EPS 304 Final Project

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EPS 304 Final Project

• Presented by
• Jackie
• Jill
• Kristin

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Question
Tina, who has 3 children, volunteers to baby-sit
for her friend Natalies 5 month old boy, Dylan,
so that Natalie can go on a job interview. As
Tina is undressing Dylan, she thinks its odd that
he doesnt seem to be able to turn over in his
crib. When she cradles him in her arm to bathe
him, he feels floppy and appears to lack muscle
strength. Is Dylan evidencing any motor
development delays?
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• What milestones should have Dylan reached?
• Is Dylan in danger of developmental delay or is
  he still at normal development?
• Should Dylans parents worry?
• What should Dylans parents do?

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What Milestones should have Dylan reached?

• At about 3 months
• mini push up
• lifts head and uses arms to lift shoulders (this
  helps strengthen muscles to help child roll over)

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What Milestones should have Dylan reached?

• By 5 months, Dylan should be able to
• Prone, lift head
• Prone, chest up, use arms for support
• Roll over
• Support some weight with legs
• Kick legs
• Begin to sit up
• Swim with arms

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Is Dylan in danger of developmental delays or is
he still at normal development?

• Developmental milestones are determined by the
  average age at which children attain each skill,
  therefore, statistically, about 3 of children
  will not meet them on time.
• Only about 15-20 of these children will actually
  have abnormal development. The rest will
  eventually develop normally over time, although a
  little later than expected.

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Keep in Mind

• For each milestone there is a range of ages
  during which a child will normally meet it.
• A developmental delay occurs when a child has the
  delayed achievement of one or more of his
  milestones, it is not when a child is temporarily
  lagging behind.
• Mild delays in motor development can be normal.
• Some babies never roll over-they skip the
  milestone and move on to sitting, lunging, and
  crawling.
• The muscles babies use for rolling over they also
  use for sitting up and crawling.
• An infant may not be meeting his/her motor
  milestones if they are not rolling over by 6
  months and have a head lag when pulled to a
  sitting position after 6 months.

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Should Dylans parents worry?
It may be of concern if by 5 months an
infant -Cannot lift head when placed on his
stomach or is unable, in this position, to push
up on arms lifting head and chest. -Always holds
legs in a rigid, stiff, extended position. -Stays
in the same position all the time (and if you
position differently, manages to quickly get back
to strongly favored position). -Refuses to be
placed on stomach and when placed on back moves
by arching his back and inching backwards with
the use of head. -If he hasnt figured out how to
flip one way or the other by the time hes about
6 months old and isnt showing any interest in
getting around by any other means.
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By these statements, it seems as though Dylan may
be experiencing some delays. He does not seem to
have obtained the muscles in order to be at the
level he should be.Because of this delay, Dylan
may have problems later

• He may miss the next milestones and may not sit
  by the age of 8 months
• He may not crawl by the age of 12 months
• He may not be walking by the age of 15 months
• He may continue to be behind in his gross motor
  development
• May later be behind with his gross motor skills

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What should Dylans parents do?

• If they think that Dylan may be delayed, they
  should take him to their primary care provider,
  or to a developmental and behavioral pediatrician
  or pediatric neurologist to be checked and
  evaluated.

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Resources
Developmental Delays. Keep Kids Healthy.com.
25 Nov. 2003 lthttp//www.keepkidshealthy.com/welco
me/conditions/developmentaldelays.htmlgt Developme
ntal Delays What Parents Should Know. All
About Baby Child. 30 Nov. 2003
lthttp//www.allaboutbaby.com/infants/preschool_dev
.htmgt Effects of Sleep Position on Infant Motor
Development. Pediatrics. 25 Nov.
2003 lthttp//pediatrics.aappublications.org/cgi/c
ontent/full/102/5/1135gt Fiorentino, Mary R.
Normal and Abnormal Development The Influence of
Primitive Reflexes on Motor Development.
Springfield Thomas Books, 1972. Santrock, John
W. Child Development. Boston McGraw Hill,
2004. Pp. 148. Snell, Rita. Gross Motor
Development in Infants with Multiple
Impairments. California State University. 30
Nov. 2003 lthttp//www.csun.edu/hfedu009/innovati
ons/html/motordev.htmlgt Your Child Development
Behavior Resources. University of Michigan
Health System. 1 Dec. 2003 lthttp//www.med.umic
h.edu/1libr/yourchild/devdel.htmgt