Question 1

Which statement best reflects the role of the OT practitioner in working in the NICU?&#10;A) Assist nursing in medical care of infant and record weights.&#10;B) Address positioning for function, range of motion, and age-related motor and sensory development.&#10;C) Collaborate with parents on care of infant upon discharge.&#10;D) Provide lactation consultation as needed.

Accepted Answer

OT practitioners may address positioning for function, range of motion, and age-related motor and sensory development.In certain states, the occupational therapist addresses feeding and swallowing concerns of the critical care infant and provides lactation consultation.

Question 2

OTAs play a vital role in the NICU.

Accepted Answer

A role for the OTA in the provision of NICU services has not been identified.If an OT practitioner would like to work with this special client population, he or she should obtain the necessary education and certification to ensure that treatment is provided safely and appropriately.

Question 3

What kind of tube enables a child to receive nutrition through a tube from his nose to his stomach?&#10;A) Gastrostomy&#10;B) Jejunostomy&#10;C) Nasoduodenal&#10;D) Nasogastric

Accepted Answer

If the infant or child is unable to take in enough nutrition, the child may need supplemental nutrition by nasogastric tube (into the stomach) or nasoduodenal tube (ND-into the duodenal section of the small intestine).The OT practitioner needs to be mindful of tube placement during handling to prevent dislodging the tube.Infants and children may need a gastrostomy or jejunostomy tube, which is surgically inserted into the stomach to allow longer term nutrition support.During OT, the practitioner needs to ensure the tube remains in the proper place and avoid any unnecessary pull on the tube.

Question 4

A 4-year-old child experienced a traumatic head injury and is hospitalized for observation.The team is concerned that he may have motor deficits as a result and is monitoring his vital signs.Which level of care does this represent?

A) Primary
B) Secondary
C) Tertiary
D) Quaternary

Accepted Answer

Third-level (tertiary) medical care involves the need for hospitalization.At this point in the medical care continuum, serious concerns have arisen regarding involvement of the child's body system(s) and that additional body systems will be affected by primary or secondary causes associated with the child's illness.As in all other levels of medical care, caregiver education is provided.However, a greater level of responsibility for the child's recuperation is dependent on interventions provided by medical personnel.

Question 5

A 2 year-old child who has undergone open heart surgery yesterday is most likely to be admitted to which setting?&#10;A) Acute rehabilitation program&#10;B) High Risk Infant Clinic&#10;C) NICU&#10;D) PICU

Accepted Answer

The PICU is a specialized unit that addresses the critical medical needs of the infant, child, or adolescent from birth to 21 years.The pediatric intensivist, also referred to as the pediatric critical care medicine specialist, is the medical team leader of the PICU.The pediatric intensivist directs the care of the infant, child, or young adult by administering direct care or consulting with a variety of experts to determine the best course of intervention for these medically fragile, high-risk children.For example, the pediatric intensivist may consult with the pediatric infectious disease physician regarding a child with a rare or infectious disease.The following conditions may indicate the need for admission to the PICU:
.Open heart surgery
.Brain injury (e.g., trauma from accident, near drowning, and aneurysm)
.Brain surgery (e.g., posterior fossa syndrome)
.Significant life-threatening illness (e.g., transverse myelitis)
.Respiratory complications resulting from diagnoses (e.g., Gullian Barre, multiple sclerosis)
.Nonaccidental trauma (e.g., shaken baby syndrome)
.Transfer from NICU

Question 6

Along with monitoring respiratory rate, what else is important for practitioners to note while working in a medical setting?&#10;A) Work of child's breathing&#10;B) Intake and outtake&#10;C) Medications&#10;D) Muscle tone throughout

Accepted Answer

Physiologic data provided by monitors and clinical observations provides an accurate clinical picture.Along with respiratory rate, practitioners note "work of breathing" by observing the ease of breathing and how the child breathes.

Question 7

The OT and physical therapy (PT) practitioners decide to cotreat a child together to better address the child's needs.What type of collaborative style is this termed?&#10;A) Interdisciplinary&#10;B) Group session&#10;C) Multidisciplinary&#10;D) Transdisciplinary

Accepted Answer

Interdisciplinary collaboration involves different professionals working together to achieve common goals, in this case, OT and PT practitioners co-treating a child.

Question 8

What type of care is it called when the OT practitioner and team provide comfort care to the dying child and family?&#10;A) Early intervention&#10;B) Medical management&#10;C) Palliative care&#10;D) Rehabilitative care

Accepted Answer

Palliative care services are provided in large children's hospitals on all medical units.Palliative care provides comfort care for the dying infant, child, adolescent, or young adult by providing medical interventions and sensory interventions to calm and decrease anxiety.This care also provides comfort to family members.The palliative care nurse consults with team members, including OT practitioners and medical social workers.

Question 9

&#34;Client presents with developmental delays in areas of postural control, bilateral hand function, and attention to task which interfere with his ability to engage in self-care, social participation, and play.&#34; In which part of the note does this statement belong?&#10;A) S&#10;B) O&#10;C) A&#10;D) P

Accepted Answer

S-Nursing reports that child is in a "great mood" today and drank 8 ounces of formula this morning.
O-Client is a 14-month-old male who presents with a diagnosis of prematurity, bronchopulmonary dysplasia, and a gastrointestinal tube (GT) placement.He receives OT, PT, and speech therapy services twice weekly for 30 minutes each.He is medically stable and receives his nutrition by way of a combination of oral and overnight GT feedings.
At present, client is alert and oriented to person and place.He is able to cruise with contact guard.He demonstrates right and left unilateral hand skills (active grasp and release in response to verbal prompts).Child is able to attend to light-up/auditory toys for approximately 45 seconds with moderate cueing.He tolerates hand-over-hand assistance to participate in cause-and-effect activities in approximately 75% of the trials.
A-Client presents with developmental delays in the areas of postural control, bilateral hand function, eye-hand coordination, and attention to a task, which interfere with his ability to engage in self-care, social participation, and play.Client would benefit from home-based or community-based OT services to promote his continued improvement in the areas of independent mobility/transition, in-hand manipulation, visual perception, and sustained attention skills needed for engagement in self-care, play, and social participation.
P-Client referred to the early intervention (EI) program for continued OT therapy.

Question 10

Which unit is a specialty unit for children who have cancer?&#10;A) Medical unit&#10;B) NICU&#10;C) Oncology unit&#10;D) Pediatric Intensive Care Unit (PICU)

Accepted Answer

An occupational therapist or occupational therapy assistant (OTA) can be assigned to a specialty unit such as hematology/oncology units.Oncology units specialize in cancer.

Question 11

What are the proper infection control measures for contact precautions?&#10;A) Wash hands when entering and leaving room.&#10;B) Wash hands when entering and leaving room; wear gown and gloves.&#10;C) Wash hands when entering and leaving room; wear gown, gloves, and mask.&#10;D) Wash hands when entering and leaving room; wear gown, gloves, and fit tested respirator or special protective mask.

Accepted Answer

The answer of What are the proper infection control measures...

Question 12

Which of the following is NOT a sign of respiratory stress in an infant or young child?&#10;A) Pursed lip&#10;B) Retractions between the ribs&#10;C) Rhythmic inhalation/exhalations&#10;D) Shoulder girdle elevation

Accepted Answer

The answer of Which of the following is NOT a...

Question 13

Which statement best describes the role of the occupational therapy (OT) practitioner in the medical setting?&#10;A) Encourage the child's performance in strength, endurance, and range of motion as related to medical diagnoses.&#10;B) Engage child in a variety of activities to promote educational performance upon discharge.&#10;C) Facilitate the child's ability to engage in everyday occupations while supporting medical stability for discharge.&#10;D) Provide support to the medical team to assist child in being discharged to home.

Accepted Answer

The answer of Which statement best describes the role of...

Question 14

Which medical team member specializes in lung development?&#10;A) Cardiologist&#10;B) Gastroenterologist&#10;C) Pulmonologist&#10;D) Neurologist

Accepted Answer

The answer of Which medical team member specializes in lung...

Question 15

Which piece of equipment measures the amount of oxygen found in the blood?&#10;A) Apnea monitor&#10;B) Feeding tubes&#10;C) Pulse oximeter&#10;D) Ultraviolet lights

Accepted Answer

The answer of Which piece of equipment measures the amount...

Deck 3: Medical Systems