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Wednesday, July 29, 2009

18 mths MMR jab

Today, Evangeline took her last compulsory jab - Infanrix for DPT/DT & Polio vaccine at The Kid's Clinic as well as her 18mths development assessment.

At 18 mths:-
Growth: Weight @ 11kg (75%)
Height @ 79.4cm (50%) - I guess she got my genes for being petite in size!

As for physical examination:
1. Fixation on moving object: Right & Left eye - No problem
2. Fontanelles - Ok
3. Ears - Ok
4. Heart - Ok
5. Teeth - Ok
6. Muscle Tone - Ok
7. Lungs - Ok
8. Genitals - Ok
9. Posture - Ok
10. Abdomen - Ok
11. Skin - Ok ( recovered from mild ezcema!)
12. Gait - Ok

Personal Social
1. She can indicate what she wants without crying or whining by pointing, pulling and speaking. E.g She'll pull my hand and lead me to the stairs when she's tired and time for bed by saying: Let's go bed!

2. When mama is doing housework like washing toilet with a brush, sweeping the floor, etc - she tends to copy what mama does.

3. She has slight difficulty in holding a regular cup herself to drink water as she usually drink from a straw/ spout. (It's time to let her practice now!

Fine Motor-Adaptive
4. Evangeline has no problem picking up a small object like a raisin, using only the ends of his thumbs and index finger. She's always eating her star biscuits without any problem.

5. Evangeline will scribble on the paper when we give her crayons. However, we are still unsure if she's right-handed or left-handed.

6. At the clinic, Dr Tan gave her 2 blocks and instructed her to stack it up. She obediently did it with ease.

Language
7. Evangeline says more than just Papa & Mama. She could say many words and call me Mummy and her daddy when she was 12 - 13mths. She knows her cartoon friends like Care Bear, Winnie the PoohPooh, "Mimi Mouse" - i.e. Mickey Mouse, Hello Kitty, Elmo, Strawberry Shortcake. Animal friends like dog, puppy, cat, leopard, cheetah, elephant, lion, tiger, parrot, koala bear, bear, peacock, etc etc. Her fruits & vegetables like apple, kiwi, strawberry, orange, banana. Her games like ball, balloon, bubbles, etc. Her food like porridge, rice, bread, water, milk, fish, chicken.

8. Without coaching, pointing or helping, Evangeline can point to at least 2 parts of her body such as nose, eyes, ears, hands, legs & stomach when asked. In fact, she knows more of the detailed parts like eyebrow, eye lashes, belly button, armpit, elbow, knee, toes, neck, hair, tongue, teeth, etc.

9. Evangeline can combine more than 2 words like "let's go", "thank you", "walking", "painful" when hurt. She knows how to say "Dun want" when she doesn't want to do something. She can even sing songs like "Twinkle Twinkle Little Stars" - perfect tune and get most of the wordings right. "Old Macdonald's has a farm" - she will sing the chorus of e-ya, e-ya, o.

We have no problem with Evangeline's language development. She advanced well in this area. Evangeline could also say from No 1 - 10 correctly.

Gross Motor
10. Evangeline can stand alone, without having to hold on to something for 10sec or more (stand alone). In fact, she started walking independently at 14mths. The only bad habit she has now is tip-toe whenever she walks. Checked with Dr Tan, she said it's absolutely fine for beginners like her. They'll grow out of it, we just need to remind her constantly.

11. She walks well with good balance, rarely falls and does not sway from side to side.

12. As we are living in maisonette, she climbs up and down the stairs on her own. Of course, we taught her to hold on to the railing tight and be careful.

Evangeline is a brave gal and didn't cry when she took her jab. We gave her sweet to distract her attention and pain. As Dr Tan said they might develop fever, we fed her with paracetamol to avoid it. Thus far, she's good!!! :)

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