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Flashcards in Peds feeding Deck (47):
1

Oral Structure Development New Born

Small oral cavity Filled with Fat pads (inside the checks/tongue) Allows for grasp compression of nipple and automatic suction Full-term healthy baby can breast or bottle-feed (Suck swallow breath pattern)

2

When do the fat pads go away

4 months

3

Oral Structure Development infant

Structures are close together Epiglottis and soft palate are in direct approximation Nipple liquid can pass safely from base of tongue to esophagus Larynx + epiglottis falls over to protect trachea makes aspiration less likely before 4 months

4

Oral Structure Development 12 months

Hyoid, epiglottis, larynx descend (creates space between structures and base of tongue) Hyoid and Larynx become mobile during swallowing (elevate) More complex suck-swallow-breathe sequence = greater coordination Elongated pharynx increases aspiration risk when feeding in reclined position

5

Infant growth

Neck elongates Oral cavity larger and more open (allows greater control tongue, lips, + cheeks) Tongue thinner and more muscular Cheeks lose much of fatty padding New sucking patterns (can handling liquid w/o previous infant structure
Up down movements (liquid from nipple Rotary tongue (chewing)

6

At 1 month what is the sequence of eating

Liquids only suckling/sucking pattern tongue extension-retraction to swallow no biting chewing


7

3 months what is the sequence of eating

liquid pureed suckling/sucking primitive suckle pattern tongue moves extension-retraction 20+ sucks from breast/ biting chewing rare- may show reflexive biting


8

5 months what is the sequence of eating

eat pureed foods formula or breast milk primary nutrition continues sucking pattern tongue up and down one sip at a time from cup held by caregiver primitive phasic bite- and- release pattern biting isn’t controlled or sustained

9

6 months what is the sequence of eating

Pureed and lumpier textures not losing liquids during sucking (unless from cup) tongue up down bottle but extension retraction w/cup variable jaw movements diagonal rotary movement when moving the tongue to the side Some tongue lateralization when food is placed on the side Lips assist hold food in place for chewing

10

9 months what is the sequence of eating

Soft foods mashed table foods Strong sucking pattern without liquid loss
Long sequence of sucking when drinking from a cup (one-three sucks before stopping to swallow or breathe Munches w/diagonal movements as food is transferred from center to sides Voluntary food object biting Lips are active w/jaw during chewing Lateral movements used to transfer food from the center to the side of the mouth

11

12 months what is the sequence of eating

Easily chews food including meats and coarsely chopped foods
Most liquid from cup may still lose Uses sucking up and down movement
Swallows w/tongue tip elevation (liquids and semisolids At time tongue protrusion
Closed lip during swallow Controlled sustained bite w/soft cookie Begin rotary chewing movements Lips are active during chewing Transfer food from the center to both sides w/ease

12

18 months what is the sequence of eating

Coarsely chopped foods including meats and raw vegetables
Mature sucking pattern Jaw is stable when drinking from a cup Uses tongue tip elevation w/swallowing Swallows solid food with easy lip closure No loss of food Controlled sustained bite on hard cookie Demonstrates rotary chewing

13

24 months what is the sequence of eating

Eats all foods except skin very tough meats or foods that break into larger pieces Adult like sucking patterns up and down tongue movement
No liquid loss Swallow solids easily w/lip closure Tongue tip elevation Transfers food booth sides of the mouth when chewing Circular rotary movements when transferring food across midline from one side to the other

14

feeding performance seen at 5-7 months

Takes cereal or purred baby food from spoon

15

feeding performance seen at 6-8

Attempts to hold bottle but may not retrieve if it falls Needs to be monitored for safety

16

feeding performance seen at 6-9

Holds and tries to eat cracker but sucks more than biting Eats soft food that dissolves in mouth Grabs at spoon but bangs it or sucks on either end

17

feeding performance seen at 9-13

Self-finger feed a portion of meals consisting of soft table foods mac, peas, dry cereal

18

feeding performance seen at 12-14

Dips spoon in food Bring spoonful of food to mouth Spills food by inverting spoon before it goes into mouth

19

feeding performance seen at 15-18

Scoops food w spoon and brings it to mouth

20

feeding performance seen at 24-30

Demonstrates interest in using fork May stab at food Proficient at spoon use Eats cereal w/milk or rice w/gravy w/utensil

21

Fluid consistencies

Thin-Water, juice, broth
Nectar Tomato juice, yogurt smoothie
Honey Slowly drips off spoon
Pudding eaten with spoon holds shape

22

Food consistencies

Whole Cup it Chopped Ground Pureed

23

Thin-Water,

juice, broth

24


Nectar Tomato

juice, yogurt smoothie

25

Honey

Slowly drips off spoon

26

Pudding

eaten with spoon holds shape

27

Soft foods mashed table foods Strong sucking pattern without liquid loss

9 months

28

Long sequence of sucking when drinking from a cup (one-three sucks before stopping to swallow or breathe

9 months

29

Munches w/diagonal movements as food is transferred from center to sides Voluntary food object biting

9 months

30

Lips are active w/jaw during chewing

9 months

31

Lateral movements used to transfer food from the center to the side of the mouth

9 months

32

Eats all foods except skin very tough meats or foods that break into larger pieces

24 months

33

Adult like sucking patterns up and down tongue movement No liquid loss Swallow solids easily w/lip closure Tongue tip elevation

24 months

34

Transfers food booth sides of the mouth when chewing Circular rotary movements when transferring food across midline from one side to the other

24 months

35

Easily chews food including meats and coarsely chopped foods

12 months

36

Most liquid from cup may still lose Uses sucking up and down movement

12 months

37

Swallows w/tongue tip elevation (liquids and semisolids At time tongue protrusion Closed lip during swallow

12 months

38

Controlled sustained bite w/soft cookie Begin rotary chewing movements Lips are active during chewing Transfer food from the center to both sides w/ease

12 months

39

Coarsely chopped foods including meats and raw vegetables

18 months

40

Mature sucking pattern Jaw is stable when drinking from a cup Uses tongue tip elevation w/swallowing

18 months

41

Swallows solid food with easy lip closure No loss of food Controlled sustained bite on hard cookie Demonstrates rotary chewing

18 months

42

Pureed and lumpier textures

6 months

43

not losing liquids during sucking (unless from cup)

6 months

44

tongue up down bottle but extension retraction w/cup

6 months

45

variable jaw movements diagonal rotary movement when moving the tongue to the side

6 months

46

Some tongue lateralization when food is placed on the side Lips assist hold food in place for chewing

6 months

47