A nurse is assessing a newborn who has Trisomy 21 (Down's Syndrome). Which of the following are common characteristics? (Select all that apply.)

Large ears

Protruding tongue

Transverse palmar creases

Muscular hypertonicity

Low birth weight

Answer and Explanation

Correct Answer : B,C

B. A protruding tongue, often due to a small mouth and poor muscle tone (hypotonia), is a common feature of Down syndrome. This tongue appearance can contribute to difficulties with feeding and speech development.

C. Instead of a single palmar crease (known as a simian crease), individuals with Down syndrome often have transverse palmar creases. This occurs in about 45-50% of cases and is considered a characteristic feature.

A. While large ears are not typically listed as a common feature, individuals with Down's Syndrome may have unusually shaped or small ears.

D. Hypertonicity refers to increased muscle tone or stiffness. In Down syndrome, however, hypotonia (reduced muscle tone) is more common, especially in infancy. Therefore, muscular hypertonicity is not typically associated with Down syndrome.

E While low birth weight can occur in some infants with Down syndrome, it is not a universal characteristic. In fact, some infants with Down syndrome may be born at average or even slightly higher birth weights.

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Correct Answer is A

Explanation

A. After childbirth, the uterus undergoes involution, which is the process of returning to its pre-pregnancy size and position. A displaced fundus from the midline could indicate uterine atony (failure of the uterus to contract), which can lead to postpartum hemorrhage. This finding requires immediate intervention, as postpartum hemorrhage is a significant concern and can be life-threatening if not promptly managed.

B. It is normal for the uterine fundus to gradually descend in the days following childbirth. However, the fundal height being below the umbilicus on the first day postpartum is expected as involution progresses. It does not typically require immediate intervention unless accompanied by other signs of uterine atony or excessive bleeding.

C. Increased urine output is generally a positive finding postpartum, as it indicates the resolution of fluid retention that commonly occurs during pregnancy. It helps prevent postpartum fluid overload and supports the body's adjustment to postpartum changes. This finding does not require immediate intervention unless it is excessive and suggestive of a diuresis that leads to dehydration.

D. Postpartum women may experience decreased urge to void initially due to perineal discomfort, fear of pain, or the effects of anesthesia. However, if the decreased urge persists and leads to inadequate urine output, it could indicate urinary retention, which requires assessment and intervention to prevent bladder distension and potential urinary tract complications.

Correct Answer is ["7"]

Explanation

Volume= Desired dose/ available concentration in 1ml Available concentration per ml= 250mg/5ml= 50mg per ml Volume= 350mg/50mg per ml= 7ml

Therefore, the nurse should administer 7ml of amoxicillin

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A nurse is assessing a newborn who has Trisomy 21 (Down's Syndrome). Which of the following are common characteristics? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is performing a physical examination of-a client who is 1 day postpartum. Which of the following findings requires immediate intervention?

Correct Answer is A

Explanation

A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

Correct Answer is ["7"]

Explanation

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