OT Peds Settings

Question 0

Levels of the NICU: level 2

Answer 0

Specialty

Newborns who require some medical mgmt - neonatalist on staff

Question 1

Levels of the NICU: level 1

Answer 1

Nursery - basic

Uncomplicated pregnancies & expected normal deliveries

Question 2

Levels of the NICU: level 3

Answer 2

Necessary equipment & trained personnel to care for all potential neonatal probs

Question 3

Levels of the NICU: level 4

Answer 3

Offer rescue technology for infants in respiratory failure

Question 4

NICU OT referrals (5) + 4 performance indicators

Answer 4

1. Very low birthweight
2. Prenatal drug exposure
3. Congenital anomalies
4. Severe asphyxia
5. Performance indicators - abnormal tone, poor feeding, chronic illness w/ developmental delay

Question 5

NICU - basic progression of sensory systems (prenatal)

Answer 5

1. Touch (12-14wks)
2. Vestibular (14-15wks, response to vestibular input by 22wks)
3. Vision (12wks avoid bright lite - 24-28wks working but fatigues - 32-34wks attention)
4. Smell (23wks)
5. Auditory (23wks)
6. Taste (unknown)

Question 6

OT role in NICU (8)

Answer 6

1. Individualized & developmentally supportive care
   A. Infant/parent support
   B. Protect infant from environmentally inappropriate sensory input
   C. Close working relationship with nursing staff
2. Specialized practice
   A. Familiar with medical side
   B. Understand developmental vulnerabilities
   C. Neonatal neuromotor & neurobehavioral development
   D. Family support

Question 7

OT Tx in NICU (4)

Answer 7

1. Infant massage (incr. wt, altertness/activity, sleep/wake cycles, attachment)
2. Kangaroo care (skin to skin contact)
3. Therapeutic positioning (structural alignment & neuromotor control PROM)
4. Feeding (suck swallow breathe synchrony)

Question 8

Parts of IDEA (name, focus, age)

Answer 8

Individuals with Disabilities Education Act
Part C (0-2yr 11mo) - family-centered
Part B (3-5yrs) - child-centered
Part B (6-21yrs) - child-centered

Question 9

OT role in IDEA: 0-3yrs (4)

Answer 9

Required service
Family focused
Interdisciplinary
Natural environments

Question 10

OT role in IDEA: 3-5yrs (4)

Answer 10

Related service
Child focused in relation to education plan
Interdisciplinary
Inclusion

Question 11

OT role in IDEA: 6-21yrs (4)

Answer 11

Required service
Family focused
Interdisciplinary
Transition to adult environment

Question 12

IEP description

Answer 12

Individualized education plan

Designed to help child with disability access their education

Question 13

Section 504

Answer 13

Child doesn’t need to meet IEP requirements; enviro adaptations, address accommodation in school classroom or curriculum

Question 14

School-based: difference btwn accommodation and modification

Answer 14

Accommodation: no change in content/standards
Modification: content changed/standards altered for child

Question 15

Types of school-based accommodations (5)

Answer 15

1. Timing (extra or in chunks)
2. Scheduling (rx, natural rhythms)
3. Setting (less distractions)
4. Presentation (ex auditory vs visual)
5. Response (support physical or sensory issues)

Question 16

OT early intervention (age, settings)

Answer 16

0-3yrs
Home-based or clinic-based
*include natural environments - home playground day care etc

Question 17

OT school based (age, settings)

Answer 17

3-21yrs
Pre-school programs 
Specialized schools 
Public schools
Non-public schools (significant special needs)

Question 18

OT hospital based (3 settings)

Answer 18

Neonatal intensive care unit (NICU)
Pediatric intensive care unit (PICU)
Rehabilitation (inpatient or outpatient)

Question 19

4 pediatric settings

Answer 19

Early intervention
School based
Hospital based
Clinic based

Question 20

Are OT mandated reporters?

Answer 20

Yes. Within 24hrs to CPS - do not investigate.

Question 21

Categories of abuse (7)

Answer 21

1. Physical
2. Neglect
3. Sexual
4. Emotional
5. Sexual exploitation
6. Caregiver absence
7. Infant drug referral - toxicology

Question 22

Principles of family centered practice (9)

Answer 22

1. Family is constant
2. Collaboration
3. Cultural diversity
4. Share information
5. Family support & networking
6. Focus on developmental need
7. Strengths & individuality
8. Flexibility
9. Supportive policies

Question 23

Categories of child disabilities (13)

Answer 23

1. Autism
2. Deaf-blindness
3. Deafness
4. Hearing impairment
5. Intellectual disability
6. Orthopedic impairments
7. Other health impairments
8. Serious emotional disturbance
9. Specific learning disability
10. Language impairment
11. TBI
12. Visual impairment
13. Multiple disabilities