Primitive Reflexes

Question 1

A person has poor muscle tone, tendency to walk on toes, poor balance, motion sickness, and spatial orientation issues. Which reflex might they have retained?

Answer 1

TLR

Question 2

A person is fussy while eating, sucks their thumb, dribbles, and has speech and articulation problems. Which reflex might they have retained?

Answer 2

Rooting reflex

Question 3

A person has poor motor development. Which reflex might they have retained?

Answer 3

Landau reflex

Question 4

What does the ATNR reflex help the baby accomplish?

Answer 4

Assist baby through birth canal and develop cross pattern movement

Question 5

What are the major fine motor milestones in the first year?

Answer 5

Grasping at 3 months Transferring objects at 6 months Purposeful release at 9 months Pincer grasp at 12 months

Question 6

When is the onset of the rooting reflex and when is it integrated?

Answer 6

Onset at birth, integration at 3-4 months

Question 7

How is the Landau reflex tested? What is a normal response?

Answer 7

Suspend infant horizontally in prone position. The child should then extend head, neck, and trunk.

Question 8

What does the TLR reflex help the baby accomplish?

Answer 8

Basis for head management and postural stability using major muscle groups

Question 9

How is the STNR reflex tested? What is a normal response?

Answer 9

Place child in sitting and tip forward. The child should flex neck and arms and extend legs. Place child in sitting and tip backward. The child should extend neck and arms and flex legs.

Question 10

When is the onset of the STNR reflex? When is it integrated?

Answer 10

Onset at 6 months, integration at 11 months

Question 10

A person is hyper sensitive or reactive, has poor impulse control, sensory overload, and social and emotional immaturity. Which reflex have they most likely retained?

Answer 10

Moro reflex

Question 10

A person has a tendency to slump while sitting, has poor muscle tone, poor eye-hand coordination, inability to sit still and concentrate. Which reflex might they have retained?

Answer 10

STNR

Question 11

When is the onset of the Landau reflex? When is it integrated?

Answer 11

Onset at 6 months, integration at 11 months

Question 14

When is the onset of the Moro reflex? When is it integrated?

Answer 14

Onset at birth, integration at 4 months

Question 14

What does the Moro reflex help a baby accomplish?

Answer 14

Fight or flight

Question 15

A person has difficulty with fine motor skills, poor manual dexterity, and messy handwriting. Which reflex might have been retained?

Answer 15

Palmar reflex

Question 16

How is the ATNR reflex tested? What is a normal response?

Answer 16

Place child on back, gently turn head to one side. The child should respond with upper extremity flexion on opposite side of the head turn and UE extension on the side the head is turned to.

Question 17

When is the onset of the TLR reflex? When is it integrated?

Answer 17

Onset in utero, integration at 36 months

Question 19

What does the STNR reflex help the baby accomplish?

Answer 19

Preparation for crawling

Question 20

When is the onset of the palmar reflex and when is it integrated?

Answer 20

Onset at birth, integration at 5-6 months

Question 21

A person has unilateral or bilateral postural issues, fidgeting, bedwetting, poor concentration, and poor short term memory. Which reflex might they have retained?

Answer 21

Spinal Galant reflex

Question 22

When is the onset of the ATNR reflex? When is it integrated?

Answer 22

Onset at birth, integration at 6 months

Question 23

What does the Landau reflex help the baby accomplish?

Answer 23

Assist with posture development

Question 24

What are the major gross motor milestones in the first year?

Answer 24

Rolling at 3 months Sitting at 6 months Crawling at 9 months Walking at 12 months

Question 25

How is the Spinal Galant reflex tested? What is a normal response?

Answer 25

Stroke down the back from below the shoulder to the base of the lumbar region at a distance of 1/2 inch from the spine, first on one side, then on the other. Repeat up to 3 times. The infant should laterally flex toward the stimulated side.

Question 26

What does the Spinal Galant reflex help the baby accomplish?

Answer 26

Assist baby with birth process (hip rotation)

Question 27

How is the Tonic Labyrinthine Reflex (TLR) tested? What is a normal response?

Answer 27

Place child on back and lift up into sitting position. The child’s flexor tone should dominate. Place child on tummy. The child’s extensor tone should dominate.

Question 28

A person has poor hand-eye coordination, difficulty with handwriting, trouble crossing vertical mid-line, poor visual tracking for reading and writing. What reflex might they have retained?

Answer 28

ATNR

Question 29

When is the onset of the Spinal Galant reflex? When is it integrated?

Answer 29

Onset at 32 weeks gestation, integration at 3 months

Question 30

How is the Moro reflex tested? What is the appropriate response?

Answer 30

Place the child on back, gently lift of mat. The head is then released suddenly, and allowed to fall backward for a moment before being supported again quickly. The baby is startled (arms move sideways with the palms up and thumbs flexed.)