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CMN 571 - EXAM 1 QUESTIONS AND ANSWERS
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CMN 571 - EXAM 1 QUESTIONS AND ANSWERS
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CMN 571 - EXAM 1 QUESTIONS AND ANSWERSWhen should complimentary foods be introduced? - Answers-- When an infant can sit
with support, has good head and neck control, and demonstrates other developmental
readiness (extinction of the extrusion reflex and the ability to express both desire for
food and satiety).
- Complimentary foods should NOT be introduced before 4 months of age per the AAP
The AAP recommends exclusive breastfeeding until what age? - Answers-6 months
Referral to an allergist for testing is recommended for who? - Answers-Low-risk patients
that develop a reaction when the recommended AAP process is followed.
T/F: Early exposure to infant-safe forms of peanut decreases the risk of peanut allergy -
Answers-True
What do the NIAID-Sponsored addendum guidelines say about peanut introduction? -
Answers-Parents SHOULD introduce non-choking forms of peanut at approximately 6
months of age.
Once introduced and tolerated, it is essential that peanut-containing foods (and other
allergenic foods) be eaten regularly (3 times/week) in amounts representative of age-
appropriate servings.
What general observations should be made during a newborn exam? - Answers-Is the
baby asleep or awake?
Is the skin warm or cool?
What are the vital signs?
Are they having any difficulty breathing?
Where is the "soft spot"? - Answers-Anterior fontanelle - front
posterior fontanelle - back
What are the cranial sutures? (CLAMS) - Answers-C - coronal suture
L - Lambdoid suture
A - Anterior fontanelle
M - Metopic suture
S - Sagittal suture
What is molding of the head? - Answers-Pressure on the head during childbirth that
causes a contour of the head that is temporary
, Cephalohematoma - Answers-A bruise that does not cross suture lines that is caused by
bleeding below the periosteum commonly associated by delivery assisted with a
vacuum or forceps
- infants are at risk of jaundice due to the breakdown of hemoglobin as the bruise
resolves.
caput succedaneum - Answers-Swelling that crosses suture lines. Caused by fluid
accumulation that forms above the periosteum due to the force of delivery.
Swelling typically resolves within a few days of birth.
Subgaleal hemorrhage - Answers-- Extensive swelling that crosses suture lines
- Bleeding due to emissary vein rupture
- Can lead to more serious complications due to significant blood loss in a large
potential space.
Cutis aplasia - Answers-A congenital anomaly in which the scalp has not formed
properly
*not inherently dangerous but should prompt a thorough exam for other atypical
physical features*
2 core features of ASD - Answers-1) persistent deficits in social communication & social
interaction
2) restricted, repetitive patterns of behavior, interests, or activities
ASD is what type of disorder - Answers-Neurologic
Features of ASD may be present prior to what age? - Answers-3 years
Most common early characteristics of ASD - Answers-Consistent failure to orient to
one's name, regard people directly, use gestures and develop speech
Important precuresor to social interaction for ASD - Answers-Sharing affect or
enjoyment
Diagnosis of ASD - Answers-- Can be made reliably by 14 months old
- Often are not diagnosed until ages 3-4
MCHAT - Answers-Autism Screening tool
- 20 yes/no questions
- Administered MCHAT at 18 and 24-30 months
Workup if Autism + - Answers-- Local early intervention program
- SLP
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