Pediatric swallowing Flashcards
4-6 weeks gestation
structures develop
Esophagus, trachea, mandible etc. formation
10-12 weeks gestation
initial pharyngeal swallow
First oral movements
23 weeks gestation
Developing lung function
34 weeks gestation
efficient pharyngeal swallow
3 weeks gestation
Suck-swallow pattern
The oral cavity is _____ in adults in proportion
larger
In an _______ the tongue fills the oral cavity and rests anteriorly.
Infant
Soft palate, tongue, and epiglottis are __ _____ in an infant
in contact
In an _____ the uvula hangs into the vallecular space
infant
Lower jaw is ____ & _____ in an infant
pulled back & small
Larynx is _____ & pahryngeal space is _____ in an infant
higher ; shorter
Epiglottis is a _____ shape in an infant
Omega
Infants have the presence of ________
sucking pads
In infants, all phases of swallowing are _____
involuntary
List the stages of swallowing for infants
Oral prep/ oral stage
Pharyngeal stage
Esophageal stage
What happens in the oral stage for infants
preparation of food or liquid in the oral cavity
Propulsion of the bolus posteriorly
What happens in the pharyngeal stage in infants?
Hyolaryngeal excursion
Initiation of the pharyngeal swallow
What happens in the esophageal stage in infants?
Peristalsis through the esophagus BUT it does not happen after every single swallow
Initial feeding pattern for infants
suckling
Suckling matures into a ______ pattern
sucking
sucking develops into _______ and _______
munching and chewing
Explain the initial pattern of feeding aka suckling
tongue moves in a licking motion Tongue creates a seal around the nipple 1-8 repetition (express liquid 1-8 times before a swallow) Can breathe during suckling No lateral movement of the tongue
Explain the sucking pattern of feeding
More of an up and down rhythmic motion
More 1 suck per swallow
What is nutritive sucking vs non-nutritive sucking
Nutritive - used to get liquids from nipple
Non-nutritive - Non-feeding nipple like a pacifier or a finger
List 7 primitive reflexes
Rooting Phasic bite Tongue thrust Oral opening Gag Swallowing Sucking
What is rooting
Pressure put on cheek or lips and infant will turn their head in response to that stimuli
What is phasic bite
Apply pressure on infants gums and infant will close their jaw or mouth in response to stimulation
(protective or preparing to munch)
What is tongue thrust
infant pushes forward to get whatever is in their oral cavity out.
This is protective to prevent choking