PEDIATRICS (NBCOT)QUESTIONS WITH ALL
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? correct
answer -Ages 6-7
Typically, children are able to be independent with toileting, including
washing hands and completing clothing management, between the ages of 4
and 5. If the child is a year behind, he will likely master the skill between age 6
and 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? correct answer
-The child will not be able to walk or speak.
Girls with Rett's syndrome experience a decline in functional skills.
Commonly, by the time a girl with Rett's syndrome reaches late childhood, she
would no longer be able to walk or talk.
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? correct 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? correct 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? correct 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? correct 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? correct 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? correct 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? correct 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? correct
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?
correct 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? correct 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? correct
answer -Reaching an upper cupboard to obtain a box of cereal
People with achondroplasia (often referred to as dwarfism) usually grow be
to 4 feet tall or less in height. Their limbs have typical width but are usually
shorter in length. A client with this condition might have difficulty reaching an
upper cupboard to obtain an item.
Reaching an upper cupboard to obtain a box of cereal correct 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? correct 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? correct
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? correct
answer -An AROM program
AROM and PROM exercises, along with splinting, monitoring joint function,
preventing deformation, teaching energy conservation techniques, and
instruction in the use of adaptive equipment, are all recommended
intervention for a child with JRA.
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? correct
answer -Ages 6-7
Typically, children are able to be independent with toileting, including
washing hands and completing clothing management, between the ages of 4
and 5. If the child is a year behind, he will likely master the skill between age 6
and 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? correct answer
-The child will not be able to walk or speak.
Girls with Rett's syndrome experience a decline in functional skills.
Commonly, by the time a girl with Rett's syndrome reaches late childhood, she
would no longer be able to walk or talk.
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? correct 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? correct 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? correct 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? correct 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? correct 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? correct 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? correct 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? correct
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?
correct 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? correct 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? correct
answer -Reaching an upper cupboard to obtain a box of cereal
People with achondroplasia (often referred to as dwarfism) usually grow be
to 4 feet tall or less in height. Their limbs have typical width but are usually
shorter in length. A client with this condition might have difficulty reaching an
upper cupboard to obtain an item.
Reaching an upper cupboard to obtain a box of cereal correct 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? correct 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? correct
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? correct
answer -An AROM program
AROM and PROM exercises, along with splinting, monitoring joint function,
preventing deformation, teaching energy conservation techniques, and
instruction in the use of adaptive equipment, are all recommended
intervention for a child with JRA.
