Typical development: newborns to 4 months Flashcards

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1
Q

Development is an interaction of what three main factors

A
  • genetic predisposition
  • person’s individual role in development (how/when are they exposed to things)
  • environmental factors such as family, community, sociocultural influences
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2
Q

Culture and its relation to milestones

A
  • culture is one of the many varibales known to affect motor development
  • in certain cultures there are milestones that happen earlier or later based on when parents are expected to have them do that milestone
  • potty training for example
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3
Q

Development milestones occur…

A
  • generally in sequence
  • can appear and disappear but generally move in an upward direction
  • posture is the most fundamental of motor actions
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4
Q

infant changes behavior and movement from what to waht

A
  • non goal oriented movements to goal and accurately directed movements
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5
Q

Functional movement and development of cognition and perception

A
  • movement helps develop cognition and perception
  • cognition helps develop functional movements
  • lack of functional movement results in functional limitations/activity limitations
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6
Q

Motor development (describe)
- relation to other systems
- what may effect/predict motor behaviors

A
  • intertwined with development of other systems within the person and their environment
  • may take a unique developmental pathway toward attainment of major motor milestones
  • experience is a stronger predictor of motor behaviors than age in the emergence of both crawling and walking
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7
Q

Neonate

A
  • newborns 1-4 weeks old full term
  • are in physiological flexion: limited hip, knee extension
  • random movements are uncoordinated, jerky, and non purposeful
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8
Q

Supported sitting in neonates

A
  • flexion and abduction (legs)
  • generalized trunk flexion
  • arms held close to body
  • head bobbing, head lag with pull to sit
  • they now are dealing with gravity
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9
Q

Supporting standing in neonates

A
  • extensor tone
  • automatic stepping
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10
Q

Primitive reflexes

A
  • are present at birth and happen automatically in response to stimuli in the baby
  • present in utero as well
  • are necessary for proper growth and development
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11
Q

Neonate reflexes for survival

A
  • rooting: when you stroke their lip they will follow your finger - helps them find their food source
  • sucking/swallowing: have to do with nursing and getting food
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12
Q

Neonates spinal reflexes

A
  1. moro
    - when their head falls back/they are lowered onto their back they extend their arms out
  2. palmar and plantar grasp
    - pressure on their toes/palms of hands cause them to clench and grasp
  3. traction response
    - puling limbs toward themselves to protect themselves when people pick them up by their arms
  4. flexor withdrawal
    - when stimulating feet or hands they will width drawal into a flexed position
  5. spinal galant
    - prepares the baby for walking and crawling
    - in newborns, softly stroking just the side of the spine on the lower back initiates a side flexion in the baby and the child’s hip to raise toward touch
    - develops coordination/proprioception
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13
Q

Develop of subsystems: skeletal in neonates

A
  • skeletal system
  • all systems are tied together in development
  • head and trunk large in proportion to extremities with COM at xiphoid process
  • spinal lacks curves = c-shaped
  • growing bone is less dense and more porous than adults making it more sensitive to compressive and tensile forces
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14
Q

Sensory system and development: (neonates)
1. tactile
2. vision
3. hearing
4. vestibular

A
  1. first sensory system to develop, fully myelinated at birth
  2. newborn acuity is 20/150, accommodation 19 cm; can see contrast, track very briefly, pupils react to light, know who their parents are
  3. acoustic nerve is not myelinated yet, will respond to loud noise by blinking, changing breathing pattern, startle response, noises can bother them
  4. vestibular: fully myelinated and functional birth
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15
Q

MORO reflex

A
  • should be inhibited by 4 months of post-natal life to be replaced by an adult startle reflex
  • if it does not go away there could be a neuro involvement
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16
Q

Neonate development of subsystems: nervous system

A
  • peripheral nervous system is fully myleinated but not perfect
  • mid brain, brain stem, and spinal cord most mature in CNS
  • neonatal period time of CNS organization, regulation of body functions and state of body
  • their neurons are growing in the 1st 9 months and the brain is developing rapidly
  • capillaries are permeable so the nervous system is vulnerable to damage in newborns
  • autonomic nervous system is active
17
Q

Reflexes that develop active head righting

A
  • asymmetrical tonic neck reflex emerging in utero/1 month decrease by 4-6 months
  • tonic labyrinthine reflexes begins (decreases by 2 years old)
  • labyrinthine head righting keeps head upright during changes in position, optical heading righting and body righting reactions starting
  • these three start to develop active head righting
18
Q

Asymmetrical tonic neck relfexes

A
  • when they are laid down in supine if they look to one side, that arm will extend and the other will be flexed and held close to the body
  • present up until about 4 months
19
Q

Tonic labyrinthine reflex

A
  • activated by head position in space
  • tone of neck and leg flexors increase in prone position
  • in supping position tone of back and leg extensors increases
20
Q

Labyrinthine head righting/optical head righting

A
  • head is kept in line and adjusted
21
Q

One month: Motor behavior in supine

A
  • Supine: Physiological flexion begins to decrease
  • Will gaze at overhead mobile or caregiver’s face during feeding
  • Pull- to-sit shows some control at the beginning range
22
Q

One month: Motor behavior in prone

A
  • Prone and ventral suspension: Some active neck extension, brief
  • head lag is when some neck extension is not present in the prone/ventral suspension
23
Q

One Month: vision

A
  • turn head to diffuse light
  • maintain attention briefly if it stimulus is novel or resembles a face
  • drives movement
24
Q

One month: Speech and hearing

A
  • guttural noises (gurgling)
  • auditory system is now fully myelinated
25
Q

Head Control: one month and on

A
  • Crucial skill, the foundation for all later movement
  • Able to lift her head at about a month old
  • Hold it up when placed in a sitting position at around 4 months
  • Should be strong and steady by 6 months
26
Q

Two months old: in supine, prone, supported sitting

A

Supine:
- Head rotation is increased,
- Body more in contact with surface, (less flexion)
- Random swiping at objects

Prone:
- Head elevation to nearly 45
- bobbing, pectoral muscles becoming more active as baby pushes into surface
- Supported sit: Decreased head lag with pull to sit, beginning to hold head up when trunk is supported

27
Q

Three to four months: general

A
  • critical time for development with flexion and extension balances occurring (trunk is extended)
  • integration of some early reflexes beginning- decrease in frequency with greater variety of movements pattern
  • movement becomes more purposeful (shipping/reaching for things with a better idea of distance)
  • abdominals becoming more active
28
Q

Three to four months: motor behavior in supine

A
  • UE/LE lifting and reaching, overshoots objects
  • gathers in midline (holding a bottle)
  • rolling to side
  • some finger mouth play
  • active kicking
  • working more against gravity
29
Q

3-4 months: motor behavior prone

A
  • Developing anti-gravity control: will get more extension to get ready to crawl
  • active propping on forearms, swimming
  • weight shifting with improved control
  • rolls to supine accidentally (body follows and gravity assists)
30
Q

What is the developmental sequence

A

0 months: infant in total flexion
1-2 months: infant in prone and gains extension
4 months: infant pushes up while in prone
5 months: Rolls to side
5-6: Push up to sit/stage 1 sitting
6-7: Sitting with hands free
7-8: Quadruped
8-9: Kneel to stand
9-10 Crawling
10-11 cruising
11-12: Standing walking