Peds Unit 1: Developmental Reflexes/Reactions Flashcards

(80 cards)

1
Q

What is onset age of the Rooting Reflex?

A

28 weeks gestation

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2
Q

With the Rooting reflex, what is the Integration age?

A

3 months

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3
Q

How do you stimulate the Rooting Reflex? What position do you put the baby in?

A

By stroking the corer of the mouth, upper lip, and lower lip

  • The baby will be in supine or sitting with the head in midline
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4
Q

With the rooting reflex, what is the Response and Relevance?

A

Response
- Movement of the tongue, mouth and head toward the stimulus with opening of the mouth

Relevance
- This allows for searching for and locating the feeding source (breast or bottle)

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5
Q

What is the onset age of the Suck-Swallow Reflex?

A

28 weeks Gestation

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6
Q

What is the Integration Age for the Suck-Swallow Reflex?

A

2-5 months

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7
Q

How do you stimulate the Suck-Swallow Reflex? What position should the baby be in?

A

Place a finger or nipple inside the infants mouth

  • Baby placed in supine with head in midline
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8
Q

With the Suck-Swallow Reflex, what is the Response and Relevance?

A

Response
- Lip closure followed by stron, rhythmical suck and finally swallow

Relevance
- Feeding - allow for ingestion of food

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9
Q

What is the onset age of the Moro Age?

A

28 weeks = Finger extension ; 41 weeks = Complete

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10
Q

What is the Integration age of the Moro Reflex?

A

5-6 months

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11
Q

How do you stimulate the Moro Reflex and what position is the baby in?

A

Rapidly drop the infants head backward about 30°

  • The babies position is supine with the head in midline
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12
Q

With the Moro Reflex, what is the Response and Relevance?

A

Response
- 1st phase: Arm extension/Abd/Hands open
- 2nd Phase: Arm Flexion/Add, often accompanied by crying, shaking, or tremors

Relevance
- Helps to break up the physiological Flexion seen in newborns

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13
Q

What is the Onset age of the Traction Reflex?

A

28 weeks Gestation

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14
Q

What is the Integration age of the Traction Reflex?

A

2 - 5 months

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15
Q

How do you stimulate the Traction Reflex and what position is the baby placed in?

A

Grasp the infant’s forearm and pull to sit

  • Place baby in supine with head in midline
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16
Q

With the Traction Reflex, what is the Response and Relevance?

A

Response
- Complete flexion of both upper extremities including a grasp

Relevance
- Enhances momentary grasp

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17
Q

What is the onset age of the Plantar Grasp Reflex?

A

28 week gestation

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18
Q

What is the Integration age of the Plantar Grasp Reflex?

A

9 months old

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19
Q

How do you stimulate the Plantar Grasp Reflex and what position do you place them in?

A

Apply pressure with you thumb on the ball of the infant’s foot

  • Place them in supine with their head in midline
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20
Q

With the Plantar Grasp Reflex, what is the Response and Relevance?

A

Response
- Toe Flexion

Relevance
- Believed to be a phylogenic memory of young animals clinging to their mothers

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21
Q

What is the Onset age for the Palmer Graps Reflex?

A

37 weeks gestation (birth)

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22
Q

What is the Integration age of the Palmer Grasp?

A

4 - 6 months

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23
Q

How do you stimulate the Palmer Grasp Reflex and what position is the baby placed?

A

Place your index finger in teh infants palm from the ulnar side and give pressure to the palm

  • Baby in supine with head in midline
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24
Q

With the Palmar Grasp, what is the Response and Relevance?

A

Response
- Phase 1 = Catching or a quick flexion and adduction of the arms
- Phase 2 = Holding for reflexive grasp

Relevance
- Enhace grasp

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25
What is the onset age for the Positive Support Reflex?
35 weeks gestation
26
What is the Integration age for the Positive Support reflex?
- 1 - 2 months (immature) - 6 months (mature)
27
How do you stimulate the Positive Support Reflex, and what position is the baby placed?
- **Immature**: Bring the infant downward allowing his feet to make contact with support surface - **Mature** Contact on the ball of the foot on the support surface Position: **Immature**- Hold infant uprightunder the arm around the chest **Mature**- Upright standing
28
With the Positive Support reflex, what is the Response and Relevance?
**Response** - (Immature): Partial weight bearing with hips and knees slightly flexed (may observe plantarflexion, espeically in premature infants) - (Mature): Rigid extension (co-contraction) of LE **Relevance** - Allows for weight bearing in upright
29
What is the onset age of the Spontaneuous Stepping reflex?
37 weeks of gestation
30
What is the Integration age of the Spontaneuous Stepping reflex?
2 months
31
How do you stimulate the Spontaneous Stepping reflex and what position is the baby placed in?
Incline the infant forward - Hold the infant upright under the arm around the chest
32
With the Spontaneuous Stepping reflex, what is the Response and Relevance?
**Response** - Automatic stepping **Relevance** - Spontaneous stepping
33
What is the Onset age of the Asymmetrical Tonic Neck Reflex (ATNR)?
37 weeks gestation (peaks at 1 - 2) months
34
What is the Integrated age of the Asymmetrical Tonic Neck Reflex (ATNR)?
4 - 6 months
35
How do you stimulate the Asymmetrical Tonic Neck Reflex (ATNR) and what position do you place the baby in?
Use a visual stimulus to encourage the infant to follow and turn his head 180° (can manually move the infants head) - Baby placed in supine
36
With the Asymmetrical Tone Neck Reflex (ATNR), what is the response and relevance?
**Response** - Extension of the extremeties on the face side with flexion on the extremeties on the skull side (Fencer's position) **Relevance** - Promotes visual regard for the hand
37
What is the onset Age for the Symmetrical Tone Neck Reflex (STNR)?
4 - 6 months
38
What is the Integrations age for the Symmetrical Tone Neck Reflex (STNR)?
8 - 12 months
39
How do you stimulate the Symmetrical Tone Neck Reflex (STNR), and what position is the baby placed?
Head extension or head flexion - Ventral suspension, across your lap or on all 4's
40
With the Symmetrical Tone Neck Reflex (STNR), what is the response and relevance?
**Response** - With head extension you will see UE extension and LE flexion - With head flexion you will see UE flexion and LE extension **Relevance** - Breaks up total extensor posture (which predominates at this age) and facilitates quadruped position
41
What is the onset age for the Tonic Labyrinthine Reflex - Supine (TLR-S)?
> 37 weeks
42
What is the Integration age for the Tonic Labyrinthine Reflex - Supine (TLR-S)?
6 months
43
How do you stimulate the Tonic Labyrinthine Reflex - Supine (TLR-S), and what position is the baby placed?
Stimulate by placing the baby in supine
44
With the Tonic Labyrinthine Reflex - Supine (TLR-S), what is the Response and Relevance?
**Response** - Increased extensor tone **Relevance** - Facilitates total body extension
45
What is the onset age of the Tonic Labyrinthine Reflex - Prone (TLR-P)?
> 37 weeks
46
What is the Integration age of the Tonic Labyrinthine Reflex - Prone (TLR-P)?
6 months
47
How do you stimulate the Tonic Labyrinthine Reflex - Prone (TLR-P), what position is the baby placed?
Stimulate the baby in prone
48
With the Tonic Labyrinthine Reflex - Prone (TLR-P), what is the response and relevance?
**Response** - Increased flexor tone **Relevance** - Facilitates total body flexion
49
What is the onset age of the Labyrinthine Head Righting Reaction?
Birth - 2 months until about 6 months
50
What is the Integration age of the Labyrinthine Head Righting Reaction?
Persist
51
How do you sitmulate the Labyrinthine Head Righting Reaction, and what is the position of the baby?
- Slowly tilt (about 45°) to the side, forward or backward - gravity is the stimulus -Birth = complete head lag -2 months = Little lag -3-4 months = No lag -6 months = Assisting in the pull to sit - We hold the infant in vertical suspension with blindfold on -Can also be done through a pull to sit
52
With the Labyrinthine Head Righting Reaction, what is the response and relevance?
**Response** - Upright positioning of head **Relevance** - Orients head in space and maintains face vertical - head control
53
What is the onset age for the Neck Righting reflex?
4 - 6 months
54
What is the integration age of the Neck Righting Reflex?
5 years
55
How do you stimulate the Neck Righting Reflex and what position is the baby placed in?
Fully turn the infants head to one side - Place baby in supine
56
With the Neck Righting Reflex what is the Response and Relevance?
**Response** - Low rolling of the entire body to maintain alignment with the head **Relevance** - Maintains head and body alignment and initiates rolling
57
What is the onset age of the Body Righting reflex?
4 - 6 months
58
What is the Integrating age with the Body Righting reflex?
5 years
59
How do you stimulate the Body Righting Reflex and what position is the baby placed?
Flex one hip and knee toward the chest, adduct, rotate the pelvis and hold briefly - Baby placed in supine
60
With the Body Righting Reflex, what is the reponse and Relevance?
**Response** - Segmental roll of the upper trunk to maintain alignment **Relevant** - Facilitates trunk and spinal rotation and improved trunk control
61
What is the onset age of the Landau reflex?
3 - 4 months
62
What is the integration age of the Landau Reflex?
12 - 24 months
63
How do you stimulate the Landau reflex, what position is the baby placed in?
Hold the infant in horizontal prone suspension - Placed in horizontal prone suspension
64
With the Landau Reflex, what is the Response and Relevance?
**Response** - Complete extension of the head, trunk, and extremeties **Relevance** - Breaks up flexor dominance and facilitates prone extension
65
What it the onset age of the Protective Reaction UE - Forward?
6 - 7 months
66
What is the integration age Protective Reaction UE - Forward?
Persist
67
How do you stimulate the Protective Reaction UE - Forward, and what position is the baby placed?
Suddenly tip the infant forward toward the supporting surface - Baby placed vertical, sitting, or kneeling
68
With the Protective Reaction UE - Forward, what is the response and relevance?
**Response** - Sudden extension of both UE, hand opening, and neck extension - to break the fall **Relevance** - Enhace UE weight bearing, reach and grasp. Protection from a fall
69
What is the onset age of the Protective Reaction UE - Sideways?
7 - 8 months
70
What is the Integration age of the Protective Reaction UE - Sideways?
Persist
71
How do you stimulate the Protective Reaction UE - Sideways, what position in the baby placed?
Suddenly tip the infant off balance to the side while in the sitting position
72
With the Protective Reaction UE - Sideways, what is the Response and Relevance?
**Response** - Sudden extension and ABD of the arm to the side **Relevance** - Support the body for unilateral use of the opposite arm. Protection from a fall
73
What is the onset age of the Protective Reaction UE - Backward?
9 - 10 months
74
What is the Integration age of the Protective Reaction UE - Backward?
Persist
75
How do you stimulate the Protective Reaction UE - Backward, and what position is the baby placed?
Suddenly tip the infant off balance to the side while in the sitting position
76
With the Protective Reaction UE - Backward, what is the Reponse and Relevance?
**Reponse** - Backward arm extension or arm extension to one side **Relevance** - Unilateral facilitates spinal rotation. Protection from a fall
77
What is the onset age of the Protective Reaction LE - sideways (staggering)?
15 - 18 months
78
What is the Integrating age of the Protective Reaction LE - sideways (staggering)?
Persist
79
How do stimulate the Protective Reaction LE - sideways (staggering), and what position is the baby placed in?
Push the baby off balance while in standing
80
With the Protective Reaction LE - sideways (staggering), what is the Response and Relevance?
**Response** - Lateral, forward or backward stepping depending on teh direction of the push **Revelance** - Balance and protection from falling