3. SCREENING
quick, easy-to-administer
tests to identify children
who may have disability
DIAGNOSIS
In-depth, comprehensive
assessment of all major areas of
development to determine a
child’s eligibility for early
intervention.
PROGRAM
PLANNING
Curriculum-based, criterion-
referenced assessments to
determine a child’s current skill
level, identify IEP objectives and
intervention activities
EVALUATION
Curriculum-based, criterion
referenced measures to
determine progress on IFSP/IEP
objectives and evaluate program
effectiveness
4. • The purpose of screening is to detect
potentially fatal or disabling conditions in
newborns as early as possible, often before the
infant displays any signs or symptoms of a
disease or condition.
Why is it important?
• Some children’s disability are so significant that
no test is needed. The more severe a disability,
the earlier it is detected.
Can we detect disability at an early
age?
Where do screening takes place?
• Most children who experience developmental
delays are not identifiable by obvious physical
characteristics or behavioral patterns,
especially at a very young stages.
5. Screening Tools
A screening tool is a checklist or questionnaire
used by professionals, such as nurses, teachers,
trained paraprofessionals and medical
professionals, in assessing developmental delays
in children
The Apgar Scale
The Apgar Scale is a test given to newborns
soon after birth. This test checks a baby's heart
rate, muscle tone, and other signs to see if extra
medical care or emergency care is needed. The
test is usually given twice: once at 1 minute after
birth, and again at 5 minutes after birth.
Appearance, Pulse, Grimace, Activity and Respirat
6. The Apgar Scale
Virginia Apgar (June 7, 1909 – August 7,
1974) was an American obstetrical
anesthesiologist, best known as the
inventor of the Apgar Score, a way to
quickly assess the health of a newborn
child immediately after birth.
7. What is a normal Apgar Score?
The Apgar score is based on a total score of 1
to 10. The higher the score, the better the baby is
doing after birth. A score of 7, 8, or 9
is normal and is a sign that the newborn is in
good health
What are the five Apgar score?
• This scoring system provided a standardized
assessment for infants after delivery.
The Apgar score comprises five components:
1) color, 2) heart rate, 3) reflexes, 4) muscle
tone, and 5) respiration, each of which is
given a score of 0, 1, or 2.
8. What does an Apgar score of 4
mean?
A normal Apgar score is 7 to 10 and means a
newborn is in good to excellent condition, usually
only requiring routine post-delivery care. ... Those
with an Apgar score under 4 are in poor condition
and need immediate medical attention.
What does an Apgar score of 4
mean?
A normal Apgar score is 7 to 10 and means a
newborn is in good to excellent condition, usually
only requiring routine post-delivery care. ... Those
with an Apgar score under 4 are in poor condition
and need immediate medical attention.
9. The Apgar Evaluation Scale
60sec 5min
Heart Rate Absent
(0)
Less than 100
(1)
100 to 140
(2) 1 2
Respiratory
effort
Apneic
(0)
Shallow, irregular
(1)
Lusty cry and breathing
(2) 1 1
Response to
catheter and
stimulation
No response
(0)
Grimace
(1)
Cough or sneeze
(2) 1 2