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    Gettingtoknowyourinfant

    Uploaded by

    Jessica Taisha
    The document is a form for caregivers to get to know an infant aged 0-18 months better by providing information about the child's general routine and preferences. It requests details such as the child's birth details, feeding schedule, likes/dislikes, sleep patterns, and any special instructions for their care. Completing the form will help the caregiver understand the infant's needs and provide consistent care.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Gettingtoknowyourinfant

    Uploaded by

    Jessica Taisha
    50 views1 page
    The document is a form for caregivers to get to know an infant aged 0-18 months better by providing information about the child's general routine and preferences. It requests details such as the child's birth details, feeding schedule, likes/dislikes, sleep patterns, and any special instructions for their care. Completing the form will help the caregiver understand the infant's needs and provide consistent care.

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    © Attribution Non-Commercial (BY-NC)

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    The document is a form for caregivers to get to know an infant aged 0-18 months better by providing information about the child's general routine and preferences. It requests details such as the child's birth details, feeding schedule, likes/dislikes, sleep patterns, and any special instructions for their care. Completing the form will help the caregiver understand the infant's needs and provide consistent care.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    50 views1 page

    Gettingtoknowyourinfant

    Uploaded by

    Jessica Taisha
    The document is a form for caregivers to get to know an infant aged 0-18 months better by providing information about the child's general routine and preferences. It requests details such as the child's birth details, feeding schedule, likes/dislikes, sleep patterns, and any special instructions for their care. Completing the form will help the caregiver understand the infant's needs and provide consistent care.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    GETTING TO KNOW YOUR INFANT

    Please fill out this form for your child ages 0 to 18 months. It will help me get to know your child better. Thank you 

    Child’s Name: ____________________________ Child’s Date of Birth: ______________________________


    ____Pre-Mature Birth ____Full-Term Child’s Birth Weight: _________ Home birth or Hospital
    Child’s General Mood: Are they mostly Happy, fussy, colicky, what? ___________________________________

    Has child stayed with anyone else besides parents? __________ If so who? ____________________________

    Is child Bottle or breast-fed? _______________If using both, when do you use bottle vs. breast? __________
    ______________________________________________________________________________________
    How do you give bottle, room temp, warmed, cold? ________________________________________________
    If you warm the bottle, what procedure do you use to warm bottle? ___________________________________
    Does the child hold his or her own bottle? ______________________________________________________
    Is child on formula or milk? ___________What kind of milk or formula do you use? _______________________
    Is child on baby cereal? ______________ List the kinds you use: ____________________________________
    Is child on strained or other baby foods? _______ List the varieties you use fruits veggies etc: _____________
    ______________________________________________________________________________________
    Food likes: ____________________________ Food Dislikes: ______________________________________
    List amounts of food, types of food and times your child usually eats below:
    Breakfast _______________________________________________________________
    Lunch __________________________________________________________________
    Snack __________________________________________________________________
    Will your child have a bottle or breast fed before arriving? ___________________________
    Will your child need breakfast? _______________________________________________

    Does your child use a pacifier? __________ When? ________________________________


    Does your child need a special comfort item to sleep with? ________. What is it? ________________________
    ______________________________________________________________________________________

    Does your child sleep through the night? _______________ IF not how often do they wake and what do you do when
    they wake – feed, rock change etc ? ______________________________________________________
    ______________________________________________________________________________________
    When does your child wake in the morning? _____________________________________________________
    When does your child nap morning? ___________________ Afternoon? ________________

    Please list any other important information or special instructions on the care of your child below:
    ______________________________________________________________________________________
    ______________________________________________________________________________________
    ______________________________________________________________________________________
    __________________________________________________________________________________________________
    __________________________________________________________________________________________________
    __________________________________________________________________________________________________
    __________________________________________________

    Signature ________________________ Relationship to Child ____________________ Date______________

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