feeding problems

Question 1

function of feeding & swallowing

Answer 1

satisfies hunger, reflexive sucking, sensory & motor stimulation, bonding, development of oral motor skills

Question 2

normal infant A&P

Answer 2

structures smaller & closer in proximity
ideal for sucking (large tongue, large buccal pads, no teeth); close approximation of tongue, pharyngeal wall, soft palate; high larynx C1-C3; epiglottis tubular (narrow)

Question 3

physiology of infant feeding

Answer 3

oral phase: rooting reflex, nipple compression, negative pressure
pharyngeal phase: coordination of nasal breathing, sucking, swallowing
esophageal phase: UES & LES

Question 4

s/s of pediatric dysphagia

Answer 4

poor oral suction, inadequate volume of intake, lengthy feeding times, nasal regurgitation, excessive air intake, coughing, choking, poor weight gain, fatigue, discomfort during feeding, stressful feeding btn baby & caregiver

Question 5

general feeding modification

Answer 5

relax, proper feeding equipment & methods, upright positioning, consistency w/ feeding method, manage air intake (break to burp every ounce or so), limit feedings to 30-45 min

Question 6

specific proper feeding equipment & methods

Answer 6

assistive squeezing (hand expressing breast milk), breaks to rest or burp, adaptive nipples/bottles (slower/faster flow rate, hole/slit), pliability, shape and size

Question 7

airway protection assessment during feeding

Answer 7

videofluoroscopy, FEES