Lecture 3: Early Infancy Flashcards

1
Q

What is the neonatal period?

A

first 28 days of infancy

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2
Q

What can the baby do to get rid of bypass system and create normal circulation system?

A

first cry

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3
Q

What happens with pulmonary system in neonatal?

A

fluid in lungs replaced by oxygen, O2/CO2 exchange begins

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4
Q

What is the APGAR score?

A

0-10 point scale taken at 1 min then 5 mins after birth, can be done at 7 if there is concern

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5
Q

What does APGAR stand for?

A
A- appearance/ color
P:Pulse
G: Grimace- reflex irritability 
A: activity- muscle tone, active motion of limbs
R: Respiration
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6
Q

What is average weight and height for neonatal?

A

7-9 pounds, 19-23”

less than 5 1/2 lbs. SGA
more than 10 :LGA

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7
Q

What can a newborn do physiologically?

A

temp regulation

cardiac- HR 120 bpm

Resp- 33 breaths/ mi, mucus excretion

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8
Q

How well is CNS functioning in neonate?

A

primary motor cortex and sensory cortex most active

we are looking for the baby to have smooth changes in state

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9
Q

What is Brazelton/ Nugent Neonatal Assessment?

A

considers motor status and transition between irritability- coping and sleep

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10
Q

What are 6 behavioral states of Neonates?

A
1- deep sleep
2- active or REM sleep
3- transition from sleeping to wakefulness
4- quiet alert
5- active alert
6- crying
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11
Q

What is selective attention in neo?

A

looking towards images they already know

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12
Q

How is sight in the neo?

A

can keep eye contact, and follow things but only for a limited distance- lack head control

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13
Q

What is most powerful form of stimuli in the neo?

A

touch

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14
Q

How does the neonate have a solid vestibular system?

A

move around in utero and get used to self imposed movement

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15
Q

What is respiratory distress syndrome?

A

lack of surfactant, leads to lack of opening of airways

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16
Q

What is bronchopulmonary dysplasia?

A

scarring of lung tissue

17
Q

What is physiological flexion?

A

aka Neonatal flexion

resting posture of baby in flexion

18
Q

What are two components of neonatal flexion?

A
  1. increased muscle tone- resistance to passive stretch
  2. ROM limited so stays in flexed position

this is necessary though as it provides stable base

19
Q

How does a neonate sit?

A

no balance and in a C curve

20
Q

What are the first muscles to work AG?

A

neck extensors in prone

21
Q

What are deep attractor wells?

A

a preferred pattern of movement that is highly predictable

ex: same stimulus usually gets same response

22
Q

What is the definition of neonatal reflex behaviors?

A

neurological process involving sensory stimuli, involuntary, coordinated patterns of muscle activity “pre-programmed”

23
Q

What are the functional implications of reflex behaviors?

A

basis of functional motor behavior, protective mechanism

24
Q

What are Survival reflexes of neonate?

A

moro, rooting, suck/swallow, galant

25
Q

What is moro?

A

head extends and arms ABD then recoil when held on back suspended 4-5 months

26
Q

What is rooting?

A

baby turns head or neck in the way they are touched

ex: touched on right cheek turn to right

4 months

27
Q

What is a galant reflex?

A

paravertebral stimuli leads to lateral flexion on each side

4-6 months

28
Q

What is ATNR?

A

face side extension, skull side flexion

29
Q

What is TLR-s?

A

stimulus to back leads to all EXT

30
Q

What is TLR- P?

A

stimulus to anterior all flexion

31
Q

What is STNR?

A

neck extension when suspended in prone position

32
Q

What is NOB?

A

neck on body- body rolls as log

33
Q

What is traction?

A

when a baby gets pulled supine to sit then they will flex arms

34
Q

At 3 months what skills does baby have in supine?

A

head in midline, greater extension and can reach AG

35
Q

At 3 months what skills does baby have in prone?

A

lifts head 45 degrees and can hold an isometric contraction

36
Q

Why is there greater stress on baby in sitting?

A

no postural strength or support, the baby will compensate by elevating shoulders

37
Q

What is astasia-abasia?

A

when held in standing position baby has inconsistent weight bearing, dancing feet