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A 5-year-old child with mild developmental delay and proximal upper extremity weakness uses a palmar grasp when holding a pencil during prewriting activities. What position and work surface would be recommended for the child to improve writing skills?

a) The child should stand and write on a vertical surface.
b) The child should sit on a low stool with a slanted writing surface.
c) The child should write on a horizontal surface while lying down.
d) The child should write on a regular desk while sitting on a standard chair.

1 Answer

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Final answer:

The recommended position and work surface for a 5-year-old child with mild developmental delay and proximal upper extremity weakness who uses a palmar grasp when holding a pencil during prewriting activities would be sitting on a low stool with a slanted writing surface.

Step-by-step explanation:

The recommended position and work surface for a 5-year-old child with mild developmental delay and proximal upper extremity weakness who uses a palmar grasp when holding a pencil during prewriting activities would be sitting on a low stool with a slanted writing surface (option b). This position allows for better upper extremity alignment and promotes a functional pencil grasp. The slanted writing surface helps to improve wrist extension and control, which are important for efficient handwriting skills.

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