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An OT works on self-feeding skills with a 38-month-old boy who has a diagnosis of Down syndrome. The OT observed that the boy often spits out food that he places in his mouth using a child size spoon. After spitting out the food, the boy will attempt to eat another spoonful. What does the OT conclude?
A. The boy has oral sensitivity and needs desensitization techniques before meals.
B. The boy is playing with the therapist.
C. The boy might be spitting out food due to tongue thrust.
D. The boy needs to use a larger spoon to feed himself.

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Posted by (Questions: 108, Answers: 97)
Asked on March 4, 2017 5:29 am
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C

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Posted by (Questions: 0, Answers: 3)
Answered on March 4, 2017 12:26 pm
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Since the boy attempts to feed himself again after spitting out the food, the OTR can conclude that the boy is not spitting out the food due to a dislike of the food or sensitivity to the food. She can conclude that the boy might be experiencing tongue thrust, a movement pattern in which the tongue pushes out when attempting to move food toward the back of the throat. This movement would result in part of the food being pushed back out of the mouth and may look like spitting.

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Posted by (Questions: 108, Answers: 97)
Answered on March 4, 2017 5:30 am
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