Author Question: When providing guidance to the parents of a child with Down syndrome, which of the following would ... (Read 37 times)

lidoalex · **on:** Jun 27, 2018

When providing guidance to the parents of a child with Down syndrome, which of the following would be most appropriate?

A) Encourage the parents to home-school the child.
B) Advise the parents that the child will need monthly thyroid testing.
C) Instruct them on the need for yearly dental visits.
D) Teach the parents about the need for a high-fiber diet.

Question 2

The nurse is teaching a couple about X-linked disorders. They are concerned that they might pass on hemophilia to their children. Which of the following responses indicates the need for further teaching?

A) The father can't be a carrier if he doesn't have hemophilia..
B) If the father doesn't have it, then his kids won't either..
C) If the mother is a carrier, her daughter could be one too..
D) If the mother is a carrier, her sons may have hemophilia..

Loise Hard · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback:
A high-fiber intake is important for children with Down syndrome because their lack of muscle tone may decrease peristalsis, leading to constipation. Early intervention programs with special education are important to promote growth and development. The child should be integrated into mainstream education whenever possible. Children with Down syndrome should undergo thyroid testing yearly and see the dentist every 6 months.

Answer to Question 2

B
Feedback:
Hemophilia is an X-linked recessive disorder. This means that both the father and the mother must have the gene for hemophilia to pass it on to their children. Also, their male children will have hemophilia, while their female children have only a 50 chance of having the disorder. If the father has hemophilia and the mother has hemophilia, their children will have the disease. If the father has hemophilia and the mother is a carrier, all their children have a 50 chance of getting the disease.