Pediatric Occupational Therapy Flashcards

Which play assessment evaluates the child's internal motivation and degree of playfulness rather than skill level?

Answer: Test of Playfulness (ToP)

The Test of Playfulness measures intrinsic motivation, internal control, and framing during play rather than developmental skill level.

A school-based OT is working with a 7-year-old who cannot button a shirt. The MOST appropriate school-based justification for OT services is:

Answer: Buttoning affects independence in self-care during school transitions

School OT must justify services in terms of educational participation; self-care during school transitions is a valid educational need.

Which reflex, if persistent beyond 6 months in infants, interferes with rolling and bilateral hand use?

Answer: Asymmetrical Tonic Neck Reflex (ATNR)

Persistent ATNR beyond 6 months prevents midline crossing and bilateral hand use, interfering with developmental milestones.

An OT is treating a child with spastic diplegic cerebral palsy. Which seating modification is MOST important for improving upper extremity function?

Answer: Pelvis and trunk stabilization with proper hip angle

Proper pelvic and trunk stabilization provides the proximal stability that allows for improved distal upper extremity function.

A child scores below the 16th percentile on the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2). This indicates:

Answer: Performance is below average and warrants further evaluation

Scores below the 16th percentile on BOT-2 indicate below-average motor performance warranting further clinical evaluation.

Which feeding intervention is evidence-based for children with autism who have severely restricted diets?

Answer: Sequential Oral Sensory (SOS) Approach to Feeding

The SOS Approach uses systematic, play-based food exploration to gradually expand food acceptance in children with feeding difficulties.