Growth and Development II



Growth and Development II








Research into infant locomotion had long been at a standstill because of the belief that neuromuscular maturation was the primary cause of motor development. Current investigators, however, have used high-speed film, computerized video recordings, and infrared emitting diodes to offer rare insights into the coordination, balance, and strength of infants’ locomotion.

Gross motor development refers to the infant’s ability to control large muscle groups (e.g., lifting the head, crawling). Fine motor development refers to manual skills (e.g., reaching, grasping). Motor development is closely tied to sensory development. For example, reaching and grasping require hand-eye coordination.

Sequencing of motor development proceeds in a cephalocaudal direction—that is, from head to toe. The brain matures in such a way that babies can control their heads, shoulders, and arms before they can control their legs. Children who persistently lag behind in meeting milestones (Table 24-1) need to be assessed for evidence of developmental delay.



GROSS MOTOR DEVELOPMENT

Head control is a good indicator of brain maturation. Newborns turn their head to the side to free their nose when lying on their abdomen on a flat surface. They cannot lift their head until they are 6 weeks old, however, and then do so briefly. By 3 to 4 months, they can raise their head, shoulders, and upper body while supporting themselves on their forearms. When newborns are pulled to sit, their head falls back. Head lag decreases and infants have steady head control by 5 to 6 months, when they can sit with support.


Infants begin purposely rolling from their back to one side at 4 months of age. As they begin raising their upper body from a flat surface by pushing up with their arms, they learn to flip from their abdomen to their back. Rolling from back to front is accomplished by 6 months.

During the first 2 months after birth, infants need to be in a position of full body support. By 5 months, they can sit up with back support; by 7 months, they can sit alone, leaning forward onto their hands. Infants can sit alone securely by 8 months, with their hands free to manipulate objects.

Oct 17, 2016 | Posted by in NURSING | Comments Off on Growth and Development II

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