Term
| in which phase is eating anticipated? |
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Definition
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Term
| what do the four phases of swallowing allow the bolus to do? |
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Definition
| move from the mouth into the stomach safely and efficiently |
|
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Term
| what are the three steps to the oral preparatory phase? |
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Definition
1. anticipate eating
2. bring food to mouth and take bite
3. food is chewed and mixed with saliva |
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Term
| what are the four steps in the oral phase? |
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Definition
1. food is collected into a bolus
2. food is placed between the tongue and roof of the mouth (hard palate)
3. the tongue moves the food back with a stripping wave-like motion to the pharynx
4. when the bolus reaches the faucial pillars it triggers the swallow response (and the pharyngeal phase begins) |
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Term
| what are the seven steps in the pharyngeal phase? |
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Definition
1. soft palate elevates
2. tongue base moves back and pharyngeal walls move in
3. larynx moves up and forward and closes
4. epiglottis moves down to help guide food
5. VFs close
6. pharynx muscles contract to move food towards the esophagus
7. UES relaxes |
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Term
| why does the soft palate elevate during the pharyngeal phase? |
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Definition
| to prevent the bolus from entering the nasal cavity |
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Term
| can babies swallow and breathe at the same time? |
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Definition
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Term
| to swallow we must have positive/negative pharyngeal pressure? |
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Definition
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Term
| what are the three steps in the esophageal phase of swallowing? |
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Definition
1. food passes through the UES and into the esophagus
2. Esophageal peristalsis moves food through the esophagus
3. LES relaxes and food enters the stomach |
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Term
| preparation for swallowing begins when? |
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Definition
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Term
| swallowing has been observed in fetuses as early as how many weeks? |
|
Definition
| 12.5 (barely into the second trimester) |
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Term
| swallowing the amniotic fluid appears to offer the fetus a literal what? |
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Definition
| taste of the family's diet |
|
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Term
| full-term babies swallow ___ml of amniotic fluid daily |
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Definition
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Term
| why might a premature baby not be as good at feeding? |
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Definition
| the baby hasn't had as much practice - he might get too tired feeding because he doesn't have the proper muscle tone |
|
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Term
| what are the four factors that predispose babies to early feeding problems? |
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Definition
1. maturity
2. muscle tone
3. health problems
4. missing the "golden hour" |
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Term
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Definition
| they don't have enough muscle tone to feed efficiently |
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Term
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Definition
| they have clenched/tight muscles which make it uncomfortable for mom |
|
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Term
| what is the "golden hour" |
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Definition
| the baby breast feeding in the first hour of life to ensure a good feeding relationship |
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Term
| what week is considered full term? what week is the due date? |
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Definition
full term: 37
due date: 40 |
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Term
| what weeks are "near term" babies born at? |
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Definition
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Term
| when are babies developmentally ready for solids? |
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Definition
| around 6 months - when they start developing teeth, reaching skills, and sitting skills |
|
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Term
| do babies still have a milk based diet even after solids are introduced? |
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Definition
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