different reflexes

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  • 8/19/2019 Different Reflexes

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    Different

    Reflexes

    Description and how to elicit Duration

    Blink 

    Reflex

    A blink reflex in a newborn serves the same

     purpose as it does in an adult—to protect the eye

    from any object coming near it by rapid eyelid

    closure. t may be elicited by shining a strong lightsuch as a flashlight or an otoscope light on an eye.

    A sudden movement toward the eye sometimes

    can elicit the blink reflex.

    !ermanent

    Rooting

    Reflex

    f the cheek is brushed or stroked near the corner

    of the mouth" a newborn infant will turn the head

    in that direction. #his reflex serves to help a

    newborn find food$ when a mother holds the child

    and allows her breast to brush the newborn%s

    cheek" the reflex makes the baby turn toward the

     breast.

    #he reflex disappears at about

    the sixth week of life. At about

    this time" newborn eyes focus

    steadily" so a food source can

     be seen" and the reflex is no

    longer needed.

    &ucking

    Reflex

    'hen a newborn%s lips are touched" the baby

    makes a sucking motion. #he reflex helps a

    newborn find food$ when the newborn%s lips touch

    the mother%s breast or a bottle" the baby sucks and

    so takes in food.

    #he sucking reflex begins to

    diminish at about ( months of

    age. t disappears immediately

    if it is never stimulated.

    &wallowin

    g Reflex

    #he swallowing reflex in a newborn is the same as

    in the adult. )ood that reaches the posterior

     portion of the tongue is automatically swallowed.

    *ag" cough" and snee+e reflexes also are present in

    newborns to maintain a clear airway in the event

    that normal swallowing does not keep the pharynx

    free of obstructing mucus

    !ermanent

    ,xtrusion

    Reflex

    A newborn extrudes any substance that is placed

    on the anterior portion of the tongue. #his

     protective reflex prevents the swallowing of

    inedible substances.

    t disappears at about - months

    of age. ntil then" the infant

    may seem to be spitting out or

    refusing solid food placed in

    the mouth.

    !almar 

    *rasp

    Reflex

     /ewborns grasp an object placed in their palm by

    closing their fingers on it. 0ature newborns grasp

    so strongly that they can be raised from a supine

     position and suspended momentarily from an

    examiner%s fingers.

    #his reflex disappears at about

    ( weeks to 1 months of age. A

     baby begins to grasp

    meaningfully at about 1

    months of age.

    &tep

    2'alk34in4

    !lace

    Reflex

     /ewborns who are held in a vertical position with

    their feet touching a hard surface will take a few

    5uick" alternating steps

    #his reflex disappears by 1

    months of age. By - months"

     babies can bear a good portion

    of their weight unhindered by

    this reflex.

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    !lacing

    Reflex

    #he placing reflex is similar to the step4inplace

    reflex" except that it is elicited by touching the

    anterior surface of the lower part of a newborn%s

    leg against a hard surface such as the edge of a

     bassinet or table. #he newborn makes a few 5uick

    lifting motions" as if to step onto the table" becauseof the reflex.

    #his reflex disappears by 1

    months of age.

    !lantar 

    *rasp

    Reflex

    'hen an object touches the sole of a newborn%s

    foot at the base of the toes" the toes grasp in the

    same manner as do the fingers.

    #his reflex disappears at about

    6 to 7 months of age in

     preparation for walking.

    8owever" it may be present

    during sleep for a longer

     period.

    #onic /eck 

    Reflex.

    'hen newborns lie on their backs" their heads

    usually turn to one side or the other. #he arm and

    the leg on the side toward which the head turnsextend" and the opposite arm and leg contract. #he

    movement is most evident in the arms but may

    also be observed in the legs. f you turn a

    newborn%s head to the opposite side" he or she will

    often change the extension and contraction of legs

    and arms accordingly. #his is also called a boxer

    or fencing reflex" because the position simulates

    that of someone preparing to box or fence. nlike

    many other reflexes" the tonic neck reflex does not

    appear to have a function. t does stimulate eye

    coordination" because the extended arm moves in

    front of the face. t may signify handedness.

    #he reflex disappears between

    the second and third months of 

    life.

    0oro

    Reflex

    A 0oro 2startle3 reflex can be initiated by startling

    a newborn with a loud noise or by jarring the

     bassinet. #he most accurate method of eliciting the

    reflex is to hold newborns in a supine position and

    allow their heads to drop backward about 9 inch.

    n response to this sudden head movement" they

    abduct and extend their arms and legs. #heir

    fingers assume a typical :;< position. )inally" 

    they swing their arms into an embrace positionand pull up their legs against their abdomen

    2adduction3. #he reflex simulates the action of

    someone trying to ward off an attacker" then

    covering up to protect himself.

    t is strong for the first 6 weeks

    of life and then fades by the

    end of the fourth or fifth

    month" at the same time an

    infant can roll away from

    danger.

    Babinski

    Reflex

    'hen the sole of the foot is stroked in an inverted

    :=< curve from the heel upward" a newborn fans

    t remains positive 2toes fan3

    until at least 1 months of age"

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    the toes 2positive Babinski sign3. #his is in

    contrast to the adult" who flexes the toes. #his

    reaction occurs because nervous system

    development is immature.

    when it is supplanted by the

    down4turning or adult flexion

    response.

    &wimming

    Reflex

    #he swimming reflex involves placing an infant

    face down in a pool of water. #he infant will beginto paddle and kick in a swimming motion.

    #he reflex disappears between

    ->( months.

    !rone

    crawl

    reflex

    t can can be stimulated by placing the neonate

     prone 2face down3 on a flat surface. #he neonate

    will attempt to crawl forward using the arms and

    legs.

    #his reflex will be inhibited by

    three to four months of age.

    Doll?s eye

    reflex

    Doll?s eye reflex can be noted with the infant

    supine 2lying on the back3 and slowly turning the

    head to either side. #he infant?s eyes will remain

    stationary.

    #his reflex should disappear

     between three to four months

    of age.

    *alant

    reflex

    *alant reflex is stimulated by placing the infant on

    the stomach or lightly supporting him or her under 

    the abdomen with a hand and" using a fingernail"

    gently stroking one side of the neonate?s spinal

    column from the head to the buttocks. #he

    response occurs with the neonate?s trunk curving

    toward the stimulated side.

    #his reflex can become

    inhibited at any time between

    the first and third month.

    !arachute

    2forward3

    reflex

    f the baby is held in a position where he is

    dropped forward" he will outstretch his hands. #his

    is one of the baby milestones that is protective forfalling.

    #his occurs from about 7

    months of age and persists.

    Alvare+" Ronilyn A. B&/ 4B /ovember 96" @9

    !illitteri" A. 2@93. Maternal & Child Health Nursing: Care of the Childbearing and Child 

     Rearing Family (6 th Ed.). !hiladelphia$ Cippincott 'illiams 'ilkins.

    Bennington" C. 2@93. Neonatal Reflees ! baby" #efinition" #es$ri%tion" Common %roblems.  Healthof$hildren.$om. Retrieved 9E /ovember @9" from

     http$FFwww.healthofchildren.comF/4GF/eonatal4Reflexes.html

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