Syllabus 

  Appendix 

  Lab 

  Clinical 

What is the age of the child? _______Describe the general appearance of the child.  Include the following: behavior, speech, nutritional status, and gross deformities.

2. Integumentary System 
           Describe the skin color, moisture, temperature and any scars, lesions or rashes that you see.
 
 
 
 
 

3. Neurological System/Musculoskeletal 
              A. Vision and Hearing Describe any apparent abnormalities:
 
 
 
 
 
 
 

               B. Mobility 
                    Describe movement of all extremities and 
                    any abnormalities. 
 
 

                   Was the child able to walk well_____;hop_____;skip_____?
                   Was the child able to manipulate small blocks_______ button____
                   Stay in lines with crayons_______

4. Socialization
    What was the child's play like?

    Parallel Play______ Plays with others most of time (interacts)_________

    Playmates of same sex_______  Rules important?_____________

    What type of play activities did you observe in girls and boys?

    Girls play-

    Boys play-

5. Language
    Did all the children in your group speak English?
    What other languages were spoken?

    How did they communicate with each other when they did not speak the same language?
 
 

   Which of the following did you observe?
   Talks in sentences________  Talk at each other (collective monologue)_______
   Who talks more in formal  settings- boys or girls?

   Who talks more in informal settings- boys or girls?

   How much was the child able to tell you when you asked ONE of the following questions?

   What was the first thing you want to do when you get home?
   How early do you wake up each morning?
   What are your favorite foods to eat?
   What is your favorite TV show?
   What is your favorite sport?

   Ask the child to draw a picture of themselves or you. Check off the things included in the 
   drawing.  Do not coach them.
   Head__  2 eyes__ mouth__ nose__ body__ hair__ 2 arms__ 2legs__ feet__ hands__
   Other__

6. Summary/Development 
 

Assess the child for  normal developmental milestone including the following: fine motor, gross motor, language, personal/social, results of DDST II

7. Immunization Schedule 
    Based on the child's age, what immunizations should the child have received up to now? Include immunization, number of doses and at which age: