CNM CNM Special Needs & Inclusive Care 3

Question 1

What does the Americans with Disabilities Act (ADA) mean for a nanny agency's hiring practices?

Accepted Answer

Agencies covered by the ADA cannot discriminate against qualified nanny candidates with disabilities and must provide reasonable accommodations

Answer

Private nanny agencies are fully exempt from ADA requirements

Answer

The ADA only protects clients with disabilities, not nanny employees

Answer

Agencies must exclusively hire nannies with disabilities to comply

Question 2

A CNM notices a child in care is showing signs of regression (returning to earlier developmental behaviors) after a family crisis. The appropriate response is to:

Accepted Answer

Provide calm, consistent, non-judgmental support and inform the parents so they can engage appropriate professional help if needed

Answer

Discipline the child for regressive behaviors to halt the pattern

Answer

Ignore the regression as it is temporary and will self-resolve

Answer

Immediately contact child protective services as regression always indicates abuse

Question 3

What is the role of an occupational therapist (OT) in supporting a child with fine motor delays, and how should a CNM collaborate with them?

Accepted Answer

OTs assess and treat fine motor, sensory, and daily living skills; CNMs should implement recommended home strategies consistently to reinforce therapy gains

Answer

OTs replace the nanny's role during therapy hours and CNMs are not involved

Answer

CNMs should create their own independent fine motor program to complement OT

Answer

OT involvement is only relevant in school settings and not applicable to home care

Question 4

A child in the CNM's care uses augmentative and alternative communication (AAC) devices. The CNM should:

Accepted Answer

Learn to use the device alongside the child, honor all communication attempts, and ensure the device is always accessible to the child

Answer

Encourage the child to use spoken words instead to reduce device dependency

Answer

Only allow AAC use during scheduled therapy sessions

Answer

Store the device safely and only give it to the child when parents are present

Question 5

Which of the following best describes a 'sensory diet' as recommended by occupational therapists?

Accepted Answer

A personalized schedule of sensory activities throughout the day that helps a child with sensory processing differences maintain an optimal state of arousal and regulation

Answer

A meal plan designed to reduce food sensitivities in children with autism

Answer

A restriction of all sensory stimulation for children with sensory overload tendencies

Answer

A therapeutic diet that eliminates artificial additives linked to hyperactivity

Question 6

When a child with medical needs (such as diabetes or epilepsy) is in a CNM's care, what is the most critical preparatory step?

Accepted Answer

Obtain a detailed medical action plan from parents and relevant healthcare providers, and ensure all emergency protocols and medications are understood and accessible

Answer

Acquire general medical training and manage the condition based on personal judgment

Answer

Restrict the child's activities to prevent any health risk

Answer

Contact the child's school nurse daily for guidance on managing the condition