You are meeting a couple who are going to adopt a 1-year-old girl; they are asking you about medical investigations that are needed for the child before adoption. Of the following, the LEAST likely required investigation for the adoption of this girl is

Correct Answer: C

Rationale: Screening for sexually transmitted diseases is less likely to be required in a 1-year-old unless there is specific concern for abuse or neglect.

Correct Answer: D

Rationale: According to the American Cancer Society guidelines, women with average risk for breast cancer should start getting mammograms every 2 years starting at age 40. Since the client is not considered at high risk for breast cancer, this recommendation applies to her. Regular mammograms are important for early detection of breast cancer, even in those at average risk. It is also important for the client to perform monthly breast self-exams and report any changes or concerns to her healthcare provider.

Correct Answer: B

Rationale: CNS lesions are not commonly associated with congenital diaphragmatic hernia. The other anomalies are frequently seen in conjunction with CDH.

Correct Answer: D

Rationale: Cardiomyopathy is not a complication of neonatal jaundice. The primary risks associated with jaundice, particularly if untreated, include kernicterus, neurological damage, and hearing loss.

Correct Answer: D

Rationale: Separation anxiety disorder is characterized by excessive distress when away from a parent and avoidance behaviors, often triggered by major life changes.