Reflexes

Question 1

Rooting

Answer 1

Seen: 28w gestation; Integ: 3mo/7mo asleep
Elicited - Stoke near corner of mouth

Response - Moves to stimuli

Question 2

Sucking

Answer 2

Seen: 28w gestation; Integ: 2-5mo
Elicited - Finger on lips

Response - Lips move in a sucking motion

Question 3

Palmer Grasp

Answer 3

Seen: 37w gestation; Integ: 4-6mo
Elicited - Pressure to palm from ulnar side

Response - Finger flexion

Question 4

Flexor Withdrawl

Answer 4

Seen: 28w G; Integ: 2mo
Elicited - Supine,LE extended, stimulate (touch/pressure) on bottom foot

Response - Flexion of stimulated leg and foot/toes curl

Question 5

Traction

Answer 5

Seen: 28wk G; Integ: 2-5mo
Elicited - Supine, pressure to palms from ulnar side (raise arms)

Response - Fingers/UE flex

Question 6

Crosses Extension (2 ways)

Answer 6

Seen: 28w G; Integ: 2mo
Elicited - 1. Supine both legs extended, stimulate medial side of one leg 2. Supine, 1 leg extended, 1 leg flexed, flex the extended leg

Response - 1. Non-stim leg internally rotates and flexes, then extends 2. Non-stim leg extends

Question 7

Extensor Thrust

Answer 7

Seen: 28w G; Integ: 2mo
Elicited - Supine, 1 leg extended and 1 leg flexed. Stim sole of flexed foot

Response - Extension of stim extremity

Question 8

Placing of arms

Answer 8

Seen: Birth; Integ: 2mo
Elicited - Hold infant in upright position, stim back of hand, usually on table top edge

Response - Exaggerated flexion, the extension of stim arm to find surface to “place” hand

Question 9

Placing of legs

Answer 9

Seen: 35w G; Integ: 2mo
Elicited - Hold infant in upright position, stim top of foot usually on table edge

Response - Exaggerated flexion then extension of stim leg to find surface to “place” foot

Question 10

Primary Standing

Answer 10

Seen: Birth; Integ: 2-3mo
Elicited - Hold infant upright, place some weight on feet. Lean forward to stim ball of foot

Response - Extension of legs

Question 11

Stepping

Answer 11

Seen: 37w G; Integ: 2-3mo
Elicited - Hold infant in upright position, putting some weight on feet. Lean infant forward slightly if necessary to stim reflex

Response - Rhythmical alternating stepping movements

Question 12

Galant

Answer 12

Seen: 32wk G; Integ: 2mo
Elicited - Prone position on supporting surface, stoke down one side of spinal column

Response - Lateral flexion on stim side

Question 13

Magnet

Answer 13

Seen: Birth; Integ: 2mo
Elicited - Using either flexed arm or leg, put pressure on palm of hand or sole of foot. Remove pressure

Response - Limb extends, following your hand

Question 14

ATNR (Asymmetrical tonic neck reflex)

Answer 14

Seen: 37wk G (strongest @ 2mo); Integ: 4-6mo
Stim - Supine, head in mid-position, turn head to one side

Response - Extension of arm/leg on face side; flexion of arm/leg on skull side

Question 15

TLR - P

Answer 15

Seen: 37w G; Integ: 6mo
Stim - Prone position

Response - Flexor tone against passive extension