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Why is it important to share information with the family about why you are asking certain things as you evaluate the child?
- A. It helps them to understand the role of occupational therapy
- B. It establishes your goals with the family up front
- C. It communicates your level of expertise to the family
- D. It allows them to understand your point of view
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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During a home care visit for an infant diagnosed with gastroesophageal reflux, which parental action observed requires intervention by the nurse?
- A. The infant's formula is mixed with rice cereal.
- B. The mother positions the infant in a high Fowler position while feeding.
- C. After feeding, the infant is placed in a car seat.
- D. The mother administers ranitidine (Zantac) to the infant using a syringe.
Correct Answer: C
Rationale: Placing an infant diagnosed with gastroesophageal reflux in a car seat after feeding can increase the risk of reflux and aspiration. The semi-upright or high Fowler position is recommended to help reduce reflux symptoms during feeding. Adding rice cereal to formula can help thicken it and reduce reflux episodes. Administering ranitidine using a syringe is a common method of oral medication administration.
The age of a child who imitates construction of a bridge of 3 cubes; copies circle; makes tower of 10 cubes is
- A. 24 months old
- B. 30 months old
- C. 36 months old
- D. 42 months old
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement best reflects a top-down approach to the evaluation process?
- A. OT focuses evaluation on the child's poor performance with hand skills
- B. OT completes an assessment to provide a motor age for fine motor and gross motor skills
- C. OT begins by interviewing the family regarding routines, interests, and daily habits
- D. OT begins by examining muscle tone, postural control, and range of motion
Correct Answer: C
Rationale: A top-down evaluation approach prioritizes understanding the child's daily life, family routines, interests, and habits to ensure that the therapy provided is relevant and meaningful within the child's natural environment. By starting with family interviews, the occupational therapist gains insight into the child's context, allowing for a more holistic and client-centered evaluation process.
The child who walks alone, makes a tower of 3 cubes, inserts a raisin in a bottle, and identifies 1 or more parts of the body is
- A. 12 mo old
- B. 15 mo old
- C. 18 mo old
- D. 24 mo old
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All the following are risk factors for obstructive sleep apnea in children EXCEPT
- A. peculiar facial anatomy
- B. hypotonia
- C. developmental delay
- D. central adiposity
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.