CMN 571 EXAM 2023 QUESTIONS AND ANSWERS (GRADED A+)
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CMN 571
CMN 571 EXAM 2023 QUESTIONS AND ANSWERS (GRADED A+)
What is the tonic reflex? - Answer-Fencing; head is turned to one side -- arm on that side stretches out - opposite arm bends up at elbow
How long does the tonic reflex last? - Answer-Until 5-7 months
How do you elicit the grasp reflex? - ...
CMN 571 EXAM 2023 QUESTIONS
AND ANSWERS (GRADED A+)
What is the tonic reflex? - Answer-Fencing; head is turned to one side -- arm on that
side stretches out - opposite arm bends up at elbow
How long does the tonic reflex last? - Answer-Until 5-7 months
How do you elicit the grasp reflex? - Answer-Stroke baby's palm (lasts 5-6 months)
How do you elicit the stepping reflex? - Answer-Hold upright with feet touching solid
surface (lasts about 2 months)
When is developmental surveillance conducted? - Answer-Done at every preventative
visit throughout childhood
When is developmental screening conducted? - Answer-9, 18, 30 months
Why is developmental surveillance important? - Answer-Early identification of
developmental disabilities
What are the three things developmental surveillance + screenings promote? - Answer-
Healthy development, prevent delays, identify children with delays/disabilities early
What are the key components of developmental surveillance? - Answer-Ask about
child's learning, development, and behavior
At what age should a child start walking and at what age should you be worried if the
child doesn't walk? - Answer-B. 12 months, 18 months
What is the appropriate follow up for a newborn with an abnormal screening for
Congenital Hypothyroidism (CH)? - Answer-Repeat test at 2-4 days old and begin
treatment within 2 weeks after birth
What should happen regarding PKU screening if an infant is screened within the first 24
hours of life? - Answer-Repeat test by 2 weeks of life
When should treatment be started for an infant with PKU? - Answer-Immediately, or
within first month of life
What labs are measured in the neonatal hypothyroid screen? - Answer-TSH and T4
,When should treatment be initiated for a positive congenital hypothyroidism screening?
- Answer-Within 2 weeks of birth (or at least within the first month)
What labs are monitored in a sickle cell screening? - Answer-Hemoglobin and
reticulocytes; specifically, hemoglobin FS, FSC, FSA (S>A), IEF, HPLC
What is the name of the test that confirms sickle cell disease? - Answer-Hemoglobin
electrophoresis
Should solubility tests be used to confirm sickle cell? - Answer-No, they won't identify
hemoglobin variants except S
What age group should kids with sickle cell be taking penicillin prophylactically? -
Answer-2 months - 5 years
What immunizations should be given for sickle cell positive kids? - Answer-PCV and
polysaccharide vaccine
When should all infants be referred to a pediatric dentist? - Answer-6 months after 1st
tooth or 1 year old, whichever comes first; Continue to screen for dental home until 5
years old or continue to do oral health assessments
What is the name of the bacteria that colonizes in the baby's mouth and increases the
risk of caries? - Answer-Streptococcus mutans (MS)
When should all babies have the caries-risk assessment done? - Answer-By 6 months
At what age should oral hygiene start? - Answer-Birth. Start cleaning gums with soft
moist cloth until they get teeth. Smear of tooth paste when teeth erupt with soft
toothbrush
What type of toothpaste needs to be used once there are teeth present? - Answer-
Fluoridated
When should kids be weaned from bottle? - Answer-12-18 months
How much juice is recommended per day for 1-6yos? - Answer-4-6oz/day
What age do teeth begin to erupt? - Answer-7 months (Hay p. 464)
What age lifts head with good head control? - Answer-3 months (Hay p. 71)
What age sits independently? - Answer-6-8 months
What age crawls? - Answer-9-11 months
, What age walks? - Answer-12 months
What age runs? - Answer-18 months
What age has ulnar grasp? - Answer-3-5 months
What age do kids start to show signs of dominant hand? - Answer-Not before 1 year;
most 18-30 months
What two well visits do autism screens need to be done? - Answer-18 month and 2 year
What is the earliest age a child can be diagnosed with ASD? - Answer-2 years old
When should you stop measuring head circumference at well visits? - Answer-2 years
(Bright Futures chart, 229)
When do you stop using the weight for length chart and start using the BMI chart on
kids? - Answer-2 years (p. 231-2/Bright Futures chart)
What age do kids typically start to stay on the same growth curve on the growth chart? -
Answer-18 months
When should blood pressure screening start? - Answer-3 years if not high risk (p. 232)
When can you stop screening for the red reflex? - Answer-When the child can read the
eye chart (p. 233 2nd paragraph under vision/hearing)
When can kids have first TB test? - Answer-3 months (per Hay)
What is the most common leading cause of death in kids? - Answer-MVA
What supplement should be given for exclusively breastfed kids? - Answer-Vitamin D
What is the most common initial symptom of sickle cell occurring in up to 50% of
children before age 3? - Answer-Hand-foot syndrome (dactylitis)
What other daily medication is recommended for kids with sickle cell anemia? - Answer-
Oral hydroxyurea
When should you screen for maternal depression? - Answer-1, 2, 4, 6 months
What are some risks associated with bilateral congenital hearing loss? - Answer-Family
history, facial/cranial abnormalities, being in NICU for >2 days
When should initial screening for hearing loss be done? - Answer-Before hospital
discharge; if born at home, done at first pediatric visit
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