Congenital Hypothyroidism is common in infants with Down's ...

[Mimi]

Congenital Hypothyroidism is common in infants with Down's syndrome. Newborn screening for Congenital Hypothyroidism is required in all 50 states.
 
  Thyroid studies should be performed several times during the first years of life, and then a minimum of: 1. Every two months.
   2. Every month.
   3. Every six months.
   4. Yearly.

Question 2

Congenital Syphilis occurs when the spirochete Treponema palladium is transferred from the pregnant woman to her fetus. Education to the parent should include all of the following except:
 
  1. Infants can be asymptomatic for up to two years after birth.
   2. Any rash involving the palms and soles can have an appearance of copper.
   3. The central nervous system is rarely affected.
   4. Long bone abnormalities with possible fractures may limit movement and give an appearance of paralysis.

[TDubDCFL]

Answer to Question 1

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1. The child only needs to be tested once a year after the initial newborn screening.

2. The child does not need to be tested monthly. Once a year is sufficient for the findings.
3. The child does not need to be tested every six months. Screening once per year is sufficient.
4. Testing is done several times during the first year, and then should be done yearly after the initial screening.

Answer to Question 2

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1. Infants with Congenital Syphilis can be asymptomatic for up to two years.
2. The rash in Congenital Syphilis involves the palms and soles. It can start as pink or red in color and can turn dark or coppery.
3. The central nervous system involvement can occur with Congenital Syphilis and may involve seizures, hydrocephalous, and developmental delays.
4. Long bone abnormalities may limit movement, giving the appearance of paralysis.