CMN 571 MODULE 2 EXAM QUESTIONS
WITH 100% CORRECT ANSWERS
What education can be provided to parents for insomnia in the child - Answer-Parents
need to set limits for children, goal is to establish clear bedtime rituals, put child to bed
while still awake, create a dark, quiet, secure bedtime environment
What is characterized by obstructed breathing during sleep accompanied by loud
snoring, chest retractions, morning headaches, dry mouth, and daytime sleepiness -
Answer-Sleep-disordered breathing (OSA)
What is associated with OSA - Answer-behavioral disorders= inattentive ADHD
Which disorder is associated with uncomfortable sensation in the lower extremities that
occurs at night when trying to fall asleep, relieved by movement, and sometimes
described as "creepy-crawly" or "itchy bones" - Answer-Restless Leg Syndrome (RLS)
How is RLS diagnosed - Answer-patient history
Lab work to evaluate RLS and PLMD - Answer-serum ferritin, CRP
* if CRP is normal and ferritin is <30-50 treat with ferrous sulfate.
What is a stereotyped disorder that includes repetitive limb movements often associated
with partial arousal or awakening. - Answer-Periodic limb movement disorder (PLMD)
When should children be screened for quality and quantity of sleep? - Answer-Every
well-child visit.
Things to assess if child presents with a sleep disorder. - Answer-physical exam,
medical and psychosocial history, review sleep history/diary, allergies, lateral neck film,
polysomnography if indicated, medications consider dental pain, eczema and GERD.
Which stage in the "staged approach" for obesity provides more specific and structured
dietary pattern such as meal planning, exercise prescriptions, and behavior change
goals, may be done in the primary care setting. generally referral to at least one
ancillary health professional will be required.(dietician, behavior specialist, and or
physical therapist) monitoring monthly or tailer to pt and family needs - Answer-
structured weight management
,Which stage in the "staged approach" for obesity further increases the structure of
therapeutic interventions and support, employs a multidisciplinary team, and may
involve weekly group meetings. - Answer-comprehensive multidisciplinary
Which stage in the "staged approach" for obesity is for pt who have not been successful
at the other intervention levels or who are severely obses. interventions are prescribed
by a multidisciplinary team, and may include intensive behavior therapy, specialized
diets, medications, and surgery - Answer-tertiary care intervention.
What health risks are children likely to have in the present r/t obesity - Answer-HTN,
high cholesterol (risk factors for CVD)
increased risk of impaired glucose tolerance, insulin resistance and type 2 diabetes
sleep apnea, asthma
joint problems, musculoskeletal discomfort
fatty live disease, gallstones, gastro-esophageal reflux
social, psychological problems (discrimination and poor self esteem) which can lead to
adulthood
What health risks are children likely to have into adulthood r/t obesity - Answer-more
likely to be obese adult and likely to be more severe
adult obesity r/t heart disease, diabetes, some cancers
When are children screened for blood pressure - Answer-well visits starting at age 3,
unless having a condition earlier that warrants it
How to obtain an accurate blood pressure - Answer-proper equipment and cooperative,
seated subject in a quiet room
Can a diagnosis of HTN be given with an automated BP cuff - Answer-nope- they tend
to read higher
Diagnosis of systolic or diastolic BP is based of what? - Answer-95th percentile based
on age and height percentile of the pt.
How many times must BP be elevated to diagnose HTN - Answer-3 separate occasions
what stage is HTN with Blood pressure > than b/t 95th percentile and 99th percentile
plus 12 mm of Hg - Answer-stage 1 HTN
what stage is HTN- Blood pressure > 99th percentile plus 12 mm of Hg - Answer-stage
2 HTN
Blood pressure in the 90th-95th percentile is what? - Answer-diagnosed as elevated
blood pressure
Lab work for blood pressure should be completed when - Answer-95th percentile
, what lab work should be obtained for blood pressure >95th %ile - Answer-CBC, serum
nitrogen, creatinine, electrolytes, lipid panel, glucose, u/a, renal US if abnormal u/a or
renal function
What is the typical range of age for adolescence - Answer-10 - 19
(typically puberty to adulthood)
Examples of areas of life that 5-10 year olds need to gain confidence in? - Answer-
friends, schoolwork, sports
This age group can tie their own shoes, catch a ball with only their hands, and tie their
shoes - Answer-5-10 Middle Childhood
What does kindergarten mark for the 5 year old - Answer-acceleration in the seperation-
individuation theme initiated in preschool years.
Milestones for 5 year old - Answer-Kindergarten attendance.
Ready to relate to peers- interact
Sensorimotor coordination matured, (paper/pencil task, sports)
What is the cognitive ability stage of a 5 year old - Answer-Preoperational stage
T/F Can a 5-1/2 have a conversation of length - Answer-yes
Milestones of a 6 year old - Answer-*recognize numbers, letters, words, learns to write
*Can order, number, classify (relating concrete objects in the environment)
*Reality of cause-effect relationships better understood
*fantasy & imagination are still reflected in themes of play
At what age does magical thinking diminish - Answer-6 years old
What age range includes a child who can draw a triangle, distinguish between morning
or afternoon, draw a person with 12 details and read several 1 syllable printed words. -
Answer-6-7 years
What age range includes a child who can catch a ball, copy a plus sign already drawn,
knows right and left hand, and tell their age . - Answer-5-6 years
What age range has approximately 2260 words , intelligible 6 or 7 word sentences -
Answer-6-7 years
Where do 7-10 year olds devote most of their energies - Answer-school and peer group
What are the major developmental tasks of a 7 year old - Answer-achievement in school
acceptance by peers
WITH 100% CORRECT ANSWERS
What education can be provided to parents for insomnia in the child - Answer-Parents
need to set limits for children, goal is to establish clear bedtime rituals, put child to bed
while still awake, create a dark, quiet, secure bedtime environment
What is characterized by obstructed breathing during sleep accompanied by loud
snoring, chest retractions, morning headaches, dry mouth, and daytime sleepiness -
Answer-Sleep-disordered breathing (OSA)
What is associated with OSA - Answer-behavioral disorders= inattentive ADHD
Which disorder is associated with uncomfortable sensation in the lower extremities that
occurs at night when trying to fall asleep, relieved by movement, and sometimes
described as "creepy-crawly" or "itchy bones" - Answer-Restless Leg Syndrome (RLS)
How is RLS diagnosed - Answer-patient history
Lab work to evaluate RLS and PLMD - Answer-serum ferritin, CRP
* if CRP is normal and ferritin is <30-50 treat with ferrous sulfate.
What is a stereotyped disorder that includes repetitive limb movements often associated
with partial arousal or awakening. - Answer-Periodic limb movement disorder (PLMD)
When should children be screened for quality and quantity of sleep? - Answer-Every
well-child visit.
Things to assess if child presents with a sleep disorder. - Answer-physical exam,
medical and psychosocial history, review sleep history/diary, allergies, lateral neck film,
polysomnography if indicated, medications consider dental pain, eczema and GERD.
Which stage in the "staged approach" for obesity provides more specific and structured
dietary pattern such as meal planning, exercise prescriptions, and behavior change
goals, may be done in the primary care setting. generally referral to at least one
ancillary health professional will be required.(dietician, behavior specialist, and or
physical therapist) monitoring monthly or tailer to pt and family needs - Answer-
structured weight management
,Which stage in the "staged approach" for obesity further increases the structure of
therapeutic interventions and support, employs a multidisciplinary team, and may
involve weekly group meetings. - Answer-comprehensive multidisciplinary
Which stage in the "staged approach" for obesity is for pt who have not been successful
at the other intervention levels or who are severely obses. interventions are prescribed
by a multidisciplinary team, and may include intensive behavior therapy, specialized
diets, medications, and surgery - Answer-tertiary care intervention.
What health risks are children likely to have in the present r/t obesity - Answer-HTN,
high cholesterol (risk factors for CVD)
increased risk of impaired glucose tolerance, insulin resistance and type 2 diabetes
sleep apnea, asthma
joint problems, musculoskeletal discomfort
fatty live disease, gallstones, gastro-esophageal reflux
social, psychological problems (discrimination and poor self esteem) which can lead to
adulthood
What health risks are children likely to have into adulthood r/t obesity - Answer-more
likely to be obese adult and likely to be more severe
adult obesity r/t heart disease, diabetes, some cancers
When are children screened for blood pressure - Answer-well visits starting at age 3,
unless having a condition earlier that warrants it
How to obtain an accurate blood pressure - Answer-proper equipment and cooperative,
seated subject in a quiet room
Can a diagnosis of HTN be given with an automated BP cuff - Answer-nope- they tend
to read higher
Diagnosis of systolic or diastolic BP is based of what? - Answer-95th percentile based
on age and height percentile of the pt.
How many times must BP be elevated to diagnose HTN - Answer-3 separate occasions
what stage is HTN with Blood pressure > than b/t 95th percentile and 99th percentile
plus 12 mm of Hg - Answer-stage 1 HTN
what stage is HTN- Blood pressure > 99th percentile plus 12 mm of Hg - Answer-stage
2 HTN
Blood pressure in the 90th-95th percentile is what? - Answer-diagnosed as elevated
blood pressure
Lab work for blood pressure should be completed when - Answer-95th percentile
, what lab work should be obtained for blood pressure >95th %ile - Answer-CBC, serum
nitrogen, creatinine, electrolytes, lipid panel, glucose, u/a, renal US if abnormal u/a or
renal function
What is the typical range of age for adolescence - Answer-10 - 19
(typically puberty to adulthood)
Examples of areas of life that 5-10 year olds need to gain confidence in? - Answer-
friends, schoolwork, sports
This age group can tie their own shoes, catch a ball with only their hands, and tie their
shoes - Answer-5-10 Middle Childhood
What does kindergarten mark for the 5 year old - Answer-acceleration in the seperation-
individuation theme initiated in preschool years.
Milestones for 5 year old - Answer-Kindergarten attendance.
Ready to relate to peers- interact
Sensorimotor coordination matured, (paper/pencil task, sports)
What is the cognitive ability stage of a 5 year old - Answer-Preoperational stage
T/F Can a 5-1/2 have a conversation of length - Answer-yes
Milestones of a 6 year old - Answer-*recognize numbers, letters, words, learns to write
*Can order, number, classify (relating concrete objects in the environment)
*Reality of cause-effect relationships better understood
*fantasy & imagination are still reflected in themes of play
At what age does magical thinking diminish - Answer-6 years old
What age range includes a child who can draw a triangle, distinguish between morning
or afternoon, draw a person with 12 details and read several 1 syllable printed words. -
Answer-6-7 years
What age range includes a child who can catch a ball, copy a plus sign already drawn,
knows right and left hand, and tell their age . - Answer-5-6 years
What age range has approximately 2260 words , intelligible 6 or 7 word sentences -
Answer-6-7 years
Where do 7-10 year olds devote most of their energies - Answer-school and peer group
What are the major developmental tasks of a 7 year old - Answer-achievement in school
acceptance by peers
