Lecture 1/2 - Paeds + Typical motor development of child

Question 1

Define Gestational Age

Answer 1

how many weeks gestation were they when they were born - 36-40 is normal

Question 2

Define Premmie in terms of weeks

Answer 2

<37 weeks gestation

Question 3

Name the 4 developmental changes that occur from birth to adulthood

Answer 3

head size doubles
trunk triples
arms quadruple
legs and feet grow 5 times

Question 4

What are the gross motor developmental milestones for a 3 mo old

Answer 4

Supine - kicking legs, head to midline, waves asymetrically

Prone - raise head off bed to 45 degrees

Sitting - supported - holds head erect for few secs

Locomotion - rolls side to supine

Question 5

What are the gross motor developmental milestones for a 6 mo old

Answer 5

Supine - grasping, raises head up and moves arms to be lifted

prone - lifts head to 90 degrees, arm support, may get 4-pt kneeling and rock back and forth

sitting - can sit unsupported with legs in ring position

standing - bouncing, hips flexed, supported stand

Question 6

What are the gross motor developmental milestones for a 9 mo old

Answer 6

Sitting - unsupported, lean outside BOS

Standing - pull to standing via 1/2 kneeling

Kneeling - will drop from kneel to W sitting

Locomotion - crawl, cruise

Question 7

What are the gross motor developmental milestones for a 12 mo old

Answer 7

Standing - independently

Locomotion - walking independently

Question 8

What are the gross motor developmental milestones for a 18 mo old

Answer 8

Standing - controlled squat

Stairs - rail support of up and down

Ball Skills - kicks a ball, throw,

Question 9

What are the gross motor developmental milestones for a 24 mo old

Answer 9

Standing - picks object up, stands on tip toes

Locomotion - runs

Stairs - 2 feets per step with rail

Ball Skills - swings leg to kick, jumps, climbs, throws overhand ball

Question 10

What are the fine motor developmental milestones for a 3 mo old

Answer 10

Reaching - both hands, hands to mouth - ulnar side

Manipulations - holds bottle

Question 11

What are the fine motor developmental milestones for a 6 mo old

Answer 11

Reaching - brings things to mouth - ulnar side

Manipulation - bangs objects

Question 12

What are the fine motor developmental milestones for a 9 mo old

Answer 12

Manipulation - throws objects, points/pokes, puts object into container

Question 13

What are the fine motor developmental milestones for a 12 mo old

Answer 13

Manipulation - developed pincer grip, puts objects into and out of container

Blocks - stack 2 blocks

Drawing - fisted grip of pencil

Question 14

What are the fine motor developmental milestones for a 18 mo old

Answer 14

Drawing - less fisted grip

Blocks - tower of 3

Question 15

What are the fine motor developmental milestones for a 24 mo old

Answer 15

Manipulation - pincer grip beginning to draw, turns pages of book

Question 16

When does the stepping reflex disappear

Answer 16

2 months - because of weight of baby

Question 17

Define Astasia and Abasia

Answer 17

Astasia = the inability to stand upright

Abasia = lack of motor coordination in walking

Question 18

When can the baby WB again

Answer 18

4 mo

6mo - bounce

Question 19

Describe the dynamic systems theory

Answer 19

Emphasis is not on the product, development is not linear, timing and quality are influenced by external and internal factors

Question 20

What are some things to be aware of when treating children

Answer 20

consider what body systems are influencing a delay in development
consider equipment and space at home
consider parents - burden, culture

Treat - PLAY, encourage, promote healthy lifestyle,