Reflex Check Off

Question 1

Rooting

Answer 1

Stroke cheek from mouth to ear. baby will turn head towards stimulus.

Important for feeding

Could disappear at between 3-5 months for bottle fed babies and 6-8 months for breast fed babies. Depends on how they are fed.

Question 2

Sucking

Answer 2

something placed in the baby’s mouth will cause them to suck.

No consistent rhythm in premature infant. premie may fatigue quickly and may prevent this reflex.

disapears at 2-5 months.

Question 3

Bite reflex

Answer 3

If something touches biting surface they move jaw up and down.

promotes teething.

disappears 4-5 months

Question 4

Babkins

Answer 4

With stimulus on thenar eminance baby turns head to midline and opens mouth

reason unknown

integrated by 2-3 months

Question 5

Babinski

Answer 5

stroking along the lateral aspect of the sole. from heel to the head of the 5th metatarsal. Causes dorsi flexion of great toe and fanning out of other toes. sign that brain and spinal cord are communicating well.

Always present

Question 6

Moro

Answer 6

Allow head to drop back lower than supporting surface.

Extension/abduction of upper extremities of upper extremities with hand opening. Then flexion/adduction and crying.

One of the first experiences of hand opening.

integrates at 4-6 months

Question 7

neonatal neck righting

Answer 7

turning the infants head to one side results in the body following. Log roll

integrates at 4 months with development of isolated head control

Question 8

Tonic Labyrinthine

Answer 8

increased extensor tone in supine relative to less extension in prone relative to gravity.

prone limb flexion
supine limb extension

diminishes at 6 months with the development of antigravity movement

Question 9

Traction

Answer 9

Grasping infants wrists and pulling towards a sitting position from supine gives a stretch stimulus to the shoulder flexors and adductors, eliciting a pulling response with flexion of shoulders, elbows, wrists and fingers in a synergistic pattern.

full response happens around 37 weeks.

Integration between 2-5 months

Question 10

Palmar grasp

Answer 10

touch ulnar side of infants palm. causes finger flexion of all fingers except thumb.

becomes integrated as child develops voluntary grasp - 4-6 months

Question 11

Avoidance reaction

Answer 11

supine or with vision occluded. lightly distally moving stimulus on the hand results in it moving away from stimulus.

protective response

We always have it

Question 12

labyrinthine head righting

Answer 12

with vision occluded - in vertical position. tilt baby to one side and the head will stay vertical.

remains throughout life

Question 13

Optical righting

Answer 13

in vertical position tilt baby to one side and the head will stay vertical.

remains throughout life

Question 14

Asymmetrical tonic neck reflex (ATNR)

Answer 14

When head turns to one side infant will extend the limbs on the side they are facing and flex the limbs they turned away from.

strongest at 1-2 months.

integrates around 4-6 months with development of head and neck control and midline skills

Question 15

symmetrical tonic neck reflex (STNR)

Answer 15

Head up, arms extend, legs flex

Head down - arms flex, legs extend.

necessary for crawling

integrates 8-12 months

Question 16

Galant

Answer 16

infant in prone. stimulus given on later side of spine from c7 - buttocks. baby’s body will curve to the side (lateral bend) same side of stimulus

integrated by 2-4 months

Question 17

Proprioceptive placing

Answer 17

hold baby around the chest. let the top of foot touch the underneath of table or surface and the baby will place it’s foot ontop of the table.

integrated by 2 months

Question 18

Flexor withdrawal

Answer 18

a noxious stimulus at the bottom of the foot results in dorsiflex of the ankle flexion o f the knee, abductions and external rotation of the hip

integrated at 2 months

Question 19

Crossed extension.

Answer 19

similar to flexor withdrawal.

applying firm pressure to sole of foot of leg held in extension results in flexion adduction and then extension of the opposite leg.

Integrates by two months

Question 20

Primary standing

Answer 20

with the infant supported upright, the infant will bear weiht on the lower extremities in sresponse to the feet making firm contact with the supportin surface. hips and knees never extend

integrated by 2 months

Question 21

automatic stepping

Answer 21

with an infant supported upright and feet touching surface. the infant will walk in response to be moved forward.

integrates in 2 months

Question 22

plantar grasp

Answer 22

firm pressure on the bottom of the foot below toes results in flexion of all the toes

integrated by 9-15 months with experience in weight bearing position (crawling, plantigrade, standing)

Question 23

Landau

Answer 23

onset 3-4 months. prone, supported in air. child will extend head, the back and hips will extend in sequence (superman)

will integrate 12-24 months.