The Kitchen Scientist
SABOTAGE! (Give 100 to an opponent)
(Give 100 to an opponent)
To get the baby’s attention, you touch the corner of their mouth. What is this "magic trick" reflex called?
The Rooting Reflex.
To find the "end of the tracks" for an NGT, you measure from the Nose to the Ear and then to which "X" marks the spot?
The Xiphoid Process (NEX measurement).
In the world of tube feeding, we don't use "engines" (plungers) unless necessary. What natural force do we prefer to use?
Gravity.
You are at a "Formula Party." If the recipe calls for a standard concentration, how many milliliters of water do you need for 4 scoops of powder?
120 ml (30 ml per scoop).
GOLDEN GAMBIT (Bet your points!)
The team can choose any remaining question on the board
The Bet: Before seeing the question, the team must bet a portion of their current points (e.g., "We bet 200 points").
If Correct: they win the points of the question PLUS the 200 they bet.
If Wrong: they lose the 200 points they bet.
If the baby starts "acting out" or gagging during insertion, do you pull the tube out or change their head position?
Change position (Flex the neck forward).
The "50% Rule": If you aspirate 60% of the last feed still sitting in the stomach, do you "Give the Green Light" or "Hit the Brakes"?
Hit the Brakes (Discard contents, report, and hold the feed).
True or False: If you are in a rush, you can boil the rubber bottle nipples for 10 minutes along with the glass bottles.
False (Rubber should only be boiled for 3 minutes to prevent damage).
If you hold the bottle flat instead of at an angle, what is the baby "eating" besides milk?
Air
(The teat must be kept full of milk to prevent air ingestion).
You pull back on the syringe and see "stomach juice." What pH level on the test strip tells you that you’ve reached the destination?
pH of 5 or below.
After the "main course" is finished, how much "water chaser" (flush) do you give to keep the tube clean?
5 to 10 ml of sterile water.
You find a bottle of prepared formula in the back of the fridge. It was made 3 days ago. Do you Feed it or Fling it?
Fling it! (Max storage is 24–48 hours).
"Propping" a bottle is like "Texting while driving"—dangerous! Name one reason why we never prop a bottle.
Risk of choking, aspiration, or ear infections.
You are listening for the "Whoosh" sound with your stethoscope. Where on the "map" (the abdomen) should you be listening?
The upper left quadrant.
A Gastrostomy tube looks shorter than it did yesterday and the baby’s tummy is round/distended. What is the technical term for this "traveling tube" problem?
Migration (or Malposition).
Name the "Big Three" you must inspect on a formula can before you ever open it.
Expiry date, Color/Odor, and Consistency.
After a big meal, the "Tiny Diner" should be placed in one of two specific "nap positions." What are they?
On their abdomen or their right side with the head of the bed slightly elevated.
What is the only "Golden Standard" way to be 100% sure the tube is in the right place?
An X-ray.
Post-meal relaxation: How long should the child stay in a "High Fowler’s" position (sitting up) to avoid a "reflux reunion"?
30 minutes to one hour.