Infant health supervision 3–6 months — formative SAQs

SAQ 1 (10 marks)

A mother brings her 4-month-old for a routine review. She is tearful. The infant sleeps prone on a pillow “to stop a flat head.” Growth is good. ^{[1] [3] [7]}

1. List the core domains you must cover in this health-supervision visit. (3) ^[5]
2. Correct the sleep advice and explain why. (4) ^{[1] [7]}
3. How will you approach maternal mood today? (3) ^[3]

Model answer

Domains: caregiver concerns and mood; growth (weight, length, OFC); developmental surveillance; focused exam; anticipatory guidance (sleep, feeding, injury); immunisations due; safety-net. ^[5]

Safe sleep: back to sleep every sleep on a firm flat surface without soft bedding; tummy time only when awake and supervised to address positional head shape — never prone night sleep as treatment. ^{[1] [7]}

Mood: screen using local validated tool within the 1-/2-/4-/6-month paediatric framework; explore safety of mother and infant; refer/support dyad; do not ignore because infant is thriving. ^[3]