BULACAN STATE
UNIVERSITY COLLEGE OF
NURSING
City of Malolos, Bulacan
METRO MANILA DEVELOPMENTAL SCREENING TEST
Name of Student: Mariano, Mikhaela Andree M. Date: October 14, 2019
Level: 2nd Leve Community: San Pablo, Malolos City Rating:______________
[Link]’s Personal Data: Ordinal Position in the Family: 2nd Child
Name of Child: Lorenz Mendoza Parents: Mr. Ryan and Ms. Lezil Mendoza
Date of Birth : April 22, 2017 Legally Married: _✔__
Age :2 years, 5 months Living Together:_____
and 22 days Separated: _________
II. Clinical Portrait of the Child:(summarize the physical assessment of the child to
narratively describe his/her clinical portrait)
Lorenz Mendoza, a 2yr old boy, lives in San Pablo Community wen he is assessed he has
a temperature of 36.2 °C at axillary site, Pulse of 80 bpm and Respiratory rate of 20cpm. In
general, his level of consciousness is Alert, his mood is pleasant as he response to our assessment
but has a flat affect on what we are doing to him. He weights at about 15kg and stands at 2ft and
11 inches tall.
His skin color is appropriate to race, hair distribution is even, his skin is most and warm,
he also doesn’t have edema or skin lesions that is present on his skin, and also do not have
birthmarks anywhere on his body and has a good skin turgor for about 3 seconds. His nails were
pink and has a rapid capillary refill for 2 seconds.
His head is 50cm in size which is an indication of Normocephaly, his both anterior and
posterior fontanelle is closed.
His eyes’ pupil sized for about 3mm and its equal, his iris color is black, his sclera,
cornea and conjunctiva were all clear. His vision is not identified yet if he is a far sighted or near
sighted but he does have a blink reflex.
His ears’ position is normal and it doesn’t have any presence of pain and wax build up.
His nose doesn’t have drainage, blockages, flaring and congestion on both nostrils, he has an
active sense of smell and the mucous membrane of his nose is moist.
His mouth has a pink mucous membrane, his tongue shape and movement is symmetric,
his saliva amount is normal, he already have 20 teeth and it is intact as well as his palate, his
swallowing is easy and he also has normal lymph nodes.
His breath sounds were clear, respiration is regularly even, chest expansion is
symmetrical, he doesn’t have cough and SOB (shortness of breath).
His heart sounds, both S1 and S1 were clearly audible, heart beat is regular, apical rate at
85bpm and apical rhythm is regular
. His abdomen is in round shape, his bowel sounds were present and active in all four
quadrants, if palpated his abdomen is soft, his diet is mixed feeding of solid foods and formula
milk, his toleration of diet is good, he has changes in appetite were he eats more that than he
does before, and he also has a recent weight gain.
He has sacral dimple on his back, his posture is straight, his both upper and lower
extremities are fully functional in ROM and his gait is balances since he walks actively.
All of the things that is stated below is the summary of Lorenz Mendoza’s clinical
portrait that has been observed and assessed during the day that he was visited and as he gets
along with the examiner even with a short period of time.
IV. MMDST Findings and Interpretation
Procedure/ Test to be Score Analysis Behavioral Observation
Performed
Plays interactive P Pass if the parents says the The mother obliquely tells that
games child plays games in which he the child plays with a lot of
takes turns with other children children always.
P Pass if the child can use the The mother said that her child
Uses spoon, spilling a spoon or fork to get food to his willingly eats by himself and the
little mouth without spilling much. child is been asked to
demonstrate how he eats by
himself.
P Pass if the child can put any of The mother says that her child
his own clothing. enjoys putting his own clothing
Puts on clothing every time after his own bath
Personal Social
F Pass only if the child can do all The child cannot wash his hands
Washes and dries parts of the two tasks without on his own with soap and he
hands help. plays with the water only.
Separates easily with P Pass if the child does not The child easily come along with
the mother became too upset others even though he knew that
he will be separated with his
P mother.
Pass if the child can remove
Removes Garment clothing such as coat, shoes or The child always removes his
underpants socks and hat because it irritates
him if he has those clothes on.
Interpretation:
The assessment on this sector is NORMAL, because the child has only 1 failed score
among the test that has been performed for him. ______ ____________________
____________________________________________________________________
Procedure/ Test to be Score Analysis Behavioral Observation
Performed
P Pass if the child balances 8 The child enjoys putting the
Tower of 8 cubes blocks on top of one another blocks on one another and he
so that they do not fall. perfectly balanced the 8 blocks
repeatedly.
Fine Motor Adaptive
Imitates vertical line P Pass if the child makes one or
more line on the paper. The child imitates the vertical
lines repeatedly when he is
asked to do so.
Dumps on cheese P Pass if the child dumps the
curls from the bottle cheese curl out of the bottle, The child dumps the cheese
either on his own, or after he is curl out of the bottle after it is
shown how to do it. demonstrated to him on how to
do so.
Interpretation:
___The assessment on this sector is NORMAL, because the child passed all the___
_procedures that has been told for him to do so. ______________________________
____________________________________________________________________
Procedure/ Test to be Score Analysis Behavioral Observation
Performed
Combines 2 different P Pass if the child says a The child says “gusto ko
words meaningful phrase of 2 or more chocolate” when he is asked on
words. what he wants to eat.
P The child answers “kamay ko”
Points to one body part Pass if the child points one while showing his hands when
named body parts that is been he is asked if what he is using to
asked to him/her hold a pencil.
P The child says “ibon, bird” when
Names 1 picture Pass if the child correctly names he is asked if what kind of animal
any one picture is the one being pointed at.
Follows directions P
Pass only if the child follows 2 The child holds the ball when he
Language
out of 3 directions correctly. is asked to do it and also he give
the blocks to the examiner when
he is asked.
Uses Plural P
Pass if the child answers The child answers “blocks” when
“blocks” with an “s” to indicate he is asked what are the things
more than one block. that the examiner shows to him.
Interpretation:
___The assessment on this sector is NORMAL, because the child passed all the___
_procedures that has been told for him to do so and the child answers all the question
correctly according to the procedures. _______________________________________
Procedure/ Test to be Score Analysis Behavioral Observation
Performed
Throwing ball overhead P Pass if the child is standing at The child throws the ball
least 3 feet from the tester and overhead with power repeatedly
throws the ball within arm’s and the child do also have a ring
length of tester between his board at home.
knees and face
Balance one foot- 1 sec P The child balanced on one foot
Pass if the child can stand on with different foot for 3 trials in
either foot 1 second or more in 2 more than 2 seconds.
of 3 trials.
The mother says that her child
Gross Motor
enjoys putting his own clothing
every time after his own bath
Jumps in place P
Pass if the child raises both feet The child jumps joyfully for 3
Pedals tricycle off the floor at the same time for times on place every time the
any measurable distance tester asks him to jump.
Broad jump P
Pass only if the child jumps The child jumps with both feet
once, with both feet together, together for at least 2 times with
over the 8 ½ inches. a distance of 8 ½ inches.
Interpretation:
___The assessment on this sector is NORMAL, because the child passed all the___
_procedures that has been told for him to do so with joy and willingness because he is
already playing with the tester while doing these procedures. ____________________
MMDST DOCUMENTATION:
