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

By age 3, children typically build towers of 9–10 blocks; building fewer than this may indicate a fine motor or cognitive developmental delay.

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

Persistent ATNR beyond 6 months causes head turning and limb extension patterns that can lead to asymmetrical head positioning in children with cerebral palsy.

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

The 90-90-90 position (hips, knees, ankles at 90°) with feet supported provides optimal postural stability for children with hypotonia during tabletop tasks.

Question 4

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

Accepted Answer

Parallel play

Answer

Parallel play, typical of ages 2–3, involves children playing near each other with similar materials but without direct interaction or shared goals.

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

Protodeclarative pointing (to share interest) should emerge by 12 months; absence at 18 months is a significant early red flag for ASD requiring evaluation.

Occupational Therapy Assistant Test Practice Test

Occupational Therapy Assistant Test Practice Test

OTA Pediatric OT 3