Peds Practice Questions NBCOT Exam

5.0 (2 reviews)
A toddler diagnosed with developmental delays does not finger feed when presented with food in the clinic. The best way to obtain further information about his feeding skills is to:
A. interview his parents to determine his favorite foods
B. observe him in his home during feeding time
C. review his chart for food allergies
D. repeat the observation in a quiet area to minimize distractions
Click the card to flip 👆
1 / 11
Terms in this set (11)
A toddler diagnosed with developmental delays does not finger feed when presented with food in the clinic. The best way to obtain further information about his feeding skills is to:
A. interview his parents to determine his favorite foods
B. observe him in his home during feeding time
C. review his chart for food allergies
D. repeat the observation in a quiet area to minimize distractions
B. observe him in his home during feeding time.

"Considering the context of the child's environment is a critical process in occupational therapy assessments." The reason he does not feed himself may be environmental-for instance, his parents may have taught him not to touch food with his fingers or he ,ay not have learned to feed himself because his grandmother always feeds him. In addition, the child may not be able to transfer skills learned at home to the clinic - that is, he may believe that "the place to eat is home, not the clinic."
Although answers A and C provide useful information for treatment planning, they do not address feeding skills.
Answer D does not put the skill to be assessed into an environmental context..
An individual with underreactive sensory processing has been referred to OT. Based on a sensory integration frame of reference, activities for this individual should have which of the following facilitory characteristics?
A. Arrhythmic and unexpected
B. Arrhythmic and slow
C. Sustained and slow
D. Unexpected and rhythmic
A. Arrhythmic and unexpected.

Sensory integration treatment is complex and highly individualized, and must be monitored carefully to observe the effects of sensory input of varying types on the individual. The characteristics of facilitatory sensory input are an unexpected, arrhythmic, uneven, or reps input.
Answer B is not correct because, although arrhythmic input is excitatory, slow sensory input is inhibitory. Sustained and slow input (answer C) is inhibitory, not facilitatory. Answer D is inviter, because, although facilitatory input is unexpected, rhythmic input is inhibitory.
"Children who have a strong ________ _________ reflex can use rubber coated, plastic, or rubber spoons." This will allow the parent and /or child to more easily remove the utensils from the child's mouth. Rubber coated spoons provide a smoother surface than that of a regular stainless steel utensil.
tonic bite
The COTA Iis working with the parents of a 4-year old boy who demonstrates a strong tonic bite reflex when eating. What type of utensils will the COTA most likely recommend to the child's parents?
"Children who have a strong tonic bite reflex can use rubber coated, plastic, or rubber spoons." This will allow the parent and /or child to more easily remove the utensils from the child's mouth. Rubber cared spoons provide a smoother surface than that of a regular stainless steel utensil.
Answers A, B, and C would not be recommend for a child with a strong tonic reflex, but for other limitations such as incoordination, tremors and apraxia.
The primary purpose of putting loops on waistbands is to help a child with limited _________ strength to pull on garments.
grasp
Using velcro in place of zippers is an _________________ designed to help children with limited ability to grasp and pull.
adaptation
A child with poor sitting balance is unable to put on and remove lower extremity clothi NV. Which of the following approaches would the COTA recommend to BEST address this functional issue?
A. Teach the child to dress in a sidelying position.

The sidelying position eliminates the need for the child to maintain balance in order to dress the lower extremities.
Answer B is not correct because the primary purpose of putting loops on waistbands is to help a child with limited grasp strength to pull on garments. Answer C is not correct because using velcro in place of zippers is an adaptation designed to help children with limited ability to grasp and pull, whereas answer D, teaching the child to dress in a standing position, is considered to be more difficult than dressing in a sitting position.
A COTA is demonstrating bathing techniques for a child with hypertonic muscle tone. Which of the following suggestions would be most appropriate for the COTA to recommend to the child's parents?
A. Avoid the use of adaptive equipment
B. Avoid explanations of the procedure
C. Handle the child slowly and gently
D. Stand and lean over the tub to support and wash the child
C. Handle the child slowly and gently.

Answer C is correct because the child with hypertonic it will be most relaxed and easier to handle if tone is inhibited by slow and gentle handling of the body.
Answer A is incorrect because adaptive equipment is frequently needed to provide a child with a sense of security during bathing.
Answer B is not correct because an explanation of the procedures also increases a parent and child's sense of security during bathing.
Answer D is not correct because it provides the parent with a poor model of good body mechanics; the COTA should kneel by the tub or sit on a stool while bathing the child.
Which of the following is the BEST position for promoting isolated head control in a child with very limited postural control and significant upper and lower extremity weakness?
A. Standing in a standing frame with knee and hip support
B. Quadruped wi th chest supported in a sling
C. Prone over a wedge
D. Sitting on a therapy ball with hips supported by the therapist
C. Prone over a wedge.

Considering the information given, answer C offers the best position because head control is isolated, with the trunk supported. The child does not have adequate control to stand on a standing frame (answer A). Answer B is not correct because, although the chest is supported by a sling, the child's shoulders, arms, and hips must be able to control the position. Sitting on a therapy ball (answer D) would require both head and trunk control.
A child has poor sitting balance, which interferes with seated tabletop activities. Which of the following should the COTA suggest to the child's teacher for the promotion of ongoing postural adjustments in sitting?
A. Use a sturdy chair with lateral trunk supports while the child is doing homework
B. Use a corner floor seat with built in desk surface while the child is self-feeding
C. Provide a bolster for back support while the child is coloring
D. Provide a therapy balls to sit on while the child is playing a game of checkers
D. Provide a therapy ball to sit on while the child is playing checkers.

Answer D is the most appropriate recommendation because it contributes to the development of postural background movements.
This is done by requiring the client to continuously adjust to the subtle movements of a usable surface.
Answers A, B, and C provide additional external support (i.e. they provide adaptations using a compensatory approach, rather than facilitating the development of new skills).