CMN 571 EXAM QUESTIONS WITH
100% CORRECT ANSWERS
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 tongue tie? - Answer-Attachment that restricts tongue movement
What patient education should be provided after varnish is applied? - Answer-Don't
brush teeth until next morning, eat soft foods
At what milestone does a child give toys and say mama/dada? - Answer-12 months
What are the developmental milestones for 9-11 months? - Answer-Stands alone, walks
along furniture, follows 1-step command
When does separation anxiety start? - Answer-8-9 months
What are the developmental milestones for 3-5 months? - Answer-Laughs, anticipates
food, turns from back to side
What are the developmental milestones for 30 months? - Answer-Walks backwards,
begins to hop on 1 foot, uses prepositions
At what age does a child hold a crayon with fingers? - Answer-3 years
What can a child do at 18 months? - Answer-Understands 2-step command, carries and
hugs doll, feeds self
What can a child do at 18 months? - Answer-Throws ball, seats self in chair, dumps
pellets from bottle
What can a child do at 3 years? - Answer-Rides trike using pedals, dresses with
supervision
What is the maximum age for the first dose of rotavirus vaccine? - Answer-Less than 15
weeks
What blood lead level is considered abnormal? - Answer-Greater than 5
At what blood lead level is chelation indicated? - Answer-Greater than 45
At what blood lead level is urgent action required? - Answer-Above 70
At what age do blood pressure screenings begin in a normal healthy child? - Answer-3
years
At what age does the word 'no' affect a child? - Answer-6-8 months
, When should Heb B not be given? - Answer-Serious allergic reaction to yeast or any
vaccine component (previous reaction to hep B)
How is rotavirus spread? - Answer-fecal-oral transmission, contact with contaminated
surfaces, eating contaminated foods
Side effect of rotavirus vaccine? (RV5, RV1) - Answer-intussusception
Maximum initial dose age for rotavirus? - Answer-14 weeks and 6 days (no safety data
on older infant administration)
When should you not give rotavirus vaccine? RSV1 specifically? - Answer-previous
serious allergic reaction of infant w history of intussception of any cause
Infant with severe combined immunodeficiency (SCID)
infant with acute moderate or severe gastroenteritis
RSV1 specifically with latex allergies
Adverse effects of rotavirus? - Answer-vomiting and diarrhea
cough and runny nose
When should DTaP not be given? - Answer-child w previous reaction, who has
developed encephalopathy within 7 days of previous dose
individual w progressive neurologic disorder (infant spasm, uncontrolled epilepsy,
progressive encephalopathy) until their nauro status is clarified and stabilized
Precautions to DTaP vaccine? - Answer-High fever (40.5), persistent inconsolable
crying, or shock like state within 48 hours of prev dose, seizures within 3 days of prev
dose, Guillain-Barre syndrome within 6 weeks of prev dose, or incident moderate or
severe acute illness with or without fever
Pneumococcal vaccine should be deferred when? - Answer-during a moderate or
severe acute illness with or without fever
Adverse effects of Pneumococcal vaccine - Answer-small risk of febrile seizure if
administered with inactivated influenza vaccine
IPV vaccine - Answer-Poliomyelitis vaccine
Contraindications to adminsitering IPV vaccine? - Answer-moderate or severe acute
illness with or without fever
pregnancy
Can you give IPV vaccine during pregnancy? - Answer-Do with precaution
MMR Vaccine can cause what reaction? - Answer-Febrile seizures
100% CORRECT ANSWERS
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 tongue tie? - Answer-Attachment that restricts tongue movement
What patient education should be provided after varnish is applied? - Answer-Don't
brush teeth until next morning, eat soft foods
At what milestone does a child give toys and say mama/dada? - Answer-12 months
What are the developmental milestones for 9-11 months? - Answer-Stands alone, walks
along furniture, follows 1-step command
When does separation anxiety start? - Answer-8-9 months
What are the developmental milestones for 3-5 months? - Answer-Laughs, anticipates
food, turns from back to side
What are the developmental milestones for 30 months? - Answer-Walks backwards,
begins to hop on 1 foot, uses prepositions
At what age does a child hold a crayon with fingers? - Answer-3 years
What can a child do at 18 months? - Answer-Understands 2-step command, carries and
hugs doll, feeds self
What can a child do at 18 months? - Answer-Throws ball, seats self in chair, dumps
pellets from bottle
What can a child do at 3 years? - Answer-Rides trike using pedals, dresses with
supervision
What is the maximum age for the first dose of rotavirus vaccine? - Answer-Less than 15
weeks
What blood lead level is considered abnormal? - Answer-Greater than 5
At what blood lead level is chelation indicated? - Answer-Greater than 45
At what blood lead level is urgent action required? - Answer-Above 70
At what age do blood pressure screenings begin in a normal healthy child? - Answer-3
years
At what age does the word 'no' affect a child? - Answer-6-8 months
, When should Heb B not be given? - Answer-Serious allergic reaction to yeast or any
vaccine component (previous reaction to hep B)
How is rotavirus spread? - Answer-fecal-oral transmission, contact with contaminated
surfaces, eating contaminated foods
Side effect of rotavirus vaccine? (RV5, RV1) - Answer-intussusception
Maximum initial dose age for rotavirus? - Answer-14 weeks and 6 days (no safety data
on older infant administration)
When should you not give rotavirus vaccine? RSV1 specifically? - Answer-previous
serious allergic reaction of infant w history of intussception of any cause
Infant with severe combined immunodeficiency (SCID)
infant with acute moderate or severe gastroenteritis
RSV1 specifically with latex allergies
Adverse effects of rotavirus? - Answer-vomiting and diarrhea
cough and runny nose
When should DTaP not be given? - Answer-child w previous reaction, who has
developed encephalopathy within 7 days of previous dose
individual w progressive neurologic disorder (infant spasm, uncontrolled epilepsy,
progressive encephalopathy) until their nauro status is clarified and stabilized
Precautions to DTaP vaccine? - Answer-High fever (40.5), persistent inconsolable
crying, or shock like state within 48 hours of prev dose, seizures within 3 days of prev
dose, Guillain-Barre syndrome within 6 weeks of prev dose, or incident moderate or
severe acute illness with or without fever
Pneumococcal vaccine should be deferred when? - Answer-during a moderate or
severe acute illness with or without fever
Adverse effects of Pneumococcal vaccine - Answer-small risk of febrile seizure if
administered with inactivated influenza vaccine
IPV vaccine - Answer-Poliomyelitis vaccine
Contraindications to adminsitering IPV vaccine? - Answer-moderate or severe acute
illness with or without fever
pregnancy
Can you give IPV vaccine during pregnancy? - Answer-Do with precaution
MMR Vaccine can cause what reaction? - Answer-Febrile seizures
