DEVELOPMENTAL DELAY HX
HPC
1.
2.
3.
4.
5.
6.
Onset and Duration
Did they ever do the action before or have they just not done it at all?
Trauma? Injuries? Limb deformities?
Stimulation of the child?
Any illnesses eg Chromosomal eg down syndrome, Metabolic
Go through Milestones! (key ones like 4,6,9,12 months)
MOVE UP BIRTH HISTORY
Antenatal
o
o
o
o
o
o
o
o
Age of mother, how many children
Go to all clinic visits? Supplements and diet?
Any medications taken during pregnancy
Smoke or drink during pregnancy
Blood test results
Pregnancy vaccines
Infection during pregnancy
Illness eg diabetes and htn
Labour and Delivery
o
o
o
o
o
o
How many weeks carried baby for?
Spontaneous or induced labour?
Vaginal? Instrumentation used?
C Section? Why?
Trauma to the baby during delivery
Any other complications
Neonate
o
o
o
o
o
o
o
o
o
Cry?
Cord around neck?
Distress?
Child passport: BW, Length, HC, APGAR
Urine and stool
JAUNDICE!!!!!
Admission to SCN
Any infection or illness
SCD test
MOVE UP GROWTH
o
Current height, Wt, HC / Child Health Passport
MOVE UP NUTRITION
o
o
o
o
o
BM? Proper technique eg did they show you how to properly breastfeed
Formula? Mixing method
How often is the child fed?
Typical diet
24 hr recall
Complete everything else: Immunisation , Habits and Behaviours, PMH , FH , SH, Meds, Allergies,
Surgical, ICE, ROS.