Assessment - What is the question assessing for?
“In the past few weeks, have you or your child been in an enclosed space (at home, in a car, at work or daycare, etc.) while someone smoked or vaped?”
environmental smoke exposure
During a mid-certification appointment for an 18-month-old, caregiver shared that their child is allergic to peanuts and tree nuts, experiences face swelling and rashes if they eat nuts.
food allergy
The CPA must assess for risks at these appointments.
IC, SC, PECA, MCHA
Where would the CPA go in a participant’s chart to document migrant status?
family demographics
A pregnant participant shares she was diagnosed with preeclampsia during her last pregnancy
hx Preeclampsia is not considered high risk
“what does your child drink their beverages out of?”
inappropriate use of a bottle or cup
During an initial certification for a newborn, mom shares that she is exclusively breastfeeding baby. Baby is not currently taking any vitamins or supplements.
inadequate vitamin D supplementation
True or False. If a participant shares a new risk factor during a 2C or FBI appointment, it does not need to be documented since the certification has already been done.
False
To select the risk factor “not supporting development/feeding relationship”, the CPA could go to either of these 2 sections of a participant’s chart.
Dietary and Health, or Assigned Risk Factors quick entry
When measurements are entered for a 3-year-old, their BMI is in the 98th percentile on their growth chart.
High Risk for BMI > 95th percentile
“what have you heard about starting solid foods?”
early introduction to solids (if < 6 mos)
During a subsequent certification appointment for a postpartum breastfeeding participant, she shares that she uses marijuana daily for chronic pain management.
Alcohol or drug use
True or False. The CPA has the option to make a participant high risk by professional discretion at the certification appointment if he or she determines the participant should see a dietitian.
True
True or False. A participant’s iron is low when the CPA enters the hemoglobin value in Cascades. The CPA would then need to manually add “low iron” as a risk factor.
False, Cascades adds this risk factor automatically based on value entered in anthro/lab tab
A parent shares their child is lactose intolerant.
not high risk
“Do you eat any items, such as carpet fibers, paint chips, soil, or other items that are not food?”
pica
A pregnant participant shares that they and their family drink raw milk at home.
potentially contaminated foods
If a risk factor no longer applies, or a risk was entered in error, what would next steps be per WIC policy?
Write a note in the individual care plan about the change/error.
WIC receives an MDF for neosure with “low birth weight” and “preterm or early delivery” both marked as the diagnoses. This risk factor would need to be added if not already selected. Where would the CPA go to document these diagnoses?
Health Information tab under Medical Health Conditions, select “other conditions” and add MDF info in the sticky note, would also need to go into “assigned risks” and hit save.
A parent shares their child has Asthma, and uses an albuterol inhaler daily.
High Risk, shows up under “other medical conditions”
“Are you taking any prescribed or over-the-counter medications?”
Drug nutrient interactions
During a subsequent certification appointment for a 2-year-old, dad shares that at the 2-year WCV their child had lab work done and lead results were 4.0 mcg/dL.
High Blook Lead Level – for children, CDC reference level is 3.5 mcg/dL.
True or False. During a subsequent certification appointment for a pregnant participant, they share that they have not had glucose testing done yet, and no history of diabetes, but they think they may have gestational diabetes because they have to use the restroom often and have heard frequent urination is a sign of diabetes. Per WIC policy, the CPA should add gestational diabetes as a risk factor.
false, needs to be a diagnosed health condition
What steps would the CPA need to take to mark a participant is high risk when no other risk factors apply but they feel they should see a RD?
Under Certification Summary, Certification Details/high risk select “yes”, document reason in the sticky note; and also document in the individual care plan note.
A participant shares she has a thyroid disorder.
not high risk