Pediatric Swallowing Flashcards
True or False
The tongue takes up more space in the oral cavity due to a smaller mandible
True
True or False
The pharynx and larynx are lower in the neck of an infant and makes aspiration easier
False
The pharynx and larynx are higher in the neck of an infant and makes aspiration more difficult
True or False
With age, the pharynx elongates and the larynx descends in the neck
True
1/3 of the tongue begins to descend between 2-4 years of age, but by when has it completely descended?
9 years
True or False
The fat pads on cheeks fills up space and makes sucking easier
True
Can you tell the difference?
Know the difference
At birth the hard palate is ____ , not much of an arch, and has folds of ____, which makes holding on to nipple easier.
short / mucosa
The mandible of a newborn is ___ ___, it is connected by a fibrous tissue and mandibular suture
not fused
True or False
The fibrous tissue and mandibular suture will begin to fuse at the end of the first year
True
True or False
The Rami of jaw (mandible) becomes more angled with age
True
Fill in the blank:
At birth, the larynx is ___ the length of the adult
1/3
True or False
The epiglottis is proportionately smaller in an infant
False
The epiglottis is proportionately bigger in an infant
*is in direct contact with soft palate
Fill in the blank:
In an infant the pyriform sinuses are more ____
shallow
As an infant the TVC are ____ to the base of tongue
closer
How do you trigger the gag reflex?
touch to posterior tongue or pharynx
*present at 26-27 weeks of gestation (continues through adulthood)
CN IX & X
The reflex that is triggered by touching the gums
Phasic Bite
*28 weeks of gestation
*precursor to mastication
*CN V
*diminishes by 9 - 12 months
The reflex where the tongues moves toward the side of stimulation
Transverse Tongue Reflex
*28 weeks of gestation
*precursor to lateralization
*CN XII
*diminishes at 6 months
Reflex where tongue protrudes from mouth
Tongue Protrusion
*touch anterior of tongue
*38-40 weeks at gestation
*diminishes by 6 months
*prepares infant to eat
*CN XII
The reflex where infant turns head towards stimulation
Rooting
*stroke infant’s cheek
*32 weeks gestation
*diminishes by 3 months
*may be present longer in breast-fed babies
*CN V, VII, XI, XII