When caring for a newborn with Down syndrome, the nurse should be ...

[ss2343]

When caring for a newborn with Down syndrome, the nurse should be aware that the most common congenital anomaly associated with Down syndrome is:
 
  a. hypospadias.
  b. pyloric stenosis.
  c. congenital heart disease.
  d. congenital hip dysplasia.

Question 2

Mark, a 9-year-old with Down syndrome, is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs, such as Cub Scouts, that he might join.
 
  The nurse's recommendation should be based on which statement?
  a. Programs like Cub Scouts are inappropriate for children who are mentally retarded.
  b. Children with Down syndrome have the same need for socialization as other children.
  c. Children with Down syndrome socialize better with children who have similar disabilities.
  d. Parents of children with Down syndrome encourage programs, such as scouting, because they deny that their children have disabilities.

[soda0602]

Answer to Question 1

ANS: C
Congenital heart malformations, primarily septal defects, are the most common congenital anomaly in Down syndrome. Hypospadias, pyloric stenosis, and congenital hip dysplasia are not frequent congenital anomalies associated with Down syndrome.

Answer to Question 2

ANS: B
Children of all ages need peer relationships. Children with Down syndrome should have peer experiences similar to those of other children, such as group outings, Cub Scouts, and Special Olympics. Programs such as Cub Scouts can help children with cognitive impairment develop socialization skills. Although all children should have an opportunity to form a close relationship with someone of the same developmental level, it is appropriate for children with disabilities to develop relationships with children who do not have disabilities. The parents are acting as advocates for their child.