Nutrition Assessment Checklist

• Is this infant following appropriate charts for weight, length, and OFC?
• Is growth assessed using corrected age?
• Does growth assessment include patterns of growth, percentiles, rate of growth?
• For appropriate growth measurements, see the section on anthropometric procedures.

• Is this infant's fluid intake adequate to meet fluid needs?
• Is this infant receiving breastmilk or an appropriate formula?
• Is this infant offered appropriate foods?
• Is this infant receiving appropriate vitamin-mineral supplements?
• Is the diet developmentally appropriate?
• Is the infant receiving adequate energy?
• Is the infant receiving adequate nutrients (iron, calcium and vitamin D)?
• For more information, see the section on nutritional intake.

• Is the infant positioned correctly for feeding?
• Does the infant have effective nippling skills?
• Can the infant coordinate suck-swallow-breathe?
• Does the infant appear to choke, gag, regurgitate, have apnea/bradycardia/cyanosis or have other signs of respiratory distress with feeding?
• Does the caregiver/infant interaction appear appropriate?
• Does infant show appropriate cues for hunger and satiety?
• Is the length of feeding appropriate?
• Is the volume of feeding adequate?
• Are there environmental distractions that cause stress during feeding?

• Chronic lung disease (CLD) or bronchopulmonary dysplasia (BPD)
• Short gut or other malabsorptive conditions
• Reflux (GER)
• Neurological impairment
• Motor problems
• Cardiac conditions
• Renal conditions
• Hepatic conditions
• Medications

• Small for gestational age
• On TPN more than 4 weeks during early hospitalization?
• Anemia
• Osteopenia