A mother is asking the nurse about the age her daughter with ...

[tichca]

A mother is asking the nurse about the age her daughter with Down's syndrome can be expected to start walking. Her other three children were walking by 10 months of age.
 
  The nurse knows that motor skill development for children with Down's syndrome takes: 1. About the same amount of time as children without Down's syndrome.
   2. About twice as long as usual for a child without Down's syndrome.
   3. About three times as long as usual for a child without Down's syndrome.
   4. A significantly long time, with a large majority never learning to walk.

Question 2

Which of the following is a consideration in the assessment of a Spanish-speaking patient?
 
  1. There is no need to consider a Spanish-speaking patient since the nurse is unlikely to encounter one.
   2. There are many easy to use Spanish pain reporting tools out there.
   3. Spanish-speaking patients should learn to report pain using English scales to make it easier for the nurse.
   4. Finding accurate Spanish tools to assist in the reporting of pain can be difficult since colloquialisms vary greatly between Spanish-speaking countries.

[jessofishing]

Answer to Question 1

2
Feedback
1. Because of the hypotonia, children with Down's syndrome lag behind in motor skill development.
2. An infant with Down's syndrome usually needs twice the length of time to develop motor skills.
3. An infant with Down's syndrome usually needs twice the length of time to develop motor skills.
4. An infant with Down's syndrome takes more time to develop motor skills, but does eventually learn to walk.

Answer to Question 2

4
Feedback
1. The Spanish-speaking population in the United States is in the millions and has increased in recent years. The nurse needs to be able to assist the patient in reporting their pain.
2. There has been very little research into pediatric pain reporting tools in Spanish. This can make it difficult for the nurse to find an easy way for the patient to report pain.
3. Expecting the patient to learn English terms to accurately describe their pain can lead to undue stress during the illness as well as underreporting of pain due to lack of knowledge of appropriate terms.
4. Colloquialisms for pain generally vary greatly within Spanish, depending on what area the patient originates from.

[tichca]

Thanks for the timely response, appreciate it

[dantucker]

Gracias!