Nokea
What characteristics are typical in a child diagnosed with Down syndrome?
- A. Close-set eyes
- B. Simian creases
- C. Wide-spaced front teeth
- D. Protruding tongue
- E. Curved, small fingers
Correct Answer: A,B,D,E
Rationale: Children with Down syndrome have close-set upturned eyes, simian creases, protruding tongue, and curved, small fingers.
You may also like to solve these questions
What is the most appropriate response?
- A. Cystic fibrosis is a chromosomal defect.'
- B. Cystic fibrosis is a metabolic defect.'
- C. Cystic fibrosis is a malformation present at birth.'
- D. Cystic fibrosis is a blood disorder.'
Correct Answer: B
Rationale: Cystic fibrosis is an inborn error of metabolism due to a deficiency of an enzyme necessary for cell metabolism.
What body system has the highest risk of congenital anomaly in a child with Down syndrome?
- A. Reproductive system
- B. Genitourinary system
- C. Cardiovascular system
- D. Gastrointestinal system
Correct Answer: C
Rationale: Children with Down syndrome are prone to congenital cardiovascular system deformities.
What assessment findings can the nurse anticipate?
- A. High blood glucose levels
- B. Weight of 9 pounds or more
- C. Decreased subcutaneous fat
- D. Hypocalcemia
- E. Hyperbilirubinemia
Correct Answer: B,D,E
Rationale: Macrosomic newborns of diabetic mothers often weigh over 9 pounds and are prone to hypocalcemia and hyperbilirubinemia due to metabolic changes.
How should the nurse position this infant?
- A. Prone, with the head of the bed elevated
- B. Supine, with the head flat
- C. Side-lying on the operative side
- D. In a semi-Fowler's position
Correct Answer: D
Rationale: A semi-Fowler's position promotes drainage from the ventricles through the shunt in an infant with bulging fontanelles post-ventriculoperitoneal shunt.
The nurse in the newborn nursery is watchful for neonatal abstinence syndrome in the newborn of a mother who took opioids during pregnancyWhat would be the manifestations of this syndrome?
- A. Body tremors
- B. Excessive sneezing
- C. Hyperirritability
- D. Drowsiness
- E. Excessive appetite
Correct Answer: A,B,C
Rationale: Neonatal abstinence syndrome manifests as tremors, hyperirritability, and excessive sneezing due to opioid withdrawal.