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Question 1
For stage 2 spina bifida, which positioning is emphasized?
Correct Answer:
Prone and sidelying
Explanation:
Positioning in stage 2 spina bifida focuses on promoting trunk control and automatic alignment through prone and sidelying. Being in prone encourages the infant to extend the neck and spine, activating back muscles and helping develop midline orientation and trunk stability. Sidelying supports symmetry and pelvic/hip alignment while still allowing the child to work on trunk control and head control with comfortable support. These positions together set up safer, more functional development of rolling, control of the trunk, and preparation for future sitting and standing. Supine-only limits opportunities to develop extension and trunk control and can contribute to tighter hip flexors and less midline development. Standing too early isn’t appropriate for stage 2 because the child typically hasn’t built the necessary strength and postural control, and it can place undue stress on developing structures. Sitting upright too soon can be demanding and may not support proper alignment or trunk extension at this stage.
Question 2
Which facial feature is described as a flattened nasal bridge in Down Syndrome?
Correct Answer:
Flattened nasal bridge
Explanation:
Down syndrome often involves midface hypoplasia, which gives the nasal bridge a flattened appearance. This flattened nasal bridge is a classic facial descriptor for the condition and helps distinguish it from others. Other options don’t fit the typical presentation: a prominent nasal bridge is the opposite of what’s usually seen, describing heightened prominence rather than flattening; narrow nasal openings are not the standard way this feature is described; and a small nose tip isn’t the characteristic feature tied to Down syndrome’s midfacial structure.
Question 3
What is the recommended activity level when hemoglobin is less than 8 g/dL?
Correct Answer:
No exercise
Explanation:
When hemoglobin is that low, the blood’s oxygen-carrying capacity is reduced, so the body cannot meet the higher oxygen demands of exercise. Exercise raises heart rate and cardiac output, increasing oxygen delivery needs; with Hb below 8 g/dL, tissues can become hypoxic, and symptoms like fatigue, dizziness, or chest discomfort may appear, risking more serious cardiovascular strain. Because of these risks, the safest approach is to avoid exercise and rest while the anemia is treated or until hemoglobin rises to a safer level. Once the clinician clears it and Hb improves, activity can be gradually reintroduced with careful monitoring.
Question 4
Which motor level is commonly able to crawl, come to stand, and walk with deviations?
Correct Answer:
L3-L4
Explanation:
The ability to crawl, come to stand, and walk with deviations hinges on preserved strength for knee extension, which lets the leg straighten to support the body during standing and the early steps of walking. The knee extensor group is mainly supplied by the L3–L4 myotomes (quadriceps). With L3–L4 intact, a child can use hip flexors (L2–L3) to initiate movement for crawling and, importantly, can straighten the knee to stand and take first steps, albeit with gait deviations due to weaker distal control. If the level were higher (L2–L3), knee extension would be insufficient, making coming to stand and walking much more difficult. If the level were lower (L4–L5 or S1–S2), distal ankle control would be relatively better or different, which changes the pattern of gait and can reduce the likelihood of this exact trio of milestones being achieved together. Hence, L3–L4 is the most consistent motor level supporting crawling, coming to stand, and walking with deviations.
Question 5
In prop sitting for Down syndrome, at which spinal level is lumbar control most effectively targeted with moderate assist?
Correct Answer:
Lumbar level
Explanation:
The goal is to build stability in the lower trunk, so you place the support right at the lumbar region. Providing a moderate assist at the lumbar level gives a stable base for the deep abdominal and paraspinal muscles to engage, helping the child maintain upright posture without overly relying on the neck or upper spine. Support higher up the spine (cervical or thoracic) tends to stabilize the upper trunk rather than actively train the lumbar segment, and supporting too low (sacral) may not provide enough midline stabilization for the lumbar muscles to work effectively. By targeting the lumbar area with moderate assist, you directly cue and reinforce lumbar control during prop sitting, promoting better pelvic and trunk alignment.
Question 1
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About this Exam

Prepare with the Pediatrics Rehabilitation Exam 2 Practice practice quiz. This question bank includes 10 questions covering spina, bifida, down, syndrome, and level. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Pediatrics Rehabilitation Exam 2 Practice

This practice set contains 10 questions from the matching question bank and focuses on spina, bifida, down, syndrome, and level. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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