SLP Pediatric Language Intervention 2 — Questions and Answers
Question 1: Which intervention approach uses natural routines and daily activities as the primary context for language learning in young children?
- Discrete trial training
- Naturalistic developmental behavioral intervention (Correct answer)
- Auditory-verbal therapy
- Focused stimulation alone
Correct answer: Naturalistic developmental behavioral intervention
Naturalistic developmental behavioral interventions (NDBIs) embed language targets within child-led, everyday routines to promote generalization.
Question 2: A 3-year-old with DLD consistently omits grammatical morphemes. Which strategy best targets morpheme acquisition during play?
- Corrective recasting (Correct answer)
- Parallel talk without feedback
- Imitation drilling
- Semantic mapping
Correct answer: Corrective recasting
Corrective recasting provides the target morpheme in a meaningful, corrected response immediately following the child's utterance, supporting implicit learning.
Question 3: When implementing peer-mediated intervention for a child with autism, the SLP's primary role is to:
- Deliver all language prompts directly
- Train and support typically developing peers as communication partners (Correct answer)
- Reduce natural reinforcers
- Eliminate adult scaffolding immediately
Correct answer: Train and support typically developing peers as communication partners
In peer-mediated intervention, the SLP coaches neurotypical peers to initiate and respond to the target child, increasing natural social communication opportunities.
Question 4: Which measure is most appropriate for tracking expressive vocabulary growth in a toddler with language delay over time?
- Mean length of utterance in morphemes
- Number of different words in a language sample (Correct answer)
- Percentage of consonants correct
- Standardized receptive vocabulary score
Correct answer: Number of different words in a language sample
Number of different words (NDW) in a language sample is a sensitive, naturalistic measure of expressive lexical diversity in toddlers.
Question 5: A child with childhood apraxia of speech (CAS) also presents with language delay. Which sequence of priorities is most appropriate?
- Address only CAS until speech is intelligible
- Address language exclusively first
- Concurrently target motor speech and functional language with coordinated goals (Correct answer)
- Defer language intervention until age 5
Correct answer: Concurrently target motor speech and functional language with coordinated goals
Children with co-occurring CAS and language delay benefit from simultaneous, coordinated intervention targeting both motor speech and language to prevent widening gaps.
Question 6: Family-centered practice in early intervention requires the SLP to:
- Make all therapy decisions independently
- Coach caregivers to implement strategies during daily routines (Correct answer)
- Limit caregiver involvement to observation
- Focus solely on clinic-based individual sessions
Correct answer: Coach caregivers to implement strategies during daily routines
Family-centered practice emphasizes caregiver coaching so that language-facilitating strategies are embedded in the child's natural daily routines.
Question 7: Which best describes the 'teach-test' cycle in dynamic assessment for pediatric language?
- Administer standardized test, score, report
- Provide mediated learning, then re-assess to measure modifiability (Correct answer)
- Observe spontaneous play without intervention
- Compare child scores to normative data only
Correct answer: Provide mediated learning, then re-assess to measure modifiability
Dynamic assessment uses a test-teach-retest format to evaluate a child's responsiveness to instruction, revealing learning potential beyond static test scores.
SLP Pediatric Language Intervention 2
Which intervention approach uses natural routines and daily activities as the primary context for language learning in young children?