Comd 5200 ch 6 test questions || with 100% Error-free Solutions.
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Comd 5200 ch 6
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Comd 5200 Ch 6
What is IDEA (Individuals with Disabilities Education Act? correct answers WHAT: A federal policy (2004) that helps clinicians move towards family-centred practice; helps states set up early identification and intervention services infants/toddlers AND families.
HOW: establishes requirement for...
Comd 5200 ch 6 test questions || with 100% Error-free
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What is IDEA (Individuals with Disabilities Education Act? correct answers WHAT: A federal
policy (2004) that helps clinicians move towards family-centred practice; helps states set up
early identification and intervention services infants/toddlers AND families.
HOW: establishes requirement for Indiv Fam Service Plan (IFSP) for children in birth - 3 y.o
supports child's devt within the context of the family. (UNLIKE IEP focusing only on
educational programming).
Describe the individual family service plan. Name its required elements (8). How is it used to
provide family-centered services to handicapped infants? correct answers IFSP Is a written
treatment plan for individuals ages 0-3. It uses a family centered approach.
8 required elements of IFSP:
1) child's present level
2) Statement of family's resources, priorities, and concerns
3) Statement of major outcomes expected to be achieved.
4) Statement of specific EI services
5) list of other services
6) Projected dates for initiation of the services
7) The name of the service coordinator.
8) A plan for transitioning to preschool services.
Discuss the uses (2) and dangers (2) of family assessment correct answers USES:
-Assessing a family gives us a chance to rate interactions between parent and child.
- Can be implemented very soon after baby leaves hospital if infants are identified at birth as
high risk.
DANGERS:
- The implication to family is often that they have a problem that needs assessment or that their
child has a problem. For parents of handicapped children the assessment can be very threatening.
Discuss communication strategies that can be used in family-centered practice. (2) correct
answers FCP Communication strategies:
1) Being inclusive of parents as significant partners in the assessment.
2) Using culturally sensitive procedures
Why is a slp needed on the team that plans services for the at-risk infant? (2) correct answers
SLP needed B/C:
- Language disorders are most common developmental problem present in preschool period;
- many high-risk infants have feeding problems/ hearing losses
Discuss some of the prenatal factors that can place a child at risk for dev and communicative
disorders (3) correct answers Prenatal factors:
1) maternal consumption of excessive alcohol (FAS)
, 2) exposure to environmental toxins (lead, mercury, heavy metals)
3) in utero infections (rubella, cytomegalovirus, toxoplasmosis)
How does prematurity influence communicative development? (4) correct answers Negative
influences of prematurity on communicative development:
1) low birth weight is associated with increased risk of developmental delay more susceptible to
illness and conditions that produce developmental disabilities: resp distress syndrom, apnea,
bardycardia, necrotizing enterocolitis, intracranial hemorrhage.
2) NICU can be noisy and overstimulating Causing noise-induced hearing losses
3) Poor communicative environment:
1. painful procedures of suctioning/intubation can cause oral defensiveness/aversion & trauma
to larynx.
2. parents are unable to spend as much time interacting with newborn
3. parent's perception of baby as weak and sick may result in less willingness to hold/play with
child.
Name and describe 6 genetic conditions that place an infant at risk for communication disorders
correct answers 6 genetic conditions:
1-3) In-born errors of metabolism: Hurler's syndrome; Hunter's syndrome ; Morquio syndrome
4-5) Chromosome abnormalities: DS ; Cri du Chat syndrome
6) Sex chromosome disorders: Fragile X syndrome.
Discuss the formal and informal methods available for assessing feeding and oral-motor dev in
infants correct answers Formal methods:
- Formal feeding assessments for collecting info on feeding/oral skills.
Informal methods:
- Chart review = info on adjusted gestational age, excess amniotic fluid delivery; type an
duration of incubation ; resp disorders ; fam involvement.
- Bedside feeding evals: reflex patterns (i.e. suckling, sucking, rooting, phasic bite reflex).
Discuss the pros and cons of 3 major types of non-oral feeding used in the NICU correct answers
nasogastric orogastric
PROS:
- no surgical risk
CONS:
- Precluding oral feeding leads to hypersensitivity of oral cavity.
- Visible tubes are a reminder to parents that their child is sick.
Gtube
PROS no damage to oral cavity
CONS
Requires surgery
Describe 3 ways the slp can facilitate oral feeding in at risk newborns. What instruments can be
used to assess feeding skills? correct answers 3 ways SLP facilitates oral feeding:
1) encourage parents/medical personnel to offer baby opportunities for non-nutritive sucking
(pacifier) during the tube feeding.
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