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Pediatrics (NBCOT) Exam: Your Ultimate Study Guide.
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Pediatrics (NBCOT) Exam: Your UltimateStudy Guide.
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? -
\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? -
\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? -
\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? -
\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? -
\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? -
\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? -
\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? -
\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? -
\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? -
\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? -
\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? -
\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? -
\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 -
\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? -
\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? -
\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? -
\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.
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? -
\This condition can lead to heart failure and inadequate oxygenation of the brain.
PDA is a heart defect that is common in premature children and people with Down
syndrome. A defect of the ductus arteriosus results in a lack of constriction, which may
result in 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? -
\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? -
\In the classroom with peers and familiar developmental toys
Play is most meaningful when it occurs in context; therefore, the classroom with peers
and familiar toys is most appropriate for an initial play assessment. A child's activities
cannot be accurately observed unless they occur within the environment where the child
plays.
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