Synactive Theory
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| What are the neuromaturity criteria? | Posture, square window, arm recoil, popliteal angle, scarf sign, and heel to ear. | |
| What are the physical maturity criteria? | Skin texture/color/opacity/wrinkles, lanugo, plantar creases, breasts, ear form/firmness, and genitalia. | |
| What do the total maturity scores yield? | The gestational age in weeks. | |
| How is gestational age calculated in extremely sick infants? | The neuromaturity rating is not completed, but the physical maturity is doubled. | |
| What are the four hierarchical subsystems in a neonate? | Autonomic/physiologic, motor, state, and attention/interaction subsystems. | |
| Describe the autonomic/physiologic subsystem. | First to develop, respiration, HR, skin color, must be stable for others to function optimally. | |
| Describe the motor subsystem. | Ability to move in and out of positions, preferred position in neonate is flexion, want to move to extension, second system necessary to optimum level of functioning. | |
| Describe the state subsystem. | Ability to maintain or move between either sleep or awake cycles, third system needed for optimum level of functioning | |
| Describe the attention/interaction subsystem. | Ability to look and listen, fourth system needed to maintain optimum level of functioning, hardest to maintain. | |
| What can jeopardize the equilibrium or stability of the lower level subsystems? | Expression of higher level subsystems. | |
| Define examiner facilitation. | Actions of the examiner or handler that assists in the infant maintaining a balance among states by recognizing behavioral cues that act as indicators of either stress or stability. | |
| What are the signs of good autonomic/physiologic control? | Nice pink color, good even breathing pattern. | |
| What are the signs of autonomic/physiologic withdrawal? | Respiratory changes, bradycardia, visceral control, gagging, straining. | |
| What are the signs of good motor control? | Baby moves smoothly into and out of positions using flexion, infant moves toward stimulus. | |
| What are the signs of motor withdrawal? | Body movement/tuck, hand on face or ears, hand holding/clasp, finger fold, hand to mouth, hands open, stilling of movement, good clasp, leg/foot brace, mouthing, tongue extension, suck search/sucking, moving away from stimulus. |
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