CMN 571 EXAMINATION QUESTIONS
WITH ALL CORRECT ANSWERS
passive immunity - Answer-- short term immunity through introduction of antibodies to a
disease
- occurs when we are protected from a pathogen by immunity gained from someone
else
- can occur naturally like through placenta or breastmilk
- can occur artificially through injection of antibodies
- onset is within 24hrs and duration is about 4-6months
community immunity - Answer-- herd immunity
- indirect protection
- 90-95% of the population should be vaccinated to have effective herd immunity
newborn reflexes - Answer-- rooting
- suck
- moro
- tonic-neck
- grasp
- stepping
rooting reflex - Answer-when corner of babys mouth is stroked/touched, baby will turn
its head and open mouth to follow and root in direction of touch; helps baby find breast;
lasts until 4 month
suck reflex - Answer-roof of mouth being touched causes baby to suck; doesnt start
until 32nd week of pregnancy, not fully developed until 36 weeks; premature baby =
weak reflex
moro reflex - Answer-startle reflex; loud sound or movement causes baby to throw head
back, extend arms and legs and cries, then pulls limbs into body; lasts until 5-7 months
old
tonic-neck reflex - Answer-fencing position; when head is turned to one side, arm on
that side stretches out and opposite arm bends up at elbow; lasts until 5-7 months old
grasp reflex - Answer-stroke palm of babys hand and they close fingers in a grasp; lasts
until 5-6 months; similar reflex in toes lasts 9-12 months
stepping reflex - Answer-walking/dancing reflex; baby appears to take steps when held
upright with feet touching a solid surface; lasts about 2 months
, developmental surveillance - Answer-- flexible, ongoing; should be done at each visit
- ask about childs learning, development, and behavior
- identify strengths and risks
- ask about concerns and take developmental history
why is developmental surveillance important? - Answer-to identify developmental
disabilities early, giving child the best possible outcome
developmental screening - Answer-involves using a standardized screening test at
specific ages recommended by the AAP
primary prevention - Answer-- to stop a disease or injury prior to the occurrence
- most cost effective
- disease avoidance
- example: vaccine programs, water fluoridation, safe sex education, self-care book,
health assessments
secondary prevention - Answer-- impact a disease that has already occured
- sometimes providingcures
- to minimize impact
- early detection
- examples: screening for HTN or DM, biometric screening, compliance programs, nurse
help lines
tertiary prevention - Answer-- managing disease that is chronic for it not to progress or
worsen
- to minimize the impact of a disease
- minimize damage
- examples: screening pt with DM for microalbuminuria, treatment for DM, post-MI
prophylaxis with BB and ASA, on-site medical care, maternity mgmt
two core features of autism - Answer-- persistent deficits in social communication and
social interaction
- restricted repetitive patterns of behavior, interests, or activities
most common early characteristics of autism - Answer-- consistent failure to orient to
ones name, regard people correctly, use gestures, and develop speech
tool for autism screening - Answer-M-CHAT; done at 18 and 24-30 months old
when can head circumference measuring stop? - Answer-when circumferential head
growth has been steady for the first 2 yrs of life
what type of growth chart is used in what children? - Answer-- younger than 2, use the
weight-for-length chart
WITH ALL CORRECT ANSWERS
passive immunity - Answer-- short term immunity through introduction of antibodies to a
disease
- occurs when we are protected from a pathogen by immunity gained from someone
else
- can occur naturally like through placenta or breastmilk
- can occur artificially through injection of antibodies
- onset is within 24hrs and duration is about 4-6months
community immunity - Answer-- herd immunity
- indirect protection
- 90-95% of the population should be vaccinated to have effective herd immunity
newborn reflexes - Answer-- rooting
- suck
- moro
- tonic-neck
- grasp
- stepping
rooting reflex - Answer-when corner of babys mouth is stroked/touched, baby will turn
its head and open mouth to follow and root in direction of touch; helps baby find breast;
lasts until 4 month
suck reflex - Answer-roof of mouth being touched causes baby to suck; doesnt start
until 32nd week of pregnancy, not fully developed until 36 weeks; premature baby =
weak reflex
moro reflex - Answer-startle reflex; loud sound or movement causes baby to throw head
back, extend arms and legs and cries, then pulls limbs into body; lasts until 5-7 months
old
tonic-neck reflex - Answer-fencing position; when head is turned to one side, arm on
that side stretches out and opposite arm bends up at elbow; lasts until 5-7 months old
grasp reflex - Answer-stroke palm of babys hand and they close fingers in a grasp; lasts
until 5-6 months; similar reflex in toes lasts 9-12 months
stepping reflex - Answer-walking/dancing reflex; baby appears to take steps when held
upright with feet touching a solid surface; lasts about 2 months
, developmental surveillance - Answer-- flexible, ongoing; should be done at each visit
- ask about childs learning, development, and behavior
- identify strengths and risks
- ask about concerns and take developmental history
why is developmental surveillance important? - Answer-to identify developmental
disabilities early, giving child the best possible outcome
developmental screening - Answer-involves using a standardized screening test at
specific ages recommended by the AAP
primary prevention - Answer-- to stop a disease or injury prior to the occurrence
- most cost effective
- disease avoidance
- example: vaccine programs, water fluoridation, safe sex education, self-care book,
health assessments
secondary prevention - Answer-- impact a disease that has already occured
- sometimes providingcures
- to minimize impact
- early detection
- examples: screening for HTN or DM, biometric screening, compliance programs, nurse
help lines
tertiary prevention - Answer-- managing disease that is chronic for it not to progress or
worsen
- to minimize the impact of a disease
- minimize damage
- examples: screening pt with DM for microalbuminuria, treatment for DM, post-MI
prophylaxis with BB and ASA, on-site medical care, maternity mgmt
two core features of autism - Answer-- persistent deficits in social communication and
social interaction
- restricted repetitive patterns of behavior, interests, or activities
most common early characteristics of autism - Answer-- consistent failure to orient to
ones name, regard people correctly, use gestures, and develop speech
tool for autism screening - Answer-M-CHAT; done at 18 and 24-30 months old
when can head circumference measuring stop? - Answer-when circumferential head
growth has been steady for the first 2 yrs of life
what type of growth chart is used in what children? - Answer-- younger than 2, use the
weight-for-length chart
