Lab 1: Grasps + NICU

Question 1

what is the grasp sequence in order (5 stages)

Answer 1

palmer grasp

radial palmer grasp

radial digital grasp

immature pincer grasp

mature (fine) pincer grasp

Question 2

what is a palmer grasp

Answer 2

4-6 months

fingers curl around object to stabilize in palm, thumb does not yet oppose fingers

Question 3

what is a radial palmer grasp

Answer 3

6-8 months

object is still stabilized in palm, but is now supported by fingers AND thumb

Question 4

what is a radial digital grasp

Answer 4

8-10 months

object is held between the fingers and opposed thumb. The fingers are now strong and coordinated enough to hold an object without stabilization from the palm.

Question 5

what is an immature pincer grasp

Answer 5

10 months

object is pinched between thumb and stacked fingers

Question 6

what is a mature (fine) pincer grasp

Answer 6

12 months

isolated index finger and thumb pick up object

Question 7

what are the basic goals of the NICU

Answer 7

comfort

simulate the environment in utero for baby

progress baby’s development that would occur in utero

Question 8

How can OT support psychosocial well-being for the baby and family?

Answer 8

Supporting breastfeeding & skin-to-skin time

Education to parents (developmental expectations, resources, transition to home)

Question 9

What physical principles are trying to maintain while positioning the infant to support development?

Answer 9

keeping everything in midline (symmetry)

Maintain flexion of the upper and lower extremity

Avoiding abduction of hips

Keeping airways open while allowing gentle tuck of chin

Question 10

What psychosocial principles are trying to maintain while positioning the infant to support development?

Answer 10

Soothing with the pacifier

Using zany hands to offer comfort with pressure, grasping fingers

Moving the baby slowly and in small movements

Baby’s hands should be able to go to the mouth for self-regulating and soothing (flexed and in midline).

Question 11

what is the gestational age of a baby

Answer 11

amount of time in utero

if baby was born at 26 weeks, gestational age is 26

Question 12

what is the chronological age of a baby

Answer 12

birth to present

baby is 3 months old

Question 13

what is the corrected age of a baby

Answer 13

the age your baby would be if they had been born on their due date, instead of being born premature.

if baby was born 3 months early and it is now 7 months old, corrected age is 7 months minus 3 months, giving a corrected age of 4 months.