The nurse is teaching the parents of a 1-month-old girl with Down ...

[charchew]

The nurse is teaching the parents of a 1-month-old girl with Down syndrome how to maintain good health for the child. Which instruction would the nurse be least likely to include?
 
  A) Getting cervical radiographs between 3 and 5 years of age
  B) Adhering to the special dietary needs of the child
  C) Getting an echocardiogram before 3 months of age
  D) Monitoring for symptoms of respiratory infection

Question 2

The nurse is assessing a 4-year-old boy whose mother was 40 years old when he was born. Which of the following findings suggests this child has a genetic disorder?
 
  A) Inquiry determines the child had feeding problems.
  B) Observation shows nasal congestion and excess mucus.
  C) Inspection reveals low-set ears with lobe creases.
  D) Auscultation reveals the presence of wheezing.

[aliotak]

Answer to Question 1

B
Feedback:
Children with Down syndrome do not require a special diet unless underlying gastrointestinal disease is present. However, a balanced, high-fiber diet and regular exercise are important. Getting cervical radiographs between 3 and 5 years of age is the screening method for atlantoaxial instability, which is seen in about 14 of children with Down syndrome. Evaluation by a pediatric cardiologist before 3 months of age, including an echocardiogram, is important since children with Down syndrome are at higher risk for heart disease. The child will be more susceptible to infectious diseases.

Answer to Question 2

C
Feedback:
Low-set ears are associated with numerous genetic dysmorphisms. Additionally, the mother's age during pregnancy is a risk factor for genetic disorders. Feeding problems could have been due to low birthweight, prematurity, or a variety of other reasons. The nasal congestion may be a cold. The wheezing could be bronchiolitis or asthma.

[charchew]

Correct answers!

[aliotak]

Great! Please up vote