1-3 months Flashcards

1
Q

Overview of one month old

A
Physiologic flexion continues
Initiation of cervical spinal extensors to lift head to turn (antigravity ext)
Hands to mouth 
No UE reaching
Family adjustments
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2
Q

One month old - prone

A

More hip extension and subtle weight shift caudally
Activation of shoulder cuff mm resultin gin more ER and Abd
Hands remain near head

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3
Q

One month old - pull to sit

A

Head lag persists
Significant head lag but is developmentally appropriate for 1 month old
Manual contacts on scapular
Head lag is evident

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4
Q

One month old - sitting

A

Limited extensor tone
Cervical extensors beginning
Additional support allows stabilization for inc cervical extension

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5
Q

One month old - hands to midline

A

Head and hands in midline and to mouth
Grasp reflex present
No purposeful reaching

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6
Q

One month old - positive supporting reactions and leaned forward

A

Positive - when you put them on their feet their legs positively support them
Leaned forward - reciprocal steps

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7
Q

One month old - visual

A
Stares at objects
Tracking to midline
Binocular vision begins at 6 wks
Prefers human face, knows moms face vs. stranger
Makes eye contact and may smile
Prefers patterns over colors
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8
Q

One month old - oral

A

Cries in order to have their needs met
Cycle for feeding - 1 to 2 night feedings
Imitates tongue protrusion

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9
Q

Two month old - colic

A

May/may not happen

Some thick could be GI issue or neurological maturation

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10
Q

Two month old - period of purple crying

A

Need to educate families so that they know it is normal - peaks around two months old

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11
Q

Two month old - prone skills - motor development

A

Gradual decrease in physiological flexion

Active extension is limited but progressing

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12
Q

Two month old - increased mobility into

A

extension
Anti-gravity ext still oncoming, not fully developed
Nice ext through trunk
LE - hip ext, knee ext, ankle PF

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13
Q

Two month old - ventral suspention

A

Give you an idea of tone

Active cervical extension if higher tone

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14
Q

Two month old - supine - vision

A

Attention and fixation

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15
Q

Two month old - supine - head

A

rotation

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16
Q

Two month old - supine - UEs

A

Position

ATNR - purpose at this age

17
Q

Two month old - supine skills - LE

A

Variable kicking pattern

Feet touch each other

18
Q

Two month old - sitting skills - pull to sit

A

Moderate lag

19
Q

Two month old - sitting skills - head

A

Labyrinthine and optical righting

20
Q

Two month old - visual

A

Inc in focusing on objects
Tracking across midline
Follow person in room

21
Q

Two month old - Oral

A

Can quiet themselves by sucking

22
Q

Two month old - UEs

A

May swipe at objects, grasp reflex slowly diminishing

23
Q

Three month old - prone skills

A

Beginning POE - movement towards active shoulder girdle
Expansion = scaption co activation
Prepares for crawling

24
Q

Three months old - pron skills - WB with POE provides

A

Proprioceptive input

Stengthening of shoulder and hands

25
Q

Three months old - prone skills cont

A

Muscle balance
Good cervical ext with some rotation and weight shift
Smiles
Excessive ext = symmetrical creases
If asymmetry is present - presents as crease on one side - torticollis

26
Q

Three months old - sitting skills - head

A

Greater balance btw flex and ext
Less bobbing
Greater cervical elongation

27
Q

Three month old - stepping

A

Supported stepping may continue

28
Q

Three month old - vision

A

Eye contact and focus for up to 45 minutes
Visually tracks 180 using head and eyes
Saccadic to smooth tracking
Color division - 3 months
Often will stop volitional movement as intently focus
Will cry if mother leaves area

29
Q

Three month old - sensory summary - auditory

A

nn myelination 10 days to 1 month

30
Q

Three month old - sensory summary - oral

A

Vocalizes when spoken to

31
Q

Three months old - sensory summary - cognitive

A

Early signs of memory - bored with repetitive toys, associates bottle warmer/microwave beep with warm bottle

32
Q

Three months old - sensory summary - Visual

A

Prefers humans face at 3-4 weeks
Binocular vision begins at 6 weeks
Imitates tongue protrusion at 6 weeks