OTA Pediatric OT 5

Question 1

Which primitive reflex, when retained, interferes MOST with a child's ability to cross midline during tabletop tasks?

Accepted Answer

Asymmetrical tonic neck reflex (ATNR)

Answer

Retained ATNR causes arm extension when the head turns that direction, preventing the child from reaching across midline to the opposite side of the body.

Question 2

An OTA working in a NICU is implementing developmental care for a premature infant. Which intervention is MOST consistent with this approach?

Accepted Answer

Minimize handling, reduce environmental stimuli, and support flexed positioning

Answer

NICU developmental care focuses on reducing stress by minimizing stimulation, supporting physiological flexion, and clustering care to promote neurodevelopment.

Question 3

A parent asks an OTA why their child with sensory processing disorder seeks out spinning and crashing into cushions constantly. The OTA BEST explains this as:

Accepted Answer

Vestibular and proprioceptive seeking to regulate the nervous system

Answer

Sensory seekers engage in intense vestibular (spinning) and proprioceptive (crashing) input because their nervous system requires higher levels of sensory input to achieve regulation.

Question 4

When collaborating with a teacher to modify classroom tasks for a child with fine motor delays, which modification is MOST appropriate for a writing task?

Accepted Answer

Allow the child to use a word processor or provide wider-ruled paper with a pencil grip

Answer

Adaptive tools like pencil grips, wider-ruled paper, or word processors support participation and skill development without removing the child from the academic curriculum.

Question 5

A child demonstrates difficulty with figure-ground discrimination. Which daily task would this MOST affect?

Accepted Answer

Finding items in a cluttered backpack or on a busy worksheet

Answer

Figure-ground discrimination is the ability to distinguish a foreground object from a complex background; deficits make it hard to locate items among distractors on worksheets or in cluttered spaces.

Occupational Therapy Assistant Test Practice Test

Occupational Therapy Assistant Test Practice Test

OTA Pediatric OT 5