Incorrect Motor Card

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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 approach? 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.  
What are the signs of motor withdrawal? Lip compression, tongue show, finger splay, salutes, shoulder shrug, sitting on air, trunk arching, lateral head shake, head lowering, moving away from stimulus.  

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