NUTRITIONAL ASSESSMENT

1. Anthropometry 2. Biochemical tests 3. Clinical Assessment 4. Dietary history

Nutritional history Birth weight of the child Breast feeding history First feed ( time, colustrum, any prelacteal feed) Duration of exclusive breast feeding Weaning history Started at Weaning diet

Feeding habits ( breast, bottle, cup, spoon, eats by self, needs assistance, any special device) 24- hour recall Food allergy Vitamin supplementation Introduction of family diet and favorite food item Family diet, family income and how much is spend for food Past history of any nutritional disorders

Anthropometry Parameter Height Weight Head circumference Chest circumference Mid-arm circumference Skin fold thickness Clinical assessment In the child Normal range Remark

General assessment

Behaviour

Skin

Texture Turgor Lesion Colour

: : : :

Hair

Alopecia Texture Pigmentation Hair follicle

: : : :

Head

Cranial bones Bone prominence Sutures

: : :

Eyes

Cornea Vision Conjunctiva :

: :

Ears

Tympanic membrane Hearing

: Pliable/calcified :

Nose Nasal angle (irritation/ cracks):

Mouth

 Lips

Corners ( Fissures)

Gums

Bleeding Mucus membrane Texture Color Stomatitis

: : Swollen /normal : Normal/ Spongy& fragile : Coral pink/bluish red or black :

Tongue

Glossitis Sensation

: :

Teeth

Fissures Caries

: :

Neck

Thyroid

Chest

Shape Breast development Costochondral junction

: : :

CVS

Pulse rate BP Palpitation

: : :

Abdomen

Abdominal girth

Bowel sound Bowel movement

: :

Musculoskeletal system Muscle

Weakness Pain Cramps

: : :

Spine

Kyphosis Lordosis Scoliosis

: : :

Extremities

Symmetry

Neurologic system

Reflex

Biochemical tests