100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
PEDIATRIC MIDTERM EXAM LATEST ACTUAL EXAM $17.99   Add to cart

Exam (elaborations)

PEDIATRIC MIDTERM EXAM LATEST ACTUAL EXAM

 6 views  0 purchase
  • Course
  • Institution
  • Book

PEDIATRIC MIDTERM EXAM LATEST ACTUAL EXAM

Preview 2 out of 6  pages

  • September 23, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
avatar-seller
PEDIATRIC MIDTERM EXAM LATEST ACTUAL EXAM
Cerebral Palsy feeding problems - ANSWER: Abnormal bite
Poor lip closure
Weak suck
Poor coordination of sucking
Drooling is one of most common problems
Special spoons and size of bolus can help reduce drooling
Children typically benefit from dietary modifications

Down Syndrome feeding problems - ANSWER: - Large tongue with protrusion
- Low muscle tone (hypotonia)
- May require specialized bottle & later utensils/cups/plates
- Predisposed to cardiac, respiratory and gastrointestinal problems
- 10% of children have celiac's disease
- Benefit from providing breaks to prevent stuffing
- Base feeding schedule on sleep/wake schedule

Fetal Alcohol syndrome feeding problems - ANSWER: - Poor growth in womb leading
to low birth weight
- Decreased muscle tone & coordination resulting in sucking difficulty
- Delayed cognitive and oral motor skills
- Fatigue easily
- May benefit from nutritional support through NG tube
- Children's ability to swallow may decrease over time

What is the primary basis for feeding disorders in newborns? - ANSWER: Low Birth
weight

How do OTs Work in Feeding? - ANSWER: - Oral Aversion
- Tube to Oral Transition
- Poor Oral Motor Skills
- Poor Hand to Mouth Coordination
- We work with nutritionists, GIs and psychologists for poor weight gain, nutrition
and psychological factors impacting feeding

Prevalence of Feeding Problems - ANSWER: - 10% to 25% of all children
- 40%-70% in premature infants
- and 70%-80% in children with developmental disabilities or cerebral palsy

Selective Eating - ANSWER: has been associated with impairment in emotional,
physical, and social domains

Why do children have feeding problems? - ANSWER: Medical Reasons (86%)

What are the most common medical reasons? - ANSWER: - 60% GERD

, - 11.8% Food allergy
- 1.5 % Pancreatic/Liver Diseases

Detecting GERD - ANSWER: - frequent refusal to eat or drink
- irritability or behavioral problems during eating
- will start feeding and then be finished 3-4 minutes into feeding when you know the
child is still hungry
- arching of the back and/or turning the head to one side to elongate esophagus
- Frequent burping

Detecting Dysphagia - ANSWER: - irritability or behavioral problems during eating
- difficulty controlling food in the mouth or excessive mouth movement during
chewing
- needing to swallow a few times to get food down
- repeated drinking while or immediately after chewing or swallowing
- Tucking chin while swallowing
- frequent gagging, spitting or vomiting during or after eating or drinking
- extended feeding periods (longer than 30-40 minutes)
- weight loss of unclear origin or failure to gain weight appropriately

Detecting Aspiration - ANSWER: - Temperature before and afterfeeding
- Use Pulsox before, during andafter feeding
- Request a Modfied BariumSwallow (MBS)
- Request a Fiberoptic Endoscopic Evaluation (FEES)
- Coughing, burping, hiccupping during/after eating or drinking
- watery eyes (tearing) during or after eating or drinking
- frequent bouts of pneumonia or other chronic respiratory problems

Four phases of swallow - ANSWER: 1. Oral Prep
2. Oral Phase
3. Pharyngeal Phase
4. Esophageal Phase

Phase 1 of swallow - ANSWER: Oral Prep
- food is introduced into the mouth
- the lips close
- the tongue, teeth and cheeks break down the food
- a bolus or mass is formed
- Voluntary control

OT's role in phase 1 of swallow (oral prep) - ANSWER: 1. Assessing hunger,
environment, positioning
2. Improving hand to mouth coordination
3. Reduce size of bolus, placement of bolus & delivery
4. Sensory Issues? Behavior Program necessary?
5. Improving quality of chewing through improved oral motor skills(Lips, jaw, cheeks,
tongue)

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller tutorsection1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$17.99
  • (0)
  Add to cart