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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Awakening the client frequently throughout the day is not necessary and can disturb their rest and comfort.
Choice B rationale:
Using an electric blanket can increase the risk of burns or overheating in a client who is approaching death and may have reduced ability to regulate body temperature.
Choice C rationale:
Positioning the client on their side with the head of the bed elevated can facilitate drainage of respiratory secretions, maintain airway patency, and provide comfort.
Choice D rationale:
Encouraging the client to eat soft foods intermittently may not be relevant, as the client's ability to eat and swallow may be limited in the end stages of life.
Correct Answer is ["0816"]
Explanation
To calculate the estimated date of delivery using Nägele's rule, follow these steps:
-Add 7 days to the first day of the last menstrual period. In this case, November 9 + 7 days = November 16.
- Subtract 3 months from the month of the last menstrual period. In this case, November - 3 months = August.
The estimated date of delivery is August 16
The rationale for this rule assumes that the average menstrual cycle is 28 days long and that ovulation occurs on day 14 of the cycle. Therefore, adding 7 days to the first day of the last menstrual period approximates the date of conception. Subtracting 3 months from the month of the last menstrual period adjusts for the difference between the lunar calendar (13 months) and the Gregorian calendar (12 months).
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