NUR 446
COMPLETED EXAM
QNS & ANS
2023/2024
, 1. Discuss the physical, gross motor, fine motor, vocalization, socialization and cognition
characteristics of a :
a) 1 Month Old
Physical: weight gain of 5-7 oz weekly for the first 6 months o Height gain of 1
inch monthly for the first 6 months o Head circumference increases by 0.5 cm
monthly for the first 6 months o Primitive reflexes present and strong o Doll’s eye
reflex and dance reflex fading o Obligatory nose breathing (most infants)
Gross Motor: assumes flexed position with pelvis high but knees not under
abdomen when prone (at birth, knees flexed under abdomen) o Can turn head from
side to side when prone; lifts head momentarily from bed o Has marked head lag,
especially when pulled from lying to sitting position o Holds head momentarily
parallel & in midline when suspended in prone position o Assumes asymmetric tonic
neck reflex when positioned supine o When held in standing position, body is limp at
knees and hips o In sitting position, back is uniformly rounded, with absence of head
control
Fine Motor: hands predominantly closed o Grasp reflex strong o Hand clenches on
contact with rattle
Vocalization: cries to express displeasure o Makes small, throaty sounds o Makes
comfort sounds during feeding
Socialization & Cognition: sensorimotor phase (stage I), use of reflexes (birth-1-
month-old) o Watches parent’s face intently as she or he talks to infant
COMPLETED EXAM
QNS & ANS
2023/2024
, 1. Discuss the physical, gross motor, fine motor, vocalization, socialization and cognition
characteristics of a :
a) 1 Month Old
Physical: weight gain of 5-7 oz weekly for the first 6 months o Height gain of 1
inch monthly for the first 6 months o Head circumference increases by 0.5 cm
monthly for the first 6 months o Primitive reflexes present and strong o Doll’s eye
reflex and dance reflex fading o Obligatory nose breathing (most infants)
Gross Motor: assumes flexed position with pelvis high but knees not under
abdomen when prone (at birth, knees flexed under abdomen) o Can turn head from
side to side when prone; lifts head momentarily from bed o Has marked head lag,
especially when pulled from lying to sitting position o Holds head momentarily
parallel & in midline when suspended in prone position o Assumes asymmetric tonic
neck reflex when positioned supine o When held in standing position, body is limp at
knees and hips o In sitting position, back is uniformly rounded, with absence of head
control
Fine Motor: hands predominantly closed o Grasp reflex strong o Hand clenches on
contact with rattle
Vocalization: cries to express displeasure o Makes small, throaty sounds o Makes
comfort sounds during feeding
Socialization & Cognition: sensorimotor phase (stage I), use of reflexes (birth-1-
month-old) o Watches parent’s face intently as she or he talks to infant
