CNM CNM Special Needs & Inclusive Care 2

Question 1

What is Applied Behavior Analysis (ABA) and how might a CNM encounter it?

Accepted Answer

A therapy used with children with ASD and other developmental conditions that uses reinforcement to teach skills; CNMs may be asked to implement home-based ABA strategies

Answer

A nutritional assessment tool used in pediatric care planning

Answer

A legal framework governing children's educational rights

Answer

A play therapy approach using unstructured creative expression

Question 2

A child in care has a documented peanut allergy with a prescribed epinephrine auto-injector (EpiPen). The CNM must:

Accepted Answer

Know the location of the EpiPen, how to administer it, and have an emergency action plan and know when to call 911

Answer

Keep the EpiPen locked away and only use it if the parent is present

Answer

Administer the EpiPen at the first sign of any food-related discomfort

Answer

Avoid all food activities to ensure the EpiPen is never needed

Question 3

What is 'person-first language' and why does it matter in special needs care?

Accepted Answer

Language that identifies the person before the disability (e.g., 'child with autism' rather than 'autistic child') to affirm the person's full humanity

Answer

Language adapted for children who are learning to speak

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A communication strategy used exclusively in medical settings

Answer

Sign language interpretation used for children with hearing impairments

Question 4

A child with Down syndrome is in the CNM's care. Which approach best supports the child's development?

Accepted Answer

Follow therapist-recommended activities, use clear and consistent communication, celebrate all progress, and have high but realistic expectations

Answer

Limit stimulation to prevent overstimulation and anxiety

Answer

Focus exclusively on independent living skills rather than academic or social activities

Answer

Treat the child identically to neurotypical children without any accommodations

Question 5

What is a visual schedule and why is it effective for children with developmental differences?

Accepted Answer

A sequence of pictures or symbols representing the day's routine; it reduces anxiety by making abstract time concepts concrete and predictable

Answer

A printed daily menu posted in the kitchen for meal planning purposes

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A behavioral tracking chart used to record incidents for therapists

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A visual aid used only in school settings for group instruction

Question 6

A child with a speech delay is in care. A CNM can best support language development by:

Accepted Answer

Narrating daily activities, expanding on the child's attempts to communicate, reading aloud regularly, and following speech therapist guidance

Answer

Refraining from speaking to the child to avoid creating frustration

Answer

Correcting all speech errors immediately to build correct patterns

Answer

Waiting for the child to initiate all verbal communication before responding