Chapter 17: Positioning and Handling: A Neurodevelopmental Approach

Chapter 17: Positioning and Handling: A Neurodevelopmental Approach

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The Certified Occupational Therapy Assistant (COTA) observes a 6-year-old child with cerebral palsy and high muscle tone using a W-sitting position on the floor at all times. What does this observation suggest about the child?
2. He is developing normally.
3. He is using a compensatory position to establish stability.
4. He is using a position considered normal for an older child.
5. He is using a compensatory position to establish mobility.

ANS: B

2. The COTA knows that keeping 90 degrees of flexion at the hips, knees, and ankles is an effective way to inhibit extensor muscle tone in sitting. What is the best piece of equipment to maintain chair sitting for a hypertonic child?
3. Seat belt at the hips and straps across the ankles
4. Lapboard fastened to the child’s chair
5. Lateral head supports
6. A wedge under the child’s buttocks that elevates the hips

ANS: A

3. The COTA positions her palm on the child’s abdomen and back in an effort to help the child move from upright sitting to quadruped. What is the term used for what the practitioner is doing?
4. Handling
5. Intervention
6. Positioning
7. Weight bearing

ANS: A

4. Arthur is a 4-year-old with Down syndrome who is beginning to work on bilateral midline hand skills. His low muscle tone causes him to fatigue quickly when working against gravity. What is a good positioning choice to help Arthur’s fine motor play?
5. Long sitting on the floor
6. Placement in a supine stander, reclined 30 to 40 degrees
7. Seated in a chair with good support to the trunk
8. Sitting independently on a bench

ANS: C

5. The COTA places a child in the prone position on a wedge to facilitate development of head righting. The child fatigues quickly and cannot hold his head up for more than 1 or 2 seconds. What adjustment can the COTA make to the wedge that will increase the child’s success?
6. Increase the height of the wedge on side A
7. Decrease the height of the wedge on side A
8. Shorten the length of the wedge on side B
9. Increase the length of the wedge on side B

ANS: B