Author Question: A newborn assessment shows a separated sagittal suture, oblique palpebral fissures, a depressed ... (Read 111 times)

mia · **on:** Jun 28, 2018

A newborn assessment shows a separated sagittal suture, oblique palpebral fissures, a depressed nasal bridge, a protruding tongue, and transverse palmar creases. These findings are most suggestive of which condition?

a. Microcephaly
b. Cerebral palsy
c. Down syndrome
d. Fragile X syndrome

Question 2

The nurse is discussing sexuality with the parents of an adolescent girl who has a moderate cognitive impairment. What factor should the nurse consider when dealing with this issue?

a. Sterilization is recommended for any adolescent with cognitive impairment.
b. Sexual drive and interest are very limited in individuals with cognitive impairment.
c. Individuals with cognitive impairment need a well-defined, concrete code of sexual conduct.
d. Sexual intercourse rarely occurs unless the individual with cognitive impairment is sexually abused.

bigsis44 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
These are characteristics associated with Down syndrome. An infant with microcephaly has a small head. Cerebral palsy is a diagnosis not usually made at birth; no characteristic physical signs are present. The infant with fragile X syndrome has increased head circumference; long, wide, or protruding ears; a long, narrow face with a prominent jaw; hypotonia; and a high-arched palate.

Answer to Question 2

Individuals with cognitive impairment need a well-defined, concrete code of sexual conduct.

Adolescents with moderate cognitive impairment may be easily persuaded and lack judgment. A well-defined, concrete code of conduct with specific instructions for handling certain situations should be defined for the adolescent. Permanent contraception by sterilization presents moral and ethical issues and may have psychologic effects on the adolescent. It may be prohibited in some states. The adolescent needs to have practical sexual information regarding physical development and contraception. Cognitively impaired individuals may desire to marry and have families. The adolescent needs to be protected from individuals who may make intimate advances.