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Nombre NNA
Nombre entrevistado
Parentesco
Fecha
Relacin de los padres (anterior y actual): como se conocen los padres, que tipo de
relacin tienen, tiempo que estuvieron o estn juntos, etc.
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1
ANTECEDENTES PRE-NATALES:
Pre-historia:
Que pasaba antes de que el nio naciera a nivel familiar? (antecedentes pre-natales)
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Nmero de embarazos previos: _____________________________________________
Dificultades para concebir: ________________________________________________
ANTECEDENTES PERI-NATALES
Parto (nmero de semanas de gestacin, normal, cesrea, sufrimiento fetal,
complicaciones en el parto, la madre estuvo acompaada?, etc)
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2
Recuerdo del primer momento con el nio(a):
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3
Cambios de comida
Acept el cambio de pecho a mamadera?: ___________________________________
Acept el cambio de lo lquido a lo slido?: __________________________________
ALIMENTACIN ACTUAL
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Resolucin de problemas
Cmo lo(a) calmaba cuando lloraba
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4
Desarrollo Motor: (indicador de autonoma)
Cundo Camin? : ___________________________________________________
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Sexualidad Infantil
Informacin que recibi : __________________________________
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Como se maneja el tema a nivel familiar : __________________________________
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(Curiosidad, juegos, masturbacin, trauma?): _________________________________
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Un da de Vida (Rutina)
Maana : __________________________________________________________
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Tarde : __________________________________________________________
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5
Noche : __________________________________________________________
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Que juegos prefiere: (juega? Los padres conocen sus juegos? Existen las instancia
para jugar en familia?)
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Hbitos de sueo
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Qu actitudes tienen ustedes como padres con los deberes y lecciones del nio(a)?
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6
Descripcin de los padres de la personalidad del nio
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Comentarios
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