peds Flashcards
(35 cards)
APGAR score
q
range 0-10, each with a possible 0-2 points
A: appearance
P: pulse
G: grimace
A: activity, tone
R: respiration
what score is needed to get re-checked at 10 min for the APGAR test
less than 7 points, needs to be rechecked at 10 min
what is full term
40 weeks
peds milestones
months 2-3
- prone on elbows
- can lift head in prone
peds milestones
months 3-4
- supine to sidelying
- crawling - army crawl
peds milestones
months 4-5
- prone to supine
- pull to sit without head lag
- sitting with UE support
- feet to mouth
peds milestones
months 6-7
- supine to prone
- quadruped and assumes sitting from quadruped
- independent sitting
- trunk rotation in sitting
peds milestones
months 8-9
- quadruped creeping, siting better from quad
- cruises to sideways (furniture walking)
- can stand alone
- improving grasping skills
peds milestones
month 10-15
- begins to walk unassisted
- transitions in and out of squatting
- floor to stand
- pincer grasp
- stacks two cubes
POEM ABOUT MILESTONES
3 I lift my head
4 i lay to side
5 i go from prone to supine
and at 6, i sit upright
7 quadruped
and at 8 i take a cruise
i creep and stand along at 9
then walk and stack two cubes
early gait for babies
range at 10-15 months
- high gaurd position of arms
- abduction and ER
- hips and knees slightly flexed
- pronated feet (no heel strike)
- pincer grasp
- palmar grasp
- three jaw chuck grasp
- scissor grasp
- pincer grasp
10 months, thumb and index finger - palmar grasp
6 months but integrated by 10 months (should no longer be seen) - three jaw chuck grasp
10 months, like holding a pencil - scissor grasp
10 months, like holding scissors
neonatal reflexes
flexor withdrawal
onset: 28 weeks gestation
integrated: 1-2 months
stimulus: noxious stimulus (pinprick) to sole of foot
response: toes extend, foot dorsiflexes, LE flexes uncontrollably
neonatal reflexes
flexor withdrawal
noxious stimulus (pin prick) to sole of foot
response: toes extend, foot DF, LE flexes uncontrollably
onset- 28weeks gestation
integrated 1-2 months
neonatal reflexes
crossed extension
onset: 28 weeks gestation
integrated: 1-2 months
stimulus: noxious stimulus to ball of foot of LE fixed in extension
responses: opposite LE flexes then addcuts and extends
neonatal reflexes
rooting
onset: 28 weeks
integrated: 3 months
stimulus: stroking the side of babys cheek
responses: head turns toward stimulus and mouth opens
neonatal reflexes
traction
onset: 28 weeks
integrated: 2-5 months
stimulus: grasp forearm and pull up from supine into sitting position
responses: grasp and total flexion of the UE
neonatal reflexes
ATNR
onset: 28 weeks
integrated: 4-6 months
stimulus: rotation of the head to one side
responses: flexion of skull limbs, extension of the jaw limbs
bow and arrow pose
neonatal reflexes
palmar grasp
onset: birth
integrated: 4-6 months
stimulus: maintained pressure to palm of hand
neonatal reflexes
moro reflex
onset: 28 weeks gestations
integrated: 5-6 months
stimulus: drop the pt backward from sitting position
response: extension, abduction of UEs, hand opening and crying followed by flexion, adduction of arms acros chest
neonatal reflexes
symmetrical tonic labyrinthine (TLR/STLR)
onset: 28 weeks gestation
integrated: 5-6 months
stimulus: prone or supine position
response:
prone: increased flexor tone of all limbs (think calender baby pose)
supine: increased extensor tone of all limbs
neonatal reflexes
positive supporting
onset: birth
integrated: 6 months
stimulus: contact to the ball of the foot in upright standing position
if still present after 6 months, will have difficulty walking
neonatal reflexes
plantar grasp
onset: 28 weeks gestation
integrated: 9 months
stimulus: maintained pressure to ball of foot under toes
neonatal reflexes
STNR
onset: 4-6 months
integrated: 8-12 months
stimulus: flexion or extension of head
response:
head flexion: flexion of UEs and extension of LEs
head extension: extension of UEs and flexion of LEs
