A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?

Sparse eyelashes

Reports cracked skin on feet

Reports persistent neck pain

Hyperflexibility

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.

Choice B rationale:

Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.

Choice C rationale:

Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.

Choice D rationale:

Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.

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Correct Answer is C

Explanation

Choice A rationale:

Maternal hemoglobin and hematocrit levels are important indicators of the mother's health but are not direct indicators of fetal well-being.

Choice B rationale:

A Coombs test is performed on newborns to assess for hemolytic disease, not to monitor fetal well-being.

Choice C rationale:

A biophysical profile assesses multiple parameters of fetal well-being, including fetal heart rate, fetal movement, fetal breathing, amniotic fluid volume, and fetal tone.

Choice D rationale:

An alpha-fetoprotein test is a screening test for neural tube defects and chromosomal abnormalities but is not typically used to monitor fetal well-being in hypertensive pregnancies.

A. Ensure padded wrist restraints are in the client's room. B. Initiate IV access for the client. C. Administer lorazepam every 4 hr to sedate the client. D. Place an incontinence brief on the client

Correct Answer is B

Explanation

Choice A rationale:

Padded wrist restraints are not appropriate unless there's a clear clinical indication to prevent self-harm or injury.

Choice B rationale:

After a seizure, it's important to establish IV access for the client to administer medications, fluids, or other interventions if needed. Monitoring for possible postictal state, airway patency, and vital signs are also important components of care.

Choice C rationale:

Administering lorazepam every 4 hours is not a standard protocol for post-seizure management and could lead to excessive sedation.

Choice D rationale:

Placing an incontinence brief is not necessary unless there's a specific indication, and it doesn't directly relate to post-seizure care.

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A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?

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Naxlex Comprehensive Predictor Exams

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