pediatric assessment Flashcards
palmar grasp reflex
newborn-5-6 months
-object placed in palm fingers will tighten around it
babinski reflex
newborn through adulthood
- babies until 24 months-toes fan out (normal)
- adults-downward response (normal)
moro reflex
newborn until 4-5 months
- sudden loss of support
- arms flail with crying
parachute reflex
newborn until 3-4 months
when falling forward will place hands out to break fall
tonic neck reflex
arm and leg bent on same side
newborn- 6 mo
stepping reflex
newborn-2 months
baby will attempt to walk when placing hand at bottom of feet
suck reflex
newborn-4 months
stimulate roof of month baby will latch and suck
rooting reflex
newborn-4 months
touch baby’s cheek and head turned with mouth opened
tanner scale
scale based on sexual characteristics (breast, genitalia, etc)
-scale can be used to determine treatment regimen
tanner scale phases
male genitals
I: 14 ya, test vol.>20 ml, penis length 15 cm
tanner scale
female breasts
I: 15 ya, full size breasts, areola returns to contour of breast with projecting central papilla
tanner scale
pubic hair
I: 15, hair extends to medial surface
ages for developmental stages
newborn: infant-12 months
toddler: 12-36 months
preschool: 3-5 ya
school age: 5-12
adolescent: 12-18
young adult: 18-30
adult: 30+
parachute reflex
newborn until 3-4 months
when falling forward will place hands out to break fall
tonic neck reflex
arm and leg bent on same side
newborn- 6 mo
2 month denver scale
gross: lift head, head up 45
language: vocalize
fine motor: follow past midline
personal/social: smile spontaneously
4 month denver scale
gross: sit head steady, roll over, pull to sit without head lag
language: turn to sound/voice
fine: follow 180
personal/social: regard own hand
6 month denver scale
gross: sit no support
language: single syllables, imitate sounds
fine: reaches, rake raisin, pass cube
personal: work for toy, feed self
9 month denver scale
gross: stand while holding on, pull to stand, get to sitting
language: dada/mama specific, jabbers, combines syllables
fine: thumb finger grasp, bangs 2cubes together
personal: wave bye, indicates wants, plays patty cake
12 months denver scale
gross: stand alone, stoop and recover, walk
language: 1-2 words
fine: put block in cup
personal: drink from cup, play ball, imitate activities
18 months denver scale
gross: walk up steps, run, kick ball
language: 6+ words, combine words, point 2 pictures
fine: scribble, tower of 4 cubes
personal: use spoon or fork, feed doll, help in house, remove clothes
24 months denver scale
gross: jump, throw ball overhand
language: speech half understandable, name 6 body parts
fine: tower 6 cubes
personal: put on clothes, brush teeth with help, wash and dry hands
3 years denver scale
gross: broad jump, balance each foot 1 second
language: speech understandable, know 2 adjectives, know 1 color, 2 actions, use of 2 objects
fine: imitate vertical line, tower of 8 cubes, thumb wiggle
personal: play board game, get dressed without help, brush teeth no help
4 years denver scale
gross: balance 1 foot 4-5 seconds, hop
language: define 4 words, name 4 colors, know 3 adjectives
fine: pick longer line, draw person, copy circle
personal: same as 3
