A nurse is caring for a client at an outpatient clinic.

For each assessment finding, click to specify if the finding is consistent with amyotrophic lateral sclerosis (ALS) or multiple sclerosis (MS). Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

A. Syphilis: Syphilis is a nationally notifiable disease in the United States. Healthcare providers are required to report cases to local or state public health authorities to facilitate disease tracking, outbreak management, and public health interventions.

B. Trichomoniasis: Trichomoniasis is not a nationally notifiable disease. While it is a common sexually transmitted infection, reporting is not required by law at the national level, though some states may have local reporting requirements.

C. Genital herpes: Genital herpes is not nationally reportable because it is highly prevalent and often managed in outpatient settings without mandatory reporting. Surveillance focuses on population studies rather than individual case reporting.

D. Human papillomavirus (HPV): HPV infections are not nationally notifiable. Although HPV is common and associated with cancers, individual cases are not reported to public health authorities. Reporting is limited to cancer registries for HPV-related malignancies.

A. Speech pathologist: Infants who undergo cheiloplasty (surgical repair of a cleft lip) may experience difficulties with feeding, swallowing, and later speech development. Collaboration with a speech pathologist ensures the infant receives guidance on feeding techniques and early intervention for speech and language development.

B. Facility chaplain: While a chaplain can provide emotional and spiritual support to the family, they are not directly involved in the infant’s functional outcomes related to cheiloplasty. Their role is supportive rather than interventional for feeding or speech development.

C. Physical therapist: Physical therapy is not typically indicated after cheiloplasty unless there are unrelated musculoskeletal concerns. It does not address the primary needs related to feeding or speech associated with cleft lip repair.

D. Orthopedic specialist: An orthopedic specialist manages musculoskeletal conditions and would not be involved in the care or rehabilitation of an infant following cleft lip repair unless there were unrelated orthopedic issues.