Moving the head can produce primitive reflexes
, so the patient's head should be kept in the midline and can be gently cradled with the operator's forearms and hands during treatment.
The goal of this visit "is to discuss neonatal vision and hearing, state variations, intersensory coordination, primitive reflexes
, and motor behaviors during the newborn exam with parents," he explained.
The NES is a structured clinical examination of integrative sensory function, motor coordination, motor inhibition, complex motor sequencing, primitive reflexes
, eye movements, and short-term memory.
Suggestive clinical features include mood lability with outbursts of rage, lack of initiative, psychomotor retardation, presence of primitive reflexes
, muscle rigidity, dysarthria, and urinary incontinence.
Foetal reflexes should disappear after 18 weeks of pregnancy, primitive reflexes
by six months after birth and infant reflexes by the time the baby is 14 months.