Answer to Question 1
B
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A Down syndrome is often identified at birth by characteristic facial and head
features, such as brachycephaly (disproportionate shortness of the head); flat
profile; inner epicanthal folds; wide, flat nasal bridge; narrow, high-arched
palate; protruding tongue; and small, short ears, which may be low set. Although
intellectual impairment may be present, the symptoms listed are not the primary
ones expected in the diagnosis of Down syndrome.
B These are symptoms of intellectual disability.
C Psychosocial deprivation may be a cause of mild intellectual disability. The
symptoms listed are characteristic of severe intellectual disability.
D Symptoms of separation anxiety include protest, despair, and detachment.
Answer to Question 2
D
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There is a tendency to organize health instructions during pregnancy around the baby; however, this approach may be inappropriate early in pregnancy, before the fetus stirs, and before a woman is convinced not only she is pregnant but also there is a baby inside her. At early stages, a woman may be much more interested in doing things for herself because it is her body, her tiredness, and her well-being that will be directly affected. The nurse should instruct the patient to drink more milk to improve fingernail strength. The statements that address fetal development are inappropriate for the nurse to use for health teaching at this time.
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