Muscular tonus Problems, plans2; 3; 4; 5 Screening result of phenylketonuria (PKU) and congenital hypothyroidism (CHT) Hearing examination with otoacoustic emissions method — testing result Red reflex examination of eyes with ophthalmoscope, if it has not been carried out previously Hearing examination with otoacoustic emissions method, if it has not been carried out previously Red reflex examination of eyes with ophthalmoscope, if it has not been carried out previously Hearing examination with otoacoustic emissions method, if it has not been carried out previously Health group 1 2 3 1 2 3 1 2 3 Immunisation2 According to vaccination calendar Additional vaccination According to vaccination calendar Additional vaccination According to vaccination calendar Additional vaccination Doctor's signature Child's age 2 months 3 months 4 months 6 months Date of the (dd.mm.yyyy) ... ... ... ... Physical development (in addition see physical development curves in Chapter II, Sub-paragraph 1 or 3, correct, if the child is born before week 37) Weight (g) (x 2 birth weight) Height (cm) Head circumference (cm) Complaints from the parents Feeding2; 3 Breastfeeding (exclusive breastfeeding/mostly breastfeeding/partly breastfeeding) Breastfeeding (exclusive breastfeeding/mostly breastfeeding/partly breastfeeding; discuss causes for hypogalactia) Breastfeeding (exclusive breastfeeding/mostly breastfeeding/partly breastfeeding) D vitamin 10 micrograms Breastfeeding D vitamin 10 micrograms (400-900 IU/per day) Formula Exclude food allergies
Sun exposure/sun protection products/insect repellents Ask regarding use of alternative medicine Do not use medicinal products against cough/reducing cold symptoms Read aloud Information to parents3 Immunisation programme Use of antipyretics Development2; 3 Absence of any feature determines further assessment of the development. Correct, if born before week 37 Follows to a movement with eyes Makes sounds and crows (“chats” or intonative screaming) When applied to a shoulder of an adult, holds the head Likes touches and cuddles Replies with a smile When eating two or several sucking episodes before swallowing Parents have no concerns regarding development of the child With eyes and turning the head above centre line, follows to a movement “Social smile” The first strings of syllables Is stable when supporting on forearms Parents have no concerns regarding development of the child Laughs/shrieks in a dialogue with parents Answers to people with excitement Holds stable his or her head, if he or she is supported on a shoulder or put in a seating position Accepts position on the belly Makes rhythmic strings of syllables (sounds) Holds a subject for a short time period, if it is put in a hand Follows moving toy or person with eyes Parents have no concerns regarding development of the child Turns his or her head to the direction of a sound Follows a moving object Babbling/makes syllables in different sound volume, tonality Shows joy or dislike with his or her voice Replies with a voice when somebody speaks with him or her Support on opened palms in the position on the belly Rolls from back to belly and vice versa Sits with a support Reaches/grasps toys Parents have no concerns regarding development of the Clinical examination2; 3 It is recommended to carry out clinical Physical examination of all organ systems Special attention: Fontanelle Heart Hips Physical examination of all organ systems Special attention: Fontanelle Red reflex examination of eyes Physical examination of all organ systems Special attention: Fontanelle Ask about hearing Hips Physical examination of all organ systems Special attention: Fontanelle Red reflex examination of eyes with ophthalmoscope
Stands with holding on to something Plays social games (touches his or her nose) Reaches to be hold up Puts thumb and pointing finger together Parents have no concerns regarding development of the Grasps a tiny object with a and bent pointing finger Reacts painfully to parting from parents/carer Parents have no concerns regarding development of the child Watches the reaction of adults in to understand how to react (when falling down himself or herself) Parents have no concerns regarding development of the child Clinical examination2; 3 It is recommended to carry out clinical examination appropriate to the age in each visit Physical examination of all organ systems Special attention: Fontanelle Ask about hearing Hips Physical examination of all organ systems Special attention: Fontanelle Ask about hearing Size of tonsils/teeth Hips Physical examination of all organ systems Special attention: Fontanelle Ask about hearing Size of tonsils/teeth Hips Problems, plans2; 3 Red reflex examination of eyes with ophthalmoscope, if it has not been carried out at 6 months of age Corneal light reflex/ examination of strabismus with cover test, if it has not been carried out at 6 months of age Haemoglobin concentration in blood Examination by an oculist (once in 13-24 months of age) Red reflex examination of eyes with ophthalmoscope, if examination by an oculist has not been carried out Corneal light reflex/examination of strabismus with cover test, if examination by an oculist has not been carried out Health group 1 2 3 1 2 3 1 2 3 Immunisation3 According to vaccination calendar Additional vaccination According to vaccination calendar Additional vaccination According to vaccination calendar Additional vaccination