Pediatric Swallowing Flashcards Preview

CD 663 > Pediatric Swallowing > Flashcards

Flashcards in Pediatric Swallowing Deck (49)
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1

 

 

True or False

The tongue takes up more space in the oral cavity due to a smaller mandible

 

 

 

True

2

 

 

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

3

 

 

True or False

With age, the pharynx elongates and the larynx descends in the neck

 

 

 

True

4

 

 

1/3 of the tongue begins to descend between 2-4 years of age, but by when has it completely descended?

 

 

 

9 years

5

 

 

True or False

The fat pads on cheeks fills up space and makes sucking easier

 

 

 

True

6

 

 

 

Can you tell the difference?

 

 

 

Know the difference

7

 

 

 

At birth the hard palate is ____ , not much of an arch, and has folds of ____, which makes holding on to nipple easier.

 

 

 

short / mucosa

8

 

 

The mandible of a newborn is ___ ___, it is connected by a fibrous tissue and mandibular suture

 

 

 

not fused

9

 

 

True or False

The fibrous tissue and mandibular suture will begin to fuse at the end of the first year

 

 

 

True

10

 

 

 

True or False

The Rami of jaw (mandible) becomes more angled with age

 

 

 

True

11

 

 

Fill in the blank:

At birth, the larynx is ___ the length of the adult

 

 

 

1/3

12

 

 

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

13

 

 

Fill in the blank:

In an infant the pyriform sinuses are more ____

 

 

 

shallow

14

 

 

 

As an infant the TVC are ____ to the base of tongue

 

 

 

closer

15

 

 

 

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

16

 

 

 

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

17

 

 

 

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

18

 

 

 

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

19

 

 

 

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

20

 

 

 

Backward and forward tongue movement and up and down jaw movement

Suckling

*place nipple in mouth, stroke tongue or touch to hard palate

*18 weeks gestation

*Diminishes by 6-12 months 

*movement should be rhythmical

*CN V, VII, IX, XII

21

 

 

 

Up and down tongue movement, smaller vertical jaw excursion, jaw moves more independently

 

Sucking

*same stimulus as suckling

*6-9 months of age

*Diminishes by 24 months or older

*Lip seal around nipple is firmer

*CN V, VII, IX, XII

22

 

 

True or False:

Postural control is important because it affects feeding success and airway protection

 

 

 

True

23

 

 

True or False:

In the first 5-6 months, infants belly-breath, once postural control is established breathing becomes thoracic

 

 

 

True

24

 

 

Lip seal around the nipple contributes to creating ____ ____ in oral cavity

 

 

 

negative pressure

25

 

 

As the mandible ____ during feeding this ____ the size of the oral cavity and a drop in intra-oral pressure, causing the liquid to be sucked into oral cavity

 

 

 

drops, increases

26

 

 

True or False:

Suckling happens from 6 months onwards

 

False

Suckling happens from 0-6 months

*loose lips, reduced lip seal, tongue seals around nipple

*wide mandibular excursions

*tongue moves in and out

27

 

 

 

List the differences between suckling and sucking

 

Sucking:

*happens after 6 months and onwards

*tighter lip seal, reduced tongue seal

*reduced mandibular excursions

*tongue moves up and down

28

 

 

What are some of the benefits for NNS (Non-Nutritive Suckling)?

*calming

*increases feedinb behaviors

*improves O2 status

*have faster gastric emptying

*gain weight faster

*leave NICU sooner

breathing is continous (no apnea)

29

 

 

True or False:

Any issue with the digestive system can affect feeding

True

*stomach: acids and other fluids partially digest foods

*duodenum: receives pancreatic juice and bile acids to break food down into sugars, lactose, proteins

*ileum: absorbs nutrients passes along waste to large intestine

*large intestine: leads to rectum for elimination

30

 

 

True or False:

Instrumental studies should not be conducted until 36 weeks post gestation

 

 

 

True