Zachary LaFontaine Infant Well Visit Shadow health Objective Data
1. Growth Chart: Head Circumference
– Head size: It’s below average, between average, or above average.
– Growth trend: Is his head size staying consistent, getting smaller, or not growing enough?
2. Growth Chart: Weight and Length
– Length: Is he shorter, average, or taller than other babies his age?
– Weight: Is he lighter, average weight, or heavier than other babies his age?
3. Inspecting the Nose
– Checking the nose: Is it pale, pink, or red?
– Mucus: Is there thin or thick mucus, or is it clear?
4. Inspecting Ears
– Looking at the ears: Are they in the right place, or are they set strangely?
– Pinna: Is the outer part of the ear flexible or stiff?
5. Inspecting Mouth
– Checking the mouth: Is everything normal with the tongue, palate, and frenulum (the piece of skin under the tongue)?
6. Inspecting Skin
– Looking at the skin: Is it the right color and texture, and does it have any marks or injuries?
7. Inspecting Diaper Area
– Checking the diaper area: Is the skin healthy, or does it have any issues like redness or irritation?
8. Inspecting Genitalia
– Looking at the genitalia: Are there any abnormalities, and are the testes present as they should be?
9. Assessing Musculoskeletal: Barlow and Ortolani
– Checking hips: Are there any signs of hip joint issues?
10. Assessing Eyes: Pupils
– Looking at the eyes: Are the pupils normal in size and reaction to light?
11. Assessing Eyes: Red Reflex
– Checking the eyes: Is the red reflection at the back of the eye normal?
12. Assessing Eyes: Tracking
– Testing vision: Can the baby follow objects with their eyes?
13. Assessing Extremities
– Checking limbs: Do the arms and legs move properly and evenly?
14. Assessing Grasp
– Testing grip: Can the baby grab onto things like they should?
15. Assessing Moro Reflex
– Testing startle reflex: Does the baby react normally when startled?
16. Assessing Tonic Reflex
– Checking muscle reflex: Does the baby’s body respond as expected to certain movements?
17. Assessing Pulse
– Checking heartbeat: Is the heartbeat regular and strong?
18. Assessing Rooting Reflex
– Testing sucking reflex: Does the baby instinctively turn towards something to suck?
19. Assessing Sucking Reflex
– Testing sucking strength: Can the baby suck well?
20. Assessing Neurological: Stepping/Walking Reflex
– Testing leg reflex: Does the baby show reflexes related to walking?
21. Palpating Abdomen
– Feeling the belly: Is it soft and normal, or does it feel unusual?
22. Palpating Fontanelles
– Feeling the soft spots on the head: Are they normal or raised/sunken?
23. Auscultating Abdomen and Heart/Lungs
– Listening to the belly and heart/lungs: Are the sounds normal, and is there any unusual movement or activity?
These checks help ensure Zachary is healthy and developing as he should be.
Zachary LaFontaine Infant Well Visit Shadow health Objective Data
- Below 5th percentile
- Between 5th and 95th percentile
- Above 95th percentile
- Growth curve maintained
- Growth curve decline
- Below 5th percentile
- Between 5th and 95th percentile
- Above 95th percentile
- Zachary LaFontaine Infant Well Visit Shadow health Objective Data
- Growth curve maintained
- Growth curve decline
- Below 5th percentile
- Between 5th and 95th percentile
- Above 95th percentile
- Growth curve maintained
- Growth curve decline
- Below 5th percentile
- Between 5th and 95th percentile
- Above 95th percentile
- Growth curve maintained
- Growth curve decline
- Pale
- Pink
- Erythematous
- Thin white mucus present
- Thick yellow mucus present
- Patent
- Obstructed, not patent single sided
- Zachary LaFontaine Infant Well Visit Shadow health Objective Data
- Ears set appropriately
- Ears low set, posteriorly rotated
- Pinna flexible
- Pinna stiff
- Frenulum intact
- Frenulum thick
- Palate intact
- Palate open
- Tongue smooth
- Tongue rough
- Uvula midline
- Uvula absent
- Cyanosis
- Jaundice
- Pallor
- Congruent with genetic background
- Smooth
- Rough
- Warm
- Cool
- Elastic
- Tenting
- Sluggish turgor
- No visible lesions
- Laceration/wounds
- Erythema
- Ecchymosis
- Birthmark
- Discolorations
- Moist
- Dry
- Intact
- Cracked
- Blistered
- Pink
- Pale
- Erythematous
- No lesions present
- Macerated
- Edema
- Erythema
- Urethral meatus midline
- Hypospadias
- Ambiguous genitalia
- Testes present bilaterally
- Testes not palpable
- Smooth
- Rough
- No masses
- Mass palpable
- Swelling
- Circumcised
- Uncircumcised
- Positive
- Negative
- Positive
- Negative
- Round
- Abnormal shape
- No reaction to light
- Reacts to light symmetrically
- Reacts to light asymmetrically
- Clear
- Cloudy
- Absent
- Present
- Equal color bilaterally
- Unequal color bilaterally
- Opacity absent
- Opacity present
- Follows object in both directions
- Does not follow object in both directions
- Zachary LaFontaine Infant Well Visit Shadow health Objective Data
- Moves all extremities
- Does not move all extremities
- Movement symmetrical
- Movement asymmetrical
- Intact
- Not Evident
- Strong
- Weak
- Symmetrical
- Asymmetrical
- Absent
- Normal Response
- Weak response
- Absent response
- Hearing intact
- Hearing absent
- Symmetrical
- Asymmetrical
- Absent
- Present
- Absent
- Regular
- Irregular
- Equal bilaterally
- 0
- +1
- +2
- +3
- Normal response
- Weak response
- Absent response
- Normal response
- Weak response
- Absent response
- Normal response
- Absent response
- Present
- Absent
- Soft
- Firm
- Distended
- Mass
- Bulges
- Nontender
- Tender
- Sunken
- Flat
- Bulging
- Sunken
- Flat
- Bulging
- Protuberant
- Flat
- Scaphoid
- Absent
- Hypoactive
- Normoactive
- Hyperactive
- Regular Rate
- Irregular Rate
- Regular rhythm
- Arrhythmia
- S1
- S2
- S3
- S4
- Murmurs
- Symmetrical chest rise
- Asymmetrical chest rise
- Clear to auscultation
- Wheezing
- Stridor
- Grunting
- Absent
- Smooth, even respirations
- Nasal flaring
- Retractions
- Zachary LaFontaine Infant Well Visit Shadow health Objective Data