ATUCU5/JKNSBH/2022-B

CHECKLIST
APPROACH TO UNWELL CHILDREN UNDER FIVE YEARS
THE SICK YOUNG INFANT AGE UP TO 2 MONTH
Name: ________________________________________ Age: _________________________ BP: ___________________
IC/No. Dokumen: _______________________________ Weight: _________________________ HR: ___________________
Visit: 1st/ 2nd/ 3rd/ 4th/5th/_____ RR: ___________________
ASK: What are the child's problems? __________________________________________ SpO2: ___________________
ASSESS( Circle all signs present) Temp: ______________ ˚C

ASK LOOK AND FEEL REFER FOR ADMISSION IF PRESENT

CHECK FOR VERY SEVERE DISEASE AND LOCAL BACTERIAL INFECTION
● Is the infant not feeding well? ● Count the breaths in one minute. ● Not able to feed
Repeat if 60 or more ………… Fast breathing? ● Feeding poorly
● Greenish vomitus
● Does the infant vomit greenish vomitus? ● Look for severe chest indrawing. ● Convulsions
● Has the infant had convulsion? ● Look at umbilicus. Is it red or draining pus? ● Fast breathing
● Look for skin pustule? ● severe chest indrawing
● Look at young infant's movements ● Fever (> 37.5°C) or
Movement only when stimulated? low body temperature (35.5°C)
No movement at all? ● Movement only when stimulated
● Check temperature: or no movement at all
* Fever (> 37.5°C )
* Low body temperature (below 35.5°C )

CHECK FOR JAUNDICE ( Jaundice present / No Jaundice )

● When did the jaundice first appear? ● Look for level of jaundice ● Jaundice appearing before
Before 24 hours of life / after 24 hours of life - proceed prolong NNJ workup 24hrs of age
● Is the infant more than 14 days old? if prolonged NNJ present ● TSB above photolevel

● Look at stool colour

DOES THE CHILD HAVE DIARRHOEA?
●For how long?................Days
●Is there blood in the stools?
● Check TSB level : __________
( YES / NO )
● Look at the young infant's general condition. ● 2 or more signs
Move only when stimulated or not move at all? * movement only when stimulated
Restless or irritable? or no movement at all
● Look for sunken eyes. * restless or irritable
● Pinch the skin of the abdomen. * sunken eyes
Does it go back: Slowly OR Immediately * skin pinch goes back slowly

CHECK THE YOUNG INFANT'S IMMUNIZATION STATUS ( IMMUNIZATION SCHEDULE )

AGE VACCINES
Birth □ BCG □ Hep B 1 □ Vit K

If the infant has no indications to refer urgently to hospital:

CHECK FOR FEEDING PROBLEM OR LOW WEIGHT
● Is the infant breastfed? Yes______ No_______ ● Determine weight for age. Low______ Not Low______
If Yes, how many times in 24 hours? _________ times ● Look for white patches in the mouth (thrush)
● Does the infant usually receive any
other foods or drinks? If Yes, please specify______
If Yes, how often?_____________
● Check feeding hygiene and preparation

ASSESS BREASTFEEDING If infant has not fed in the previous hour, ask the mother to
● Has the infant breastfed in the previous hour? put her infant to the breast. Observe the breastfeed for 4 minutes.
● Is the infant able to attach? To check attachment, look for :
- More areola seen above
infant's top lip than below bottom lip Yes_____ No_______
- Mouth open wide open Yes_____ No_______
- Lower lip turned outwards Yes_____ No_______
- Chin touhing breast Yes______ No______
not well attached good attachment
● Is the infant suckling effectively ( that is, slow deep sucks, sometimes pausing)
not suckling effectively suckling effectively
● Clear a blocked nose if it interferes with breastfeeding.

Assess other problem Signature,