Question 1

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

Accepted Answer

Immigration patterns fluctuate over time due to various factors such as policy changes, economic conditions, and global events, but overall, the United States has seen periods of both increase and decrease in immigration rates. Historically, the U.S. has been a major destination for immigrants, and while there may be short-term decreases, the long-term trend has shown growth in immigrant populations.

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.

Accepted Answer

Adopted and immigrant children's health histories can be incomplete, inaccurate, or nonexistent due to various factors such as lack of documentation, discrepancies in medical records from their country of origin, or intentional falsification.

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.

Accepted Answer

The Immigration and Nationality Act was amended in 1996 to require immigrants to show proof of vaccination against vaccine-preventable diseases starting July 1, 1997.

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.

Accepted Answer

The recommended timeframe for a child to be seen by a health-care provider after arriving at a new home varies depending on the specific guidelines of a country or organization, and there is no universal rule stating it must be within 28 days. Immediate medical evaluation is advised if there are urgent health concerns or symptoms, but the exact timing for a routine check-up can differ.

Question 5

Match each item to the statement or sentence listed below.
-Neglect, abuse, traumatic separation from primary caregiver.

Accepted Answer

Reactive Attachment Disorder (RAD) is a condition found in children who have received grossly negligent care and do not form a healthy emotional attachment with their primary caregivers. It can result from a variety of situations, including neglect, abuse, or traumatic separation from primary caregivers.

Question 6

Match each item to the statement or sentence listed below.
-45X chromosome anomaly.

Accepted Answer

Turner's syndrome is characterized by a 45X chromosome anomaly, where an individual, typically female, has only one X chromosome instead of the usual two (XX).

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.

Accepted Answer

These are characteristic physical features of Turner's syndrome, a condition affecting females, where there is a partial or complete loss of one of the X chromosomes.

Question 8

Match each item to the statement or sentence listed below.
-Bowing legs, fractures, growth failure, enlarged knees and wrists.

Accepted Answer

Rickets is characterized by symptoms such as bowing legs, fractures, growth failure, and enlarged knees and wrists, due to vitamin D deficiency leading to softening and weakening of the bones.

Question 9

Match each item to the statement or sentence listed below.
-Perinatal hypoxia due to in utero cord strangulation.

Accepted Answer

Perinatal hypoxia due to in utero cord strangulation can lead to brain damage, which is a common cause of cerebral palsy. Cerebral palsy is a group of permanent movement disorders that appear in early childhood, often resulting from damage to the brain before, during, or shortly after birth.

Question 10

Match each item to the statement or sentence listed below.
-Vitamin D deficiency.

Accepted Answer

Rickets is a condition that results from vitamin D deficiency, leading to softening and weakening of the bones in children.

Question 11

Match each item to the statement or sentence listed below.
-Teratogen exposure.

Accepted Answer

Fetal alcohol syndrome is caused by exposure to alcohol during pregnancy, which is a type of teratogen.

Question 12

Match each item to the statement or sentence listed below.
-Decreased affection reciprocity.

Accepted Answer

Reactive Attachment Disorder (RAD) is characterized by markedly disturbed and developmentally inappropriate ways of relating socially in most contexts. Decreased affection reciprocity is a key feature, as children with RAD often do not seek comfort when distressed and do not respond to comforting efforts of caregivers.

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.

Accepted Answer

The physical features described, such as a flat nasal bridge, upturned nose, elongated and less prominent philtrum, low-set ears, thin upper lip, and sharp chin, are characteristic of Fetal Alcohol Syndrome (FAS). FAS is a condition resulting from alcohol exposure during the mother's pregnancy, causing various developmental and physical problems in the child.

Question 14

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

Accepted Answer

Strep is not a condition that is commonly screened for in children entering the United States.

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:

Accepted Answer

The answer of It is safer to repeat the immunizations...

Question 16

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

Accepted Answer

Attachment issues are common in children who have experienced prolonged institutionalization or neglect, as these conditions can significantly impact their ability to form healthy attachments.

Question 17

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

Accepted Answer

The answer of If immunization administration intervals are not appropriate,...

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.

Accepted Answer

The answer of The gold standard for medical evaluation of...

Question 19

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

Accepted Answer

The answer of Reasons immunization records may be inadequate are...

Question 20

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

Accepted Answer

The answer of Language development should be assessed by someone...

Quiz 19: Special Needs of the International Adoptee

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

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

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.

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.

Match each item to the statement or sentence listed below. -Neglect, abuse, traumatic separation from primary caregiver.

Match each item to the statement or sentence listed below. -45X chromosome anomaly.

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.

Match each item to the statement or sentence listed below. -Bowing legs, fractures, growth failure, enlarged knees and wrists.

Match each item to the statement or sentence listed below. -Perinatal hypoxia due to in utero cord strangulation.

Match each item to the statement or sentence listed below. -Vitamin D deficiency.

Match each item to the statement or sentence listed below. -Teratogen exposure.

Match each item to the statement or sentence listed below. -Decreased affection reciprocity.

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.