Developmental Variations and Reflexes Flashcards
(23 cards)
Red flags for development (7)
assymetry of movement; not reaching for objects by 6 months; unable to sit unsupported by 12 months; unable to walk by 18 months; no speech by 18 months; loss of skills
Screening that occurs in down syndrome (7)
Cardiac; vision; hearing; thyroid function; sleep related breathing disorders; growth charts; development
What do you check if a child is not walking by 18 months ?
CK
Conditions causing motor delays
Duchenne muscular dystrophy, cerebral palsy, co-ordination disorders
Manoeuvre seen by children with Duchennes?
Gower’s manoevure
Conditions associated with cerebral palsy
Epilepsy, hearing and visual impairement, feeding difficulties, mobility problems
Autistic Triad
Communication, social interaction and flexibility of thought/imagination
ATNR reflex should be lost by…
3-4 months
What is the ATNR reflex?
when you lie out with head to one side, contalateral arm and leg spread out to “save” from falling
What is the parachute reflex?
when a child puts a hand out to the side they are falling on
When should the parachute reflex be in place?
5-7 months
limit age of social smile
8 weeks
4 reflexes that you should lose
Moro, Stepping and placing, palmar and plantar reflex, sucking and rooting
If a child is not eating with a spoon or with appropriate utensils look out for…
parents being overly concerned about mess and thus not letting child try…
If a child has fine motor delay, check what…
vision
Normal variations of crawling
bumshuffling, commando crawl, torpedo shuffle, 4 point crawling
Walking limit age
18 months
Rett’s syndrome
girls who develop normally for a year and then start regressing
Signs of Duchenne muscular dystrophy
Gower’s manouevre, pseudohypertrophy of calf, lumbar lordosis (pelvic weakness)
Difference in communication for ASD children
expressive > receptive language, learn language well and may sound advanced but not necessarily understanding
Cafe au lait patches are associated with…
NFM type 1
Sensorineural hearing loss
some normal hearing but may be loss at certain frequenxies (higher usually)
conductive hearing loss
consistenly low level of hearing
