Pediatrics: Feeding, Eating, & Swallowing Flashcards
Which phase of swallowing is under voluntary control?
A) Oral phase
B) Pharyngeal phase
C) Esophageal phase
D) Digestive phase
A
At what age does a mature pattern with spoon feeding typically develop?
A) 6 months
B) 12 months
C) 18 months
D) 24 months
D
Non-nutritive sucking is primarily for:
A) Nutrition
B) Soothing and regulation
C) Communication
D) Digestion
B
Which feeding milestone is generally introduced around 8 months?
A) Cup drinking
B) Spoon feeding
C) Chewing solids
D) Using utensils
A
What is a common intervention for children with sensory processing disorders affecting feeding?
A) Medication
B) Family therapy
C) Sensory play
D) Surgical intervention
C
The suck-swallow-breath sequence is developed by:
A) 32-34 weeks gestation
B) 1 month
C) 6 months
D) 12 months
A
Which term describes the repetitive up-and-down biting that occurs when gums are touched?
A) Phasic bite
B) Rotary chew
C) Reflexive chew
D) Soft chew
A
Early gag reflex in infants typically subsides by:
A) 3 months
B) 6-9 months
C) 12 months
D) 18 months
B
At what age are soft table foods typically introduced?
A) 6 months
B) 9-10 months
C) 13-14 months
D) 18 months
C
Attachment and bonding are most influenced by:
A) Feeding frequency
B) Physical and emotional proximity
C) Parental income level
D) Presence of siblings
B
When assessing oral motor skills, symmetry is most relevant to:
A) Jaw strength
B) Lip closure
C) Tongue movement
D) All of the above
D
A child avoiding food after a few bites may indicate:
A) Taste preference
B) Early satiety
C) Texture aversion
D) Nutritional deficiency
C
What intervention is recommended for jaw stability during feeding?
A) Straws only
B) Lateral placement of food
C) No intervention needed
D) Feeding therapy only
B
A multidisciplinary approach is best for treating:
A) Pediatric dysphagia
B) Simple feeding issues
C) Routine health check-ups
D) Social skills development
A
What is considered a “red flag” in feeding concerns?
A) Only drinking from a bottle after age 3
B) Eating a varied diet
C) Preferring vegetables over fruit
D) Drinking water frequently
A
Silent aspiration may be indicated by:
A) Coughing after eating
B) Frequent respiratory infections
C) Eating only soft foods
D) Enjoying drinking from a straw
B
Sensory play can be beneficial for children who are:
A) Avoidant of food textures
B) Eating a balanced diet
C) Exhibiting no feeding issues
D) Undergoing medical procedures
A
What is an example of an early feeding skill?
A) Sipping from a cup
B) Spoon feeding with minimal loss
C) Bottle or breast feeding
D) Using a fork
C
When introducing new foods to children with feeding issues, it is important to:
A) Use only the new food at mealtime
B) Introduce it slowly and repeatedly
C) Avoid their preferred foods
D) Serve in large portions
B
“Family-style” meals can help improve:
A) Parent-child interaction
B) Texture aversion
C) Weight gain
D) Oral motor skills
A
“Food chaining” involves:
A) Presenting only preferred foods
B) Gradually introducing new foods similar to preferred ones
C) Restricting certain food groups
D) Rewarding with food
B
Excessive drooling during feeding may suggest:
A) Poor lip closure
B) Gag reflex
C) Proper motor control
D) Adequate hydration
A
Sucking on a pacifier is considered:
A) Non-nutritive sucking
B) An ineffective method for feeding
C) Oral aversion
D) A gag reflex response
A
Children typically begin to self-feed using a spoon at:
A) 3 months
B) 6 months
C) 12 months
D) 18 months
C
Which is a recommended positioning guideline during feeding?
A) Leaning forward with back unsupported
B) Sitting with hips, knees, and feet at 90-degree angles
C) Reclined at a 45-degree angle
D) Standing upright
B
If a parent reports that their child has difficulty transitioning to textured foods, the best recommendation would be to:
A) Introduce all textures at once
B) Use sensory play with different textures before meals
C) Force the child to eat the food
D) Restrict the child’s diet
B
A child with limited lip closure often spills food. What intervention is most appropriate?
A) Use smaller utensils
B) Place food at the sides of the mouth
C) Increase jaw strength exercises
D) Restrict the amount of food
B
If a child is coughing frequently during meals, which assessment should be considered?
A) Vision screening
B) Videofluoroscopy
C) Psychosocial assessment
D) Literacy assessment
B
To help an infant develop a mature suck-swallow-breath pattern, parents should be advised to:
A) Use a bottle only when crying
B) Avoid pacifiers
C) Encourage regular bottle or breast feeding
D) Introduce solids early
C
A child refusing to try new foods may benefit from:
A) Extended fasting periods
B) Sensory play with the food
C) Limiting options at meals
D) Offering only pureed foods
B
If a child shows frequent signs of aspiration, like coughing and watery eyes during meals, the next step should be to:
A) Ignore the symptoms
B) Recommend high-calorie drinks
C) Refer for a swallow study
D) Encourage more solid foods
C
A parent reports that their toddler struggles with spoon feeding and often throws food. Which strategy could help improve this behavior?
A) Only offer finger foods
B) Introduce imaginative play with the spoon
C) Give large portions at each meal
D) Avoid using a spoon until age 3
B
When an infant is overly sensitive to different textures, the best approach might be:
A) Enforce strict rules at mealtime
B) Introduce new textures gradually
C) Ignore any feeding difficulties
D) Replace all foods with liquids
For a child showing signs of oral aversion, an effective intervention could be:
A) Oral motor exercises with toys that encourage mouth exploration
B) Limiting all food interactions to prevent discomfort
C) Offering only pureed foods indefinitely
D) Avoiding all non-preferred foods
A
If a parent has difficulty getting their child to eat enough at meals, which intervention might you suggest?
A) Calorie and hydration tracking over a 7-day period
B) Offering fewer meals per day
C) Completely removing preferred foods
D) Reducing all meal portion sizes
A
A child consistently pockets food in their cheeks. Which strategy can help address this behavior?
A) Lateral food placement with verbal reminders to swallow
B) Serving only liquids
C) Decreasing mealtime duration
D) Offering harder foods to chew
A
For a toddler struggling with chewing, the recommended developmental approach would be:
A) Moving directly to harder textures
B) Offering foods with a meltable consistency
C) Focusing on liquids only
D) Avoiding food exploration outside of meals
B
If a parent notices their child shows a preference for very specific foods, it’s advisable to:
A) Limit preferred foods to prevent dependency
B) Offer small amounts of new foods alongside preferred ones
C) Rotate all foods every day
D) Use only the preferred foods at all meals
B
What action is best if a child repeatedly refuses food when offered on a plate with non-preferred foods?
A) Continue to present a small amount of a preferred food with each meal
B) Serve only non-preferred foods until they adjust
C) Avoid serving food on a plate altogether
D) Offer only preferred foods for the next few days
A
A child with sensory sensitivities to food textures is likely to benefit from which intervention prior to meals?
A) Avoiding all tactile play
B) Engaging in sensory play activities with dry-to-wet textures
C) Serving all foods pureed
D) Introducing challenging textures immediately
B
