CNM CNM Special Needs & Inclusive Care

Question 1

What is an Individualized Education Program (IEP) and why should a CNM be familiar with it?

Accepted Answer

A legally binding school plan outlining a child's special education services and goals; CNMs should be familiar to reinforce strategies at home

Answer

A home learning plan created by the nanny for children with developmental delays

Answer

A medical document that replaces a child's regular health records

Answer

A behavior modification plan created by the family without school input

Question 2

Autism Spectrum Disorder (ASD) is best described as:

Accepted Answer

A neurodevelopmental condition characterized by differences in social communication, sensory processing, and behavior with wide variability across individuals

Answer

A cognitive disability that always includes intellectual impairment

Answer

A behavioral disorder caused by parenting style

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A condition that exclusively affects boys and is outgrown by adolescence

Question 3

A child with sensory processing difficulties becomes distressed in loud or chaotic environments. A CNM should:

Accepted Answer

Provide a calm sensory retreat space and use predictable transitions to minimize sensory overwhelm

Answer

Insist the child participate in all activities to build tolerance

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Remove the child from all social activities permanently

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Administer the child's medication when sensory meltdowns occur

Question 4

What does 'inclusive care' mean in the context of nanny work?

Accepted Answer

Providing care that actively accommodates and values children of all abilities, backgrounds, and developmental profiles within the same environment

Answer

Caring for multiple children regardless of age differences

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Ensuring all household activities are available to siblings equally

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Including all family members in the daily care routine

Question 5

Attention-Deficit/Hyperactivity Disorder (ADHD) in children is best supported by a CNM through:

Accepted Answer

Clear, consistent structure, short task segments, movement breaks, and positive reinforcement strategies

Answer

Strict behavioral control and consequences for inattentive behavior

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Eliminating all stimulating activities from the child's day

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Reducing academic expectations and focusing only on physical play

Question 6

When caring for a child with a physical disability, a CNM's primary responsibility is to:

Accepted Answer

Facilitate maximum participation and independence while following the family's care plan and therapist recommendations

Answer

Perform all tasks for the child to prevent any risk of injury

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Limit the child's activities to those they can complete entirely without assistance

Answer

Wait for explicit parent instruction before attempting any activity with the child