Week 2 - First 2 years Flashcards
What scale is used to help doctors and nurses decide whether a baby needs immediate medical attention
Apgar scale
What does the Apgar scale consist of
Appearance (skin colour)
Pulse rate
Grimace (crying or no response)
Activity (muscle tone, e.g. moving or not moving)
Respiratory effort ( breathing)
Newborns sleep on average how much a day
16 hours
How long do 6 month olds sleep on average per day
13 - 14 hours per day
May have unpredictable, frequent waking - every 2-3 hours - because of the immaturity of their CNS and their need to be feed regularly
With physical maturation eventually less night time fussiness - a regular routine can help with sleep patterns
What are newborns visual ability
- can see but acuity is very poor
- Newborns can see about 20-25cm
- They can track moving objects and scan interesting sights
What are 6 month olds visual ability
- improved to near adult level - improved scanning and tracking
- Scanning enhances perception and perception enhances scanning
- Developing knowledge of objects and event promotes pattern perception - facial recognition
What are infants auditory ability
- most infants can hear at birth
- They can hear the difference between sound patterns such as 2 syllables as opposed to 3, and happy vs negative tones of speech
- 3 days old should be able to turn eyes and head to sounds
What is the moro reflex
Time = 28 weeks and it matures into the adult startle reflex at around 5 months
How to elicit = Dropping or startling the infant
Expected Response = Baby throwing arms outwards, arching their back then brings arms back together
Functions = Protection - trying to grab something to stop themselves from falling and to protect the head
What is the grasping reflec
Time = 28 weeks and disappears by 3 months as it turns into voluntary grasping
How to elicit = Putting something in the infants palm
Expected Response = curling fingers around any small object put in their hands
Function = Reinforces a connection with the primary care giver
What is the tonic neck reflec/asymmetrical tonic neck reflex (ATNR)
Time = Birth - 2 months , and should disappear by 2-3 months
How to elicit = turning the infants head to the side when lying down
Expected Response = When laid on back head turns to side and arm and leg extend to the same side - limbs on opposite side flex
What is the babinski reflex
Time: Disappears 8-12 months
How to elicit = Stroke the foot
Expected Response = toes spread, planter flexions (foot flexes), dorsiflexion (big toe flexes)
Function = to test the integrity of the corticospinal tract (CST) – if it is still working after a certain amount of time then there is an issue – sign of neurological damage – also a problem if it doesn’t occur during the initial months
What is the rooting reflex (survival)
stroking of cheek –> baby head turns to side stroked and mouth opens ready to feed
function = orients child to breast or bottle
weakens and disappears by 6 months
What are gravity reflexes
helps maintain posture in a changing environment
typically appear after 2 months
remains for life - important for balance, stability, postural tone, muscle tone
What is the head righting reflex (postural)
reaction to gravity to ensure head maintains a midline position despite movements of other parts of body
develop from 6 weeks
What is the segmental rolling reflex (postural)
allowing rolling, sitting, crawling and standing
develop at 6 months
What is the parachute postural reflex
Arms being put out when falling
develops after 7 months
what are the first gross motor skills
Involves the large muscles of the arms, leg and torso
- crawling
- walking
-jumping
What are the first fine motor skills developed
- reaching
- grasping