Exam 2- Autism Spectrum Disorder
Questions with Complete Answers
Autism spectrum disorder is 5x more common in - Answer-boys
peak age for dx - Answer-6-11 years
symptoms often by 18mos-24 mons
girls with autism tend to have - Answer-severe symptoms and lower IQs
the term asburgers - Answer-is no longer used
we now say high functioning autism
high functioning autistic children have - Answer-difficulty with social skills
are at risk for developing relationships
they may marry, but spouse must be very supportive
they dont tune into your needs
cant talk out problems
unable to connect
may have normal or high IQ
risk factors and characteristics - Answer-monozygotic/identical twins
dizygotic/fraternal twins
immune responses
environmental influences
certain drugs during pregnancy
fetal alcohol syndrome
fragile X
down syndrome
child born to older parents
prematurity or LBW
parents with one child
co-occurs w/ other developmental, psychiatric, neurologic disorders.
despite ongoing concerns autism has no relationship with - Answer-vaccines
etiology and patho of autism - Answer-unknown
abnormalities in brain structure/function
neurotransmitters abnormal; dopamine, opiods, serotonin dysfunction (sleep, mood,
perception, appetite)
surveillance and screening - Answer--early healthcare visits
, -evaluation or risk-use of screening tools; modified checklist of autism in toddlers (M-
CHAT)
-american psychiatric association revised DSM
multidisciplinary approach - Answer-pediatricion
psychologist
speech
OT
genetic testing
screening for related medical issues
autistic children and pain - Answer-they dont feel pain?
kids with high functioning autism will - Answer-develop language
low functioning autistic children often - Answer-dont talk
have lower IQ
a child should have ___ words by 18mo - Answer-15-20
always consult parents when performing interventions on autistic children - Answer-
some children may "freak out" if BP taken.
autistic children in the hospital - Answer-they arent admitted for autism, they are
admitted for some other health issue. It is important the nurse asks what is necessary
and how it can be make better. especially because these children like routine and have
a great difficulty with change
autism ALARM - Answer-Autism is prevalent
Listen to parents
Act early
Refer
Monitor
clinical manifestations: ASDs
essential features: - Answer--typically apparent ~ 3 years of age
-impaired: socialization, communication, behavior
-cognitive impairment varies- may be above normal
clinical manifestations: ASDs
stereotype - Answer-rigid, repetitive, machine-like movements, obsessive
-self-stim, may be self-destructive
-head banging, twirling in circles, biting themselves, flapping hands, turns light on and
off, rocking back and forth
responses to sensory stimuli abnormal
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