Infant feeding - Test 1

Question 1

What two structures touch for protection in an infant?

When does it change?

Answer 1

epiglottis and soft palate

4 months

Question 2

When does suck-swallow begin?

rooting?

gag?

suck, swallow and breathe?

Answer 2

11-15 documents, 29-30 weeks

28-30 gestation, integrates at 4 months

32 weeks gestation

34 weeks

Question 3

What physiological position helps w/ stability for oral movements?

What does it cause?

Answer 3

flexion

tight chest wall

Question 4

Where does head rest?

Answer 4

thorax

Question 5

What kind of breathing do infants use?

Answer 5

belly breathing

Question 6

What is the normal respiratory rate?

Answer 6

30-60 breaths/minute

Question 7

What happens to a premature babies posture, reflexes, Mm, mouth structures and feeding experiences?

Answer 7

lack of physiologic flexion

reflexes may not have to develop

weaker, less tongue strength

retracted/ tip elevated tongue

negative experiences

Question 8

Steps of clinical evaluation?

Answer 8

Chart review
Parent interview 
Developmental assessment
Oral motor exam
Food trial
Recommendations

Question 9

Goals?

Answer 9

Goals:
Is their swallow safe?
Can they meet nutritional and hydration goals?
Are their skills functional?
Is it a solid foundation for advancing skills?

Question 10

Obvious and “soft signs” of unsafe swallowing.

Answer 10

Obvious signs
Coughing
Choking
Desaturation during feeding
Gagging
Increased work of breathing 

“Soft Signs”
Frequent respiratory illnesses
Poor weight gain 
Refusal to eat or very picky eating
Wet sounding voice

Question 11

VFSS

Answer 11

Completed in lateral view in pediatrics
Requires two staff members
Limiting radiation
Have they had other VFSS?
Upcoming surgeries or consults that would impact VFSS?
Breast milk and breast feeding implications

Question 12

FEES

Answer 12

Not tolerated well in children with scope at the same time
Structures are smaller so can be difficult to assess
Unable to see below level of the vocal cords

Question 13

Interventions for pediatric feeding difficulties?

Answer 13

Environmental & postural changes 
Bottle or flow rate changes
Positioning
Facilitation techniques
External pacing
Thickened liquids
Tummy time 
Non nutritive feeding techniques

Question 14

What is the maximum time feedings should take?

Answer 14

30 minutes

Question 15

What are two preferred feeding positions?

Answer 15

semi reclined

elevated side-lying

Question 16

What are some facilitation techniques?

Answer 16

Oral stimulation
Tongue support
Chin support
UNILATERAL cheek support