Peds culture & gross motor development

4-9

window of achievement for sitting without support ___-___ months

5-11.5

window of achievement for standing with assistance ___-___.___ months

5.5-13.5

window of achievement for creeping ___.___-___.___ months

4.3

___.___% of babies don't creep

uncommon

it is relatively common/uncommon for babies to skip creeping

6.5-14

walking with assistance window of achievement ___.___-___ months

7-16

standing alone window of achievement ___-___ months

8.5-18

walking alone window of achievement ___.___-___ months

50-60

back to sleep has decreased the incidence of SIDS by ____-____%

t

t/f babies must sleep on their backs

prone

lack of ________ sleep and play experience cause delay in rolling, prop sit, creeping, crawling, and pull to stand

⇒but delays normalize by 18 months

⇒positional torticollis is a consequence

motor

supine sleep associated with ______ delay at 6 months of age

plagiocephaly

causal relationship between increased incidence of ____________ and back to sleep

⇒also delays in milestones

torticollis

the 3 most common unintended consequences of back to sleep are motor delay, plagiocephaly, and ___________

e

research does not confirm delays in which of the following with back to sleep?

a. rolling

b. sitting

c. creeping/crawling

d. pull to stand

e. walking

t

t/f research shows children catch up when back to sleep causes delays

f

t/f based on clinical observation, children catch up when back to sleep causes delays

e

the amount of prone time needed is

a. more than 3-5 minutes 2-3 times/day

b. greater than 15 minutes

c. 3-5 minutes, 2-3 times/day increasing as child tolerates

d. 54.6 minutes total throughout the day

e. not well documented and agreed upon - recommend a variety of positioning throughout the day, including tummy during happy/awake play time

GERD

there is an increased incidence of ________ since back to sleep

⇒11 fold increase in number of new prescriptions for proton pump inhibitors for infants under 12 months from 2002-2009

improve

the incidence of GERD worsened with back to sleep in the 90's. since then, it is continuing to improve/worsen