Reflexes and Developmental Milestones
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Questions and Answers

At what age does a child typically begin to sit without support?

  • 6 months (correct)
  • 1 year
  • 4 months
  • 9 months
  • Which action is NOT typically observed at 1 year of age?

  • Crucially stands for 10 seconds (correct)
  • May take a few steps without holding on
  • Walks alone
  • Pulls to stand
  • What developmental milestone is expected for a 2-year-old child?

  • Hops and stands on one foot
  • Sits without help
  • Drinks from cup (correct)
  • Rides a bicycle
  • At which age does a child typically begin to walk up and down stairs holding on?

    <p>2 years</p> Signup and view all the answers

    Which of the following skills develops around 4 years of age?

    <p>Cuts with supervision</p> Signup and view all the answers

    Which ability is characteristic of a 5-year-old child?

    <p>Can use the toilet on their own</p> Signup and view all the answers

    At what age do children typically start to show the ability to roll over in both directions?

    <p>6 months</p> Signup and view all the answers

    Which activity can you expect a 3-year-old child to perform?

    <p>Pedals a tricycle</p> Signup and view all the answers

    What is the main purpose of protective responses in motor development?

    <p>To catch a person during a shift in center of gravity</p> Signup and view all the answers

    Which systems are utilized for head and trunk righting?

    <p>Visual, vestibular, and somatosensory</p> Signup and view all the answers

    In which order do equilibrium reactions typically develop across postures?

    <p>Prone, supine, sitting, quadruped, standing</p> Signup and view all the answers

    At what age do infants typically begin to hold their head up while on their tummy?

    <p>2 months</p> Signup and view all the answers

    Which reflexes are most often observed in children with neurological conditions?

    <p>Neonatal positive support and Asymmetrical Tonic Neck Reflex</p> Signup and view all the answers

    At what gestational age does the sucking reflex typically onset?

    <p>28 weeks gestation</p> Signup and view all the answers

    What does the term 'directional' in motor development refer to?

    <p>Movement developing from head to toe and from the center outwards</p> Signup and view all the answers

    What is the integration period for the rooting reflex?

    <p>3 months</p> Signup and view all the answers

    Which position should the infant be in to elicit the Moro reflex?

    <p>Supine with head in midline</p> Signup and view all the answers

    What role does the visual system play in postural control in infants?

    <p>It is dominant in postural control up to three years of age</p> Signup and view all the answers

    Which stimulus is used to evoke the Galant's response?

    <p>Gentle stimulation along the paravertebral line</p> Signup and view all the answers

    In the context of dynamic systems theory, what influences motor behavior?

    <p>The interaction between perception and action</p> Signup and view all the answers

    What is the expected response when applying firm pressure against the plantar surface of an infant's foot?

    <p>Plantar flexion of all toes</p> Signup and view all the answers

    Which of the following concepts reflects a progression from less controlled to more skilled movement?

    <p>Reflexive movement to skilled/controlled movement</p> Signup and view all the answers

    What is the integration period for the palmar grasp reflex?

    <p>4-6 months with purposeful reach/grasp</p> Signup and view all the answers

    How does the sensory system affect infant movement development?

    <p>Sensation influences how infants adapt their movements</p> Signup and view all the answers

    What is meant by variability in motor development?

    <p>Different infants may exhibit various movement strategies</p> Signup and view all the answers

    How is the neonatal positive supporting reflex elicited?

    <p>Making firm contact with the feet on a flat surface</p> Signup and view all the answers

    At what age does the plantar grasp reflex typically integrate?

    <p>9 months</p> Signup and view all the answers

    At what gestational age do studies suggest vision begins to influence postural control?

    <p>32-34 weeks gestation</p> Signup and view all the answers

    What characteristic is not part of the developmental progression in the first year of life?

    <p>Development must follow a strict sequence</p> Signup and view all the answers

    At what age does the ankle strategy start to develop?

    <p>10 months</p> Signup and view all the answers

    Which strategy is utilized for high degrees of perturbation?

    <p>Stepping strategy</p> Signup and view all the answers

    By what age should an infant have developed adult accommodation and significantly improved acuity?

    <p>6 months</p> Signup and view all the answers

    What age marks the beginning of the hip strategy development?

    <p>3 years</p> Signup and view all the answers

    At what age do infants begin to exhibit depth perception and good color vision?

    <p>5 months</p> Signup and view all the answers

    What visual ability is expected by the time an infant is 2 months old?

    <p>Tracking 180 degrees</p> Signup and view all the answers

    Which skill is associated with self-help development?

    <p>Eating independently</p> Signup and view all the answers

    By 1 year of age, what is the expected visual acuity of an infant?

    <p>20/20</p> Signup and view all the answers

    Study Notes

    Reflexes and Developmental Milestones

    • Sucking Reflex

      • Onset at 28 weeks gestation, integrates between 2-5 months.
      • Position: supine with head in midline; stimulus: finger or nipple in mouth; response: rhythmic sucking.
    • Rooting Reflex

      • Onset at 28 weeks gestation, integrates by 3 months.
      • Position: supine; stimulus: stroke perioral skin; response: head turning toward stimulated side.
    • Galant’s Response (Trunk Incurvation)

      • Onset at 28-32 weeks gestation, integrates by 2 months (may persist).
      • Position: prone; stimulus: gentle stimulation along paravertebral line; response: lateral trunk flexion.
    • Moro Reflex

      • Onset at 28 weeks gestation, integrates between 4-6 months.
      • Position: supine; stimulus: drop head back to stretch neck; response: abduction of arms followed by adduction.
    • Palmar Grasp Reflex

      • Onset at birth to 2 months, integrates by 4-6 months.
      • Position: supine; stimulus: finger placed in palm; response: finger flexing around finger.
    • Plantar Grasp Reflex

      • Onset at 28 weeks gestation, integrates by 9 months.
      • Position: supine; stimulus: pressure on foot's plantar surface; response: plantar flexion of toes.
    • Neonatal Positive Supporting Reflex

      • Onset at 35 weeks gestation, integrates by 1-2 months.
      • Position: vertical support; stimulus: feet contact a flat surface; response: weight bearing on lower extremities.

    Motor Development Milestones

    • 2 Months

      • Holds head up while on tummy; smoother arm and leg movements appear.
    • 3 Months

      • Physiological flexion dominates; clearing airway in prone; begins symmetry in movements.
    • 4 Months

      • Holds head steady without support; possibly rolls over; can bring hands to mouth; pushes up on stomach with elbows.
    • 6 Months

      • Rolls over in both directions; begins sitting without support; supports weight on legs when standing.
    • 9 Months

      • Stands by holding on; transitions into sitting; pulls to stand.
    • 1 Year

      • Sits independently; may take steps without support; pulls to stand and cruises along furniture.
    • 18 Months

      • Walks alone; may walk up steps; drinks from a cup and uses a spoon.
    • 2 Years

      • Stands on tiptoes; kicks a ball; begins running; climbs furniture without help.
    • 3 Years

      • Climbs and runs easily; pedals a tricycle; walks up and down stairs with one foot on each step.
    • 4 Years

      • Hops on one foot; catches a bouncing ball; pours and cuts with supervision.
    • 5 Years

      • Stands on one foot for 10 seconds; can do a somersault; uses toilet independently.

    Conceptual Framework of Motor Development

    • Development is sequential (while rates vary, the sequence remains similar).
    • Movement direction is cephalo-caudal (head to toe) and proximal-distal (center to extremities).
    • Mobility and stability must work in tandem for proper development.
    • Sensation significantly influences movement patterns.
    • Development transitions from reflexive to skilled movements, incorporating variations.

    Systems Involved in Development

    • Visual System

      • Dominates early postural control; significant improvements by 3 years; color recognition and eye coordination develop through the first year.
    • Vestibular and Somatosensory Systems

      • These systems can be tested independently; muscle response patterns in infants reveal progression similar to older children.
    • Standing Balance Responses

      • Strategy development involves:
        • Ankle strategy for low perturbation (around 10 months)
        • Stepping strategy for high perturbation (12-15 months)
        • Hip strategy develops by 3 years.

    Cognitive and Fine Motor Development

    • Cognition involves acquiring knowledge; self-help skills and oral motor development are essential in caregiving and communication.
    • Oral motor development utilizes the function of lips, tongue, jaw, teeth, and palates to facilitate feeding and speaking.

    Notes on Developmental Assessment

    • Developmental evaluation encompasses surveillance, screening, and diagnosis to identify milestones and adjust interventions as needed.

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    Description

    Test your knowledge on the key reflexes and developmental milestones in infants. This quiz covers various reflexes including sucking, rooting, and Moro, detailing their onset, integration, and responses. Perfect for students in early childhood development or related fields.

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