Deck 19: Special Needs of the International Adoptee

Question 1

There has been a decrease in immigration to the United States.

Answer 1

False

Question 2

The adopted and immigrant child's health history is often nonexistent. What information there is may be false or inaccurate due to numerous factors.

Answer 2

True

Question 3

Under new immigration laws effective July 1, 1997, all individuals seeking permanent entry into the United States must prove that they have been inoculated against all vaccine-preventable diseases.

Answer 3

True

Question 4

Unless the parents report symptoms that need urgent attention or the child has a known chronic disease, the child should be seen by a health-care provider within 28 days from arrival to his or her new home.

Question 5

Match each item to the statement or sentence listed below.

-Neglect, abuse, traumatic separation from primary caregiver.

A)Reactive attachment disorder (RAD)
B)Fetal alcohol syndrome
C)Turner's syndrome
D)Rickets
E)Cerebral palsy

Question 6

Match each item to the statement or sentence listed below.

-45X chromosome anomaly.

A)Reactive attachment disorder (RAD)
B)Fetal alcohol syndrome
C)Turner's syndrome
D)Rickets
E)Cerebral palsy

Question 7

Match each item to the statement or sentence listed below.

-Short stature, shield-like chest, wide-spaced nipples, puffy hands/feet, low posterior hairline, and webbed neck.

A)Reactive attachment disorder (RAD)
B)Fetal alcohol syndrome
C)Turner's syndrome
D)Rickets
E)Cerebral palsy

Question 8

Match each item to the statement or sentence listed below.

-Bowing legs, fractures, growth failure, enlarged knees and wrists.

A)Reactive attachment disorder (RAD)
B)Fetal alcohol syndrome
C)Turner's syndrome
D)Rickets
E)Cerebral palsy

Question 9

Match each item to the statement or sentence listed below.

-Perinatal hypoxia due to in utero cord strangulation.

A)Reactive attachment disorder (RAD)
B)Fetal alcohol syndrome
C)Turner's syndrome
D)Rickets
E)Cerebral palsy

Question 10

Match each item to the statement or sentence listed below.

-Vitamin D deficiency.

A)Reactive attachment disorder (RAD)
B)Fetal alcohol syndrome
C)Turner's syndrome
D)Rickets
E)Cerebral palsy

Question 11

Match each item to the statement or sentence listed below.

-Teratogen exposure.

A)Reactive attachment disorder (RAD)
B)Fetal alcohol syndrome
C)Turner's syndrome
D)Rickets
E)Cerebral palsy

Question 12

Match each item to the statement or sentence listed below.

-Decreased affection reciprocity.

A)Reactive attachment disorder (RAD)
B)Fetal alcohol syndrome
C)Turner's syndrome
D)Rickets
E)Cerebral palsy

Question 13

Match each item to the statement or sentence listed below.

-Flat nasal bridge, upturned nose, elongated, less prominent philtrum, low-set ears, thin upper lip, and sharp chin.

A)Reactive attachment disorder (RAD)
B)Fetal alcohol syndrome
C)Turner's syndrome
D)Rickets
E)Cerebral palsy

Question 14

The following common conditions should be screened for in children entering the United States except:

A)Fetal alcohol syndrome.
B)Malnutrition.
C)Anemia.
D)Strep.

Question 15

It is safer to repeat the immunizations or to draw immunization blood titers if the records are questionable or if the children are from orphanages in Eastern Europe, China, or Russia because:

A)Immunizations are given but are poorly documented.
B)Immunization administration intervals are not appropriate.
C)The strength of immunization given may stimulate adequate antibodies.
D)Storage facilities are adequate.

Question 16

A psychosocial assessment of the international adoptee is essential during the physical examination in order to screen for common problems related to:

A)Attachment in children who experienced prolonged institutionalization neglect.
B)Avoidance of many negative effects of institutionalism by some children because they are social.
C)The ability to attract favorable attention.
D)Placement of prospective adoptees in foster homes.

Question 17

If immunization administration intervals are not appropriate, the immunization may not ________________ adequate antibodies.

Question 18

The gold standard for medical evaluation of internationally adopted children is the American Academy of Pediatrics, 2009 _______________: Report of the Committee on Infectious Disease.

Question 19

Reasons immunization records may be inadequate are falsified records, dates, treatments, names, information, and __________________________________________________.

Question 20

Language development should be assessed by someone fluent in the child's ___________________________.