Feeding Problems

Question 0

Why is the fact that newborn structures are smaller and closer in proximity ideal?

Answer 0

It’s ideal for sucking due to a large tongue, large buccal pads, and no teeth.

Question 1

What are the 5 functions of feeding and swallowing?

Answer 1

Satisfying hunger
Reflexive sucking
Sensory & motor stimulation
Mother/caregiver infant bonding
Oral motor skill development

Question 2

Name 3 normal structures of infant A&P

Answer 2

Close approximation of tongue, soft palate and pharyngeal wall.
Higher larynx adjacent to C1-C3
Tubular and narrower epiglottis

Question 3

Describe the oral phase of infant feeding

Answer 3

Sucking to stabilize nipple, creating pressure gradient for fluid flow and controlling the bolus before swallow.
The rooting reflex helps grasp on nipple
Nipple compression
Negative pressure

Question 4

Describe the pharyngeal phase of infant feeding

Answer 4

Coordination of nasal breathing, sucking and swallowing. Should be 1:1 ratio

Question 5

What does the esophageal phase consist of?

Answer 5

UES and LES

Question 6

What are the signs/symptoms of pedi dysphagia?

Answer 6

Poor oral suction
Inadequate volume of intake(if they can’t make a lip seal)
Lengthy feeding times
Nasal regurgitation
Excessive air take(getting half air half formula)
Coughing
Choking
Poor weight gain
Excessive energy expenditure
Discomfort during feeding
Stressful feeding btwn caretaker & infant

Question 7

How can we modify feeding?

Answer 7

Have mom relax and comfort her
Use proper feeding equipment & methods
Upright positioning (no horizontal feeding)
Stick with what works - consistent feeding methods
Manage air intake (burp breaks every ounce)
Limit feeding times to 30-45 min

Question 8

Name 2 assessments during feedings

Answer 8

Video fluoroscopy
FEES
MBS (easier)