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Advanced Procedures > Mod 6: Peds/Pregnancy > Flashcards

Mod 6: Peds/Pregnancy Flashcards

1
Q

ideal position for exercise after 1st trimester

A

L sidelying

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2
Q

preg: mobilize (2)
general strength?

A

mobilize rib cage & thoracic spine
core & lumbar strength for stability & posture, Kegels, TAs

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3
Q

this mm spasm/shorten d/t postural changes & hip ER in preg

A

piriformis

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4
Q

techniques for standing posture in preg

A

weight on heels to center shifted COM
relax glutes
scap retraction to lift ribs
chin tuck
knees slightly bent (not locked)

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5
Q

diastasis recti diagnosis

A

hooklying- rectus abs crunch w/ 2 finger width or greate

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6
Q

aerobic ex FITT in preg

A

50-60% MHR, 30 min

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7
Q

absolute contraindications for aerobic ex

A

heart disease
RLD
PTL risks
persistent bleeding
active labor
preeclampsia
placenta previa

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8
Q

relative contraindications for aerobic ex

A

severe anemia
cardiac arrhythmia
chronic bronchitis
poor controlled DM 1, seizures, hyperthyroidism
extreme over/underweight

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9
Q

Contraindicated modalities in preg

A

electrotherapy or US on trunk
hydrotherapy (inc. core body >100.8F)
diathermy
mech. traction
prolonged positioning- supine, prone, R sidelying

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10
Q

Avoid these exercises on preg Bedrest

A

abdominal exercise (TA set, rectus abs)
no Valsalva

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11
Q

APGAR categories
-when calculated
-passing score is ___

A

appearance, pulse rate, grimace, activity, respiration
check at 1 min & 5 min after birth
7-10 score

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12
Q

Steps in Motor Planning (7)

A

attend to instructions/listen
recall them in correct sequence
carry out task
adapt motor behavior to complete task
recognize success/failure
interpret problems leading to failure
re-adjust/modify

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13
Q

receipt & propulsion requires judging ____ (3)

A

speed, direction, distance

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14
Q

when might primitive reflexes reemerge?

A

when stressed or injured
if UMN lesion

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15
Q

Name 2 transitional reflexes, not present at birth

A

STNR
Landau

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16
Q

-stroke sole of foot in upward direction & toes fan out
from birth - 12/24 mo

A

Babinski reflex

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17
Q

touch on cheek causes head to turn with mouth open
28 wks gestation to 3 mo

A

rooting reflex

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18
Q

rooting reflex integration for:

A

head control development, optical righting

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19
Q

when head drops into extension, arms abduct/ fingers open and then cross into adduction with crying
28 wks gestation to 5 mo

A

moro reflex

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20
Q

moro reflex integrates for:

A

sitting progression; balance reactions, protective response, hand-eye coordination

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21
Q

pressure applied to extended LE and the opposite LE flexes
birth to 6 wks

A

crossed extension reflex

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22
Q

pressure on palm of hand cause baby to grip
birth to 4 mo

A

palmar grasp

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23
Q

palmar grasp integrates for:

A

WB on hands, voluntary grasp/release, pushing prone to supine

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24
Q

pressure to base of toes causes toe flexion
28 wks to 9 mo

A

plantar grasp

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25
Q

plantar grasp integrated for:

A

LE WB with flat feet, balance reactions, weight shifts in standing

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26
Q

touch skin along spine from shoulder to hip causes lateral flexion to same side of stimulus
30 wks gestation to 2 mo

A

Galant’s Response

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27
Q

Galant’s response integrates for:

A

sitting balance

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28
Q

head turns side & arm/ leg on face side extend, arm/leg on scalp side flex
birth to 6 mo

A

asymmetrical tonic neck reflex

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29
Q

ATNR integrates for:

A

rolling, crawling, feeding, visual tracking, midline use of hands

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30
Q

head position into flexion causes arm flexion/ leg extension
head position into extension causes arm extension/leg flexion
6-8. mo

A

symmetrical tonic neck reflex (STNR)

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31
Q

STNR integrates for:

A

POE, quadruped, crawling reciprocally, sitting balance

32
Q

position of head causes body/extremities held in extension in supine
-body/extremities held in flexion in prone
birth to 6 mo

A

Tonic Labyrinthine Reflex
TLR

33
Q

TLR reflex integrates for:

A

initiating rolling, POE, supine to sit transitions, sitting balance

34
Q

loud sudden noise causes arms to abduct w/ elbows flexed & hands closed
28 wks gestation to 5 mo

A

startle reflex

35
Q

startle reflex integrates for:

A

sitting balance, protective response in sitting, hand-eye coordination, attention

36
Q

weight placed on balls of feet when upright causes trunk/LE to extend
35 wks gestation to 5 mo

A

positive support

37
Q

positive support reflex integrates for:

A

standing/walking, balance reactions, possible contractures

38
Q

supported upright w/ feet on solid surface cause reciprocal flex/ext of legs
38 wks gestation to 2 mo

A

walking/stepping reflex

39
Q

walk/step reflex integrate for:

A

standing/walking, balance reactions, weight shifting

40
Q

child held suspended in prone causes extension of head, trunk & LEs
3mo to 12/24 mo

A

Landau reflex

41
Q

Landau reflex absence may indicate:

A

hypertonia or hypotonia

42
Q

3 righting reactions that orient head to vision, vestibular input & w/ tactile cues/proprioception

A

1- Optical righting reaction
2- labyrinthine righting reaction
3- body on head reaction

43
Q

2 righting reactions to orient body to head & surface:

A

neck on body (for segmental rolling)
body on body (head & trunk follow leg/pelvis rotation)

44
Q

order(positions) that balance/tilting reactions develop

A

prone to supine to siting to quadruped to standing

45
Q

body stabilizes in response to destabilizing forces applied anywhere to body (except supporting surface)

A

Postural fixation reactions

46
Q

reaction that protects body from injury from a fall
-extremities will break fall F/B/side

A

Protective Reactions

47
Q

Peds Dx: shortening of STM mm d/t cramped position in utero, forceps/vacuum delivery, etc
-mm tissue becomes fibrotic

A

Torticollis

48
Q

Peds Dx: hip instability d/t cramped position in utero, birth hormones, tight swaddling
-clunk, asymm. leg length

A

developmental dysplasia of the hip

49
Q

prematurity may cause these pathologies:

A

respiratory distress syndrome > bronchopulm. dysplasia
seizures
aspiration
intraventricular hemorrhage
dev. delays
asphyxia
encephalopathy
cerebral palsy

50
Q

interventions for prematurity: positioning?

A

promote flexion
avoid supine
-develop midline orientation

51
Q

Peds Dx: movement disorders d/t brain damage acquired in utero, during birth, or infancy before age 2
s/s: variable, abnormal mm tone, impaired movement modulation, abnormal reflexes, impaired mobility

A

Cerebral Palsy

52
Q

2 primary motor patterns w/ CP
4 types of distribution to extremities

A

spastic (motor cortex, UMN) or athetoid (basal ganglia)
monoplegia, diplegia, hemiplegia, quadriplegia

53
Q

various forms of myelodysplasia (neural tube deficit)
-in thoracic, lumbar or sacral regions
-lack of folic acid causes failure of neural tube to close

A

spina bifida

54
Q

-non fusion of spinous process of vertebrae though meninges intact
-herniation of meninges, CSF & spinal cord w/ defect extending through vertebrae
-cyst-like protrusion through non fused vertebrae
-herniation of meninges & CSF into sac that protrudes through vertebral defect

A

spina bifida occulta
myelomeningocele
spina bifida cystica
meningocele

55
Q

cerebellum protrudes into cervical spine through magnum foramen d/t hydrocephalus

A

Arnold chiari malformation

56
Q

what is used in spina bifida to prevent hydrocephalus?
where does it drain?

A

ventricular shunt
catheter drains CSF into peritoneal cavity

57
Q

non-progressive NM disorder from 1st trimester
s/s: cylinder like extremities, contractures, joint dislocation, mm atrophy

A

arthrogryposis multiplex congenita (AMC)

58
Q

group of disorders characterized by difficult social interaction, communication, repetitive behaviors

A

autism spectrum disorder

59
Q

progressive disorder caused by absence of gene required to produce dystrophin & nebulin
-fat & fibrotic tissue replace mm
s/s: proximal to distl weakness; no core stability

A

Duchenne’s muscular dystrophy

60
Q

precautions w/ Down Syndrome

A

hyperflexibility/hypermobile jts so don’t overstretch
congenital heart disease: know cardiac status
AA jt unstable & alar ligament laxity: no tumbling/gymnastics
hypotonic mm: don’t overdo exercise

61
Q

genetic condition diagnosed by physical attributes & behavior patterns (chrom 5 deleted)
s/s: small hands/feet, hypotonia, obese, coordination & intellectual disability, constantly hungry

A

Prader-Willi Syndrome

62
Q

progressive degeneration of anterior horn cells (LMN); autosomal recessive
-progressive mm weakness/atropohy, dec DTRs, normal sensation & intelligence

A

spinal muscular atrophy (SMA)

63
Q

who pays for medical based ped therapy?

A

private insurance, Medicaid, out of pocket
-in private clinics, hospitals, home based

64
Q

IFSP?
therapy goals are related to what?
for ages: ___

A

individualized family service plan
education related goals but home based
birth to 3 years

65
Q

IEP?
for ages: ____

A

individualized education plan
ages 3+ to age 21

66
Q

when?
lifts chin in prone
roll partly to side
track object to midline

A

newborn to 1 month

67
Q

when?
kicks legs reciprocally
roll prone to supine
lift head in prone

A

2-3 months

68
Q

when?
POE
roll supine to side
sit alone briefly

A

4-5 months

69
Q

when?
roll supine to prone
1 arm reach
sit independently
radial palmar grasp

A

6-7 months

70
Q

when?
quadruped
pulls to stand

A

8-9 months

71
Q

when?
crawling
stands briefly without support

A

10-11 months

72
Q

when?
walks independently
crawls up stairs

A

12-15 months

73
Q

when?
squats in play
walk backward
stairs w/ help
kick/throw ball

A

16-24 months

74
Q

when?
tricycle
SL hops
scissors w/ help
walk downstairs alt. feet

A

2 yrs

75
Q
A

Advanced Procedures (7 decks)

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