1st Quarter Normal Development

Question 1

Neonate normal development

Answer 1

• physiological flexion
• moro reflex
• primary standing and automatic walking
• P to S = no flexor control and head lag

Question 2

1 month normal development

Answer 2

Decreased physiological flexion in prone

ATNR appears

Prone very slight head lift

P- S: no flexor control and head lag

Question 3

2nd month normal development

Answer 3

ATNR increases

Prone is quick head lift to 45 and turning

P-S fleeting attempts to lift head

Standing= astasia abasia

Question 4

3rd month normal development

Answer 4

ATNR decreases (increase midline and flexor control)

Prone head 45-90 and maintain in midline without bobbing

Supine: midline control of head + Hand- mouth + foot-foot play

P-S: head lag @initiation but Head RR with Flexion occurs halfway through

Question 5

6 Atypical gross motor development in neonate to 3 months

Answer 5

Strong extension (⬆️ tone ) and minimal flexion

Hypotonia

Lower extremities strongly extended

No lower extremity kicking in supine

No attempt to lift head from P-S @ 3 months

No hand and body exploration in supine @3 months