Neonatology public
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Keep the baby upright and allow the soles of the feet to touch the surface of the table. Move the baby forward to accompany any stepping. Alternating stepping movements with both legs will occur. This response depends on arousal of the baby but it’s continuous absence can indicate paresis or be present in babies born by breech delivery.…
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With the baby in the supine position, turn the head to one side, holding the jaw over the shoulder. The arm and leg on the side to which the head is turned extend, while the opposite arm and leg flex. This response does not normally occur each time this maneuver is performed, and when it is elicted each time it is evoked it should be considered abn…
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With the baby’s head positioned in the midline and hands held against the anterior chest, stroke with your finger the perioral skin at the corners of the baby’s mouth and the midline of the upper and lower lip. In response, the mouth will open and turn to the stimulated side. This response will also occur with stimulation of the infant’s cheek at s…
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Starting in the supine position, the baby is pulled by the arms to the sitting position. The head and the arms are observed during the maneuver. The arms should remain partially flexed at the elbow and the head may lag behind the trunk. When the baby is in the sitting position, the head should be able to come to the upright position for at least a …
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Moro response can be produced in several different ways. Hold the baby in supine position, supporting the back and pelvis with one hand and arm and the head with the other hand, and allowing the head to drop several centimeters with a sudden, rapid, not too forceful movement. You can also invoke it by producing a sudden loud noise (for example stri…
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Stimulate the palm of the baby’s hands and observe the reflex grasping of your finger. Stroke the sole of the foot, and the toes will flex and curl around your examining finger. Make sure that the response is not inhibited by unintended stimulation of the dorsal aspect of feet and hands. Persistence of the palmar grasp reflex beyond 6 months sugges…
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Hold the baby horizontally and prone in one of your hands. Stimulate one side of the baby’s back approximately 1 cm from the midline along a paravertebral line extending from shoulder to the buttocks. This produces a curving of the trunk toward the stimulated side, with shoulders and pelvis moving in that direction. Pelvic response to stimulation o…
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The findings during the neurological examination in infancy, especially in the newborn period, differ markedly from those present in children and adults. There are number of specific reflex activities so called infantile automatisms, found in the normal newborn that disappear in early infancy. Reflexes are an involuntary muscle reactions to a certa…
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