Fine Motor Skills and Vision Flashcards

1
Q

A newborn has what kinds of fine motor skills?

A

UE flexed, ADD, and pronated
Wrist and fingers are flexed
Indwelling thumb present
Coordinates suck->swallow->breathe

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2
Q

At one month what fine motor skills would you expect to see?

A

Arm and hand flex/extends as one unit
Indwelling thumb or fisted
Jerky movements
Random movements

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3
Q

Two month olds will show what fine motor skills?

A

Hands are more open and less fisted at rest

Hands to mouth

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4
Q

What movements are expected at 3 months old?

A

Reaches for objects in midline
Indwelling thumb no longer present
Random batting at objects

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5
Q

4-5 month olds will have what fine motor skills?

A
Toy to mouth 
Visually directed grasp 
Shake objects 
Grasps and releases toys-ulnar grap 
Smile or reach for familiar people 
Watches adult scribble (reaches for pen) 
Accidental transfer of toy hand to hand
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6
Q

A 6-8 month old is expected to be able to do what fine motor skills?

A

Grasping palm or with thumb and 1st & 2nd digits (radial grasp)
Bang two objects together
Raking grasp of small objects
Voluntary release and transfer of objects hand to hand
Holds own bottle
Drops one of two toys to secure a third

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7
Q

9-11 month olds should be able to accomplish what fine motor skills?

A
Can start learning and using sign language! 
Clasp hands and wave bye bye 
Poke with index fingers- isolated finger mvmnts 
Container play (in/out) 
Neat pincer-finger feeding cheerios 
True release- objects into container 
Offers toy
Stacking rings
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8
Q

At 12-15 months what skills should be visible?

A
Takes off hat/shoes
Assists in dressing 
Rolls ball forward 
Throws ball 
Dumps cup to remove cheerios 
Builds two block tower 
Imitates scribbling 
Feed self with spoon (many spills)
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9
Q

What fine motor skills are present for 16-18 month olds?

A
Single piece knob puzzle 
Pulls of socks purposefully 
Unzips zipper 
Strings single bead 
Imitating crayon strokes (horizontal or vertical) 
Points to body parts upon request 
Attempts to wash face/hands
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10
Q

Give the grasp sequence and the ages at which they occur.

A

1) Grasp Reflex (0-2 months)
2) Ulnar Grasp or Crude Palmar (4-5 months)
3) Palmar Grasp (5-6 months)
4) Raking (not really a grasp) (6-8 months)
5) Radial Grasp (7-8 months)
6) Three jaw chuck (9-10 months)
7) Pincer (10-12 months)

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11
Q

What are two things you should note when looking at the grasp reflex of a 0-2 month old?

A

Flexion of the wrist to secure object

No thumb use

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12
Q

The vision of a newborn consists of what?

A
Enjoy strong contrasts - black/white/red 
8-9 inches best vision 
Tracking slow objects 45 degrees 
Dolls eyes (integrated at 2 weeks) 
Maintains eye contact during feeding
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13
Q

What kind of vision does a 1 month old have?

A

Focal distance increasing
Stares at toys but does not look at grasped toy
Faces preferred stimuli over any toy
Increasing discrimination between colors
Lateral vision> midline vision

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14
Q

A 2 month old has what kind of vision?

A

Depth and size perception developing
Glances between two objects/faces/toys
Tracks vertically and horizontally
Difficult to cross midline consistently

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15
Q

At 3 months old how does vision change from 2 months old?

A
Hand regard begins 
Tracks 180 degrees
   Following toy in supine 
Increasing eye hand regard in midline 
Beginning head turning with eyes 
Fixating well on close objects
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16
Q

What vision would a 4 month old be expected to have?

A
Stable ocular movements
Increase visual pursuit 
Binocular vision well established 
Sees in full color 
Can visually track without head movement due to increased ocular control
17
Q

At 5- 8 months what vision should a child have?

A

Eyes cooperating fully in grasping and manipulation
Head turns to follow vanishing object-beginning object consistency
Tracks in all directions

18
Q

T/F Strabismus can be constant or intermittent and is always unilateral.

A

False: It can be constant or intermittent but it can also be unilateral or alternating.

19
Q

Name the 4 types of strabismus and where the eyes are in each type.

A

1) Hypotropia: eyes point down
2) Hypertropia: eyes point up
3) Exotropia: eyes go lateral
4) Esotropia: eyes go medial

20
Q

When naming strabismus is it important to name the side?

A

Yes! You need to name it right or left and then the type.

21
Q

Which type of strabismus is most prevalent in school aged children?

A

Esotropia 5.3%
Exotropia 4.2%
Hypertropia 0.5%