GROWTH AND DEVELOPMENT FORMAT OF INFANT

PATIENT PROFILE:
Name of the baby:
Date and time of birth: Date and time of admission:
Age: Gender:
Medical/surgical diagnosis:
HISTORY:
Present health history:
Past health history:
Family history:
Birth history: Antenatal, Intranatal, Postnatal

PHYSICAL OR BIOLOGICAL GROWTH

Parameters Expected Findings in the child Remarks

Weight
Length
Head circumference
Chest circumference

VITAL SIGNS

Parameters Expected Findings in the child Remarks

Temperature
Heart rate
Respiratory rate
Blood pressure

REFLEXES

Reflexes Expected Findings in child Remarks

YES NO
1 – 2 month
Sucking, swallowing, Rooting reflex,
Extrusion Reflex, Moro (Startle) reflex, Has well developed
Asymmetric tonic neck reflex, palmar &
plantar grasp, Babinski fading
Dance reflex, doll’s eye reflex
3rd month
Grasping Reflex Absent
Landau, Labyrinth, neck righting reflex Appears

7th month Disappear when

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Sucking & Rooting Reflex asleep
Body righting, parachute, otolith righting Appears
12th month
Babinski reflex Disappears
Landau reflex Disappears (b/w
12 – 24 month)

DENTITION

Age (months) Expected characteristics Findings in child Remarks

YES NO
6 + 2 months Two lower central incisors erupt begins to
bite & chew
7.5 + 2 months Upper central incisors erupt
7 + 2 months Lower lateral incisors erupt
9 + 2 months Upper lateral incisors erupt.
12th month 6 -8 deciduous teeth developed

GROSS MOTOR DEVELOPMENT

Age (months) Expected characteristics Findings in child Remarks

YES NO
ONE MONTH
• Lies in flexed position
• Head sags forward when baby is held in sitting position
• Turns head to the side when prone
TWO MONTHS.
• Lifts head almost 45º above a flat surface when lying prone.
• Holds head erect when held upright.
• Turns from side to back.
THREE MONTHS.
• Raises chest, usually supported on forearms, when in prone.
• Holds head erect and steady
FOUR MONTHS
• Sits with adequate support.
• Lifts head and shoulders at 90º angle when on abdomen and
looks around.
• Rolls from back to side
FIVE MONTHS
• Sits with slight support
• Pulls feet up to mouth when supine
SIX MONTHS
• Rolls from back to abdomen
• Pulls to a sitting position
• Lifts chest & upper abdomen when prone, bearing the
weight on arms and hands.
• Hitches – moves backward when in a sitting position by
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 using the arms and hand
SEVEN MONTHS
• Sits alone on hard surface, leaning forward on hands.
• Bears full weight on feet.
EIGHT MONTHS
• Sits alone steadily
• Pulls self into standing position with help.
NINE MONTHS
• Crawls (propelling forward with belly on floor)
• Creeps on hand and knees (propelling forward with belly off
floor)
TEN MONTHS
• Stands while holding onto furniture
• While standing, lifts one foot to take a step
11 MONTHS
• Walks holding onto furniture or with both hands held.
12 MONTHS
• Walks few steps with help or alone (hands held at shoulder
height for balance

FINE MOTOR DEVELOPMENT

Age (months) Expected characteristics Findings in child Remarks

YES NO
ONE MONTH
• Holds hands in tight fist
• Can grasp an object placed in the hand
TWO MONTHS
• Holds a rattle briefly when placed in the hand
THREE MONTHS
• Holds hand in front of face and stares at them
• Carries hands or object to mouth at will
FOUR MONTHS
• Brings hands together in midline. Plays with fingers
• Grasps objects with both hands
FIVE MONTHS
• Tries to obtain objects beyond reach
• Grasps object with whole hand, either right or left.
SIX MONTHS
• Begins to use fingers to feed self
• Drops one object when another is offered.

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 • Manipulates small objects
SEVEN MONTHS
• Holds two toys at once
• Transfer objects from one hand to the other
• Bangs objects that are held
• Holds cup and explore the movable parts of a toy
EIGHT MONTHS
• Releases objects from hands voluntarily
• Pincer grasp (crude) begins to develop
• Drinks from cup with assistance
NINE MONTHS
• Pokes objects with fingers
• Attempts to use spoon but spills contents
• Develops finger feeding
TEN MONTHS
• Picks small objects up with index fingers and thumbs (pincer
grasp)
ELEVEN MONTHS
• Explores toys and other objects
• Put objects into container with neat pincer grasp
• Begins to hold a crayon and makes a mark on paper.
TWELVE MONTHS
• Tries to build a tower of two blocks but fails
• Turns pages in a book (usually not one at a time)
• Attempts to put small pellet into a narrow- necked bottle

PSYCHOSOCIAL, PSYCHOSEXUAL, SPIRITUAL & MORAL DEVELOPMENT

Expected characteristics Findings in child Remarks

YES NO
PSYCHOSOCIAL DEVELOPMENT
Stage: Trust versus mistrust
- Develops trust on self, others, and of the world.
- Complete dependence on caregivers.
- Recognizes parents
- Love and affection towards family member appear
- Becomes frustrated when activities are restricted
- Responds to requests for attention such as kiss/hug
PSYCHOSEXUAL DEVELOPMENT
• Oral stage
- Pleasure seeking is centered on oral cavities such
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 as sucking, biting, chewing and vocalizing.
- Oral dependent or oral passive stage (first six
months); Enjoys sucking
- Oral aggressive stage (After the eruption of first
teeth); Enjoys biting
SPIRITUAL DEVELOPMENT
• Stage 1, Primal faith
- The infant forms an attachment for parents that
develop trust, hope & autonomy as result of give
and take relationship
MORAL DEVELOPMENT
Preconventional morality: (birth – 7 yrs)
Stage 0: Premoral stage (birth -2 yrs)
- The good is what I like and want
- Unable to differentiate right from wrong.
- What is good is pleasant or exciting; what is bad
is painful or feared.

INTELLECTUAL/ COGNITIVE DEVELOPMENT

Expected characteristics Findings in child Remarks

YES NO
SENSORIMOTOR STAGE (birth – 2 yrs)
• Substage 1 (Birth to 1 month): Use of reflex
- Repetition of reflexive action- sucking, biting, rooting, grasping
• Substage II (1 to 4 months) Primary circular reactions
- Beginning of replacement of reflexive behavior with voluntary
act.
- Recognizes stimulus that produce a response
- Engages in an activity for the pleasure
• Substage III (4 to 8 months) Secondary circular reactions
- Know that objects and other persons are separate from
themselves
- Grasping and holding now becomes shaking, banging & pulling
- Recognizes symbols
- Imitates sounds and simple gestures
• Substage IV (8 to 12 months) Coordination of secondary
schemas and their application to new situations
- Associate symbols with events
- Explores the environment
- Distinguishes objects from related activity

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- Has concept of object permanence

LANGUAGE, SPEECH DEVELOPMENT

Expected characteristics Findings in child Remarks

YES NO
• Responds to human voices
• Utters small throaty sounds 1st month
• Responds vocally to familiar voice 2nd month
• Single vowel sounds- ah, eh, uh
• Shows pleasure in making many sounds
• Laughs aloud, Gurgles, Coos 3rd month
• Can vocalize consonants: b, g, h, k, n, p
• Begins to mimic sounds (5th month)
• “Talks” to image in mirror (6th month)
• Recognizes own name
• Imitates simple noises & speech sounds (7th month)
• Combines syllables, such as dada but does not
ascribe meaning to them (8th month)
• Comprehend the meaning of word “no” (9th month)
• Understand simple commands 10th month
• Imitates sounds of animals
• Responds to simple questions (11th month)
• Responds with gestures or actions to more complex
verbal requests (12th month)
• Speaks two or more words with meaning (12th
month)

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 SENSORY CHANGES

Findings in child Remarks

Expected characteristics YES NO
A. Vision:
• Develops interest in a picture of face with eyes - 6 weeks
• Has binocular vision (4 months)
• Able to accommodate near objects (3- 5 months)
• Develops colour preferences (5 - 8 months)
• Develops hand to eye coordination (5 - 8 months)
• Visual acuity 20/100 to 20/50 (12th months)
B. Hearing:
• Turns head to side when sound is made (2 months)
• Locates sounds by turning head to side and then looking up
or down (4 – 6 months)
• Localizes sounds (8 – 10 months)
• Responds to own name (6- 8 months)
PLAY
Solitary Play/onlooking play/ one- sided play
Toys: Rattles, push pull toys, squeezing toys, blocks, stuffed animals/ dolls, simple picture books, noise
making toys, strings of beads, toy mobiles

NUTRITION:

1. Breast feeding
- Exclusive, how long
2. Artificial feeding (if any)
- When was it started
- What was given
- Dilution (specify)
3. Weaning
- Time when started
- Type of food
- Preparation method
4. 24 hours dietary recalls

IMMUNIZATION

INVESTIGATIONS

CONCLUSION
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