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篇名
小兒科-寶寶的生長里程碑,臨床醫學教室
重要考點
初生嬰兒的動作主要是原始反射動作;之後,反射動作會逐漸整合,取而代之是有意識的動作。
說明

原始反射動作時間表

reflex

onset

Fully developed

Galant reflex

28 wk

32wk

抓握反射
palmar grasp

28 wk

32wk

Babkin

28wk

32wk

覓食反射
Rooting

32 wk

36wk

驚嚇反射 Moro reflex
或稱
startle reflex, embrace reflex

28~32 wk

37wk

頸張力反射 Tonic neck
或稱
asymmetric tonic neck reflex , fencing posture

35 wk

2 month

parachute

7~8 month

10~11 month


原始反射動作時間表

reflex

Duration

presentation

Galant reflex

5~6 month

When the skin along the side of an infants back is stroked, the infant will swing towards the side that was stroked

抓握反射
palmar grasp

5~6 month

觸摸嬰兒掌心時,他會握緊你的手指 ( When an object is placed in the infants hand and strokes their palm, the fingers will close and they will grasp)

Babkin

3month

When both of babys palms are pressed, her eyes will close, mouth will open and her head will turn to one side

覓食反射
Rooting

4 month

When the baby is touched near the corner of the mouth, the baby will turn his head towards the stimulus

驚嚇反射
Moro reflex
或稱
startle reflex, embrace reflex

5~6 month

受到驚嚇時,四肢張開、伸脖子 ( When the baby is held in the supine position and the head is suddenly allowed to fall back, there is symmetrical opening of the arms before they close again (extension then flexion of the limbs) 。雙側反射消失,提示 CNS 受損 (Bilateral absence of the reflex may mean damage to the infants CNS) 。單側反射消失,提示出生時鎖骨骨折或臂神經從受損 (a unilateral absence could mean an injury due to birth trauma such as a fractured clavicle or injury to the brachial plexus)

頸張力反射 Tonic neck
或稱
asymmetric tonic neck reflex , fencing posture

6 months

將嬰兒頭轉向一邊時,同一邊的手臂會伸直,另一邊手臂會彎曲 ( 姿勢有如員警指揮交通 ) When the baby is lying on his back and the head is turned to one side, the arm on that side will extend and the other arm will flex - a fencing posture 。如果寶寶無此反射,懷疑有 upper motor neurons 病變

parachute

Remains
throughout life

If the baby is held in a position where he is dropped forward, he will outstretch his hands. This is one of the baby milestones that is protective for falling

相關考題
(問題來了) 以下試題摘自每年考選部醫師專技考試題目

<96-1-17> 一位 9 個月男嬰,目前不會翻身、不會坐、會對人笑,無 Moro reflex 及 grasp reflex ,有 parachute reflex ,下列敘述何者錯誤?

  1. 若出生週數為 28 週則有可能仍是在正常發展範圍
  2. 理學檢查發現有肌肉低張力時應排除 spinal muscular atrophy 之可能性
  3. 此嬰兒有不正常之反射動作表現
  4. 要定期作生長發育追蹤
解答:C
關鍵詞
生長里程碑、寶寶、初生嬰兒、反射動作、翻身、不正常 反射動作

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