Test 1

Question 1

Do relatives who take in children into foster care get training or financial support?

Answer 1

no

Question 2

For _____, lack of nurturing and communication or an environmental trauma affects cognitive and communication skills and alters attachment relationships.

Answer 2

infants

Question 3

Young children placed in foster care because of prenatal neglect can experience profound and long-lasting consequences on all aspects of their development to include

Answer 3

poor attachment
under stimulation
developmental delay
poor physical development 
antisocial behavior

Question 4

placements into foster care are usually around the ages of

Answer 4

3-6- limited capacity for understanding the constraints of the time and place - emotional disturbance as a response to stress

Question 5

If separation from biological parents before ____year is followed by quality, trauma-informed care, placement in foster care may not have a delirious effect on social and emotional trauma

Answer 5

1 year

Question 6

Trauma, abuse, neglect, multiple foster care placement affect

Answer 6

brain development

Question 7

Mental health concerns that can lead to later problems such as

Answer 7

difficulty forming an adult relationship

Question 8

What is the percentage of kids in the foster care system that graduate high school?

Answer 8

48%

Question 9

Adolescent girls in foster care are 3 xs more likely to

Answer 9

become pregnant

Question 10

_____ _____ is more prevalent in families of US enlisted soldiers during combat deployment than in non-deployed soldiers

Answer 10

Child maltreatment

Question 11

How do you take a head circumference?

Answer 11

The measuring tape placed around the head at its greatest circ from the occipital protuberance above the base of the skull to the mid forehead

Question 12

What head circumference measurements need to be evaluated

Answer 12

<5% and >95% for age

Question 13

Microcephaly may be indicative of

Answer 13

Small for gestational age (SGA)
Intrauterine growth retardation (IUGR)
Premature closure of the cranial sutures

Question 14

Macrocephaly may indicate

Answer 14

Increased intracranial pressure

Question 15

Up to what age should you be doing head circumference checks

Answer 15

2 years old

Question 16

How do you take a chest circumference

Answer 16

Measure at the nipple line

Question 17

By what age should your head and chest circum be around equal

Answer 17

1 year until 2 when the chest circumference should be greater than the head circumference

Question 18

Is the chest circumference normally measured?

Answer 18

not routinely measured unless infant has abnormal growth

Question 19

What is the most stable measurement of growth and maturation in childhood?

Answer 19

Height

Question 20

A childs height at about what age is approximately half of the adult height

Answer 20

2 years old

Question 21

When is 95% of growth achieved for boys and girls

Answer 21

Girls by menarche

Boys by 15

Question 22

short stature may indicate what

Answer 22

chronic conditions such as 
cardiac
renal
fetal alcohol syndrome
methadone exposure
metabolic abnormalities
growth hormone deficiency
chromosomal

Question 23

Infants loose up to ___% of their weight their first week of life

Answer 23

10 - which they normally regain their second week

Question 24

Poor weight gain is indicative of

Answer 24

failure to thrive

Question 25

What can cause failure to thrive

Answer 25

``` poor feeding patterns malnutrition neglect cardiac/renal disease infection genetic abnormalities ```

Question 26

Weight is taken lying down until how old?

Answer 26

2 years old

Question 27

Increased BMI in childhood is associated with

Answer 27

metabolic and cardiovascular disease in adulthood | as well as T2DM

Question 28

Birth weight should double in

Answer 28

4-6 months

Question 29

From 6-12 years of age describe their growth

Answer 29

occurs in spurts lasting about 8 weeks, occuring 3-6 times per year

Question 30

Underweight BMI

Answer 30

<5th percentile

Question 31

Normal weight BMI

Answer 31

6-84th percentile

Question 32

Overweight BMI

Answer 32

85-94th percentile

Question 33

Obese BMI

Answer 33

>=95th percentile

Question 34

BMI calculation

Answer 34

weight in kg/height in meters sq

Question 35

How do you convert inches to meters

Answer 35

multiply by .0254

Question 36

normal healthy weight for a newborn is

Answer 36

5lbs 8oz to 8lbs 13 oz

Question 37

term infants range from

Answer 37

45cm - 55cm (18-22 in)

Question 38

Height usually increases by how many inches per month over the first few months of life

Answer 38

1 inch (2.54 cm)

Question 39

Term infants generally increase in height by ___% in the first year

Answer 39

50%

Question 40

Amount of motor activity and proportion of active to inactive periods

Answer 40

activity

Question 41

amount of emotional energy released with responses

Answer 41

Intensity

Question 42

Amount of sensory stimuli required to produce a response

Answer 42

Sensitivity

Question 43

Nature of initial response to new stimuli

Answer 43

Approach/withdrawl

Question 44

Ease of accepting new situation after initial response

Answer 44

Adaptability

Question 45

Length of time activity is pursued

Answer 45

Frustration tolerance

Question 46

Amount of pleasant versus unpleasant behavior child exhibits

Answer 46

mood

Question 47

Effectiveness of extraneous stimuli in altering direction of ongoing behavior

Answer 47

Distractibiity

Question 48

Predictability of physiological functions such as hunger, sleep, elimination

Answer 48

Regularity

Question 49

The inborn tendency to react to ones environment in certain wais

Answer 49

Temperament

Question 50

promotes healthy development through adaptation to the infant's personality and has influence on a child's emotional well-being and behavior

Answer 50

Goodness of fit

Question 51

Characteristics of frustration tolerance and intensity may be suggestive of emotional dysregulation and may indicate

Answer 51

may indicate an underlying dysfunction in affective processes which increase the risk for mood disorders later in life.

Question 52

The extended family, family supports, and resources, community-based systems: consider housing, school, childcare, parental work and income, health care access, church and religious community, safety of community, immigration status, and impact on child well-being.

Answer 52

Mezzo level

Question 53

The child, parent or parents, partner, caregiver, other adults or children in the household: consider intersecting characteristics and temperament of the individuals in the family unit, style of parenting, relationship between parents, and impact of family dynamics on physical,developmental, behavioral, and emotional health of the child.

Answer 53

Micro level

Question 54

What is SCREEN used for?

Answer 54

The screen for Family History Collection SC- some concerns: “ Do you have any ( some) concerns about disease or conditions that run in the family? R- Reproduction: “ Have there been any problems with pregnancy, infertility, or birth defects in your family?” E- Early disease, death, or disability: “ Have any members of your family died or become sick at an early age?” E-Ethnicity: “ How would you describe your ethnicity?” or “ Where were your parents born?” N- Nongenetic: “ Are there any other risk factors or nonmedical conditions that run in your family?”

Question 55

What is SCOFF used for?

Answer 55

Screening Tool for Eating Disorders S- Do you make yourself Sick (vomit) because you feel uncomfortably full? C- Do you worry you have lost Control over how much you eat? O- Have you recently lost more than One stone ( 14 pounds) in a 3-month period? F- Do you believe yourself to be Fat when others say you are thin? F- Would you say that Food dominates your life?

Question 56

What is SHADES used for?

Answer 56

– psychosocial history, offers the advantages of a strength-based approach and a more holistic exploration of the adolescent’s emotional state – order of questioning proceeds from less private to more sensitive to allow provider and adolescent to establish rapport; questions asked in a neutral and nonjudgemental manner S – Strengths: personal characteristics that help youth cope and succeed S – School: connection to or disconnection from school; if no specific plans, end of high school can be difficult, vulnerable time. H – Home: family structure and living arrangement, supports, and any problems at home; Immigrant teens may live with adult siblings/extended family while parents live in home country. A – Activities: sports, school activities ( school connection), hobbies, church involvement, youth groups, jobs, and hours per week for each. Responses reflect a measure of connection to school, extra motivation for attendance/grades D – Drugs/alcohol/tobacco: introduce the subject gently, especially with young teens; can be more direct with older teens; does anyone at your school...? Do any of your friends...? Then have you...? If yes use CRAFFT questions; attempts to quit? Family members using drugs/alcohol/tobacco? E – Emotions/eating/depression: positive and negative emotional states, including potential depression and suicidal ideation, healthy and unhealthy eating habits: how would you describe your moods? (Elicits rich information if teen is given time to elaborate) Irritability is hallmark of depression in teens. Suicidal gestures/attempts may be impulsive acts after disagreement with parents, peers; teen may not self-identify as depressed. Warn parent/guardian if teen contemplating suicide, even if not an immediate risk S – Sexuality and sexual abuse: sexual attractions, sexual activity or intentions, and any history of coercion or sexual abuse. warn the teen of limits of confidentiality in your setting or state. For teens with the intention to initiate sexual activity, it is important to explore choice and decisions about sex in relationship. It is important to elicit history before discussing safer sex, contraception, and need for pelvic exam. Be sensitive to teens engaging in same-sex activities. Condom/barrier: “at what point in the sexual encounter do you use condoms?” “late use” problem. Teens with less formal education may lack awareness of anatomy/physiology of genitals and reproductive organs. S -Safety issues: protective factors (seat belts, helmets, problem-solving skills) and risk factors (guns in home, engaging in fights, gang activity), home and neighborhood safety Be sensitive to potential reluctance to disclose

Question 57

Beneficence

Answer 57

doing good

Question 58

=doing no harm or as little harm as possible

Answer 58

Non-maleficence

Question 59

based on the principle of respect for persons. Means that competent adult patients can make choices about health care that they perceive to be in their best interests after being appropriately informed about their particular health condition and the risks and benefits of alternative diagnostic tests and treatments.

Answer 59

Autonomy

Question 60

values involved in the equality of the distribution of goods, services, benefits, and burdens to the individual, family, or society

Answer 60

Justice

Question 61

Major cause of death ages 1 - 4

Answer 61

1) accidents 2) congenital anomalies 3) Homicide 4) Malignant neoplasms 5) diseases of the heart

Question 62

Major cause of death ages 5-14

Answer 62

1) Accidents 2) Malignant neoplasms 3) Suicide 4) congenital anomalies 5) Homicide 6) Diseases of the heart

Question 63

Major cause of death ages 15-24

Answer 63

1) Accidents 2) Suicide 3) Homicide 4) Malignant neoplasm 5) diseases of the heart

Question 64

What is HEADSSS

Answer 64

risk assessment for adolescents