STEPHANIE FENTON

3/7/2016
WELL-CHILD PROJECT (55 POINTS)
Assignment Overview
You should visit (ideally in-person) with the child and his/her caregiver(s) to interview the
caregiver(s) regarding the childs usual food intake, to perform the Denver Developmental
Screening Test (DDST) on the child, and determine any recommendations you plan to give the
childs caregiver(s) (Part I). Please used the outlined format in Part I on pp. 2-4.
NOTE: You need to include the completed assignment questions, ChooseMyPlate reports, and
scanned copy or photo of plotted growth charts and completed DDST chart. These can be put
into one document or submitted as separate documents.
PART I (Complete Sections I V):
I.
A.

Identifying data (1 point)

First name: Zoe
B.

Description of the child - general appearance, hair, skin, skeletal development, eyes, muscle
turgor, teeth:

C.

II.

Very healthy appearance. Hair is not dry and frail. Skin has a healthy glow. She appears
to be growing at a healthy rate. Skeletal development is sound. Eyes are bright and alert.
Muscle turgor is healthy for age. Teeth are clean and well-cared for.

Economics environment, interaction with siblings and parents, time with babysitters or in
day care
Sound economic environment. Dad has good, stable job. Inter action with siblings is
positive and respectful. Spends little time with babysitters; no time in day care. Mom
cares for her kids.

Health history (10 points)

A.

Sex of child: female

B.

Age of child (years, months): 5 years, 6 months

C.

Birth anthropometrics (of child):

(1) Birth weight (lbs or kg) and percentile range
6.4 lbs, 10th-25th percentile
(2) Birth length (in or cm) and percentile range
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 19.5 in., 25th-50th percentile

(3) INCLUDE PLOTTED GROWTH CHARTS

D.

Current anthropometrics (of child):

(1) Current weight (lbs or kg) and percentile range (i.e. between 50th and 75th percentile)
44 lbs, 50-75th percentile
(2) Current length or height (in or cm) and percentile range (i.e. above the 98th percentile)
45 in., 75-90th percentile
(3) BMI-for-Age percentile range, if appropriate for your Well-Child subject (i.e. < 5th percentile)
15.3, 50-75th percentile (not applicable)
(4) INCLUDE PLOTTED GROWTH CHARTS.

E.
F.

G.
H.
I.
J.

Number of siblings and their ages

1, age 4
Mothers obstetrical history - weight gain, term, parity (with your subject)
Weight gain: 19lbs
Term: 39 weeks
Parity: 2
Childs history of illnesses (including any chronic diseases)
none
Childs current use of medications, fluoride treatments?
none
Childs dental history
Good; last cleaning in Oct. 2015
Childs allergies, other food intolerances
none
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III.

Developmental skills assessment (6 points)

A. Developmental skills perform the Denver Developmental Screening Test (DDST) using the
screening form handed out in class - INCLUDE THE COMPLETED SCREENING FORM
WITH PART I
B. Summarize your findings from the DDST using the following format (refer to PowerPoint
instructions on BYU Learning Suite):
(1)
No opportunity items (if none, list none identified)
None identified
(2)
Caution items (if none, list none identified)
None identified
(3)
Delayed items (if none, list none identified)
None identified
(4)
Discuss your interpretation of the test, including if the childs development would
be categorized as normal, suspect, or untestable and any concerns you have with the
childs development.
I have no concerns with Zoes development. She was very attentive and willing to
complete all the tests, and had no fear doing them. She excelled at all the tests, even though
she is not 6 years old yet. She is definitely normal and on the right path.

P
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P
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IV.

Nutritional assessment (8 points)

A. Obtain a 24-hour recall from your subject. Most likely you will need to obtain this from the childs
caregiver(s). Enter his/her diet using USDAs ChooseMyPlates Super Tracker. For this section,
INCLUDE 3 PRINTOUTS FROM SuperTracker WITH PART I:
(1) Food Group and Calories Report
(2) Nutrients Report
(3) Meal Summary Report.
B. SUMMARIZE:
(1) Your subjects macronutrient distributions (%) and whether the percentages are appropriate for
his/her age based on macronutrient recommendations
Protein: 24%
Fat: 26%
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 Carbs: 53%
These percentages are appropriate/healthy for Zoe.
(2) The number of MyPlate food group equivalents your subject consumed based on his/her actual
intake and how he/she is meeting (or not meeting) his/her personalized MyPlate food group
recommended levels
Grains: 4 oz
Dairy: 2 3/4 cup
Protein: 4 oz
Fruit: 1 3/4 cup
Vegetables: 1.5 cups
Zoe met all of her food group recommendations, almost exactly.
(3) Your subjects actual vitamin and mineral intake and how it compares to vitamin and mineral
DRIs for his/her age (i.e. is his/her diet high or low in any vitamins and minerals).
Zoe met all the DRIs for vitamins and minerals except for vitamin D, iron, potassium,
vitamin E, and vitamin K. Vitamin D is difficult to obtain in adequate amounts from the
diet, so as long as she spends time out in the sun, she should be fine. She is only barely
low on vitamin K and iron, so Im not worried, because she likely obtains adequate
nutrients from meals on other days. However, she is likely lacking in vitamin E due to a
lack of healthy oils in her diet.
C. Parental description of food habits - likes, dislikes, snacks, jags, pica.
Dislikes: broccoli (depends on the day), spicy foods
Favorite fruit: grapefruit
Eats regular snacks: granola bars, yogurt, fruit (grapes, grapefruit), etc.
No abnormal eating habits.
Parental description of typical family meal times (do they sit at a table or in front of the TV
or does everyone eats at different times, etc).
Family has consistent meal times. They eat around the dinner table and focus on the meal.
They eat as a family when they can.
D. Childs intake of vitamin/mineral supplements?
No supplements
E. Use of food assistance programs like WIC, SNAP, food bank, church resources, etc.
No food assistance
V.

Nutritional care plan and implementation (15 points)

A. Summarize (1-2 paragraphs) what you think are the most significant nutritional risk factors to this
child and how the childs diet can be altered to reduce this risk.
Zoes diet is very healthy. She meets almost all her micronutrient DRIs, consumes a
variety of foods from all foods groups, and has regular meal times with her family. She
looks healthy, happy, and active and she is very attentive and on the right path
developmentally.
Really, the only concern I have is that Zoe has a low intake of vitamin E and omega-3
fatty acids, due to a low intake of healthy oils. This could put her at risk of having suboptimal heart health and possibly affect brain development. It is entirely possible that she
is obtaining enough of these nutrients on other days throughout the week, but her parents
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could increase intake by cooking food in a little olive oil or serving fish once or twice a
week.
B. Explain (1-2 paragraphs) any recommendations, suggestions, or education you plan to give the
childs caregiver(s) and the rationale.
I would simply recommend that Zoes parents cook fish every now and then or find a way
to implement healthy oils into Zoes diet. Her family is very health-conscious, and I think
that adding oil to food can sometimes be seen as unhealthy or fattening. However, it is
important to include at least some healthy oils to provide nutrients such as vitamin E and
omega-3 fatty acids.
Fish are a good source of these nutrients. If there are any fish Zoe enjoys, these could be
implemented into her diet once or twice a week. Flax seed is also another good source of
these oils, though less common in the typical diet. Zoes parents could also cook some of
their vegetables in olive/vegetable oils or incorporate foods high in natural oils (ex:
avocados) into their diet to improve intake of vitamin E and omega-3s.

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