PEDIALEC_S1_L2 - Gross Motor only dev milestones + reflexes Flashcards
1
Q
Newborn: gross motor
A
- Flexor tone predominates
- In prone, turns head to side
- Automatic reflex walking
- Rounded spine when sitting
2
Q
Gross motor: what is automatic reflex walking?
A
Try to stand them and they can do a little walking
3
Q
t or f at 6th month, most primitive reflexes are integrated
A
4th month
4
Q
4th or 6th? Recognizes bottle, turns to sound of voice
A
4th
5
Q
4th month is also called what
A
lap baby
6
Q
4th month: gross motor
A
- Head midline
- Head held when pulled to sit
- In prone, lifts head to 90 deg
- Turns to supine
7
Q
at 7th month, ____ are becoming integrated allowing increase freedom of movement and___.
A
Primitive infantile reflexes, high transitional skill
8
Q
t or f as early as 6th month, Oral motor skill improving
A
f, 7th
9
Q
t or f lip closure is not yet established for a 7 month old baby
A
f, stronger lip closure for spoon feeding
10
Q
7th month: gross motor
A
- Maintains sitting
- Rolls to prone
- Bears all weight, bounces when held erect
- Cervical lordosis
11
Q
at 10th month, what continues to expand
A
Mobility and exploration
12
Q
t or f at 10th month, Safety in home should be reviewed especially stairs, patio etc
A
t
13
Q
at 10th month, transition to standing continues to improv thru _____
A
half-kneeling
14
Q
at 10th month, a baby can reach up to what while sitting
A
10 inches
15
Q
t or f at 10th month, a baby can reach up to 10 inches while sitting but there is minimal loss of balance
A
f, without losing balance
16
Q
t or f at 1 yr, the baby can already use mama and dada
A
f, 10th month
17
Q
t or f at 9th month, the baby starts to ihibit behavior when told no
A
f, 10th month
18
Q
love affair with the world happens at what year/month
A
10th
19
Q
10th month: gross motor
A
- Creeps
- Pivots in sitting
- Stands momentarily
- cruises
20
Q
t or f at 13th month,they become independent and autonomous
A
f, 14th
21
Q
at 14th month, arms are at ___
A
high guard
22
Q
at 14th month, what happens to the BOS
A
wide BOS
23
Q
t or f at 14th month, the baby cant still crawl upstairs
A
f, can crawl upstairs
24
Q
manner of feeding for a 14th month baby:
A
Holds spoons, overpronates and frequent spilling
25
14th month: gross motor
- Walks arms in high guard
- Wide base, excessive knee and hip flexion
- Foot contact on entire sole
- Slight valgus of knee and feet
26
t or f at 18th month, a wide BOS is still evident
f, narrow BOS na
27
t or f at 16th month, the baby Can walk back, sits in a low chair
f, 18th
28
can a 17th month old drink from a cup
no, 18th
29
t or f a 1 yr and 6 month old baby can seek help when in trouble
yes, 18th month to
30
18th month: gross motor
- Arms at low guard
- Mature supporting base and heel strike
- Seats self in chair
- Walks backward
31
how many years old can a baby able to run
2 yo
32
can a 1 yr old and 11th month be able to jump on both feet?
no, 2yrs old pa, 1 more month pa
33
t or f a 2 yr old can walk up
and down steps with assist
f, without help
34
Explores environment; opens doors, what age
2 yo
35
hand dominance established at what age
2 y0
36
at 2 yo, the child Refers to self using name:
me and
mine”
37
2 yo: gross motor
- Begins running
- Walk up and down stairs alone
- Jumps on both feet in place
38
t or f a 3yr old runs well
t
39
can 3 yrs old maneuver a pedal tricyle
yes
40
t or f a 3 yr old can do Stair mobility advances to alternating feet when ascending and descending
f, ascending lang
41
for a 3 yr old, fine motor skills include:
imitation of three cube bridge, copy circle
42
can a two yr old answer questions who what and where
no, 3 yo to
43
t or f a 3 yr old can speak a 5 word sentence
f, 3 word sentence
44
3 yrd old: gross motor
- Runs well
- Pedals tricycle
- Broad jumps
- Walks up stairs alternating feet
45
t or f 4yr old can ascend and descend the staris alternate steps
t
46
what arch is developed at 4 yr old
plantar arch
47
at 4 yo, there is Adequate strength of_____; can sit up from supine without ___
abdominal muscle, rolling
48
t or f a 4 yr old can copy a circle
f, a cross
49
4 yr old: gross motor
- Walks down stairs alternating feet
- Hops on 1 foot
- Plantar arches developing
- Sits up from supine position w/o rotating
50
T OR F Entrance to kindergarten is at 6 yo
f, 5
51
at 5 yrs old, the child pariticpates in __
team play
52
t or f at 5 yp, the Motor behavior is not yet mature but self care skill developed
f, Motor behavior is mature; self care skill developed
53
a 5 yo enjoys ___, and walks ____
skipping, tiptoe
54
5 yo: gross motor
- Skips
- Tiptoes
- Balances 10 sec on each foot
55
6 yo gross motor
- Rides bicycle
- Roller skates
56
At 8-10 years, the school-age child can do what?
- Throws balls skillfully
- Uses to participate in organized sports
- Handles eating utensils skillfully
57
At 9 years, the child can do what?
- Demonstrate true sequence of day, month, and year
- Simple multiplication and division concepts are performed
58
7-11 yo: the child is now in the what?
Child is now in the concrete operational stage of cognitive development
59
7-11 yo: the child usually do what?
Reading, playing computer and board games
60
Around 10 y/o, ____ is formed
lasting friendship
61
At 10-12 yo, the child do what?
- Enjoy all physical activities
- Continues to improve his motor coordination
62
infantile reflexes (12)
moro
startle
rooting
positive supporoting
asymmetric tonic neck
symmetric tonic neck
palmar grasp
plantar grasp
automatic neonatal walking
placement of placing
neck righting or body derotational
tonic labyrinthine
63
physiologicla reflexes (4)
head righting
head and body righting
Protective extension or parachute reactions
Equilibrium or tilting reactions
64
stimulus, response, and age of suppression for moro
stimulus: sudden neck extension
response: Shoulder abd, elbow & finger ext followed by arm flex add
age of suppression: 4 - 6 mos
65
stimulus, response, and age of suppression for startle
stimulus: Sudden noise
response: Same as moro reflex
age of suppression: 4 - 6 mos
66
stimulus, response, and age of suppression for rooting
stimulus: Stroking lips/around mouth
response: Moving mouth. Head toward stimulus in search of nipple
age of suppression: 4 mos
67
stimulus, response, and age of suppression for positive supporting
stimulus: Light pressure or WB on plantar surface
response: Legs extend for partial support of body weight
age of suppression: 3 -5 mos replaced by volitional weight bearing c support
68
stimulus, response, and age of suppression for asymmetric tonic neck
stimulus: Head turning to side
response: Extremities extend on face side, flex on occiput side
age of suppression: 6 - 7 mos
69
stimulus, response, and age of suppression for symmetric tonic neck
stimulus: Neck flex/Neck ext
response: Arms flex, legs extend/Arms extend, legs flex
age of suppression: 6 -7 mos
70
stimulus, response, and age of suppression for palmar grasp
stimulus: Touch or pressure on palm or stretching finger flexors
response: Flexion of all fingers, hand fisting
age of suppression: 5 -6 mos
71
stimulus, response, and age of suppression for plantar grasp
stimulus: Pressure on sole distal to MT heads
response: Flexion of all toes
age of suppression: 12 - 14 mos when walking is achieved
72
stimulus, response, and age of suppression for automatic neonatal walking
stimulus: On vertical support plantar contact and passive tilting of body forward and side to side
response: Alternating automatic steps with support
age of suppression: 3 - 4 mos
73
stimulus, response, and age of suppression for placement of placing
stimulus: Tactile contact on dorsum of foot or hand
response: Extremity flexion to place hand or foot over an obstacle
age of suppression: Before end of first year
74
stimulus, response, and age of suppression for neck righting
stimulus: Neck rotation in supine
response: Sequential body rotation from shoulder to pelvis toward direction of face
age of suppression: 4 mos replaced by volitional rolling
75
stimulus, response, and age of suppression for tonic labyrinthines
stimulus: Supine/Prone
response: Predominant extensor tone/Predominant flexor tone
age of suppression: 4 - 6 mos
76
stimulus, response, and age of emergence for Head righting
stimulus: Visual & vestibular
response: Align face/head vertical, mouth horizontal
age of suppression: Prone – 2 months // Supine – 3 to 4 months
77
stimulus, response, and age of emergence for Head and body righting
stimulus: Tactile, vestibular, proprioceptive
response: Align body parts in anatomic position relative to each other and gravity
age of suppression: 4 - 6 mos
78
stimulus, response, and age of emergence for Protective extension or
parachute reactions
stimulus: Displacement of COG outside supporting base in sitting, standing
response: Extension/abd uction of lateral extremity toward displacement to prevent falling
age of suppression:
Sitting ant – 5 to 7 months
Lateral – 6 to 8 months
Posterior – 7 to 8 months
79
stimulus, response, and age of emergence for Equilibrium or tilting reactions
stimulus: Displacement of COG
response: Adjustment of tone and posture of trunk to maintain balance
age of suppression:
Sitting – 6 to 8 months
Standing – 12 to 14 months
80
If some reflexes are suppressed, some reflexes
have to emerge t or f
t
