TODDLER ASSESSMENT

BIODATA OF THE BABY :

• Name of the child : Mast. KEVAL RAJESHBHAI

PANCHAL
• Age : 1 YEAR,6 MONTH
• Sex : male
• Birth Weight : 2.560 KG
• Mother’ s Name : Mrs.CHAYABEN PANCHAL
• Any Problem : Healthy
• Religion : hindu
• Socio- economic Status : medium

• ANTHROPOMETRIC MEASUREMENTS

Biological growth:
No Measurement Child Normal Remark
value value
1 Height 84cm 82 to 85cm Normal
2 Weight 15 kg 11 to 12kg Decrease
3 Head circumference 45cm 49 to 50cm Normal
4 Chest circumference 50cm 50 to 55cm Normal
5 Arm circumference 18cm 19cm Normal
6 Vital sign :
Temp 98f 98.6 ‘f Normal
Pulse 94beats/m 100/m Normal
Resp 28breaths 30/m Normal
/m
B.P 100/64 100/60 Normal
Mm of hg Mm of hg
Percentage of malnutrition: actual weight*100/ ideal
weight
: 11*100/12
 : 92

• DEVELOPMENTAL HISTORY

NORMAL PATIENT INFERENCE

OBSERVATION OBSERVATION
Gross motor :
More grown up ,steady Pt can stand -NORMAL
gait. Properly
Walk with heel toe gait. He can walk without
Run more quickly in falling down
more. controlled way has
fewer falls. He can do it
Walk up & down stairs, He can jump it
both feet in one place step
at a time. He can pick up
Jump crudely with both
feet in place.
Picks up object from
floor without falling. He make the tower of
glass

Fine motor: He imitate NORMAL

Builds a tower 6-7 cubes
Imitate a circular & He can turn the page
horizontal stroke. of book
Turn the page of book

Self care: He can eat by self & NORMAL

Feeding skills: drink well
with one hand ,put spoon
in mouth, play with food,
imitate eating habits
Dress skill: pulls on own
simple garment, removes
clothing
Toileting and grooming
skill: verbalizes toilet
needs, may brush teeth
with help, attempt to wash
self in tub or shower
Psychological:
Sense of autonomy.
Separation anxiety from
the parent.
even sometimes he
throw dish
He remove clothes,
take bath
He say to mother
that I want to go for
toilet & do every thing
He cry whenever his
father going outside NORMAL
He don’t allow
anyone to touch his
mother
 Sense of mine.
Psychosexual:
Anal stage.
Spiritual:
Intuitive –projective.
Intellectual or
cognitive :
Memory increase.
Early understanding of
past, present, future.
Increase sense of time.
Moral:
Preconventional
mortality.
Stage-1(if punished for
doing it. It is wrong. If
not punished it must be
right.
Receptive language:
Understand Moro
complex sentence.
Expressive language:
Uses pronouns ‘’I’’ ,’’ME’’
Verbalize for food , water
or toilet
Play stimulation:
Enjoy parallel play , little
social interaction with
other child.
Child has anal stage NORMAL
Whenever her mother NORMAL
told to pray god he
follow the instruction
Mother told that he NORMAL
never forget, if we will
tell that “we will give
chocolate’’
If we will punish for NORMAL
wrong thing, he will
not repeat this
mistake again.
If we will tell to put
down glass NORMAL
immediately he
follows.
He tell that I want this NORMAL
toy, even he also tell
that I want water.
NORMAL
He play with his
friend.
EXAMINATION OF THE CHILD :

General appearance
Nourishment : well nourished
Body Built : Thin
Activity : Less Activity
Mental Status : conscious
Movement : All four limbs are movable

1.Skin
Color : Normal
Texture : Pink in color
Lesions : No lesions is present
Temperature : 98 F

2.Head
Head Circumference : 48 Cm

Scalp
Frontanele : Closed
Hair : Black and smooth

3.Face:

Eyes :
Eyebrows : Normal
Eyelids : Normal
Eyeballs : Normal
Conjuctiva : Pallor
Sclera : Normal
Pupil : Reacting with light

4.Nose :
Externares : Absence of any discharge
Nostril : Normal

5.Mouth and Pharynx :

Lips : Pink in color
Odour from the mouth : odour not present
Teeth : Present
Tongue : Pink in color
Muscus membranc : Dry
 Thoat and pharynx : Absence of any enalargement of throat, or
lymphnode .

6.Chest:
Breath sounds: child has whistling sound bilaterally
Respiratory rate: 24 breaths/min
Heart
Heart Sound : Normal Heart sound
Heart Rate : 100 beat/min

7.Abdomen :
Absence of tenderness or swelling
Absence of any gas formation
Peristalsis is herd clearly.
Liver and spleen is palpable.

8.Extrimities :
Properly range of motion of both upper and lower limb
present. No any deformity found.

9. Back
Normal curves of spinal cord. Absence of lordosis, kyphosis,
scoliosis.

10.Genital

Testes : Distended
Using output is decreased.
Rectum:no any red ness or lesion.
Skin is normal.

SLEEP AND ACTIVITY :

Sleep pattern very widely, but the average toddler sleeps about
12-14 hours a night and infrequent daytime naps.
 • CONCLUSION

Assessment of growth and development of

toddler child helps us to understand that the child is
growing adequately or any health deviation is present.
To understand any deviation in growth and
development it is very much important to understand
normal pattern. If any deviation is present in
assessment , we can immediately refer to the doctor
for early diagnosis and treatment.

• BIBLIOGRAPHY
 Books
-Basvanthappa B T “community health nursing” 7th edition ,jaypee
brothers publication,1998, pp475-473
- Behrman, “Killegman Jenson” Nelson Textbook of Pediatrics”, 11th
edition, Saunclers Publication, Philadelphia, 2008, Pp271-278
- Dorthy R. Marlow, et. at “Textbook of Pediatric Nursing”, 6th edition,
New Delhi Saunders Publication, 2006, Pp722-756
- Ghai O. P et al “Essential Pediatric”, 6th CBC Publisher and
distributors, New Delhi Pp 124-130
- Hocken Bery “Wong’s Nursing Care of Infants and Children”, 8th
edition, Mosby publication , USA, 2007 Pp 579-602
- Mcltosh Neil “Forfao & Arneils Textbook of Pediatrics” 7th edition,
Churchill livingstone Elsevier publication, Pp 645-652
-Swaminathan .M. “Hand book of food and nutrition”, 5th edition ,published
by bappco, 1986,p224
-Datta parul , “Pediatric Nursing”, Second edition , 2006, J.P brothers Ltd.,
New Delhi. Page Number: 234-278
J G COLLEGE OF
NURSING

SUBJECT: CHILD HEALTH NURSING

TOPIC : GROWTH AND DEVELOPMENT
ASSESSMENT

SUBMITTED TO: SUBMITTED BY

PROF. U.RAMYA MAM MRS BINAL JOSHI
PRINCIPAL F.Y.MSC.NURSING
JG COLLEGE OF NURSING JG COLLEGE OF NURSING