441 Exam #3 Feeding, DCD, ADHD
Four Factors Needed for Successful Feeding - correct answer Rhythmicity
Stability
Separation of Movement
Movement Options
Rhythmicity Pattern - correct answer Suck, swallow, breathe
Stability Components - correct answer Hold body steady
Sucking pads
Physiological flexion
Separation of Movement - correct answer Chewing Patterns
Moving tongue without jaw
Movement Options - correct answer variety of feeding options (nipple vs. cup)
0-3 Months - correct answer Nose breathing due to tongue filling oral space
Primitive Reflexes: sucking, rooting, mouth-opening, phasic bite, gag
Jaw, tongue and lips do not move independently
4-6 Months - correct answer Reflexes become integrated
Can hold mouth open in anticipation of nipple
Tongue movement is mainly forward and backward
7-9 months - correct answer Begins to hold bottle ind.
Upper lip cleans spoon
Tongue moves food from center to side and side to center
10-12 months - correct answer No tongue protrusion under cup
Possibly up to 6 swallows in one breathe
Bites through cookie in controlled manner
Lips closed when swallowing solids
13-15 Months - correct answer Usually off the bottle and/or being weaned from breast
Able to suck through straw when frequently exposed
, Lip closure when chewing large mouthfuls of food
16-18 Months - correct answer Tongue can move separately from jaw
Tongue tip elevates for swallow
Minimal loss of food when chewing and swallowing
19-24 Months - correct answer Uses tongue to clean lips
May begin transferring bolus across midline of tongue
25-36 months - correct answer Tongue used to clear lateral sulci
Stages of Feeding - correct answer Oral Preparatory: voluntary, getting food into mouth,
forming bolus
Oral: voluntary control, tongue elevates and moves bolus posteriorly, triggers next phase
Pharyngeal: involuntary, triggers swallow reflex, epiglottis folds over trachea
Esophageal: involuntary, contraction of esophageal muscles that push food down, loosens
sphincter to allow food into stomach
Environment for Feeding
Low Tone - correct answer Visual: bright colors
Auditory: energizing music, animated voice and facial expressions
Tactile: light touch periodically throughout meal
Environment for Feeding
High Tone - correct answer Visual: dim lights, decrease visual stim./ decorations, movement
Auditory: noise free or soft music
Tactile: dry diaper and comfortable tactile sensations
Temperature: comfortable temp to decrease tone
Environment Child-Caregiver Feeding Interactions - correct answer Loving voice, smiles, eye
contact, acceptance of limitations
Bottle Feeding - correct answer Stimulate early reflex patterns
Hold in flexion
Support body, head, neck, chin somewhat tucked
Talk softly, avoid distractions
Four Factors Needed for Successful Feeding - correct answer Rhythmicity
Stability
Separation of Movement
Movement Options
Rhythmicity Pattern - correct answer Suck, swallow, breathe
Stability Components - correct answer Hold body steady
Sucking pads
Physiological flexion
Separation of Movement - correct answer Chewing Patterns
Moving tongue without jaw
Movement Options - correct answer variety of feeding options (nipple vs. cup)
0-3 Months - correct answer Nose breathing due to tongue filling oral space
Primitive Reflexes: sucking, rooting, mouth-opening, phasic bite, gag
Jaw, tongue and lips do not move independently
4-6 Months - correct answer Reflexes become integrated
Can hold mouth open in anticipation of nipple
Tongue movement is mainly forward and backward
7-9 months - correct answer Begins to hold bottle ind.
Upper lip cleans spoon
Tongue moves food from center to side and side to center
10-12 months - correct answer No tongue protrusion under cup
Possibly up to 6 swallows in one breathe
Bites through cookie in controlled manner
Lips closed when swallowing solids
13-15 Months - correct answer Usually off the bottle and/or being weaned from breast
Able to suck through straw when frequently exposed
, Lip closure when chewing large mouthfuls of food
16-18 Months - correct answer Tongue can move separately from jaw
Tongue tip elevates for swallow
Minimal loss of food when chewing and swallowing
19-24 Months - correct answer Uses tongue to clean lips
May begin transferring bolus across midline of tongue
25-36 months - correct answer Tongue used to clear lateral sulci
Stages of Feeding - correct answer Oral Preparatory: voluntary, getting food into mouth,
forming bolus
Oral: voluntary control, tongue elevates and moves bolus posteriorly, triggers next phase
Pharyngeal: involuntary, triggers swallow reflex, epiglottis folds over trachea
Esophageal: involuntary, contraction of esophageal muscles that push food down, loosens
sphincter to allow food into stomach
Environment for Feeding
Low Tone - correct answer Visual: bright colors
Auditory: energizing music, animated voice and facial expressions
Tactile: light touch periodically throughout meal
Environment for Feeding
High Tone - correct answer Visual: dim lights, decrease visual stim./ decorations, movement
Auditory: noise free or soft music
Tactile: dry diaper and comfortable tactile sensations
Temperature: comfortable temp to decrease tone
Environment Child-Caregiver Feeding Interactions - correct answer Loving voice, smiles, eye
contact, acceptance of limitations
Bottle Feeding - correct answer Stimulate early reflex patterns
Hold in flexion
Support body, head, neck, chin somewhat tucked
Talk softly, avoid distractions
