Pediatrics (NBCOT), Pediatric Mental Health (NBCOT), Peds Exam 2 Questions With Correct Answers
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Course
Pediatric
Institution
Pediatric
Pediatrics (NBCOT), Pediatric Mental
Health (NBCOT), Peds Exam 2 Questions
With Correct Answers
An OTR® is working on toileting with a 3-year-old child with autism. The child is delayed
approximately 1 year with toileting skills. When is it likely that this child can be expected to
completely...
Pediatrics (NBCOT), Pediatric Mental
Health (NBCOT), Peds Exam 2 Questions
With Correct Answers
An OTR® is working on toileting with a 3-year-old child with autism. The child is delayed
approximately 1 year with toileting skills. When is it likely that this child can be expected to
completely master this skill? - answer✔Ages 6-7
An OTR® is working with a 10-year-old girl with Rett's syndrome. What can the OTR® expect by
the time the girl reaches late childhood? - answer✔The child will not be able to walk or speak.
A school-aged child has myelomeningocele resulting in symptoms associated with an upper
motor neuron bladder. The child is participating in a bowel and bladder program to learn to
manage self-toileting tasks. Despite completing intermittent catheterization as recommended,
the child continues to have only partial control of bladder function. Frequent bladder leaks
result in skin irritation of the perineum and odor. In addition to recommending a follow up
evaluation with the child's primary care provider and teaching personal hygiene skills, what
action should the OTR® take? - answer✔Advise the child to wear an absorbent incontinence
pad or a youth-size disposable diaper.
An OTR® is conducting a handwriting evaluation with an 8-year-old client. During the
evaluation, the OTR® notices that the child's eyes are not in alignment when copying from far
point to near point. What type of problems might the child experience as a result of eye
misalignment? - answer✔Being able to copy assignments from the chalkboard into an
assignment notebook
An OTR® is working with a child who has a diagnosis of cerebral palsy. The child demonstrates
an extreme startle response on hearing a loud noise coming from another treatment space.
Which key marker of cerebral palsy is this behavior associated with? - answer✔Retention of
primitive reflexes
A 6-year-old child has hypotonia and poor sitting balance. Which activity would be MOST
BENEFICIAL to include in the initial intervention for facilitating the child's active trunk
extension? - answer✔Going down a ramp in a prone position on a standard-size scooter board
Which intervention strategy would be appropriate when teaching a compensatory approach for
the production of written language to a child who has a diagnosis of developmental
coordination disorder? - answer✔Instruct the child in keyboarding.
An OTR® wants to design an intervention activity that will provide a child with proprioceptive
input. Which intervention activity would provide this type of input? - answer✔Encouraging the
child to swing on a platform swing while "climbing" a rope with the hands
An OTR® receives a referral for a child who has difficulty with balance and coordination. The
OTR® wants to determine whether the child has difficulty with visual-receptive functions.
Which assessment method would be appropriate to use for this purpose? -
answer✔Observation of how the child's eyes work together
An OTR® is working with an 18-month-old child with bilateral transverse upper-arm deficiency
who was recently fitted with myoelectric prosthetics. Which self-care tasks would be
appropriate to work on in therapy? - answer✔Raising upper extremities to assist with upper-
body dressing
An OTR® is working with a 2½-year-old child on age-appropriate fine motor skills. Which activity
would be most appropriate to support development? - answer✔Unbuttoning large buttons
An OTR® is working with a child who was identified as having sensory integrative dysfunction.
What is the typical duration of Ayres Sensory Integration treatment? - answer✔Typically 1 to 2
times per week for 2 year
An OTR® is working on life skills with a teenager who has achondroplasia. Which of the
following tasks might pose a challenge for the client? - answer✔Reaching an upper cupboard to
obtain a box of cereal
Reaching an upper cupboard to obtain a box of cereal - answer✔Partial or full absence of the
radius and bowing of the ulnar shaft
A student in the first grade has illegible handwriting. Results of a standardized assessment
indicate the student scored 0.5 standard deviations from the mean on a gross motor subtest
and 2.0 standard deviations from the mean on a fine motor subtest. What do these results
indicate? - answer✔Activities to improve handwriting should be included as part of the
intervention
An OTR® is working in an outpatient clinic with a child with ADHD. The client reports having
difficulty keeping the bedroom neat and tidy without the mother's assistance. On the basis of
this condition, which activity demand related to cleaning one's room would be problematic for
the client? - answer✔Drawers that are not designated for specific types of clothing
An OTR® is working with a client with polyarticular juvenile rheumatoid arthritis (JRA). Which
biomechanical technique would be appropriate to include in the client's intervention plan
during an exacerbation? - answer✔An AROM program
An OTR® is reviewing the chart of a client with Down syndrome. The chart indicates that the
client has a history of patent ductus arteriosus (PDA). What are the risks associated with this
condition? - answer✔This condition can lead to heart failure and inadequate oxygenation of the
brain.
An OTR® is providing early intervention services to a 24-month-old child who has a pervasive
developmental disorder. The parents' goal is for the child to be able to participate in age-
appropriate activities with peers. Which of the following contexts is BEST for promoting
progress toward this goal? - answer✔Organized play group in a community playground
A school-based OTR® has evaluated a 4-year-old child who has cerebral palsy. Results of the
Peabody Developmental Motor Scales Second Edition (PDMS-2) indicate the child is functioning
at a 2-year-old developmental level. Which environment is MOST CONDUCIVE for conducting
the initial play assessment based on this information? - answer✔In the classroom with peers
and familiar developmental toys
An OTR® is working with a teenage client who has autism and is nonverbal to determine the
client's vocational interests. Which strategy would help the OTR® gain information about the
client's preferences? - answer✔Ask the client to sort pictures of work tasks into piles of things
that the client would like to do and things the client would not like to do.
A student in the third grade with a learning disability has attended school-based occupational
therapy for several years to improve visual-perceptual skills for completing curriculum-based
school work. The latest update report to the parents indicates the student is not making
progress toward the stated Individualized Education Program (IEP) goals. This report is similar
to the previous two reports. What action should the OTR® take NEXT to address the lack of
progress? - answer✔Discuss alternative classroom modifications and adaptations with the
student's teacher.
An OTR® is working with a pediatric client with delayed visual-perceptual skills. Specifically, the
child has difficulty with shape, letter, and color identification and recognition. On the basis of
this description, with which visual-perceptual skill is the child having difficulty? - answer✔Visual
discrimination
An OTR® is working with a child with hemiplegia on the playground. On the basis of this
condition, with which playground activity might the child have difficulty? - answer✔Playing
catch with a ball.
Which records would an OTR® most likely want to review for a handwriting evaluation? -
answer✔The student's work samples
An OTR® is working with a toddler in early intervention who has a diagnosis of a developmental
delay. The OTR® suspects that the child may have an intellectual disability. Which item in the
child's history is an early indicator of an intellectual disability? - answer✔Limited reactions to
play
An OTR® is working with a child on locating a link on a web page. The OTR® observes that the
child has difficulty with visual scanning. Before moving forward with this intervention activity,
what other visual skill should the OTR® assess? - answer✔Visual attention
An OTR® is working with a 3-year-old with a developmental delay in preschool. The child is
having a tantrum because it is time to stop playing and go to circle time. Which strategy might
have prevented a tantrum? - answer✔Giving a warning before the preferred activity came to a
close
An OTR® is providing intervention to a 4-year-old with developmental delays and is working on
sorting. What outcome would be the result of a goal for this child if the intervention focused on
sorting eating utensils according to type and size? - answer✔To be able to categorize objects by
similarities and to note differences
An OTR® is consulting with the physical education teacher regarding a child with asthma. Which
statement BEST explains how the OTR® can support the child in maximizing participation in
physical education? - answer✔Educate the child on breathing exercises, stretching, and
controlled breathing
A child receiving occupational therapy for handwriting holds a pencil with flexed fingers and a
supinated forearm. According to the biomechanical model of practice, which piece of adaptive
equipment would MOST LIKELY promote a more functional forearm position for handwriting? -
answer✔A rubber band sling
An OTR® is working with a 4-year-old who was recently diagnosed with Duchenne's muscular
dystrophy (DMD). The client's parents are concerned and want to understand how this
condition will progress and affect the child's participation in daily life. Which statement
describes the progression of DMD? - answer✔The condition progresses quickly, and children
often need to use a wheelchair by age 9.
An OTR® is working with a high school student with juvenile rheumatoid arthritis (JRA). The
OTR® suggests that the student stop using the arms and hands to carry heavy textbooks to class
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