NBCOT Occupational Therapy Certification Practice Exam

What is the most appropriate first recommendation for a 7-year-old child with limited pincer grasp who wants to zip his pants independently?

1. Large key ring

2. Oversized fasteners

3. Colored zippers

4. Hook and loop fasteners

The correct answer is: Large key ring

The best first recommendation for a 7-year-old child with limited pincer grasp who is aiming for independence in zipping his pants involves introducing an adaptive tool that is easy to manipulate. A large key ring serves this purpose effectively, as it provides a larger surface area for the child to grasp. This can help the child work on the necessary finger strength, dexterity, and coordination needed to manage the zipper itself while making it more accessible. In contrast, options like oversized fasteners and colored zippers may not necessarily address the fundamental issue of grasp strength and fine motor coordination. While these may make zipping visually easier or guide the child in some way, they do not provide the physical support needed for grasping manipulation. Hook and loop fasteners may offer a simple alternative to the zipper altogether but do not help the child practice and improve the skill of using a zipper, which is an important developmental aspect for this age group. Therefore, introducing a large key ring first can facilitate progress toward using zippers independently while enhancing the child's motor skills in a supportive manner.