Pediatric Hypotonia

Question 1

What is the pediatric milestone at 3 months?

… red flags?

Answer 1

• able to hold head up when in pronation

- lack of social response or vocalization

Question 2

What is the pediatric milestone at 6 months?

… red flags?

Answer 2

• able to finger feed self, sits with support

- Poor head control, floppiness

Question 3

What is the pediatric milestone at 12 months?

… red flags?

Answer 3

• able to stand, may be able to walk

- not weight bearing with legs, not communicating by gestures (pointing)

Question 4

Baby is startled, arms and legs splay, baby cries and bring extremities to center. This is known as the _____ reflex.

Answer 4

Moro

Question 5

You touch the side of the baby’s mouth and the baby’s head turns to you and mouth is open. This is known as the _____ reflex.

Answer 5

Rooting

Question 6

The baby’s head turns to the left and the left arm outstretches left, while the right arm is bent. This is known as the _____ reflex.

Answer 6

Tonic neck/Fencing

Question 7

What are the common features of Down Syndrome?

Trisomy 21 microgenia

Answer 7

• macroglossia
• epicanthal folds
• Simian crease
• hypotonia
• congential heart defects

Question 8

What are the common features of Prader Willi?

Answer 8

• severe hypotonia
• thin upper lip
• almond eyes
• short stature
• hyperphagia/overweight

Question 9

hypotonia can be caused by damage to _______

Answer 9

• cerebellum
• red nucleus
• basal ganglia
• motor strip