b-3 quiz questions final

Is speech therapy a core or related service?

Related

_______ is a federal mandate requiring children to be in their most common environment and around typically-developing peers.

Natural environment

T/F: assistive technology is a service for birth to three.

True (related service)

IFSPs must be developed within _____ days of the referral

45 days

IFSPs are reviewed how often?

Annually and every 6 months

Is the evaluation a core or related service?

Core

What are the 4 oral motor reflexes present at birth?

Gag, suck, transverse, root

T/F: The first volitional tongue movement is suck, which is a forward and backward motion of the tongue.

False; the suck is up and down (reflexive) whereas the suckle is forward and back (volitional)

How does phonation occur at 0-6 months?

With general body movements on exhalation

When does the American Academy of Pediatrics state an infant should begin solids?

6 months

The following structures help fill the oral space and make newborn swallowing safer and more efficient:

Suck pads decrease intraoral space and elevated larynx

T/F: A baby's smile is not reflexive at 2 months of age?

True

At what months of age can a baby recognize their name?

4-5 months

How do infants move to begin extension patterns through the head, neck, and spine?

Anti-gravity movements

At what month of age can a child produce sound from active body movements?

9 months

T/F: Infants still use belly breathing at 12 months old

True

T/F: Infants' canonical (reduplicated) babbling behavior predicts speech based on the range of consonant types and the number of vocalizations made

True

As _____________ improves, oral motor stability improves, allowing an infant to advance his or her feeding skills and diet.

Postural, trunk, shoulder girdle

What happens to the respiratory system with elongation and mobility as the infant develops from 7 mo. to 18 mo.?

Grows to allow for diaphragmatic and thoracic breathing

T/F: A child produces their first words at about 10-12 mo.

True

T/F: A child should be able to identify an object in a field of 5 by 15 mo.

False, should be 21-23 months

At what age does the oro-pharyngolarynx elongate, creating space between the epiglottis and soft palate in order to protect the airway?

36 months

T/F: Children with cerebral palsy are not necessarily cognitively delayed.

True

T/F: Hypertonia is increased muscle tone, and hypotonia is decreased muscle tone.

True

What do pediatricians recommend to avoid sudden infant death syndrome (SIDS)?

-Avoid co-sleeping

-Avoid putting soft blankets, pillows, stuffed animals, etc. in the child's crib

-Put the child on their back to sleep

Why do we SLPs need to know normal development milestones?

To treat an abnormal developmental delay or disorder

Is a 10-mo. old producing natural vowels or short bursts of consonant sounds demonstrating a typical or an atypical developmental pattern?

Atypical; should have canonical babbling or first word by 10-12 months

Is a 4-mo. old with coordinated suck, swallow, breathe pattern and forward/backward motion of the tongue present volitionally demonstrating a typical or an atypical developmental pattern?

Typical

Is a 5-mo. old using a tongue thrust for ejection of food and voluntary ejection of food while spoon feeding demonstrating a typical or an atypical developmental pattern?

Typical; remember AAP doesn't recommend starting solids until 6 mo. so this would be a new motor skill at 5 mo.

T/F: To be an effective assessor, you should be test-dependent.

False

T/F: Norm-referenced tests don't have significance until 2 years of age seen in typically-developing children.

False; age 3

Criterion-referenced tests are better for the birth to three population because:

-Allows you to predict outcomes and establish interventions

-Shows areas of strengths and weaknesses

...specifically in assessing a child across various settings

Which team model is based on collaboration and cooperation of information and knowledge with other professionals as a team, and is discipline-specific?

Interdisciplinary

T/F: When doing a feeding eval, the SLP should be feeding the child to observe their feeding skills and make an assessment from this.

False; the parent should always feed the child. Remember coaching parents is a crucial part of services w/ this population

T/F: If a child is having difficulty tolerating feedings with a G Tube, the SLP continues providing the intervention and does not adjust the tolerance for tube feeding.

False

What are 5 different IDDSI textures?

-Thin

-Puree

-Mashed

-Soft solids

-Chewable solids

T/F: Oral motor input to improve teething skills should be provided to the face and oral cavity, and if they do not accept that input it can be considered oral motor sensitivity.

False; remember start low and work your way up (you may never get to the face)

Sensory input comes from the 5 senses and which 2 other types of input?

Vestibular and proprioceptive

Proprioception enables the active movements of the muscles and joints for which of the following?

a. spatial orientation

b. rate and timing

c. amount of force of movements

d. all of the above

All of the above

3 multiple choice options

A child who is afraid to be tipped upside down, loses balance easily, is clumsy, and cries when their positions change out of control is most likely going to display what type of sensitivity?

Vestibular sensitivity

(think of the kiddo from our OT demo!)

A child who does not like the feelings of tags in their shirts or being dirty are what type of sensory child?

Sensation-avoiding and tactile defensiveness

What are some signs of overstimulation?

-change in heart rate

-looking away

-trouble stimming

-unaware of touch

-covering ears

When would a cleft lip and palate develop?

0-12 weeks; first trimester

When is suck-swallow coordination present?

32-34 weeks gestation

Most amount of lung development occurs when?

0-3 years

T/F: Infants who are born prematurely don't have physiological flexion.

True

What is not a sign of stress in the NICU?

Extremity tremors; these are normal

T/F: You myelinate positive input faster than negative input.

False; negative is always faster (do you remember the worst thing that happened today or the best more easily?)

When treating a child with feeding difficulties, what things do you need to consider?

a. environment

b. position

c. texture, smell, or taste of food

e. all of the above

All of the above

3 multiple choice options

T/F: If an infant has left vocal fold immobility, they should be fed on their right side.

True

T/F: 3 cue-based readiness signs for feeding include maintain tone, increase oxygen for feeding, and rapid success of swallowing.

False; maintain tone, vital signs WNL, rooting/non-nutritive sucking, awake and alert

In cue-based feeding, feeding success is based on what?

Positive quality interactions and experiences

T/F: According to ASHA, the role of the SLP is communication, evaluation, intervention, education to staff and families, etc.

True

Developmental care refers to the interventions that are designed to minimize stress placed on the ____________ and _________ by the NICU.

Infant and parents/family

What are some things assessed in an infant in the NICU?

-non-nutritive suck

-nutritive suck

-vital signs (respiratory, heart rate, O2 sats)

-reflexes

-bottle nipples

-coordination of suck-swallow-breathe pattern

-ratio of sucks per swallow

-ratio of sucks per breath (non-nutritive)

-rhythmical or non-rhythmical sucking

-behavioral states