A nurse is reinforcing education to the parent of a 5-year-old client who has manifestations consistent with autism spectrum disorder (ASD). Which of the following statements should the nurse reinforce about the screening process for ASD?
"Screening involves a combination of parent interviews, observations, and standardized developmental screening tools."
"ASD can be definitively diagnosed with a simple blood test, so we will schedule one for your child."
"The screening process for ASLs usually completed in one visit to the healthcare provider."
"If your child makes eye contact with you we can rule out autism spectrum disorder."
The Correct Answer is A
A. "Screening involves a combination of parent interviews, observations, and standardized developmental screening tools." The diagnosis of autism spectrum disorder (ASD) is based on behavioral assessments, including parent-reported history, clinical observations, and standardized screening tools such as the Modified Checklist for Autism in Toddlers (M-CHAT).
B. "ASD can be definitively diagnosed with a simple blood test, so we will schedule one for your child." There is no blood test or biomarker that can diagnose ASD. Diagnosis is based on behavioral and developmental criteria rather than laboratory tests.
C. "The screening process for ASD is usually completed in one visit to the healthcare provider." ASD screening and diagnosis require multiple evaluations over time, often involving developmental specialists, psychologists, and speech therapists to get a comprehensive understanding of the child’s behaviors.
D. "If your child makes eye contact with you, we can rule out autism spectrum disorder." While reduced eye contact is a common characteristic of ASD, some children with ASD do make eye contact, and the presence or absence of this behavior alone does not confirm or rule out the disorder.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Cognitive abilities in children with Down syndrome cannot be improved, so focusing on physical health is the only priority." While children with Down syndrome do experience cognitive impairments, early intervention programs such as speech, occupational, and physical therapy can enhance cognitive, motor, and social development, improving their overall functioning.
B. "Infants who have Down syndrome typically have significantly higher IQ scores compared to typically developing infants." Children with Down syndrome generally have mild to moderate intellectual disability, and their IQ scores tend to be lower than typically developing peers, not higher.
C. "Early intervention programs can mitigate cognitive impairments in infants who have Down syndrome." This is correct. Early stimulation, structured learning environments, and specialized therapies can help optimize the child's cognitive potential and improve adaptive skills.
D. "Cognitive abilities of infants who have Down syndrome are typically within the average range during the first year of life." Although some developmental milestones may appear similar in early infancy, delays in cognitive and motor development often become noticeable within the first year, distinguishing children with Down syndrome from their typically developing peers.
Correct Answer is B
Explanation
A. The vaccine is administered subcutaneously, or just underneath the skin. The pneumococcal vaccine (PCV13) is given intramuscularly (IM), not subcutaneously. The preferred injection sites are the anterolateral thigh (for infants) or the deltoid muscle (for older children).
B. The first dose of the vaccine is administered at 2 months of age. This is correct. The pneumococcal conjugate vaccine (PCV13) is routinely given at 2, 4, 6, and 12–15 months of age to protect against Streptococcus pneumoniae, which can cause pneumonia, meningitis, and sepsis.
C. The vaccine is contraindicated in individuals who are allergic to gelatin. This is incorrect. The pneumococcal vaccine is not formulated with gelatin. Gelatin allergies are more relevant for vaccines like MMR and varicella. However, PCV13 should not be given to those with severe allergic reactions to any previous dose of the vaccine.
D. The vaccine is given in a series of six doses spread throughout the first 5 years of life. The PCV13 vaccine is given in a series of four doses, not six. While some high-risk children may require additional doses of PPSV23 (pneumococcal polysaccharide vaccine), the routine childhood schedule consists of four doses.
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