Peds lifespan development

Question 1

Month 1

Answer 1

• decreased flexion
• tracks moving object with head rotation
• head usually to side
• reciprocal and symmetrical kicking
• positive support and walking reflexes in supported standing
• hand fisted with indwelling thumb
• neonatal reaching

Question 2

Month 2

Answer 2

head elevation to 45 degrees in prone
- POE with elbows behind shoulders
- does not accept weight on LE (astasia-abasia)
- head bobs in supported sitting

Question 3

Month 3

Answer 3

• POE, WBing on forearms
• elbows in line with shoulders, head elevated to 90 degrees
• head in midline in supine, hands on chest
• increased back ext with scap add in supported sitting
• takes weight with toes curled in standing
• coos, chuckles
• optical and labrynthe head righting

Question 4

Month 4

Answer 4

• rolls prone to side, supine to side
• sits with support
• no head lag in pull to sit
• B reaching with forearm pronated w/ trunk support
• ulnar-palmar grasp
• laughs
• emerging landau and head righting

Question 5

Month 5

Answer 5

rolls prone to supine
- weight shift from one forearm to other in phone
- head control in supported sitting
- Moro, ATNR, stepping, palmar grasp integrated month 4-5

Question 6

Month 6

Answer 6

• prone on hands w/ ext elbows
• rolls supine to prone
• independent sitting
• pulls to stand with hands held, bounces

Question 7

Month 7

Answer 7

• can maintain quadruped
• pivots on belly
• assumes sitting from quadruped
• trunk rotation in sitting
• recognizes tone of voice
• may show fear of strangers
• belly crawl

Question 8

Month 8-9

Answer 8

• quadruped creeping
• side sitting
• pulls to stand through kneeling with furniture
• may stand independently 1-2 sec
• reaches with different grasps
• can transfer object from side to side
• STNR integrated 8-12 mon

Question 9

10-15 months

Answer 9

-begins to walk unassisted
- squat
- creeps up/down steps
- floor to stand transition
- neat pincer grasp/supination
- searches for hidden tows
- sus of strangers
- patty-cake/peekaboo
- imitates others

Question 10

20 months

Answer 10

• ascends stairs with step to
• immature running becomes more coordinated
• jumps off bottom step
• make believe
• throws ball overhand

Question 11

2 years

Answer 11

• immature running with increased speed
• stairs with reciprocal pattern
• active, restless, tantrum
• catches large ball

Question 12

3 years

Answer 12

• jumps with two feet
• rides tricycle
• stands on one foot briefly
• hops on one foot
• gallops
• kicks ball
• sharing
• mature/true run

Question 13

4 years

Answer 13

• hops on one foot several times
• ## stands on tip toes

Question 14

5 years

Answer 14

• skips
• kicks ball well
• dresses self
• self swing

Question 15

when does plantar grasp integrate

Answer 15

when walking independently

Question 16

9-15 months gait pattern

Answer 16

• flexion, abd and ER of hips, venu varum, eversion of calcaneus, absent longitudinal arches, femoral ante version, internal tibial torsion

Question 17

18-24 months gait pattern

Answer 17

• decreased BOS, heel everted, less co-contraction, genu varum resolved, knee in neutral, longitudinal arches (develop 1 year after walking)

Question 18

3-3.5 years gait pattern

Answer 18

• mature gait: genu valgum, heel eversion decreasing, consistent heel strike, ante version decreasing, arm swing noted

Question 19

6-7 years gait pattern

Answer 19

-fully mature gait: knees and heels in neutral position
- excessive femoral anteversion almost resolved