NBCOT PEDIATRIC EXAM 2022/2023 | Questions and Answers with Rationale Graded A+

NBCOT PEDIATRIC EXAM 2022/2023 Questions and Answers with Rationale An OTR® is working on toileting with a 3-year-old child with autism. The child is delayed approximately 1 year with toileting skills. When is it likely that this child can be expected to completely master this skill? Answer - Ages 6-7 Rationale - Typically, children are able to be independent with toileting, including washing hands and completing clothing management, between the ages of 4 and 5. If the child is a year behind, he will likely master the skill between age 6 and 7. An OTR® is working with a 10-year-old girl with Rett's syndrome. What can the OTR® expect by the time the girl reaches late childhood? Answer - The child will not be able to walk or speak. Rationale - Girls with Rett's syndrome experience a decline in functional skills. Commonly, by the time a girl with Rett's syndrome reaches late childhood, she would no longer be able to walk or talk. An OTR® is reviewing the chart of a client with Down syndrome. The chart indicates that the client has a history of patent ductus arteriosus (PDA). What are the risks associated with this condition? Answer - This condition can lead to heart failure and inadequate oxygenation of the brain. Rationale - PDA is a heart defect that is common in premature children and people with Down syndrome. A defect of the ductus arteriosus results in a lack of constriction, which may result in heart failure and inadequate oxygenation of the brain. An OTR® is working with a client with polyarticular juvenile rheumatoid arthritis (JRA). Which biomechanical technique would be appropriate to include in the client's intervention plan during an exacerbation? Answer - An AROM program AROM and PROM exercises, along with splinting, monitoring joint function, preventing deformation, teaching energy conservation techniques, and instruction in the use of adaptive equipment, are all recommended intervention for a child with JRA. A school-based OTR® has evaluated a 4-year-old child who has cerebral palsy. Results of the Peabody Developmental Motor Scales Second Edition (PDMS-2) indicate the child is functioning at a 2-year-old developmental level.