In stage 5 spina bifida, what should be re-evaluated to guide ongoing care?

• A. Blood pressure
• B. Ambulation and ADL potential
• C. Vision
• D. Hearing

Answer: (B)

In stage 5 spina bifida, the focus of ongoing care shifts to functional status—specifically how well the child can ambulate and what ADLs they can perform. Re-evaluating ambulation and ADL potential provides the clearest guide for planning rehab goals, equipment needs, and supports. If mobility and self-care can be improved or maximize independence, therapy plans, orthotics or assistive devices, seating, wheelchair selection, and home or school modifications can be adjusted accordingly. These functional measures drive decisions about continued therapy intensity, prognosis, and family education.

Other health checks like blood pressure, vision, and hearing remain important for overall medical surveillance, but they do not by themselves determine the ongoing rehabilitation plan in this stage.