Visual Acuity How well an individual is able to see; keenness of vision. Holophrastic Speech a state of speech development where the child conveys meaning with a one-word utterance. Residual Hearing Refers to whatever degree of hearing is left to a person who is deaf or hearing-impaired. Occluder the object the eye examiner uses to prevent the child from seeing (usually one eye at a time). Cumulative Effect Adding on or accumulation of consequences. Myelomeningocele A congenital protrusion of the spinal cord through the vertebrae; paralysis of the lower trunk and legs often results. Adaptive Equipment mobility devices, prostheses, and prescribed alterations of standard furnishings to meet the needs of exceptional children Universal Design for Learning (UDL) A framework that guides the development of curricula that are flexible and supportive of all students; inspired by the universal design movement in architecture. Seizures Convulsions caused by a disturbance of the electrical activity of the brain. Asymptomatic Showing no signs of a disease or impairment that nevertheless may be present.