’18moWCC
18-month old _ here for well child check. No parental concerns at this time. – Diet: No concerns. Weaned from bottle. – Voiding/stooling: No concerns. + showing interest in potty. – Sleeping: Has regular bedtime routine, and sleeps through the night without feeding. – Behavior: No concerns. – Activity: Screen/TV time is limited to < 2 hrs/day. PM/SH: Normal pregnancy and delivery. No surgeries, hospitalizations, or serious illnesses to date. DEVELOPMENT: – Gross motor: Runs, walks up steps, able to kick a ball. – Fine motor: Feeds self with a spoon, removes clothes, stacks 2 blocks, uses spoon and cup without spilling most of the time. – Cognitive: Follows simple directions, scribbles, knows name of favorite book. – Social/Emotional: Helps in the house, laughs in response to others, points out things of interest. – Communication: Knows at least 4-10 words, points to at least one body part. – Autism Screening: MCHAT score: _. Seems to interact with others well. Makes eye contact. – Enjoys pretend play. Orients to name. Points and gestures socially. Using 2-word phrases. SOCIAL: – No smokers in the home. – No major social stressors at home. – No safety concerns in the home. – Daytime child care is with _ – No TB or lead risk factors. IMMUNIZATIONS: – Up to date.
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Sandbox Metrics: Structured Data Index 0, 197 boilerplate words
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