PEDIALEC_S1_L2 - Gross Motor only dev milestones + reflexes Flashcards
Newborn: gross motor
- Flexor tone predominates
- In prone, turns head to side
- Automatic reflex walking
- Rounded spine when sitting
Gross motor: what is automatic reflex walking?
Try to stand them and they can do a little walking
t or f at 6th month, most primitive reflexes are integrated
4th month
4th or 6th? Recognizes bottle, turns to sound of voice
4th
4th month is also called what
lap baby
4th month: gross motor
- Head midline
- Head held when pulled to sit
- In prone, lifts head to 90 deg
- Turns to supine
at 7th month, ____ are becoming integrated allowing increase freedom of movement and___.
Primitive infantile reflexes, high transitional skill
t or f as early as 6th month, Oral motor skill improving
f, 7th
t or f lip closure is not yet established for a 7 month old baby
f, stronger lip closure for spoon feeding
7th month: gross motor
- Maintains sitting
- Rolls to prone
- Bears all weight, bounces when held erect
- Cervical lordosis
at 10th month, what continues to expand
Mobility and exploration
t or f at 10th month, Safety in home should be reviewed especially stairs, patio etc
t
at 10th month, transition to standing continues to improv thru _____
half-kneeling
at 10th month, a baby can reach up to what while sitting
10 inches
t or f at 10th month, a baby can reach up to 10 inches while sitting but there is minimal loss of balance
f, without losing balance
t or f at 1 yr, the baby can already use mama and dada
f, 10th month
t or f at 9th month, the baby starts to ihibit behavior when told no
f, 10th month
love affair with the world happens at what year/month
10th
10th month: gross motor
- Creeps
- Pivots in sitting
- Stands momentarily
- cruises
t or f at 13th month,they become independent and autonomous
f, 14th
at 14th month, arms are at ___
high guard
at 14th month, what happens to the BOS
wide BOS
t or f at 14th month, the baby cant still crawl upstairs
f, can crawl upstairs
manner of feeding for a 14th month baby:
Holds spoons, overpronates and frequent spilling
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
t or f at 18th month, a wide BOS is still evident
f, narrow BOS na
t or f at 16th month, the baby Can walk back, sits in a low chair
f, 18th
can a 17th month old drink from a cup
no, 18th
t or f a 1 yr and 6 month old baby can seek help when in trouble
yes, 18th month to
18th month: gross motor
- Arms at low guard
- Mature supporting base and heel strike
- Seats self in chair
- Walks backward
how many years old can a baby able to run
2 yo
can a 1 yr old and 11th month be able to jump on both feet?
no, 2yrs old pa, 1 more month pa
t or f a 2 yr old can walk up
and down steps with assist
f, without help
Explores environment; opens doors, what age
2 yo
hand dominance established at what age
2 y0
at 2 yo, the child Refers to self using name:
me and
mine”
2 yo: gross motor
- Begins running
- Walk up and down stairs alone
- Jumps on both feet in place
t or f a 3yr old runs well
t
can 3 yrs old maneuver a pedal tricyle
yes
t or f a 3 yr old can do Stair mobility advances to alternating feet when ascending and descending
f, ascending lang
for a 3 yr old, fine motor skills include:
imitation of three cube bridge, copy circle
can a two yr old answer questions who what and where
no, 3 yo to
t or f a 3 yr old can speak a 5 word sentence
f, 3 word sentence
3 yrd old: gross motor
- Runs well
- Pedals tricycle
- Broad jumps
- Walks up stairs alternating feet
t or f 4yr old can ascend and descend the staris alternate steps
t
what arch is developed at 4 yr old
plantar arch
at 4 yo, there is Adequate strength of_____; can sit up from supine without ___
abdominal muscle, rolling
t or f a 4 yr old can copy a circle
f, a cross
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
T OR F Entrance to kindergarten is at 6 yo
f, 5
at 5 yrs old, the child pariticpates in __
team play
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
a 5 yo enjoys ___, and walks ____
skipping, tiptoe
5 yo: gross motor
- Skips
- Tiptoes
- Balances 10 sec on each foot
6 yo gross motor
- Rides bicycle
- Roller skates
At 8-10 years, the school-age child can do what?
- Throws balls skillfully
- Uses to participate in organized sports
- Handles eating utensils skillfully
At 9 years, the child can do what?
- Demonstrate true sequence of day, month, and year
- Simple multiplication and division concepts are performed
7-11 yo: the child is now in the what?
Child is now in the concrete operational stage of cognitive development
7-11 yo: the child usually do what?
Reading, playing computer and board games
Around 10 y/o, ____ is formed
lasting friendship
At 10-12 yo, the child do what?
- Enjoy all physical activities
- Continues to improve his motor coordination
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
physiologicla reflexes (4)
head righting
head and body righting
Protective extension or parachute reactions
Equilibrium or tilting reactions
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
stimulus, response, and age of suppression for startle
stimulus: Sudden noise
response: Same as moro reflex
age of suppression: 4 - 6 mos
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
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
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
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
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
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
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
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
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
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
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
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
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
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
If some reflexes are suppressed, some reflexes
have to emerge t or f
t
