Author Question: The nurse is working with an infant who has trisomy 21 and an atrioventricular septal defect (AVC). ... (Read 41 times)

appyboo · **on:** Jun 27, 2018

The nurse is working with an infant who has trisomy 21 and an atrioventricular septal defect (AVC). The father asks the nurse about the percentage of children with Down syndrome who have atrioventricular septal defects.

Which of the following is the nurse's best explanation? a. Atrioventricular septal defects are very rare in children with Down syndrome because they usually occur without any other congenital anomalies.
b. About 50 of children with Down syndrome have some congenital heart defect, and many of these are associated with some degree of atrioventricular septal defect.
c. Less than 3 of children with Down syndrome will have an associated heart defect.
d. Approximately 90 of the children who are born with Down syndrome have atrioventricular septal defects.

Question 2

Who is usually the first to notice that something is wrong with vision or hearing in an infant?

a. infant's caregivers c. nurse
b. pediatrician d. relatives

Chou · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B

Feedback
A Incorrect. Fifty percent of children with Down syndrome have some form of congenital heart defect, many of which are atrioventricular septal defects. Therefore, AVCs are not rare in these children.
B Correct. The nurse's best explanation is that about 50 of children with Down syndrome have some congenital heart defect, and many of these are associated with some degree of atrioventricular septal defect.
C Incorrect. About 50 of children with Down syndrome will have an associated heart defect, not less than 3.
D Incorrect. Approximately 50 of children with Down syndrome have some form of congenital heart defect, many of which are atrioventricular septal defects.

Answer to Question 2

A

Feedback
A Correct. The infant's caregivers are usually the first to notice that something is wrong with vision or hearing in an infant.
B Incorrect. The pediatrician is not usually the first to notice that something is wrong with vision or hearing in an infant.
C Incorrect. The nurse is not usually the first to notice that something is wrong with vision or hearing in an infant.
D Incorrect. The relatives are not usually the first to notice that something is wrong with vision or hearing in an infant.