OTA Pediatric OT 3

Question 1

A 3-year-old is unable to build a tower of more than 4 blocks. According to typical developmental milestones, how many blocks should a child this age stack?

Accepted Answer

9–10 blocks

Answer

4–5 blocks

Answer

6–8 blocks

Answer

2–3 blocks

Question 2

An OTA working with a child with cerebral palsy notices the child's head consistently tilts to one side. This is MOST likely due to:

Accepted Answer

Asymmetrical tonic neck reflex (ATNR) retention

Answer

Poor visual acuity requiring glasses

Answer

Voluntary compensation for a hearing impairment

Answer

Normal postural preference in early childhood

Question 3

When positioning a child with hypotonia for tabletop activities, which seating consideration is MOST important?

Accepted Answer

Ensure hips, knees, and ankles are at 90° with feet supported

Answer

Allow the child to slouch to promote comfort and relaxation

Answer

Use a standard chair without modifications to encourage active sitting

Answer

Position the child in a reclined position to reduce postural demands

Question 4

Which play stage involves a child playing alongside peers without interacting, characteristic of ages 2–3?

Accepted Answer

Parallel play

Answer

Cooperative play

Answer

Associative play

Answer

Onlooker play

Question 5

A parent reports their 18-month-old is not yet pointing to objects to show interest. This is a red flag for:

Accepted Answer

Autism spectrum disorder and warrants further evaluation

Answer

Hearing impairment only

Answer

Normal development since pointing emerges at age 2

Answer

Fine motor delay requiring only hand strengthening

Question 6

An OTA uses a weighted vest with a child who has sensory modulation disorder. How long should the vest typically be worn per session according to sensory integration guidelines?

Accepted Answer

20–30 minutes with breaks, not to exceed 2 hours total daily

Answer

All day to provide continuous input

Answer

5 minutes only, once per week

Answer

Only during high-stimulation activities for unlimited duration

Question 7

Which of the following is the PRIMARY goal of constraint-induced movement therapy (CIMT) in pediatric OT?

Accepted Answer

Promote use of the affected upper extremity by restraining the unaffected hand

Answer

Strengthen the unaffected limb through intensive use

Answer

Reduce pain in the affected extremity

Answer

Improve bilateral coordination by using both hands equally