North American Registry of Midwives (NARM) Practice Exam

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At what age are infants developmentally ready to transfer food to the back of the tongue for swallowing?

  1. 2-4 months

  2. 4-6 months

  3. 6-8 months

  4. 8-10 months

The correct answer is: 4-6 months

Infants typically become developmentally ready to transfer food to the back of the tongue for swallowing around 4 to 6 months of age. At this stage, their oral motor skills are sufficiently developed to handle more complex textures beyond liquids. During this period, they begin to show signs of readiness for solid foods, such as showing interest in what others are eating, being able to sit up with minimal support, and having the ability to close their lips around a spoon. By about 4 to 6 months, infants can also coordinate their tongue movements in a way that allows for effective swallowing of pureed or mashed foods. This developmental milestone is crucial for transitioning from a diet solely based on milk (breast milk or formula) to including solid foods, providing essential nutrients that support their growth and development. This understanding helps parents and caregivers identify the appropriate time to introduce solid foods, ensuring that it aligns with the infant's readiness to manage solids safely.