Pediatric swallowing Flashcards

1
Q

4-6 weeks gestation

A

structures develop

Esophagus, trachea, mandible etc. formation

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2
Q

10-12 weeks gestation

A

initial pharyngeal swallow

First oral movements

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3
Q

23 weeks gestation

A

Developing lung function

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4
Q

34 weeks gestation

A

efficient pharyngeal swallow

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5
Q

3 weeks gestation

A

Suck-swallow pattern

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6
Q

The oral cavity is _____ in adults in proportion

A

larger

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7
Q

In an _______ the tongue fills the oral cavity and rests anteriorly.

A

Infant

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8
Q

Soft palate, tongue, and epiglottis are __ _____ in an infant

A

in contact

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9
Q

In an _____ the uvula hangs into the vallecular space

A

infant

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10
Q

Lower jaw is ____ & _____ in an infant

A

pulled back & small

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11
Q

Larynx is _____ & pahryngeal space is _____ in an infant

A

higher ; shorter

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12
Q

Epiglottis is a _____ shape in an infant

A

Omega

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13
Q

Infants have the presence of ________

A

sucking pads

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14
Q

In infants, all phases of swallowing are _____

A

involuntary

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15
Q

List the stages of swallowing for infants

A

Oral prep/ oral stage
Pharyngeal stage
Esophageal stage

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16
Q

What happens in the oral stage for infants

A

preparation of food or liquid in the oral cavity

Propulsion of the bolus posteriorly

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17
Q

What happens in the pharyngeal stage in infants?

A

Hyolaryngeal excursion

Initiation of the pharyngeal swallow

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18
Q

What happens in the esophageal stage in infants?

A

Peristalsis through the esophagus BUT it does not happen after every single swallow

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19
Q

Initial feeding pattern for infants

A

suckling

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20
Q

Suckling matures into a ______ pattern

A

sucking

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21
Q

sucking develops into _______ and _______

A

munching and chewing

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22
Q

Explain the initial pattern of feeding aka suckling

A
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
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23
Q

Explain the sucking pattern of feeding

A

More of an up and down rhythmic motion

More 1 suck per swallow

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24
Q

What is nutritive sucking vs non-nutritive sucking

A

Nutritive - used to get liquids from nipple

Non-nutritive - Non-feeding nipple like a pacifier or a finger

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25
Q

List 7 primitive reflexes

A
Rooting
Phasic bite 
Tongue thrust
Oral opening
Gag
Swallowing
Sucking
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26
Q

What is rooting

A

Pressure put on cheek or lips and infant will turn their head in response to that stimuli

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27
Q

What is phasic bite

A

Apply pressure on infants gums and infant will close their jaw or mouth in response to stimulation
(protective or preparing to munch)

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28
Q

What is tongue thrust

A

infant pushes forward to get whatever is in their oral cavity out.

This is protective to prevent choking

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29
Q

What is the reflex oral opening

A

When a bottle or food is presented to the lips and the infant responds

30
Q

What is the gag reflex

A

A protective reflex

Usually integrated by 6 months

31
Q

What is the sucking reflex

A

When stimulation is presented to top of the tongue or hard palate and sucking begins

32
Q

Why is birth - 3 months a liquid only diet?

A

Space in the mouth and the gut is still developing

33
Q

Birth - 3 months the swallow is triggered by

A

sucking

34
Q

Birth - 3 months, the jaw, lips and tongue move ______

A

together

35
Q

Birth - 3 months the infants tongue is _____ and _______ the liquids

A

flat ; channels

36
Q

Usually, birth - 3 months intake is all ______ to gain ______

A

reflexive ; nourishment

37
Q

Need full postural support

A

Birth - 3 months

38
Q

Primitive reflexes begin to become inhibited

A

3-6 months

39
Q

Lips, jaw and tongue move dependently

A

3-6 months

40
Q

Introduction to cereals and purees

A

3-6 months

41
Q

Intro to spoon feeding but tongue thrust may still be present

A

3-6 months

42
Q

Open their mouths for intro of food

A

3-6 months

43
Q

What is baby led weaning?

A

When you introduce solid food and let the baby decide

44
Q

Can hold the jaw closed

A

6-9 months

45
Q

Upper lip can strip the bolus from the spoon

A

6-9 months

46
Q

Tongue lateralization

A

6-9 months

47
Q

Early mastication but still taking mostly liquids

A

6-9 months

48
Q

Eruption of teeth

A

6-9 months

49
Q

Gag is diminishing

A

6-9 months

50
Q

Beginning of cup drinking

A

6-9 months

51
Q

Some mashed and soft liquids possible

A

6-9 months

52
Q

Lip closure, especially during the swallow

A

9-12 months

53
Q

Mashed foods presented

A

9-12 months

54
Q

Lips and cheeks used to draw foods in

A

9-12 months

55
Q

Increased jaw control

A

9-12 months

56
Q

May see self feeding beginning, unsupported sitting, pointing to foods they want

A

9-12 months

57
Q

Food intake may be from cup bottle or breats

A

9-12 months

58
Q

Mastication is more defines

A

12-18 months

59
Q

Better able to move bolus

A

12-18 months

60
Q

Increased length of suck, swallow, breathe pattern

A

12-18 months

61
Q

Introduction of finely chopped foods

A

12-18 months

62
Q

Lateralization of bolus

A

12-18 months

63
Q

Cough to clear airway

A

12-18 months

64
Q

Change from munching to rotary

A

12-18 months

65
Q

Possibly spoon feeding themselves

A

18-24 months

66
Q

use tongue to clear lips

A

18-24 months

67
Q

Straw drinking

A

24-36 months

68
Q

Open cup drinking

A

24-36 months

69
Q

Fine tuning of feeding behaviors that they have developed

A

24-36 months

70
Q

Facial expressions to indicate dislikes

A

24-36 months

71
Q

Fork feeding

A

36 months - 5 years

72
Q

Advanced textures of foods

A

36 months - 5 years