Study sets, textbooks, questions
Upgrade to remove ads
Advanced Pediatrics: Typical Development
Terms in this set (101)
conformity with the established standards for humans
having the qualities of a particular group so completely as to be representative of that group
What 2 things is varability of growth and development dependent on?
1. intrinsic factors (genetics)
2. extrinsic factors (environment)
what theories of development are the most current, non-linear, and state that many variables influence developmental schemes?
behavioral theories of development involve a ___ and a ____.
maturational and hierarchial theories of development look at development in ___ and ___ patterns
which comes first? reflexive or cortical
which come first proximal or distal?
which comes first generalized or localized response?
which comes first lateral or medial control?
which occurs first weight bearing on flexed or extended extremities?
which occurs first with antigravity control?
extensor before flexor
extension or flexion movement pattern control first?
preterm: born prior to ___ weeks
number of days in utero
age from birth
40 weeks - gestational age
what time period is considered neonate?
first 28 days of life
neonate is characterized by physiologic ___
preterm infants exhibit more/less physiologic flexion
what areas are there differences between neonate full term and preterm babies?
posture, ROM, head control in pull to sit, sucking reflex, grasp reflex, ATNR
if muscle tone is too low, how will this effect postural control?
poor force generation
if muscle tone is too high, how will this effect postural control?
poor selective control
you want muscle tone to be high enough to permit movement ____
you want muscle tone to be low enough to permit movement within and across ____
what is the zoomed out view of the 1st quarter of motor development?
what is the zoomed out view of the 2nd quarter of motor development?
pushing up and sitting up
what is the zoomed out view of the 3rd quarter of motor development?
what is the zoomed out view of the fourth quarter of motor development?
when does prone on elbows develop?
when does pivot prone begin where the baby is ready to move but not yet moving
in what month does hip flexion decrease to flat lying?
what features must be included to achieve prone on elbows?
stabilization of pelvis
adequate strength/balance of cervical extensors and extensors
reduction of ATNR
strength serratus anterior
pivot prone requires scapular ___ to elongate anterior musculature
antigravity extensor control progresses in what direction?
how is the goal of mobility achieved once stability has been achieved in prone on elbows?
POE weight shifting begins in the ____ plane and then progresses to what plane?
frontal, sagittal, all
why is weight shifting critical to progressing of mobility?
we need to off load limbs to move them forwards
muscles ___ on the weight bearing side
muscles ___ on the off-loaded side
___ ___ is a feature of all milestone postures
quadruped creeping initially occurs with ____ due to weak recruitment of abdominals and compensatory hip flexor recruitment
anterior pelvic tilt
mature quadruped creeping involves a neutral spine (balanced core) and knees in alignment with hips in the ___ plane
prone movement forward with abdomen on the floor
quadruped, reciprocal movement of UEs/LEs
scooting FWD in sitting
hitching or bottom scooting
three-point creeping with one foot on the floor
hitch crawling/hitch creeping
four-point creeping with both feet on the floor
what are some things that are important to develop during crawling? (5)
trunk rotation/counterrotation/intra-axial rotation
tactile pressure input
(also, coordination, stabilization/core muscle strength, crossing midline)
what is the supine progression?
pull to sit
hands to knees/feet
there is no head lag for the ____ month from physiologic flexion, then expect head lag until head control develops
hands to knees and feet occurs in supine around __ months
ATNR is seen in supine posture for the first ___ months, and after that is considered a red flag
which comes first, prone to supine or supine to prone?
prone to supine
when does prone to supine occur?
when does supine to prone occur?
feet to hands causes COM to shift ___ with a lateral weight shift which can cause an accidental supine to prone roll
nonsegmenal rolling is driven by the ___ reflex
segmental rolling is driven by the ___ reflex
hip extension strength to reduce hip flexor contractures helps to develop:
ipsilateral elongation during weight shifts helps with:
prone on elbows to prone on extended elbows helps with :
WB on UEs
What type of sitting is usually atypical at any stage?
there will be a c-curve in the trunk with a ___ pelvis in initial sitting progression
a chin tuck is possible through balanced cervical flexors and extensors that allow for head control in supported sitting by how many months?
when does prop sitting typically start?
__ ___ are responsible for weight bearing in prop sitting
What do babies use to stabilize in prop sitting due to not having enough extension strength?
using hip flexors to stabilize in prop sitting is called ___ stabilizing
when does ring sitting typically start?
scapular retraction helps to facilitate ___ ___ in ring sitting with high guard
hips are in what position in ring sitting?
what muscles relax as UEs come out of high guard once sitting becomes stable?
when sitting becomes stable, the baby must reduce ___ to allow for lateral weight shifting
around ___-___ months, babies lose ability to maintain weight through their LEs in supporting standing
when does supported standing with good head control occur?
when does pulling to stand at a stable surface occur?
when initially pulling to stand, babies will get stuck in standing due to lack of ___ control
when does cruising occur?
___ is critical to building frontal plane stability for WS in the sagittal plane
when does independent standing away from a support surface occur?
moving through tall then half kneeling occurs at what age?
moving through tall kneel to half kneel requires
when does independent bipedal locomotion occur?
What are some of the characteristics of a new walker pattern?
high guard, wide BOS (pronation), steppage pattern, looks "drunk" with lots of falls
at what age are gait parameters similar to those seen in an adult?
When does running emerge?
when does creeping up stairs in quadruped usually occur?
does ascending or descending stairs come first?
ascending (descending requires eccentrics)
which comes first with climbing stairs, reciprocal or step to pattern?
from ages ___-___ gross motor skills are refined
secure the head in space and keep mouth horizontal and face vertical to the ground
secure the body in space. occur when the surface moves causing the COM to shift and head righting isn't enough
securing the body in space on a stationary surface
regain balance once its perturbed, stepping or hands out to protect the head
when is grasp reflexive?
until 4 mo
when is palmar grasp?
when is fine pincher grasp?
volitional reach and grasp is dependent upon stability at the _
what is the most valuable fuction of supination?
hands to mouth
when does release become volitional?
Other sets by this creator
Differential Diagnosis: DD6
Differential Diagnosis: Imaging and Fracture
Differential Diagnosis: ADR
Differential Diagnosis: DD1 & 2 & George and Herick
Other Quizlet sets
Anatomy Chapter 1 Test
Blood Quiz (finish)
Chapter 1 Quiz