CMN 571 module 2 Questions and Answers(2 Versions)
concrete thinking - correct answer age 6-12 or middle childhood
abstract thinking - correct answer 11-16 y.o. or early-mid adolescence
idealism - correct answer late adolescence >17
Enuresis - correct answer repeated urination into underpants day and night in children >5
Encopresis - correct answer stool into underpants in children >4 1x a month for at least 3
months
associated with constipation
Pediatric Insomnia - correct answer children <12
occurs in 10-12% of school age children
difficulty initiating sleep and nighttime awakenings
Screening for sleep problems in primary care - correct answer BEARS
B- bedtime resistance
E- excessive daytime sleepiness
A- awakening during the night
R- regularity and duration of sleep
S- sleep disordered breathing
OSA is associated with which type of ADHD - correct answer Inattention
1st line treatment of pediatric insomnia? - correct answer Sleep hygiene education and
Cognitive behavioral therapy
Scoliosis - correct answer lateral curvature of the spine >10 degrees
Most common type of scoliosis and most common gender that it occurs in? - correct answer
Idiopathic
more common in adolescent girls
Ages to assess spine? - correct answer Females 10-12
Males 13-14
kyphosis - correct answer front to back forward rounding curve of the upper thoracic spine
risk factor for kyposis - correct answer long term steroid use
separation-individuation age group? - correct answer Early school age- Kindergarten
,CMN 571 module 2 Questions and Answers(2 Versions)
Concrete operations, begins writing, fantasy & imagination play - correct answer 1st graders-
6 years old
Academics intensify, thinking is more abstract, learning disabilities more apparent, involved in
school and peer group interactions - correct answer middle childhood 7-11 years old
Routine exam for middle childhood involves? - correct answer Height, Weight, BMI, BP,
Vision, and Hearing
3 types of ADHD - correct answer inattentive, hyperactive-impulsive, combined
Most common type of adhd in females? - correct answer inattentive
Most common type of ADHD in males? - correct answer Hyperactive
Autism is most dominant in which gender? - correct answer Males
Autism requires substantial support at which level? - correct answer Level 2
Intellectual disorder needs an IQ of? - correct answer <70
When evaluating a patient for ID, the np should evaluate? - correct answer family hx, h&p,
hearing, vision, neuroimaging, genetic eval, and thyroid testing
Overweight BMI? - correct answer 25-29.9
Underweight BMI - correct answer less than 18.5
Underweight percentile - correct answer <5th percentile
Healthy Percentile - correct answer 5-85%
Overweight? - correct answer 85th-95th percentile
obese - correct answer 95th percentile
Puberty occurs in girls ___ years before boys? - correct answer 2
Most common cause of mortality in adolescents 15-19 y/o - correct answer MVA 52%
1st sign of puberty in boys - correct answer scrotal/testicular growth
1st sign of puberty in girls - correct answer breast development
Clues to Substance Abuse - correct answer Truancy, falling grades, fatigue, physical
complaints
True or False: The AAP suggest no involuntary screening for drug abuse among adolescents and
opposes widespread drug testing in schools? - correct answer true
, CMN 571 module 2 Questions and Answers(2 Versions)
An 11-year-old girl arrives at the clinic and needs vaccines appropriate for her age. She will
receive? - correct answer Men, Tdap, HPV
An 11 year old receives his first varicella vaccine, you advise the patient to return in _____
months and he will receive ____ doses? - correct answer 3 months ages 1-12 - 2 doses
13 and older 4 week interval
a 12 y.o. comes in for HPV vaccine. You tell them they will need ___ doses and come back in
____ for their second dose. - correct answer 2 doses 6-12 months apart
Hep A vaccine is ___ doses with ____ interval between doses? - correct answer 2 doses with a
6 month interval
a 6 year old patient comes in for a Flu shot. The patient has never received the vaccine. This
patient will receive? - correct answer 2 doses
A 17 year old pregnant patient comes in requesting vaccines. She request the HPV vaccine? Can
you give her this vaccine? Which ones should she receive. She is 28 weeks along. - correct
answer HPV is contraindicated in pregnancy
She can receive Tdap (recommended)
Flu shot(during season)
Safe to get Meningococcal if indicated
a 7 year old patient comes in and has never had any vaccinations. Catch up for this patient
would include? - correct answer IPV, MMR, Varicella, Hep B, Hep A, a Tdap
Depression Screening should begin at age - correct answer 12
Depression increases risk of ____________ in adolescents - correct answer drugs, alcohol,
academic failure, STI's, Suicide
12 years old- universal screening would include? - correct answer Dislipidemia 11-14, Hearing
11-14, Depression @ 12, Vision @ 12, tobacco, alcohol, drug
you would also assess BP, height, weight, bmi, assess SMR, and examine the back and spine
15 years old screenings would include? - correct answer Depression, Hearing, Vision, Tobacco
Alc and drug, HIV (15-18)
also include h,w, bmi, bp, smr
Blood pressure should be assessed? - correct answer at every visit for children over 3 years
old
Hearing should be screened? - correct answer 4, 5, 6, 8, 10, 11-14, 15-17, 18-21
