Zachary LaFontaine Infant Well Visit Shadow health Objective Data
Objective Data Collection: 24.33 of 25 (97.32%)
- Correct
- Partially correct
- Incorrect
- Missed
Growth Chart: Head Circumference
1 of 1 point
Head Circumference Percentile (1/2 point)
- Below 5th percentile
- Between 5th and 95th percentile
- Above 95th percentile
Head Circumference Growth Curve (1/2 point)
- Growth curve maintained
- Growth curve decline
Growth Chart: Weight and Length
0.83 of 1 point
Length Percentile (1/6 point)
- Below 5th percentile
- Between 5th and 95th percentile
- Above 95th percentile
- Zachary LaFontaine Infant Well Visit Shadow health Objective Data
Length Growth Curve (1/6 point)
- Growth curve maintained
- Growth curve decline
Weight Percentile (1/6 point)
- Below 5th percentile
- Between 5th and 95th percentile
- Above 95th percentile
Weight Growth Curve (No point)
- Growth curve maintained
- Growth curve decline
Weight For Length Percentile (1/6 point)
- Below 5th percentile
- Between 5th and 95th percentile
- Above 95th percentile
Weight For Length Growth Curve (1/6 point)
- Growth curve maintained
- Growth curve decline
Inspected Nose
1 of 1 point
Nares Inspection (1/3 point)
- Pale
- Pink
- Erythematous
Mucus (1/3 point)
- Thin white mucus present
- Thick yellow mucus present
Nares (1/3 point)
- Patent
- Obstructed, not patent single sided
- Zachary LaFontaine Infant Well Visit Shadow health Objective Data
Inspected Ears
1 of 1 point
Inspection (1/2 point)
- Ears set appropriately
- Ears low set, posteriorly rotated
Pinna (1/2 point)
- Pinna flexible
- Pinna stiff
Inspected Mouth
1 of 1 point
Frenulum (1/4 point)
- Frenulum intact
- Frenulum thick
Palate (1/4 point)
- Palate intact
- Palate open
Tongue (1/4 point)
- Tongue smooth
- Tongue rough
Uvula (1/4 point)
- Uvula midline
- Uvula absent
Inspected Skin
1 of 1 point
Color (1/8 point)
- Cyanosis
- Jaundice
- Pallor
- Congruent with genetic background
Texture (1/8 point)
- Smooth
- Rough
Temperature (1/8 point)
- Warm
- Cool
Skin Hydration (1/8 point)
- Elastic
- Tenting
- Sluggish turgor
Lesions (1/8 point)
- No visible lesions
- Laceration/wounds
- Erythema
- Ecchymosis
- Birthmark
- Discolorations
Mucous Membrane: Hydration (1/8 point)
- Moist
- Dry
Mucous Membrane: Appearance (1/8 point)
- Intact
- Cracked
- Blistered
Mucous Membrane: Color (1/8 point)
- Pink
- Pale
- Erythematous
Inspected Diaper Area
1 of 1 point
Inspect Skin Diaper Area (1/1 point)
- No lesions present
- Macerated
- Edema
- Erythema
Inspected Genitalia
1 of 1 point
Appearance (1/5 point)
- Urethral meatus midline
- Hypospadias
- Ambiguous genitalia
Palpation (1/5 point)
- Testes present bilaterally
- Testes not palpable
Rugae (1/5 point)
- Smooth
- Rough
Masses (1/5 point)
- No masses
- Mass palpable
- Swelling
Circumcision (1/5 point)
- Circumcised
- Uncircumcised
Assessed Musculoskeletal: Barlow and Ortolani
1 of 1 point
Barlow (1/2 point)
- Positive
- Negative
Ortolani (1/2 point)
- Positive
- Negative
Assessed Eyes: Pupils
1 of 1 point
Shape (1/3 point)
- Round
- Abnormal shape
Light Reaction (1/3 point)
- No reaction to light
- Reacts to light symmetrically
- Reacts to light asymmetrically
Opacity (1/3 point)
- Clear
- Cloudy
Assessed Eyes: Red Reflex
1 of 1 point
Red Reflex (1/3 point)
- Absent
- Present
Color (1/3 point)
- Equal color bilaterally
- Unequal color bilaterally
Opacity (1/3 point)
- Opacity absent
- Opacity present
Assessed Eyes: Tracking
1 of 1 point
Vision Screening (1/1 point)
- Follows object in both directions
- Does not follow object in both directions
- Zachary LaFontaine Infant Well Visit Shadow health Objective Data
Assessed Extremities
1 of 1 point
Movement (1/2 point)
- Moves all extremities
- Does not move all extremities
Symmetry (1/2 point)
- Movement symmetrical
- Movement asymmetrical
Assessed Grasp
1 of 1 point
Grasp (1/3 point)
- Intact
- Not Evident
Tone (1/3 point)
- Strong
- Weak
Symmetry (1/3 point)
- Symmetrical
- Asymmetrical
- Absent
Assessed Moro Reflex
1 of 1 point
Moro Reflex (1/2 point)
- Normal Response
- Weak response
- Absent response
Hearing (1/2 point)
- Hearing intact
- Hearing absent
Assessed Tonic Reflex
1 of 1 point
Neck Range Of Motion (1/2 point)
- Symmetrical
- Asymmetrical
- Absent
Tonic Reflex (1/2 point)
- Present
- Absent
Assessed Pulse
0.5 of 1 point
Pulse (1/2 point)
- Regular
- Irregular
Amplitude (No point)
- Equal bilaterally
- 0
- +1
- +2
- +3
Assessed Rooting Reflex
1 of 1 point
Rooting Reflex (1/1 point)
- Normal response
- Weak response
- Absent response
Assess Sucking Reflex
1 of 1 point
Sucking Reflex (1/2 point)
- Normal response
- Weak response
- Absent response
Tongue Range Of Motion (1/2 point)
- Normal response
- Absent response
Assessed Neurological: Stepping/Walking Reflex
1 of 1 point
Stepping Relfex (1/1 point)
- Present
- Absent
Palpated Abdomen
1 of 1 point
Light Palpation (1/2 point)
- Soft
- Firm
- Distended
- Mass
- Bulges
Tenderness (1/2 point)
- Nontender
- Tender
Palpated Fontanelles
1 of 1 point
Anterior (1/2 point)
- Sunken
- Flat
- Bulging
Posterior (1/2 point)
- Sunken
- Flat
- Bulging
Auscultated Abdomen
1 of 1 point
Appearance (1/2 point)
- Protuberant
- Flat
- Scaphoid
Auscultation (1/2 point)
- Absent
- Hypoactive
- Normoactive
- Hyperactive
Auscultated Heart
1 of 1 point
Rate (1/3 point)
- Regular Rate
- Irregular Rate
Rhythm (1/3 point)
- Regular rhythm
- Arrhythmia
Heart Sounds (1/3 point)
- S1
- S2
- S3
- S4
- Murmurs
Auscultated Lungs
1 of 1 point
Appearance (1/3 point)
- Symmetrical chest rise
- Asymmetrical chest rise
Breath Sounds (1/3 point)
- Clear to auscultation
- Wheezing
- Stridor
- Grunting
- Absent
Respiratory Effort (1/3 point)
- Smooth, even respirations
- Nasal flaring
- Retractions
- Zachary LaFontaine Infant Well Visit Shadow health Objective Data
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