peds Flashcards
APGAR score
q
range 0-10, each with a possible 0-2 points
A: appearance
P: pulse
G: grimace
A: activity, tone
R: respiration
what score is needed to get re-checked at 10 min for the APGAR test
less than 7 points, needs to be rechecked at 10 min
what is full term
40 weeks
peds milestones
months 2-3
- prone on elbows
- can lift head in prone
peds milestones
months 3-4
- supine to sidelying
- crawling - army crawl
peds milestones
months 4-5
- prone to supine
- pull to sit without head lag
- sitting with UE support
- feet to mouth
peds milestones
months 6-7
- supine to prone
- quadruped and assumes sitting from quadruped
- independent sitting
- trunk rotation in sitting
peds milestones
months 8-9
- quadruped creeping, siting better from quad
- cruises to sideways (furniture walking)
- can stand alone
- improving grasping skills
peds milestones
month 10-15
- begins to walk unassisted
- transitions in and out of squatting
- floor to stand
- pincer grasp
- stacks two cubes
POEM ABOUT MILESTONES
3 I lift my head
4 i lay to side
5 i go from prone to supine
and at 6, i sit upright
7 quadruped
and at 8 i take a cruise
i creep and stand along at 9
then walk and stack two cubes
early gait for babies
range at 10-15 months
- high gaurd position of arms
- abduction and ER
- hips and knees slightly flexed
- pronated feet (no heel strike)
- pincer grasp
- palmar grasp
- three jaw chuck grasp
- scissor grasp
- pincer grasp
10 months, thumb and index finger - palmar grasp
6 months but integrated by 10 months (should no longer be seen) - three jaw chuck grasp
10 months, like holding a pencil - scissor grasp
10 months, like holding scissors
neonatal reflexes
flexor withdrawal
onset: 28 weeks gestation
integrated: 1-2 months
stimulus: noxious stimulus (pinprick) to sole of foot
response: toes extend, foot dorsiflexes, LE flexes uncontrollably
neonatal reflexes
flexor withdrawal
noxious stimulus (pin prick) to sole of foot
response: toes extend, foot DF, LE flexes uncontrollably
onset- 28weeks gestation
integrated 1-2 months
neonatal reflexes
crossed extension
onset: 28 weeks gestation
integrated: 1-2 months
stimulus: noxious stimulus to ball of foot of LE fixed in extension
responses: opposite LE flexes then addcuts and extends