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Zorluk: ZorDevelopmental Stages and Transitions

A pediatric nurse is assessing the neurological development of infants at a pediatric clinic. The nurse knows that primitive reflexes must disappear in a predictable sequence to allow for the development of voluntary motor skills. Arrange the following infant reflexes in the chronological order of their expected disappearance, from earliest to latest.

  1. 1Stepping reflex
  2. 2Palmar grasp reflex
  3. 3Moro reflex
  4. 4Plantar grasp reflex
  5. 5Babinski reflex

Cevap

The correct sequence of disappearance for primitive reflexes from earliest to latest is: Stepping reflex, Palmar grasp reflex, Moro reflex, Plantar grasp reflex, and Babinski reflex.
Primitive reflexes are involuntary motor responses originating in the brainstem. As the central nervous system matures, these reflexes disappear in a predictable, cephalocaudal sequence to allow for voluntary motor development. The stepping reflex fades first (1-2 months). The palmar grasp must disappear by 3-4 months so the infant can intentionally hold objects. The Moro reflex usually resolves by 4-6 months as balance and head control improve. The plantar grasp remains until 8-10 months, prior to independent standing. Finally, the Babinski reflex disappears between 12 and 18 months as the nervous system matures and the child learns to walk independently.

Adım Adım Çözüm

1
Identify the expected age of disappearance for the stepping reflex.
Disappears between 1 and 2 months.
This is one of the earliest primitive reflexes to resolve as the infant begins to gain early trunk and motor control.
2
Identify the expected age of disappearance for the palmar grasp reflex.
Disappears between 3 and 4 months.
This reflex must disappear to allow the infant to transition into intentional, voluntary reaching and grasping.
3
Identify the expected age of disappearance for the Moro reflex.
Disappears between 4 and 6 months.
This primitive startle reflex fades as the infant develops better neurological maturity and head control.
4
Identify the expected age of disappearance for the plantar grasp reflex.
Disappears between 8 and 10 months.
This reflex persists longer than the palmar grasp but must fade before the infant can effectively bear weight to stand and cruise.
5
Identify the expected age of disappearance for the Babinski reflex.
Disappears between 12 and 18 months.
A positive Babinski response is a normal finding in early infancy but resolves as the myelin sheath develops and the child transitions to walking.

Anahtar Kavram

Disappearance of Primitive Infant Reflexes
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