Test Part 5 - Dev Flashcards
Name the fontanelles that are present in a new born baby and give the approximate age of closure?
4 marks
Posterior Fontanelle (Lamba) - 3 months
Postero-Lateral Fontanelle (Asterion) - 12 months
Antero-Lateral Fontanelle (Pterion) - 3 months
Anterior Fontanelle (Bregma) - 18 to 24 months
Star of David.
How does an occiput of a newborn differ from that of an adult and what age is it considered to be completely fused (a diagram may be helpful)?
3 marks
Newborn occiput is in 4 portions separated by cartilage.
Gradually fuses over first 6 years.
Squamous portion - posteriorly
Basilar portion (basi occiput) - anteriorly
2 x Condylar portions - laterally
Condylar-squamous portions fuse - by 3 years
Condylar-basilar portions fuse - by 6 years.
Bonus;
All areas of incomplete ossification are sites for possible distortion.
Cartilaginous areas are less able to self correct than membranous structures
The middle of the occiput forms the Foramen Magnum and positional disturbances are therefore liable to put pressure on the spinal cord or the medulla.
The occiput help forms jugular foramen puts pressure on IJV, CN1X - CNXI.
So both susceptible to distortion of birth and childhood traumas.
How does the Sphenoid of a baby differ from that of an adult?
2 marks
Sphenoid of a baby is in 3 parts which usually unite within the first few months after birth:
-Central body and Lesser wings
-Right Greater Wing and right Pterygoid Plates
-Left Greater Wing and left Pterygoid Plates
Bonus; see pg 179 F2FwF thus the superior orbital fissure is susceptible to distortion due to compressive forces of birth trauma.
Pterygoid plates are usually short at birth. It is the sucking motion during feeding that causes them to lengthen (lateral and medial Pterygoid muscles, TVP).
From what age is it possible to treat a baby?
1 Mark
From birth
What is a Ventouse birth?
1 Mark
A suction cup is placed on the babies head to ease it out of the birth canal during delivery if it gets stuck or there is urgency to deliver.
Why is early treatment of birth trauma recommended?
3 marks
Essential to enable complete resolution and recovery from birth trauma.
Important to treat before bones fuse so patterns can be released.
Occipital bone fuses between age 3 and 6.
Temporal and Sphenoid bones fuse before 1 year old.
To ensure Foramen Magnum does not getting impinged and affecting the spinal cord and brainstem.
Compressive and rotational forces in the cranium from the birth becomes deeply embedded from the cranium down the vertebral column to the pelvis and sets up patterns for life.
Support healthy CSF flow through foramen magnum.
Shock from a traumatic birth imprints into the tissues and nervous system. The effects of shock are like an overstimulated SNS and sets up an early pattern about how the person handles subsequent episodes of stress and shock. The longer the shock is in the system the more ingrained it becomes.
Early cord clamping imposes shock.
Early release will support healthy growth and development.
Early release supports better bonding, sleep, feeding and digestion.
Early release helps to prevent common childhood conditions such as asthma; allergies; ear infections; colic; reflux.
Early release supports optimal immune functions and a happy childhood.
What is Pyloric Stenosis?
1 Mark
Narrowing, constriction, blockage of the pyloric muscle between the pylorus of the stomach and the duodenum (1st part of large intestine).
Awareness of condition affecting baby between birth and 6 months.
Causes forceful vomiting of undigested milk and dehydration.
Affects lower part of stomach and is a passageway between the stomach and small intestine- the pylorus. The pyloric sphincter becomes narrow and stops milk passing through to the stomach to be digested.
How would you treat Pyloric Stenosis?
3 marks
Awareness of condition affecting baby between birth and 6 months.
Thickened pylorus muscle can be felt during feeding as a small hard lump on the right side of the stomach.
Often the result of stimulated sympathetic nervous system.
Release shock and trauma held in the system - using the emotional centres - solar and coeliac plexus. Heart Centre.
Superior cervical sympathetic chain and sub-occiput to release the JF to support proper functioning of the vagus nerve.
Describe how you would release the sub-occiput in a newborn baby?
3 marks
Crown- Cranial Base contact.
Variation of the Falx Contact.
Soft flat fingers under the occiput.
Treat the whole system.
How would you approach the treatment of a baby with colic?
4 marks
Address shock in the system.
Treat the whole system.
Sympathetic over stimulation - solar plexus, heart centre, coeliac plexus and cardiac plexus.
Vagus Nerve - Sub-occiput, Jugular Foramina.
allergies and food insensitivities - wheat/dairy.
The mothers diet if breast-feeding.
Vaccination/Medication/Infection
What specific focal point would you expect to find with a baby with colic?
2 marks
Tight, contracted and overstimulated in the solar plexus area.
Overstimulated ANS.
In what ways might you address a situation in which a baby does not wish to stay still and settle into the treatment?
2 marks
Mother holds the baby. Mother feeds the baby. Treat the mother at the same time - work with the energetic field - if mum relaxes - baby relaxes. Treat when asleep - if possible. Engage with the baby - mirroring. Allow baby to lead treatment.
How would you work with a young child that doesn’t want to stay still and settle into a treatment?
2 marks
Toys; books; audio CDs; allow system to come to you; work off the body; observe breathing and changes in QSM; gently introduce contact on the body.
Give 2 important pieces of advice to a new mother with her new baby - with regard to herself rather than the baby?
2 marks
- What many mothers need most of all is help, advice and support from other mothers in a similar position to themselves - e.g. NCT group, etc.
- Rest and recuperation, e.g. Cranio-sacral therapy.
