A nurse is caring for an 8-month - old child with a known dysmorphic syndrome and congenital anomalies. The nurse recognizes that the child is at risk for which of the following?

Frequent hospitalizations.

Weight loss.

Cognitive impairment

Dependence on caregivers.

Answer and Explanation

The Correct Answer is A

A.   Children with dysmorphic syndromes and congenital anomalies often have multiple medical needs that require frequent hospitalizations for treatment or monitoring.
B.   Weight loss is not necessarily a primary concern unless there is a feeding issue or metabolic disorder.
C.   Cognitive impairment may be a concern depending on the specific syndrome, but it is not as immediate a concern as potential frequent hospitalizations.
D.   Dependence on caregivers is expected, but the primary concern is frequent medical interventions, not the dependency itself.

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Correct Answer is B

Explanation

A. Trisomy 21, or Down syndrome, typically presents with features like intellectual disability, a flat facial profile, upward slanting eyes, and a small mouth. The elongated facial structure and ear protrusion are not characteristic of this condition.
B. Fragile X syndrome is associated with developmental delays, autistic behaviors, and distinct physical features such as a long face, large ears, and a prominent jaw. These characteristics are consistent with the child’s presentation.
C. Turner’s syndrome primarily affects females and is characterized by short stature, webbed neck, and gonadal dysgenesis, but it does not typically involve autistic behaviors or elongated facial features.
D. Williams syndrome involves a distinct set of features including a broad forehead, short nose, and full lips. It is not primarily associated with elongated facial features and ear protrusion.

A. Sleeping through the night without waking up, B. Lack of eye contact or social interaction. C. Pointing to body parts when asked. D. Drinking from a sippy cup.

Correct Answer is B

Explanation

A. Sleeping through the night without waking up is normal for a 15-month-old and indicates a healthy sleep pattern.
B. Lack of eye contact or social interaction is a concern as it may indicate developmental delays or social- emotional issues. Toddlers typically engage in social behaviors like eye contact and playing with others.
C. Pointing to body parts when asked is a positive developmental milestone and indicates appropriate cognitive development for a 15-month-old.
D. Drinking from a sippy cup is a typical developmental skill for a 15-month-old, indicating progress in motor skills and self-feeding.

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A nurse is caring for an 8-month - old child with a known dysmorphic syndrome and congenital anomalies. The nurse recognizes that the child is at risk for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?

Correct Answer is B

Explanation

A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider as a concern?

Correct Answer is B

Explanation

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