Pediatric Flashcards
How often is the APGAR test administered?
1, 5, 10 minutes after birth
What are the 5 items of the APGAR test?
Activity (muscle tone) Pulse (HR) Grimace (reflex irritability) Appearance (skin color) Respiration
What is a good score on the APGAR test?
Each section can range from 0-2,
A 7 is a good score
What is the TIMP?
Test of motor performance for infants from 32 weeks gestation to 3.5 months post term. It evaluates spontaneous and elicited movements.
Main Points Flexor Withdrawal?
baby withdraws limb from noxious stimuli
integrates at 0-2 months
Main Points Galant?
Stroke along paravertebrals causes ipsilateral lateral trunk flex
integrated at 0-2 months
Main Points Moro reflex?
sudden ext of neck results in baby UE grasping motion
integrates 0-4 months
Main Points Primary standing reaction?
Infant supported in standing LE ext. If this persists it will hinder walking by preventing disassociation of flexion and extension.
integrates at 1 month
Level 1 of gross motor classification for cerebral palsy
Walk without restrictions, limitations in more advanced gross motor skills
Level 2 of gross motor classification for cerebral palsy
Walk without assistive device, limitations in walking outdoors and in the community
Level 3 of gross motor classification for cerebral palsy
Walk with assistive mobility devices, limitations in walking out doors and in the community
Level 4 of gross motor classification for cerebral palsy
Self-mobility with limitations, children are transported or use power mobility outdoors and in the community
Level 5 of gross motor classification for cerebral palsy
Self-mobility is severely limited, even with the use of assistive technology.
What does an APGAR score below 3 at 10- 30 mins show?
An Apgar score that remains below 3 at later times—such as 10, 15, or 30 minutes—may indicate longer-term neurological damage, including a small but significant increase in the risk of cerebral palsy.
