العمل التمريضي لمتابعة الاطفال حتي خمس سنوات

1. Child Weight

A. Timing of Weight Measurement

A child's weight should be measured at least as follows:

• At birth or within 15 days after birth.
• At least five times during the first year of life (at 2, 4, 6, 9, and 12 months).
• Four times during the second year of life (at 15, 18, 21, and 24 months).
• At least once annually from the age of 2 years until 5 years.

Notes

• The child's weight should be measured at every healthcare visit, regardless of the reason for the visit, and recorded on the growth chart.
• Each child's growth chart should be carefully interpreted by connecting successive measurement points to identify early deviations from normal growth patterns. Appropriate age-specific nutritional counseling should be provided, or the child should be referred to a higher level of care when indicated.
• Growth rates differ between boys and girls; therefore, sex-specific growth charts should always be used.

B. Weight Measurement Procedure

• Place the weighing scale on a firm, level surface.
• Ensure that the scale is functional and in good working condition.
• Zero the scale before use.
• Calibrate the scale daily before the start of work to ensure measurement accuracy.
• Ensure adequate privacy for both the mother and the child, and confirm that the room temperature is comfortable before removing the child's clothing for weighing.
• Place the child on the scale without coverings and wearing the minimum amount of clothing possible, in a comfortable position (lying or sitting), ensuring that the child's entire body is fully supported on the scale. Wait until the scale reading stabilizes before recording the measurement.
• The nurse should stand directly in front of the scale indicator to obtain an accurate reading, while the mother stands beside the child to provide reassurance. The same nurse should then record the measured weight.