Health and Nutrition Assessment Handbook (HNAH)
5 - ABCDE Assessment Tool - All Categories
For potential risk factor assignment and key areas to assess.
A: 100s Anthropometric = HT/WT, Percentiles
- What has your doctor said about your child’s growth/your weight?
- What questions do you have about your child’s weight/your child’s growth?
- How do you feel about your child’s growth?
B: 200s Biochemical = Blood Tests
- What has your doctor said about your/your child’s iron level?
- What questions do you have about the blood test we took today? What do you know about having low iron?
- When was the last time your child had a lead test? What do you know about testing for high lead?
C: 300s Clinical = Health/Medical Conditions
- How have you been feeling? What has your doctor said about your pregnancy/baby/child?
- What health related conditions do we need to know about for you/baby/child?
- Do you have any concerns in regards to health for you/baby/child?
| Women | Infant | Child |
|---|---|---|
| Allergies (353) | Allergies (353) | Allergies (353) |
Medical History
| Medical History
| Medical History
|
| Medications (357) | Immunizations | Immunizations |
| Medical Conditions (338, 338, 341, 342, 344, 346, 359, 351, 352 a/b, 354, 356, 357,-372, 382) | Medications (357) | Medications (357) |
| Depression [clinical depression, including postpartum depression] (361) | Medical Conditions 134-153, 341-342, 344, 346-351, 352 a/b, 354-356, 359, 360, 362) | Medical Conditions 134-153, 341-342, 344, 346-351, 352 a/b, 354-356, 359, 360, 362) |
| Nausea/Vomiting (301) | Oral Health Conditions (381) | Oral Health Conditions (381) |
| Oral Health Conditions (381) | Fetal Alcohol Spectrum Disorders (382) | Fetal Alcohol Spectrum Disorders (382) |
| Prenatal Care (334) | Neonatal Abstinence Syndrome (383) | |
| Previous Pregnancy (302-304, 311-312, 321, 339) |
D: 400s Diet and Nutrition
- What are meals like for you/your family? What does your child eat at meals?
- What do you like about your/your child’s eating habits? What would you like to change?
- When do you know your baby is hungry? How does your baby tell you that he/she is hungry?
| Woman | Infant | Child |
|---|---|---|
| Appetite -Likes/Aversions/Cravings | Bottle Use (411.2) | Beverage Intake/Cup Use (425.2, 425.3, 428) |
| Beverage/Water | Water Source (411.9) | Milk Intake/Type (425.1) |
| Breastfeeding (601, 602) -Questions/Feelings | Breastfeeding - How Often/Typical Feeding (411.7) - Breastfed Infant of Nutritional Risk (702) - Complications (603) | Food Safety (425.5) |
| Diet Restrictions (427.2) | Food Safety (411.5, 411.9) | Intake/Foods (425.4) - Picky Eater - Textures - Number of Meals - Portions |
| Eating Patterns (427.2) | Formula/Pumped Breast Milk - Oz/Day (411.1, 411.7) - Preparation (411.6) | Parent/Child Roles (425.4) |
| Eats Non-food Items (427.3) | Solid Foods/Beverages (411.8) Introduction of Solids (411.3) Plan/What/How/When (411.4) | Special Diet/Food Restrictions (425.6) |
| Food Safety (427.5) | Vitamin D, Fluoride, Herbal, Iron (411.10, 411.11) | Vitamin D, Fluoride, Herbal, Iron (425.7, 425.8) |
| Milk Intake/Type | Water Source (425.8) | |
| Folic Acid, Herbal, Iodine, Iron, Prenatal Vitamin, Vitamin D (427.1, 427.4) | Eats Non-food Items (425.9) |
E: 900s Environmental/Other Factors
- What physical activities do you or your child enjoy? How do you feel about the amount of time your child spends watching TV/videos or playing video games? What are your concerns about you/your child’s safety? What questions do you have about smoking, alcohol or other drugs?
Related risk factors: Recipient of Abuse (901), Drug/Alcohol (902), Foster Care (903), Smoking (Household 904).
Probe for these topics depending on what participant shares from questions to assess for all risks.
Revised 02/2023.