Weighing and Charting an Infant or Toddler Step by Step Guide

Last Updated Aug. 14, 2025, 4:52 p.m.

Clinical Skills

A clear, practical guide for community health workers. Follow these steps every time to keep measurements accurate and families confident.

What you’ll learn

How to weigh infants and toddlers correctly, plot results on a growth chart, give simple health education, and clean up properly.

Time: 5 to 7 minutes
Setting: Clinic or outreach
Equipment: Infant/toddler scale, growth chart, sanitizer, wipes

Step by step procedure

1) Establish rapport

2 marks

Greet warmly, offer a seat, and introduce yourself by name and title.

Example: “Hello, I’m [Your Name]. I’ll help you today. We’re just going to weigh the baby.”

2) Explain the procedure

3 marks

State the purpose and outline the steps. Ask for cooperation.

Say: “I will weigh the baby to monitor healthy growth. Is that okay? I need your help with a few things.”

3) Prepare and zero the scale

3 marks

Choose an infant scale for babies or any scale for toddlers. Check the pointer is at zero and balance if needed.

4) Hand hygiene

1 mark

Wash your hand with soap and water for at least 20 seconds and dry it, or use an alcohol‑based sanitizer.

5) Instruct the caregiver

1 mark

Say: “Please bring the baby to the scale.” Give them time and avoid rushing.

6) Undress the baby

1 mark

Ask to remove all clothing for accuracy. You can leave the baby's pant initially, then re‑weigh without it or subtract the pant weight if needed.

7) Place the child on the scale

1 mark

For infants, lay gently in the center of the infant scale. For toddlers, support them to stand centered on the platform.

8) Stabilize safely

1 mark

Keep a protective hand close without adding pressure. Wait until movement settles before reading.

9) Measure, read, and chart

5 marks
  • Read the weight at eye level when the pointer or display is steady.
  • State the weight clearly.
  • Plot on the appropriate growth chart line for age and sex.
  • Interpret: within expected range, trending up or down, or out of range.
  • Record the value, date, and any relevant notes.

10) Provide health education

2 marks

Explain what the weight and chart mean in simple terms and agree on next steps.

  • If normal: “Your baby is tracking well around the [percentile] line.”
  • If low or falling: Discuss feeding frequency, diet diversity, recent illness, and follow‑up.
  • If high for age: Review feeding quantities, snacks, and activity as appropriate.

Document the counseling given and any action plan on the chart.

11) Clean and tidy up

2 marks

Wipe the scale surface with an appropriate disinfectant. Put instruments away and prepare the area for the next client.

Quick checklist

  • Scale selected correctly and zeroed
  • Hand hygiene performed
  • Child undressed appropriately
  • Weight read at eye level and recorded
  • Value plotted and interpreted on growth chart
  • Caregiver counseling documented
  • Equipment cleaned and area reset

Consistent technique gives reliable data and stronger relationships with families. That’s how we deliver great care.