Term
hypotonic lip tone and implications |
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Definition
weak lip tone
inability to create seal at breast
my result in loss of liquid during feed or smacking sounds |
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Term
| one effect of abnormal tongue movement |
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Definition
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Term
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Definition
| can be caused by tight upper labial frenum |
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Term
| suggested by hypertonic lip tone |
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Definition
| may reflect neurological abnormally or injury of the tongue, jaws or facial nerves |
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Term
| not usually seen in infants under 3 months |
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Definition
drooling
can indicate phayngeal or esophageal obstruction |
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Term
| device that can help a baby with a cleft palate nurse |
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Definition
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Term
| amount of time cheek fat pads should be visible for |
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Definition
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Term
| implications of thin cheeks |
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Definition
| intraoral space is larger and infant must create a larger vacuum to generate and sustain suction |
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Term
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Definition
digitally
thumb on inside of cheek, finger on outside
babies with thin cheeks, fingers almost touch |
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Term
| method of feeding for low facial tone or thin cheeks |
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Definition
| dancer hand position to improve cheek stability |
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Term
| micrognathia it's effects on breastfeeding and management techniques |
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Definition
-receding chin
-severe form is Pierre Robin syndrom
-sore nipples, obstructed airways
-bringing baby's chin closer to the breast |
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Term
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Definition
birth or other injury
torticollis- breech position
paralysis
structural deformity |
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Term
| 3 reasons for jaw clentching |
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Definition
-managing rapid milk flow
-hypertonia
-compensatory action resulting from weakness in another area (tongue, lip tone, etc.) |
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Term
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Definition
1. asymmetry
2. micrognathia
3. observe feeding, look for grading, clenching, or tremors |
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Term
| how to digitally asses the jaw |
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Definition
| infant should be able to produce 10 reflexive bites on both sides when pinkie finger is placed in the corner of mouth between gum pads |
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Term
| methods to assist feeding with jaw related problems |
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Definition
provide stability with finger under jaw
hip flexation
head extension
side-lying position |
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Term
ankyloglossia
definition and incidence |
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Definition
-tongue-tie, tight lingual frenulum
-incidence between 2-5% of infants, higher in boys |
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Term
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Definition
| simple release of ankyloglossia by clipping |
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Term
tongue protrusion
cause and effect |
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Definition
low muscle tone (as in Down syndrome)
poor coordination of sucking and swallowing |
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Term
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Definition
| digital exam- gentle fingertip pressure to surface of tongue at midsection |
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Term
| 3 things that should be noticed during tongue exam |
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Definition
1.should feel some resistance when pressing on center of tongue
2. should elicit sealing and sucking
3. should sense tongue cupping around finger |
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Term
| what "smacking" sounds might mean |
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Definition
-tongue has lost contact with the breast
-baby is deliberately breaking seal
-thin cheeks, low vacuum |
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Term
| how to observe tongue extension |
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Definition
tapping on the tip to elicit protursion
ideally should be able to protrude tongue past lip |
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Term
| problems "tug-of-war" exercises may help with |
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Definition
| strengthening lips and weak or tight tongue |
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Term
| implications of arched, grooved, or bubble shaped hard palates |
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Definition
| makes it difficult for the infant to properly position the nipple and to compress it with the tongue |
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Term
| causes of grooves in hard palate |
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Definition
tubes in baby's mouth for long periods
Down or Turner syndrome |
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Term
| breastfeeding implications of incomplete or complete cleft palate |
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Definition
-baby is unable to seal the oral cavity and generate suction
-difficult or impossible to fully breastfeed
-feedings are slow and stressful because of aspiration |
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Term
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Definition
| cleft hard palate with a layer of skin that has grown over |
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Term
| implications of weak soft palate |
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Definition
trouble safely swallowing
fatigue aspiration- choking
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Term
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Definition
punching bag
if forked indicates cleft in soft palate |
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Term
| methods to assist feeding of baby with abnormalities of hard or soft palate |
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Definition
upright positioning
chin support
breast compression |
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Term
| might be suggested by nasal congestion (in the absence of symptoms of respiratory illness) |
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Definition
| dried accumulations of milk aspirated during feedings or reflux episodes |
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Term
| how to assess infant nasal passages |
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Definition
visually
look for blockage or small passages |
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Term
| time rooting reflex presents for |
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Definition
| birth to 2-4 months (longer for bf babies) |
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Term
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Definition
| stimulated by pressure along the tongue and stroking near the junctions of hard and soft palates |
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Term
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Definition
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Term
| signals weak or immature sucking |
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Definition
| unable to sustain SSB bursts longer than 10 |
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Term
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Definition
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Term
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Definition
a swallowing disorder
feeding aversion my result |
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