day 3 ppt Flashcards

1
Q

under the age of 1 ______ make up all the calories in a child’s diet:

A

liquids

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2
Q

bottling and breast feeding requires more _______

A

frequent swallowing in a specific pattern

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3
Q

infants are more or less likely to show outward signs of swallow dysfunction?

A

less likely to show outward signs

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4
Q

reflexes turn to _____

A

volition

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5
Q

want the child to view feeding as

A

a positive experience

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6
Q

suck - swallow reflex:

A

suck documented from 11-15 w gestation. sucking reflex is present at 29-30 w

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7
Q

rooting:

A

begins at 28-30 w gestation and intergrates at 4 mon

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8
Q

gag reflex fx:

A

survival response protects the airway

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9
Q

gag O

A

often not present unitl 32 weeks gestation

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10
Q

suck swallow and breathe combine when

A

often not till 34 weeks

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11
Q

physiological flexion helps provide:

A

stability for the oral movements

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12
Q

physiological flexion causes

A

a tight chest wall

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13
Q

cervical and thoracic spinal areas are what in a newborn

A

underdeveloped haven’t curved out yet

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14
Q

respiratory rate increases with

A

increased activity

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15
Q

a norm respiratory rate for a newborn is

A

38-60 beats a min

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16
Q

etiology of feeding difficulties catergories:

A
congenital defect in anatomy 
neurological 
neuromuscular condition 
gastrological condition 
sensory differences 
trauma 
cardiac conditions 
prematurity
17
Q

neurological problems include:

A
seizures 
chiari malformation 
spina bifidia 
stroke in utero 
muscle tone concerns
18
Q

gastrological condtions:

A

infant reflux gastrophageal reflux disease
poor motility
short gut
constipation

19
Q

cardiac conditions:

A
vocal cord paralysis 
poor perfusion to GI tract 
often do not have early opportunites for eating 
poor endurance 
higher rates of aspiration/penetraction
20
Q

comorbidities with cardiac conditions:

A

down’s syndrome
digeorge
midline defects

21
Q

prematurity causes:

A
  1. lack of flexor tone
  2. depending on PMA their reflexes
  3. weaker muscle tone around mouth and less tongue strength
  4. retracted/tip elevated tongue
  5. negative experience to oral cavity
22
Q

development assessment includes:

A

head control
trunk control
fine and gross motor coordination

23
Q

prolonged sucking:

A

lengthy sucking burst without appropriate breaths

infant no able to pace respirations with swallow

24
Q

prolonged sucking leads to

A

cyanotic bradcardic

25
Q

short sucking bursts

A

appropriate suck/swallow/breathe ration but pauses too frequently and long
efficiency and intake compromised

26
Q

short sucking burst usually related to

A

swallowing respiratory difficulties