NBCOT Occupational Therapy Certification Practice Exam

Which positioning device is most appropriate for feeding a child with cerebral palsy who has fair sitting stability?

1. Prone stander with lateral trunk supports

2. Rifton child's chair with footrest and padded abductor post

3. Caregiver's lap, with one arm stabilizing his trunk

4. Beanbag chair for full sitting support

The correct answer is: Rifton child's chair with footrest and padded abductor post

The Rifton child's chair with footrest and padded abductor post is the most appropriate positioning device for feeding a child with cerebral palsy who has fair sitting stability because it provides the necessary support to promote optimal posture while accommodating the child's individual needs. This chair is designed to help stabilize the child’s trunk and pelvis, which is essential for proper alignment during feeding. The padded abductor post offers additional support to keep the child's legs positioned correctly, which can enhance comfort and stability. The use of a footrest helps in maintaining a good position of the legs and feet, preventing them from dangling, which can further aid in overall stability and control during mealtime. Using a positioning device that helps maintain a good seating posture is crucial for children with cerebral palsy during feeding. It can help reduce the risk of aspiration and support swallowing by allowing them to maintain an upright position, which is beneficial for digestion and safety. While other options might provide some level of support, they do not offer the same structured environment that the Rifton child's chair provides, making it the most suitable choice for this scenario.