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Neurodevelopment
Normal Development from Birth to 6 months
108
Medical
Graduate
02/23/2013

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Cards

Term
Neonate/Newborn Anatomy
Definition
Head is proportionally larger than rest of body
Spine is relatively straight, with flexion of thoracic and sacral-coccygeal regions
Horizontal ribs
Legs in gen varum-tibias are medially rotated due to intrauterine positioning
Femoral neck angle -150 degrees at birth
Femoral anteversion 30-35 degrees
Term
Neonate/Newborn
Definition
Physiological flexion-gives baby stability

Mild head lag, but can turn head side to side with trunk support
Can briefly lift and clear face in prone
Head bob and extremely kyphotic in supported sitting
Automatic stepping
Term
Neonate/Newborn
Definition
Weight shifted onto UEs in prone
Term
Neonate/Newborn
Definition
Rooting reflex, suck and swallow
Term
Anatomy: 1 month
Definition
Increased ROM
Thoracic and upper lumbar extension
Cervical and upper thoracic rotation
Hip extension, abduction and flexion/abduction/ER
Knee extension
Ribs take up 1/3 of thorax
Term
1 month
Definition
Increased head lag in pull to sit
Term
1 month
Definition
Gross open and closing of hand
Term
1.5 months
Definition
May beginning cooing
Term
2 months
Definition
Significantly less physiological flexion
Term
2 months
Definition
Holding objects become an intentional act
Term
2 months
Definition
Smiling and cooing
Term
3 months
Definition
Ribs beginning to descend to give a more flattened appearance
Term
4 months
Definition
Symmetrical reaching
Term
4 months
Definition
Shaking of held objects (to make noise)
Term
4 months
Definition
Monosyllabic utterances (vocalizes more, cries less)
Term
Anatomy: 5 months
Definition
Continued descent of the rib cage and some abdominal support of lower ribs
Term
5 months
Definition
Lifts head in supine
Term
5 months
Definition
Midline with 2 hands (on bottle)
Two handed hold of a single object
Term
5 months
Definition
Babbles consonant chains
Term
Anatomy: 6 months
Definition
Rib cage is consistently anchored by abdominals
Improved ROM for dome of the diaphragm
Legs in minimal genu varum
Term
6 months
Definition
Has equilibrium responses in prone
Term
6 months
Definition
Arm in neutral when approaching a toy
Term
6 months
Definition
Uses facial expressions to convey likes and dislikes
Term
Neonate/Newborn
Definition
Random movements
Term
Neonate/Newborn
Definition
Hands fisted most of time
Term
Neonate/Newborn
Definition
grasp reflex (will open as GH ABD occurs)
Term
Neonate/Newborn
Definition
No voluntary release of objects
Term
Neonate/Newborn
Definition
Monocular vision
Term
Neonate/Newborn
Definition
Visual tracking: unable to separate eyes from head
Term
Neonate/Newborn
Definition
Optimal vision: 7-9 inches; black/white/red
Term
Neonate/Newborn
Definition
Strong gag reflex
Term
Neonate/Newborn
Definition
Obligatory nose breather
Term
Neonate/Newborn
Definition
Abdominal breathing at rest and during quiet breathing
Term
Neonate/Newborn
Definition
Rhythmical quiet breathing, asynchronous with crying/effort
Term
Neonate/Newborn
Definition
Phonation occurs with body movement
Term
1 month
Definition
Automatic walking has disappeared
Term
1 month
Definition
Increased responsiveness to stimulus
Term
1 month
Definition
Kicking in supine
Term
1 month
Definition
Momentary head in line with body in supported sitting
Term
1 month
Definition
Regards the face
Term
1 month
Definition
Responds to mother’s voice or bell
Term
1 month
Definition
Primarily monocular vision and tracks from periphery to midline
Term
1 month
Definition
Still using rooting reflex
Increased drooling
Term
1 month
Definition
Cries with greater variation
Term
1 month
Definition
Automatic phasic bite – release pattern
Term
2 months
Definition
Still cannot hold head in midline in supine
Term
2 months
Definition
Very asymmetrical
Term
2 months
Definition
Begin to see more consistent sagittal plane movements
Term
2 months
Definition
Prone: less weight on face and elbows in line with shoulders for forearm support
Term
2 months
Definition
Rotation of held objects
Term
2 months
Definition
Individual finger play in the mouth
Term
2 months
Definition
Eye tracking past midline
Term
2 months
Definition
Liquid loss especially with suckling (increased drooling)
Term
2 months
Definition
Differentiated cries
Greater rib flare with crying/active movements
Term
3 months
Definition
Stability: full extension, beginning flexion

Holds head in midline in supine
Some head control in supported sitting
Forearm support in prone
May roll from prone to side
Sagittal plane movements
Term
3 months
Definition
Decreased ATNR
Term
3 months
Definition
Batting at toys with UE
Term
3 months
Definition
Stability: full extension, beginning flexion
Term
3 months
Definition
Decreased ATNR
Term
3 months
Definition
Holds head in midline in supine
Some head control in supported sitting
Term
3 months
Definition
Forearm support in prone
Term
3 months
Definition
May roll from prone to side
Term
3 months
Definition
Sagittal plane movements
Term
3 months
Definition
Hands unfisted
Term
3 months
Definition
Palmar grip
Term
3 months
Definition
Translation hand to mouth
Term
3 months
Definition
Eye convergence and development of binocular fixation
Follows object with eyes and head together through 180 degrees
Term
3 months
Definition
Visually attends to objects, and can look from one object to another
Term
3 months
Definition
Monosyllabic utterances, gurgles, and sounds of contentment
Term
3 months
Definition
Less dependent on nasal breathing and begins to breath through mouth
Term
4 months
Definition
LE starting to adduct
Term
4 months
Definition
Rolls prone to supine
Term
4 months
Definition
Pull to sit head in midline
Landau emerging
Sagittal plane movements
Term
4 months
Definition
Supine reaches for knees
Term
4 months
Definition
Sits upright for 10-15 minutes with lower trunk support
Term
4 months
Definition
Ulnar-palmer grip emerging
Begin to see hand shaping for object
Term
4 months
Definition
Increased head rotation on stable shoulder girdle
Term
4 months
Definition
Bilateral hold of 2 objects
Two-handed hold of a single object
Term
4 months
Definition
Visually directed grasp and reach
Term
4 months
Definition
Range of visual field expands vertically and diagonally – sees full color
Term
4 months
Definition
Center portion of upper and lower lip becomes more active in bottle drinking
Term
4 months
Definition
Tongue still has primary up and down movements
Term
4 months
Definition
Coos with increased consonant sounds
Term
5 months
Definition
Lateral weight shift/lateral head righting
emerging
Term
5 months
Definition
Prone onto extended UE
Can weight bear on one UE in prone
Term
5 months
Definition
Feet to mouth
Term
5 months
Definition
Elongation of the weight bearing side in preparation for lateral righting
Term
5 months
Definition
Pull to sit with some head flexion
Term
5 months
Definition
Sitting with propping onto UE
Ring sitting
Term
5 months/6 months
Definition
Hand to hand transfer of an object
Term
5 months
Definition
Uses mouth to explore objects in environment
Term
5 months
Definition
Drooling decreases in positions with greater postural stability
Term
6 months
Definition
Dissociation of trunk in rolling
Begins to grade pelvic movements
Term
6 months
Definition
Belly crawls
Term
6 months
Definition
May be able to push back into 4 point
Term
6 months
Definition
Plays in a variety of forearm and extended arm positions
Term
6 months
Definition
Has forward protective responses
Term
6 months
Definition
Sits independently
Term
6 months
Definition
Bounces in standing
Term
6 months
Definition
Rakes with fingers to pick up an object
Term
6 months
Definition
Begins Finger foods
Term
6 months
Definition
Attempts to help with spoon feeding and cup drinking
Term
6 months
Definition
Coordinated action with a single object
Term
6 months
Definition
Eyes move independent of the head movement
Term
6 months
Definition
Moves tongue laterally
Term
6 months
Definition
Munching pattern
Term
6 months
Definition
Postures mouth for stability in standing, sidelying and rolling
Term
6 months
Definition
Produces phonation in direct relationship to body movements
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