Quiz 1 Flashcards

1
Q

1-3 Months

A

Motor: gradual increase of head righting
Prone: lifts head to 45 degrees, puppy props
Supine: increased extension & asymmetry
Sitting in supported rounded posture

Sensory: more accurate vision when seeking objects
Reflexes: rooting, flexor withdrawal, walking/stepping reflex

Fine Motor: hand to mouth patterns more observable, hands fisted but looser, may hold onto something if placed

Feeding: more of a schedule

Social: smiling, cooing, faces

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2
Q

4-6 Months

A

Motor: better head control, develops rolling
Prone: weight shifting, used head to guide positions
Supine: brings feet to mouth, reciprocal kicking
Sitting: some are independent; begins to like to stand and be held in supported standing

Fine Motor Skills: volitional grasp pattern, eye hand coordination, radial & palmar grasp, shakes toy

Feeding: reflexive biting patterns, holds bottle

Social: smiles & laughs, more response to faces, stranger anxiety

Sensory: link tactile with visual info
Reflexes: ATNR, STNR, parachute, Landau
Body righting develops

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3
Q

6-9 Months

A

Motor: transitional movement patterns (prone through sitting) increased pelvic stability
Prone: tummy time, trunk rotation & midline crossing, crawling then creeping
Supine: hate position, no play initiative
Sitting: sits without support (w-sit, side sit, criss cross sitting)

Fine Motor: bangs toys together, radial movement, inferior radial grasp, radial digital grasp

Feeding: dissolvable variety of tongue movements, munching, finger feeds

Social: babble, laugh, cry when someone leaves, love peek-a-boo

Sensory: auditory process skills improve, enjoy sensory input

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4
Q

9-12 months

A

Motor: increased period of being upright, very mobile, more integrated responses for protective and righting reactions, first steps, reflexes are mostly integrated, cruises on furniture, climbs, walks. With high guard initially, toes curled, throws objects

Fine Motor: places objects with control, neat pincer, turns the pages of a thick book, pulls off clothing

Feeding: Rotary chewing, may use spoon, different grades of biting, eats soft table foods

Social: Language is developing, may have a few words, understand concepts

Sensory: functional use of objects, enjoy cause effect games, object permanence

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5
Q

1-2 years

A

Gross Motor: walks well short distances, running but uncoordinated, rides a push toy, kicks a ball, maneuvers a change in surface

Fine Motor: stacks blocks, holds 2 objects in one hand, operates cause effect toys, scribbles, controlled release

Self-care: helps with dressing & grooming, indicates when wet or soiled

Feeding: drinks from a cup, straw, eats table food, becomes picky

Social: temper tantrums, asserts independence & play skills, parallel play, more interested in how things work

Cognitive: object permanence, language skills 10-20 words and learns new ones daily

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6
Q

2-3 Years

A

Gross Motor: negotiates playground, running is more coordinated, reciprocal UE & LE movement, catches a ball, jumps off surface, stair climbing

Fine Motor: in and manipulations skills are better, colors, copies a line, hand preference

Self-care: toilet training, simple fasteners, assist with self-care tasks

Feeding: uses fork & spoon with pre-set, drinks from open lid cup

Social: follows rules and structure

Play Skills: turn taking, role playing, complex concepts (executive function)

Cognitive: receptive language, vocabulary 5pm words, simple puzzles

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7
Q

Palmar Reflex (primitive reflex)

A

Stimulus: pressure with finger on palm of hand
Response: fingers flex in a tight grip
Integration: 4 to 6 months
Absent response: Erbs palsy

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8
Q

Suck-Swallow Reflex (primitive)

A

Stimulus: place finger on lips
Response: infant sucks
Integration 2 to 5 months

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9
Q

Rooting Reflex (primitive)

A

Stroke side of mouth
Head turns toward stimulus
Integration: 3 months

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10
Q

Moro Reflex (primitive)

A

Support in stem-reclined position, drop babies head quickly
Infants arms abduct, extend, and externally rotate, followed by flexion and adduction
Integration: 4 to 6 months
Absent response: vestibular issues

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11
Q

Asymmetrical Tonic Neck Reflex (primitive)

A

Stimulus: in supine, turn infants head to one side
Response: extension of arm and leg on face side, flexion of limbs on skull side
Integration: 4 to 6 months

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12
Q

Tonic Labyrinthine Reflex

A

Stimulus: extend head
Response: arms and legs extend, toes point

Stimulus: flex head
Response: arms and legs flex, hands may fist

Integrate by 3 years old, strongest around 2 months

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13
Q

Landau relax

A

Superman
Emerges at 3 months until 12-24 months

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14
Q

Righting reactions (neck and body)

A

3-6 months and persist throughout life

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15
Q

Parachute reflex

A

Putting hands down to catch yourself when falling
Downward parachute emerges 4 months
Forward, sideward, backward 6 months

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16
Q

Birth Time Classifications

A

Full term: 40 weeks +- 2 weeks
Preterm: 28- 37 weeks
Extremely preterm: less than 28
Post term: greater than 42 weeks

17
Q

Prenatal risks

A

Established risks (genetic)
Biological risks
Environmental risks

18
Q

Appearance

A

Baby’s skin color
0: boys or pale
1: pink body blue extremities
2: pink

19
Q

Pulse

A

0: absent
1: below 100 bpm
2: over 100 bpm

20
Q

Grimace

A

Reflex irritability/response
0: floppy
1: minimal response
2: prompt response

21
Q

Activity

A

Muscle tone
0: absent
1: flexed arms and legs
2: active

22
Q

Respiration

A

0: absent
1: slow and irregular
2: vigorous cry

23
Q

Birth weights

A

Average: 5 lbs 8 oz
Low BW: 3lbs 5oz to 5lbs 8oz
Very LBW: 2lbs 3oz
Extremely LBW: less than 2lbs 3oz

24
Q

Inteaventricular Hemorrhage Grades

A

Grade I: germinal matrix bleed
Grade II: intraventricular bleed without dilation
Grade III: intraventricular bleed with ventricle dilation or hydrocephalus
Grade IV: intraventricular and intraparenchymal bleeding

25
Q

Periventricular Leukomalacia

A

Scarring, necrosis of white matter around ventricles causing cerebral palsy or developmental delay

26
Q

Syntactive Theory of Development

A

Autonomic: skin color, heart rate
Motor: tone, movement, posture
States/ sleepy, alert, fussy
Attention/Interaction: alertness
Self-regulatory: maintain balance of subsystems above

27
Q

NIPS Neonatal/Infant Pain Scale Categories

A

Facial Expression
Cry
Breathing Patterns
Arms
Legs
State or Arousal