Peds Sensorimotor Development

Front 1

_______is the age of the fetus or newborn in weeks from the first day of the mother's last normal menstrual period

Back 1

gestational age
normally 38-42 weeks separated into 3 equal trimesters

Front 2

________age of the fetus or newborn in weeks since conception

Back 2

conceptional age

Front 3

At ___month an infant will have decreased flexion, momentary head elevation w/ minimal forearm support, tracks a moving object, head usually held to one side, reciprocal and symmetrical kicking, walking reflex with arms supported, hands fisted with indwelling thumb, neonatal reaching, alert, brightening expression

Back 3

one

Front 4

At ___months you should see head elevation to 45deg, prone elbows w/ elbows behind shlds, head bobs in supported sitting, does not accept weight on LEs, responds to friendly handling.

Back 4

two

Front 5

At__months you should see prone on elbows w/ WB on forearms,elbows in line w/ shoulders, head elevated to 90deg, head in midline in supine w/ hands on chest, inc back ext. w/ scapular adduction in supported sitting, takes some weight w/ toes curled in supported standing, coos, chuckles

Back 5

three

Front 6

At___ months you should see rolling prone to side and supine to side, supported sitting, no head lag in pull-to-sit, optical and labyrinthine head-righting present, bilateral reaching w/ forearms pronated when the trunk is supported, ulnar palmer grasp, laughs out loud

Back 6

four

Front 7

At___ months you should see rolling from PRONE to supine, WS from one forearm to another in prone, head control in supported sitting

Back 7

five

Front 8

At___ months you should see prone on hands w/ elbows extended, WS from hand to hand, rolls SUPINE to prone

Back 8

six

Front 9

At___ months you should see the ability to maintain quadruped, pivoting on belly in prone extension position, assumes SITTING from quadruped, trunk rotation in sitting, recognizes tone of voice, may show fear of strangers

Back 9

seven

Front 10

At___ months you should see belly crawls, quadruped creeping, moves QUADRUPED to sitting, side-sitting, pulls-to-stand through kneeling, cruises sideways, can stand alone, reaches w/ closest arm, radial digital grasp, radial palmer, 3 jaw chuck grasp, inferior pincer grasp w/ thumb and forefinger, transfers objects from hand to hand

Back 10

8-9

Front 11

At___ months you should see the beginnings of unassisted walking, self-feeding, reaching w/ supination, neat pincer grasp, can release, building a tower of 2 cubes, searches for hidden toy, suspicious of strangers, plays patty-cake and peek-a-boo, imitates

Back 11

10-15

Front 12

At___ months you should see stair ascension w/ a step-to pattern, running more coordinated, jumps off of bottom step, plays make believe

Back 12

20

Front 13

At___ years you should see proficient running, RG up stairs, active restless TANTRUMS

Back 13

TERRIBLE 2's

Front 14

At ____ of age you would expect to see tricycle riding, ability to stand on one foot briefly, jumps w/ two feet, and an understanding of sharing.

Back 14

3

Front 15

At this age, a child should be able to hop on one foot and kick a ball.

Back 15

3 and 1/2

Front 16

At this age, a child should be able to hop on one foot several times, can stand on tiptoes, throws a ball overhand, and relates to friends.

Back 16

4

Front 17

At this age, a child should be able to skip, kick a ball well, and dress oneself.

Back 17

5

Front 18

APGAR is administered to newborns at ___,___, and ___ min after birth.

Back 18

1, 5, and 10 min

Front 19

Name the 5 items tested on APGAR, how are they scored, and what's a normal score?

Back 19

heart rate
respiration
relflex
irritability
muscle tone
color
graded 0,1, or 2 (max of 10)
above 7 is considered normal

Front 20

Stroke the lateral aspect of the plantar surface of the foot, get extension and fanning of toes

Back 20

Babinski (0-12months)

Front 21

Sharp, quick pressure stimulus to the sole of the foot or the palm of the hand initiating withdrawal or stimulated extremity.

Back 21

flexor withdrawal (0-2 months, although some sources say it's present throughout life)

Front 22

Sharp, quick pressure stimulus to the sole of the foot that results in withdrawal of the stimulated LE and extension of the opposite LE.

Back 22

crossed extension (0-2 months)

Front 23

Sharp stroke along the paravertebral line from scapula to the top of the illiac crest results in lat. trunk flexion toward the stimulated side.

Back 23

Galant or trunk incurvation reaction (0-2 months)

Front 24

Sudden extension of the neck results in flexion and abduction of the shoulders, extension of the elbows followed by extension and abduction of the shoulders with flexion at the elbows. Usually results in crying.

Back 24

Moro reflex (0-4 months)

Front 25

Hold an infant in supported standing and infant supports some weight and extends LEs. May interfere with ability to walk if reflex persist.

Back 25

primary standing reaction

Front 26

Hold infant in supported standing, tilt trunk forward slightly, causes reciprocal stepping motions.

Back 26

primary walking (0-2 months unless practiced)

Front 27

Turn head of infant in supine, body log rolls toward the same side.

Back 27

neonatal neck righting aka neck on body (NOB) (0-6 months)

Front 28

Stroking of perioral region results in head turning to that side with mouth opening.

Back 28

rooting (0-3 months)

Front 29

Touch to lips, tongue, or palate elicits automatic sucking.

Back 29

sucking reflex (0-6months)

Front 30

A loud noise, sudden light, or cold causes a sudden jerking of the whole body or ext and abd of the UEs followed by add of the shoulders.

Back 30

startle reflex (0-6 months)

Front 31

Prone position results in maximal flexor tone and supine position results in maximal extensor tone.

Back 31

Tonic labyrinthine relflex (0-6 months) if it persist, it may interfere with rolling from supine due to inc ext tone.

Front 32

Rotation of head results in extension of the face side extremity and flexion of the opposite. Stronger in the LEs of neonates.

Back 32

asymmetrical tonic neck reflex (ATNR) the archer's pose (0-5 months) if it persist it could lead to scoliosis or hip dislocation, and may interfere w/ grasping and hand to mouth activities.

Front 33

Pressure stimulus against the palm results in grasping of object and slow release.

Back 33

palmar grasp (0-4 months)

Front 34

Pressure stimulus is given to the sole or by lowering the feet to the floor results in curling of the toes.

Back 34

plantar grasp (0-9 months) must be integrated for walking to occur

Front 35

Drag the dorsum of foot or hand on the edge of a table elicits placing the foot or hand on the table top.

Back 35

placing reaction (0-6 months)

Front 36

While pulling infant supine to sit, the arms flex and there will be a head lag up until approx. 4-5 months.

Back 36

traction or pull-to-sit reaction

Front 37

The head orients to a verticle position when the body is tilted, tested while blindfolded.

Back 37

optical or labyrinthine righting reaction (1 month - throughout life)

Front 38

Quick displacement of trunk in a downward direction will result in extension of legs in downward and extension of arms in the sitting position to catch weight. Downward begins at 4 months, sideward sitting at 6 months, forward sitting at 7 months, bachward sitting at 9 months; these reactions persist throughout life.

Back 38

protective extension reactions

Front 39

Contact of body on a solid surface results in head righting with respect to gravity.

Back 39

body righting reaction aka body on head (BOH); interacts with labyrinthine-righting reaction to maintain orientation of the head in space. Begins at about 4-6 months and persist throughout life.

Front 40

Extension of the cervical joints produces extension of the UEs and flexion of the LEs. Flexion of the c-spine produces flexion of the UEs and extension of the LEs.

Back 40

Symmetrical tonic neck reflex (STNR) (6-8 months) if it persist, it may interfere with stable quadruped and creeping

Front 41

If infant is held in ventral suspension, there will be extension of the the neck, trunk, and hips.

Back 41

landau's reaction (superman at 4-18 months)

Front 42

Slow shifting of the base of support or slow displacement of the body in space will result in lateral flexion of the spine toward the elevated side and sometimes trunk rotation toward the elevated side.

Back 42

tilting reactions: prone begins at 5 months, supine at 7, sitting at 8, and quadruped at 12 months. all reactions persist throughout life.