Peds: Reading Quiz 10,11 (answers)

Which sequence represents the correct phases of swallowing?

• Oral Preparatory Phase

  • Voluntary

  • Food is chewed and mixed with saliva to form a bolus

  • Lips close, cheeks control food, tongue moves food for chewing

• Oral Phase

  • Voluntary

  • Tongue pushes the bolus to the back of the mouth toward the pharynx

• Pharyngeal Phase

  • Involuntary

  • Soft palate rises, airway closes, and bolus moves through pharynx

  • Risk of aspiration if coordination is poor

• Esophageal Phase

  • Involuntary

  • Bolus moves down the esophagus to the stomach via peristalsis

Which intervention activity would be recommended for a child with poor oral sensory awareness?

Provide foods with strong flavors and cold temperatures.

Explanation:
For a child with poor oral sensory awareness, stronger sensory input (like bold flavors or cold temperatures) can help increase oral stimulation and improve awareness during eating. These inputs give the child more noticeable feedback in the mouth compared to bland or soft foods.

What is the first step in evaluating a child's feeding problems?

Ask parents and caregivers questions about feeding, eating, and swallowing

Which pattern of behaviors reflects oral hypersensitivity?

Gags frequently, limited variety of foods, refuses tooth-brushing

Which characteristic is not one that is common in play?

Extrinsic motivation

Explanation:
Play is typically driven by intrinsic motivation (the child engages because it’s enjoyable and meaningful to them), not by external rewards or pressures. The other listed characteristics — freedom to suspend reality, fun, and internal control — are core features of play.

Individuals can determine play and nonplay episodes when they are observed and the predominant differences between the two include

Social-emotional and sensory dimensions
Explanation: When observing play vs. nonplay, the main differences are how the person feels (social-emotional) and how they respond to sensory input, not just cognitive processing.

According to Mary Reilly, what are the stages of play (from earliest to latest)?

Exploration, competence, achievement

Explanation:
Mary Reilly outlined the stages of play as moving from exploration (curiosity and discovery), to competence (building skills and mastery), and finally to achievement (setting and reaching personal goals).

Which characteristics of play are found in children who have been environmentally deprived?

self-stimulation, decreased social play, limited repertoire of play

Children who are environmentally deprived often show repetitive, self-soothing behaviors (self-stimulation), less interaction with peers, and fewer types of play activities.