lecture 1: 0-12 months Flashcards

Question

ICF Child and Youth Version is what?

Answer 1

Attempt to capture the growth and development of a disability Also attempts to identify the wide variety of abilities and levels of functioning seen in children with the same diagnosis play codes reflect: child's main job is play! provides documentation for transition from child to adult services *ICF focuses on life

Answer 2

-function: body organ/system -activities/participation: functional activities as therapists -impairments: body, not activity impairments -development and disability as parallel processes critical role of the: -environment, -the child in context, -development, -behavioral regulation and organization, -temperament, timing, and maturation

Answer 3

patient values/situation: FAMILY AND ENVIRONMENT ARE VERY IMPORTANT! clinical experience, best research evidence are secondary

Answer 4

1. awareness 2. consultation 3. judgement 4. creativity - MOST IMPORTANT (I think so at least, I had it starred on my notes - David H)

Answer 5

1. history 2. systems review 3. tests and measures

Answer 6

clinical judgments* based on all data

Answer 7

prognosis, including POC

Answer 8

intervention

Answer 9

1-12 weeks

Answer 10

wk 1-12 baby's major body systems are established

Answer 11

wk 13-26 body proportions grow to newborn proportions

Answer 12

wk 27-40 -body weight 3x, body length 2x. -body fat accumulates which aids in body temperature regulation. -At 36 weeks, lungs are developed

Answer 13

-Syphilis -Toxoplasmosis -Other Infections (HIV, Coxsackievirus, Varicella-Zoster Virus) -Rubella -CMV -Herpes Simplex Virus

Answer 14

STORCH, tobacco, smoke, alcohol, caffeine, drugs, certain medications like acutane

Answer 15

1. cephalo to caudal 2. proximal to distal 3. gross motor to fine motor

Answer 16

NICU test performed by delivering medical team to access infant 1. at 1 minute 2. at 5 minute 3. if needed, at 10 minute total scores between 1-10, 5 sections scored 0-2 (10 is good)

Answer 17

is 37 weeks or less

Answer 18

28 weeks or less

Answer 19

38-42 weeks -excessive DF -30 degree flexion contracture at hips, knees -UE and LE flexion *NO ANTIGRAVITY NECK FLEXION *physiological flexion, lack of anti-gravity mm -kyphotic, horizontal ribs -big head, short arms/legs

Answer 20

difficulty with motor skills: running, cycling, throwing, catching ball (coordination disorder)

Answer 21

poor posture poor hand-eye coordination focusing difficulties

Answer 22

motor challenges, poor eye tracking, ADHD/cognitive challenges

Answer 23

will extend legs for 20-30 seconds before flexing legs and sitting/collapse 35 weeks gestation integrates 1-2 months

Answer 24

steps reciprocally when inclined forward appears 37 weeks gestation integrates 3-4 months REAPPEARS at 10-15 months for WALKING

Answer 25

Supine, stroke check, baby roots (turns head and lips) toward stimulus  Appears 28 wks gestation, NEWBORN REFLEX  Integrated by 3 months

Answer 26

 Supine, bottle or knuckler, baby sucks symmetrically and strong  Appears around 28 wks gestation  Integrated by 3 months (becomes more and more voluntary)

Answer 27

 Rhythmic excursion of jaw  Appears around 28 to 34 wks gestation  Integrates (becomes voluntary) at 5 months

Answer 28

Sudden change in head position (extension) in relation to trunk results in: UE: out and in! and crying. flexion, abduction of the shoulders & extension of the elbows  Followed by extension, adduction of the shoulders and flexion of the elbows  Appears approx. 28 wks gestation  Integrated by 3-5 MONTHS, (starts to disappear around 3 mo)

Answer 29

In supine, head rotation elicits:  Chin side arm extension and leg extension  Skull side arm flexion and leg flexion  Appears: approx. 20 wks. gestation  Integrates at 4-5 months

Answer 30

It appears around 28 weeks of gestation and can be elicited in preterm infants as young as 25 weeks of postconceptional age and integrates (disappears) typically by 4-7 months.

Answer 31

palmar reflex

Answer 32

palmar reflex

Answer 33

tonic labyrinthine reflex is present at birth but best seen at 3 months Neck extended: Increased extensor tone and extension of all limbs.  Neck flexed: Increased flexor tone and flexion of all limbs  Although present at birth best seen at 3 months

Answer 34

symmetrical tonic neck reflex  With head flexion: arms flex and hips extend  With head extension: arms extend and hips flex  Reflex appears: 4 to 6 months  Reflex integrates 8-12 months

Answer 35

 Pressure to the sole of the foot just distal to the met heads or supported standing  Response: flexion of toes  Generally present at 28 weeks gestation  Integrates by 9 months

Answer 36

-In supported prone (ventral suspension), stroke one side of the infants lateral trunk or paraspinals -The trunk should laterally flex toward the stimulus appears 28 weeks gestation integrates 3-6 months... but SHOULD DISAPPEAR BY 9 MONTHS**** -retention beyond this point may result in problems such as fidgeting and inability to sit still

Answer 37

less physiologic flexion, extension develops! Less UE flexion  Less hip flexion, more anterior pelvic tilt  Head: able to lift head momentarily but no antigravity flexion yet.

Answer 38

If you hold baby in prone, head trunk and extremity extension if you flex the head gently, babies hip flexes It emerges from 3 to 5 months and lasts until up to 12 months.