor Control
- Walks alone x x
- Creeps upstairs / /
- Builds tower of blocks x x
- Throws object repeatedly / /
- Open boxes / /
- Holds cup with fingers / /
- Grasps spoon and inserts into a disk x NO
- Runs with wide stand x x
- Pulls toy behind him/her / /
- Pushes light pieces of furniture around the room / /
- Climbs stairs and furniture / /
- Seats on a small chair / /
- Scribbles vigorously / /
- Fills his spoon / /
- Jumps x x
- Walks up and down the stairs / /
- Opens doors or turning door knobs / /
- Drinks well from a glass held in one hand x x
- Puts spoons in his mouth without turning it x x
- Walks on tiptoes / /
- Stands on one foot alone x x
- Throws a large ball 4 to 5 feet / /
- Copies horizontal/vertical line NO x x
12.5 kg 11.6 kg
89.5 cm 89.3 cm
10 11
closed closed
/ /
36 35
105 114
37 41
x no pedia x no pedia cuff
cuff available available
/ /
/ /
x /
/ /
/ /
/ /
x NO
x /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
x /
/ /
x x
x x
/ /
x
 Date Date Date Date
III. Vocalizes & Socialization
- Uses jargon x / / /
- Says familiar words or expressions / / / /
- Vocalizes his wants and points to the desired objects / / / /
- Indicates when diaper is wet x x / x
- Uses phrases composed of objectives and nouns x x x x
- Shows temper tantrums / / / /
- Toilet trained x x x /
- Smears stools x NO x x
- Makes short sentences / / / /
- Obeys simple commands / / / /
- Thumb-sucking x x x x
- Enjoys parallel play x NO x x
- Shares possessions / / / /
- Enjoys hearing stories illustrated with pictures / / / /
- Brings to bed favorite toy / / / /
- Asks questions x x x x
- Identifies 10, 25, 100 centavo, 1php & 5php coins x x x x
- Shows interest in relatives x x / /
 Checklist for Growth and Development for Preschooler
Name: A_y_e_s_h_a_P_._O_mar Sex: Female [ / ] Male [ ]
Birth Date: _Ja_n_u_a_r_y _1_4_, _20_1_8 Birth Weight:
Address: _2_nd_R_d_._, _Sa_b_a_a_n_V_i_ll_a_ge_,_P_a_t_ag_,_C_D_OC_ Pediatrician:
D_r_._A_s_m_i_n_M. C_o_ma_ra_d_a_n_g_- _T_a_go_ranao
Mother: C_e_c_il_ia_C_._Ma_p_an_d_i Father: Omar Khalil M. Mapandi

ASSESSMENT 9/04/2021 10/08/2021 11/11/2021 12/10/2021

I. Physical Assessment
- weight 14 kg 14 kg
- height 105 cm 105 cm
- number of teeth 20 20
- temperature 36.1 36.3
- pulse 76 bpm 85 bpm
- respiration R R
- BP x no pedia cuff x no pedia cuff
available available
II. Motor Control
- Rides tricycle using pedals x x
- Walks downstairs alone / /
- Walks upstairs, alters his feet x x
- Jumps from a low step / /
- Jumps from a high step x x
- Dance / /
- Pours fluids from a pitcher well x /
- Uses scissors / /
- Strings large beads NO NO
- Draws pictures / /
- Undresses himself / /
- Unbuttons buttons NO / /
- Goes to toilet / /
- Washes hands / /
- Brushes teeth / /
- Feeds himself / /
- Dusts objects / /
- Climbs well / /
- Goes up and down the stairs / /
- Holds the railing and uses legs alternately / /
- Throws ball overhead / /
- Laces shoes x x
- Runs skillfully and play games / /
- Hops well / /
- Skips on alternating feet / /
- Uses a hammer & hits a nail on the head / NO
- Forms some letters correctly x /
15 kg 17 kg
105.6 cm 106.3 cm
20 20
36.1 35.9
76 bpm 81 bpm
16 16
x no pedia cuff x no pedia cuff
available available
/ /
/ /
x /
/ /
x /
/ /
/ /
/ /
NO NO
/ /
/ /
/
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
x x
/ /
/ /
/ /
NO NO
/ /
 - Folds paper diagonally / NO / /
Date Date Date Date
- Prints name x x x x
- Wash him/herself without wearing clothes / / / /
- Dresses him/herself without wearing clothes / / / /
- Dresses him/herself without assistance / / / /
IV. Vocalization, Socialization, and Mental Abilities
- Uses language fluently & with confidence / / / /
- Uses plural nouns/words in speech / / / /
- Appears to care whether others listen or not / / / /
- Sings simple songs / / / /
- Knows his/her gender / / / /
- Plays simple games / / / /
- Toilet-trained at night / / / /
- Repeats numbers / / / /
- Interested in colors / / / /
- Exaggerates, boasts, and talks with others x x x x
- Talks with imaginary companions x x x x
- Cooperates in play groups / / / /
- Run errands outside the house / / / /
- Is selfish and impatient x / / /
- Names objects in succession / / / /
- Knows how old he/she is / / / /
- Counts corns x NO NO x
- Names one or more objects well / / / /
- Knows names of days and weeks x x x x
- Talks constantly / / / /
- Asks for meaning of words / / / /
 Checklist for Growth and Development for School-Age Child
Name: Ma_r_vy G_h_a_il _R_. Sex: Female [ / ] Male [ ]
_A_m_o_r_o_s_o Birth Weight: 2.8 kg
Birth Date: N_o_v_e_m_b_e_r_1_9_,
_2_01_2
Head Circumstance: 54 cms. Chest Circumstance: 63.5 cms.
Address: Pediatrician: D_r_. _R_ed
Z_o_n_e_1_, _B_u_lu_a_,_C_D_O_C_,_Mis_. Father: M_a_r_k_P_. _A_m_o_r_o_s_o
_O_r_.
Mother: I_vy R_. _A_m_o_r_o_so

ASSESSMENT 9/10/2021 10/09/2021 11/11/2021 12/10/2021

I. Physical Assessment
- weight 23 kg 25 kg 27.5 kg 28 kg
- height 122.8 cm 123 cm 123.2 cm 124 cm
- number of teeth 24 23 23 22
- temperature 35.8 36.1 36.4 35.8
- pulse 80 bpm 83 bpm 81 bpm 84 bpm
- respiration 15 15 16 16
- BP x no pedia cuff x no pedia cuff x no pedia x no pedia
available available cuff available cuff available
II. Motor Control
- Appears to be in constant motion / / / /
- Enjoys physical activity / / / /
- Is clumsy / / / /
- Jumps rope x x x /
- Rides on a bicycle / / / /
- Hammers/builds/structures / / / /
- Fastens clothes / / / /
- Ties shoelaces x / x x
- Wiggles, looses teeth / / / /
- Enjoys skating NO NO NO NO
- Moves gracefully x x x x
- Shows well-developed hand-eye coordination / / / /
- Shows skill in manual activities / / / /
- Shows interest in competitive sports NO / NO /
- Taps feet on the floor / / / /
- Drums fingers on the floor x x x x
- Drums fingers on the table tops / / / /
III. Vocalization, Socialization, and Mental Abilities
- Speaks properly / / / /
- Asks questions / / / /
- Uses language aggressively x x x x
- Shares experiences with others / / / /
- Distinguishes right from left / / / /
- Reverses one (1) or two (2) digits in printing NO NO NO NO
- Is able to draw a man / / / /
- Is able to obey commands given in succession / / / /
- Is oriented to time and space / / / /
Date Date Date Date
- Knows what month it is / / / /
- Has improved attention span / / / /
- Repeats numbers in succession / / / /
- Is able to write instead of print / / / /
- Repeats days of the week / / / /
- Takes care of bodily needs x / / /
- Like mystery stories, science fiction, & practical
/ / / /
magic
- Is able to see moral stories x / / /
- Is interested in world affairs x x x x
- Is eager to learn about health / / / /
- Shares secrets / / / /
- Plays with same sex group / / / /