Podcast
Questions and Answers
What is one of the roles of Vitamin D in the body?
What is one of the roles of Vitamin D in the body?
- To enhance DNA repair (correct)
- To develop pretend play skills
- To increase obsessive interests
- To improve social communication
What is a common symptom of autism in children under 18 months?
What is a common symptom of autism in children under 18 months?
- Having unusual reactions to sounds
- Not pointing at objects to show interest (correct)
- Giving unrelated answers to questions
- Having delayed speech and language skills
What is an example of a restricted, repetitive pattern of behavior in autism?
What is an example of a restricted, repetitive pattern of behavior in autism?
- Flapping the hands, rocking the body, or spinning in circles (correct)
- Playing pretend games with others
- Identifying and expressing emotions
- Responding to his or her name
What is a deficit in social-emotional reciprocity?
What is a deficit in social-emotional reciprocity?
At what age should a child typically respond to his or her name?
At what age should a child typically respond to his or her name?
What is an example of a deficit in non-verbal communication in autism?
What is an example of a deficit in non-verbal communication in autism?
What is a characteristic of autism according to DSM-V?
What is a characteristic of autism according to DSM-V?
What is a common symptom of autism in children over 18 months?
What is a common symptom of autism in children over 18 months?
What is one of the clinical manifestations of autism related to social interactions?
What is one of the clinical manifestations of autism related to social interactions?
What is the purpose of nurses interviewing the child's parents or caregiver prior to assessing the child?
What is the purpose of nurses interviewing the child's parents or caregiver prior to assessing the child?
What type of medication is sometimes prescribed to manage aggression, hyperactivity, or stereotypical or withdrawal behaviors?
What type of medication is sometimes prescribed to manage aggression, hyperactivity, or stereotypical or withdrawal behaviors?
What is one way that nurses can support caregivers of autistic children?
What is one way that nurses can support caregivers of autistic children?
What is one of the clinical manifestations of autism related to repetitive patterns of behavior?
What is one of the clinical manifestations of autism related to repetitive patterns of behavior?
What is one way that caregivers can prevent the child from wandering off?
What is one way that caregivers can prevent the child from wandering off?
What is one of the safety measures that caregivers can take to prevent injury?
What is one of the safety measures that caregivers can take to prevent injury?
What is one way that nurses can help caregivers access resources?
What is one way that nurses can help caregivers access resources?
What is the estimated prevalence of autism worldwide?
What is the estimated prevalence of autism worldwide?
What is the age range when autism typically appears?
What is the age range when autism typically appears?
What is the risk of recurrence of autism in siblings of an autistic child?
What is the risk of recurrence of autism in siblings of an autistic child?
What is a possible environmental factor that contributes to the etiology of autism?
What is a possible environmental factor that contributes to the etiology of autism?
What is the sex ratio of autism?
What is the sex ratio of autism?
What percentage of autistic children have known genetic mutations?
What percentage of autistic children have known genetic mutations?
What is the prevalence rate of autism in Egypt?
What is the prevalence rate of autism in Egypt?
What is true about the severity of autism in girls compared to boys?
What is true about the severity of autism in girls compared to boys?
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Study Notes
Autism Spectrum Disorder
- Autism is a disorder, not a disease, with unknown etiology and no exact treatment, and no two autistic children are the same.
Definition of Autism
- Autism is a chronic, complex developmental disability characterized by varied degrees of:
- Lack of communication and social interaction skills
- Association of repetitive and stereotyped behaviors
Incidence and Prevalence
- Autism prevalence is approximately 1% worldwide
- In the United States, autism occurs in 1 in 68 births
- Autism is more common among boys than girls (4:1), but the severity of autism is higher in girls than in boys
- In Egypt, the prevalence rate of autism is 1 in 870 children
Etiology
- No single known cause for autism, but combinations of genetic and environmental factors contribute to the disorder
- Genetic factors:
- 15% of autistic children have known genetic mutations
- 2-18% risk of recurrence of autism in siblings of the autistic child
- Environmental factors:
- Pregnant women's exposure to destructive chemicals or pollutants
- Early maternal or fetal exposure to certain viruses
- Vitamin D deficiency during pregnancy or early childhood
Developmental Red Flags
- Not responding to their name by age 12 months
- Not pointing at objects to show interest by age 14 months
- Not playing pretend games by age 18 months
- Avoiding eye contact and wanting to be alone
- Having trouble understanding other people's feelings or talking about their own feelings
- Having delayed speech and language skills
- Repeating words or phrases over and over
- Giving unrelated answers to questions
- Getting upset by minor changes
- Having obsessive interests
- Flapping the hands, rocking the body, or spinning in circles
- Having unusual reactions to the way things sound, smell, taste, look, or feel
Clinical Manifestations of Autism
- Clinical manifestations of autism vary greatly depending on the child's age, intellectual level, developmental level, linguistic ability, treatment history, and severity of autism
- Symptoms present before three years old and limit daily functioning
- Persistent impairment in social communication and social interaction
- Restricted, repetitive patterns of behavior, interests, or activities
Treatment and Nursing Intervention
- Medications may be used to treat symptoms and behaviors associated with autism
- Nurses must help autistic children and their families get the best possible care
- Nursing care for autistic children's parents:
- Educate parents about autism and involve them as co-therapists
- Assist them in accessing resources
- Provide support and guidance on creating a safe environment for the child
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