Pediatric development and examination Flashcards
When does a fully mature gait occur?
6-7 yo
At what age should a child be able to complete reciprocal stair climbing with ascent?
2 yo
When should a child be able to swing self on a swing independently?
5
At what age are the elbows finally in line with the shoulders and the head is lifted 90deg?
3mo
When are infants considered premature?
If born <37wks gestation
If a 6 mo child was born 8 weeks early, what’s the corrected age?
16 wks
(24wks - 8)
An APGAR score of 5 is considered what?
not good - 7 or above is considered good
- also depends on time taken: scored at 1, 5, and 10 min after birth
What are the categories that are scored in APGAR?
respiration heart rate reflex irritability muscle tone color
What is the neonatal neck righting reflex?
if you turn an infant’s head in the supine position, it will log roll toward the same side
What is are very important oral reflexs noted in children 0-3 months?
rooting: stroking of perioral region results in head turning to that side with mouth opening
sucking: automatic sucking with touch to lips, tongue, and palate
What is the tonic labrynthine reflex?
position baby in prone = flexor tone
position baby in supine = extensor tone
What is the ATNR?
rotation of head to the side results in ipsilateral extension of face-side extremities and flexion of skull-side extremities
How long with there be head lag in a pull to sit assessment?
until about 4-5 mo
In what order do protective reactions develop? (forward vs backward, etc)
downward: 4-5mo
sideward sitting: 6mo
forward sitting: 7mo
backward sitting: 9 mo
What is the symmetrical tonic neck reflex?
arms follow head movement
- head flexion = arms flex, legs extend
- head extension = arms extend, legs flex
