class 6: peds Flashcards
what is APGAR Score
a clinical assessment that evaluates a newborn’s health shortly after birth
what are the 5 categories of the APGAR score
apperence
pulse
grimace
activity
respiration
appearance - 0
blue
appearance - 1
blue extremities
appearance - 2
no blue
pulse - 0
absent
pulse - 1
<100
pulse - 2
100 -140
grimace - 0
no response
grimace - 1
grimace
grimace - 2
cry or withdrawal
activity (muscle tone) - 0
flaccid
activity (muscle tone) - 1
some flexion
activity (muscle tone) - 2
active motion in the muscles
respiration - 0
absent
respiration - 1
cry
hypoventilationn
respiration - 2
strong cry
when is APGAR checked
1 min
no normal - 5 mins
not normal - 10 min
Month 3
● Prone on elbows
● Can lift head in prone
● Belly crawl (3-9 mo)
what is normal on APGAR
8-10
Months 3 - 4
● Supine to sidelying
Months 5 - 6
● Prone to supine
● Pull to sit without head lag
● Sitting with UE support
● Feet to mouth
Months 6 - 7
● Supine to prone
● Quadruped
● Independent ring
sitting
● Transfers objects
between hands
● Trunk rotation in
sitting
Months 9-10
● Quadruped creeping
● Cruises to sideways
● Plantigrade, pulls to stand
● Improving grasping skills,
pincer, three jaw chuck
(10 mo)
Months 10 - 15
● Begins to walk unassisted
● Transitions in and out of
squatting (10 mo)
● Controls grasp AND
release
● Stacks two cubes
Crawling
army crawl, on belly
Creeping-
quadruped
poem for children
3 I lift my head,
4 lay on my side,
5 prone to supine,
And at 6 I sit upright.
7 quadruped,
At 8, can’t wait to cruise (9).
Creep, cruise, and stand alone at 9,
Then walk and stack two cubes.
Integrated:
When the reflex disappears to allow for normal development
Persistent:
A reflex that has not integrated and indicative of central nervous
system (CNS) dysfunction
onset of flexor withdrawl
28 weeks gestation
what is the stimulus for flexor withdrawl
Noxious stimulus (pinprick) to
sole of foot
integrated of flexor withdrawl
1-2 months
what is the normal response to flexor withdrawl
Toes extend, foot dorsiflexes, LE
flexes uncontrollably
onset of Crossed Extension
28 weeks gestation
intrgration of Crossed Extension
1-2 months
Crossed Extension stimulation
Noxious stimulus to ball of foot
of LE fixed in extension
onset Rooting
28 weeks gestation
Crossed Extension response
Opposite LE flexes, then adducts
and extends
intregrated rooting
3 months
rooting stimulus
Stroking the side of baby’s
cheek
rooting response
Head turns toward stimulus and
mouth opens
Traction onset
28 weeks’ gestation
Traction intregration
2-5 months
traction stimulus
Grasp forearm and pull up from
supine into sitting position
traction response
Grasp and total flexion of the UE
what is onset of Asymmetrical Tonic Neck
(ATNR)
birth
when is integration of Asymmetrical Tonic Neck
(ATNR)
Asymmetrical Tonic Neck
(ATNR)