1.6

1. Unit 1.6 Understand the needs of
the mother and baby during pre-
conception, pregnancy and the first
years of life

2. LO4. Understand developmental checks from birth to 12 months
[AC 4.1]
Time: 10 mins
• Tell me a story
Conception to
gestation
Effects of birth
experiences
Post Natal Care Developmental
checks
Fertilisation Pre-conception
experiences
Mother / Baby Neonatal
screening test
Antenatal checks Pre-birth
experiences
Concerns the
parent may have
Developmental
review
Outcomes of
antenatal checks
Birth experiences GP Examantion

3. Learning outcomes
Understand developmental checks from birth to 12 months.
Explain routine checks carried out for:
• the new-born baby
• the baby during the first year of life.

4. The new-born baby will have a number of observations and
checks in its first hours of life these will include:
• Apgar score http://www.babycenter.com/2_newborn-apgar-
test_10300050.bc
• Observations of limbs and head
• Skin
• Stools – meconium
• Eyes
• Umbilical cord
• Weight, length, head circumference
LO4. Understand developmental checks from birth to 12 months
[AC 4.1]
New-born Observations and Checks

5. Time: 10 mins
• Discuss why you think these observations and checks are
carried out on a new-born.
• What is the importance of these observations checks?
LO4. Understand developmental checks from birth to 12 months
[AC 4.1]

6. Newborn babies also have a number of screenings carried out.
• Guthrie test – performed on the seventh day to detect
phenylketonuria (PKU) and cystic fibrosis – this is a heel
prick to obtain a sample of blood.
• Barlow’s test – check by the midwife then the paediatrician
to check for congenital dislocation of the hips. This test will
be repeated by the health visitor and GP at the 6 week
developmental check.
LO4. Understand developmental checks from birth to 12 months
[AC 4.1]
Newborn Screening

7. Time: 15 mins
• Discuss and feed back from the pairs activity. Talk about the
reasons and importance of the checks and observations
carried out on a new-born.
• Share your thoughts on the screenings.
• Discuss if you think other screens, checks and observations
should be carried out on the new-born.
LO4. Understand developmental checks from birth to 12 months
[AC 4.1]

8. • All babies in England will be given a Personal Child Health
Record (PCHR), this is has a red cover and is often referred
to as ‘the red book’.
• This will track the baby's progress and is shared between all
the professionals
• The red book will record the babies height and weight on a
centile chart.
• It will record all the baby’s immunisations.
LO4. Understand developmental checks from birth to 12 months
[AC 4.1]
Personal Child Health Record (PCHR)

9. Time: 20 mins
• Research what a centile chart is and why and how it is used.
• Discuss with the rest of the group your findings.
Understand developmental checks from birth to 12 months
In pairs use tape
measures and centile
chart to plot your own
measurement’s on the
chart

10. Time: 10 mins
• In a group of 4 read the scenario below then plot a centile chart and answer
the questions.
Millie was born at term on 12/10/13, weighing 3.6 kg, head circumference 34 cm.
When Millie was 8 weeks old she weighed 4.8 kg. Her mother brought Millie to
the clinic on 21/8/14 concerned about her weight gain. Millie weighs 8.5 kg and
her length is 71.4 cm.
• What was the weight centile at birth?
• What was the head circumference centile at birth?
• What was the weight centile at 8 weeks?
• How old is Millie on 21/8/14?
• What is her weight centile on 21/8/14?
• What is her height centile on 21/8/14?
LO4. Understand developmental checks from birth to 12 months
[AC 4.1]

11. Time: 10 mins
• Write down four questions a new parent may have for their
midwife, health visitor or GP in relation to the checks,
observations, screenings and immunisations that will be
carried out on their baby.
Understand developmental checks from birth to 12 months

12. Time: 15 mins
• Produce a flow chart of all the observations, checks,
screenings and immunisations that are given to a baby from
birth until they are one year old.
LO4. Understand developmental checks from birth to 12 months
[AC 4.1]

13. Extension activity
Complete your table from this mornings starter activity

14. Summary
 In this lesson, we have looked at routine checks for the newborn and the
baby during the first year of life.

15. Summary – plenary activities
1. Why is it important that a baby/child’s weight, length and head
circumference are recorded regularly on a centile chart?
2. Why is important that parents are aware of all the screenings,
immunisations that a baby will have in its first year of life?