A nurse is reinforcing education to the parents of a newborn who has Down syndrome. Which of the following actions should the nurse take?

Recommending early intervention services for developmental support within the first month after birth.

Suggesting the parents consider genetic testing to guide future reproductive decisions.

Encouraging the parents to research advancements in treatments for Down syndrome independently.

Providing the parents with a list of local pediatricians for well-child check-ups and vaccinations.

Answer and Explanation

The Correct Answer is A

A. Recommending early intervention services for developmental support within the first month after birth. Early intervention is critical for children with Down syndrome to support cognitive, motor, and social development. Services such as physical therapy, speech therapy, and occupational therapy should begin as soon as possible to maximize the child's developmental potential.

B. Suggesting the parents consider genetic testing to guide future reproductive decisions. While genetic counseling can be beneficial for family planning, this is not the immediate priority for parents who are just beginning to care for their newborn with Down syndrome. The focus should be on supporting the child's development and parental education.

C. Encouraging the parents to research advancements in treatments for Down syndrome independently. While learning about Down syndrome is important, parents should receive guidance from healthcare professionals and support organizations rather than being left to navigate information on their own. Providing credible resources is more appropriate.

D. Providing the parents with a list of local pediatricians for well-child check-ups and vaccinations. While pediatric follow-ups are necessary, Down syndrome care goes beyond standard well-child visits. A more comprehensive approach includes early intervention services, specialty care (e.g., cardiology, ENT), and developmental support.

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Correct Answer is B

Explanation

A. "Palliative care should be given separately from curative care." Palliative care can be provided alongside curative treatments to enhance comfort and quality of life. It is not limited to end-of-life care but focuses on symptom management and emotional support throughout the illness.

B. "Clinicians should participate in the discussion with the family about the child's prognosis." Open, honest, and compassionate communication between healthcare providers and families is crucial. Clinicians help families understand the prognosis, treatment options, and goals of care, ensuring informed decision-making.

C. "Parents who express hope of their child surviving are less accepting of palliative care." Parents can hope for a cure while still accepting palliative care to improve their child's comfort and quality of life. Hope and palliative care are not mutually exclusive.

D. "Palliative care should be offered once a child has less than 6 months to live." Palliative care is not limited to a specific timeframe. It can begin at diagnosis of a serious illness and continue throughout treatment, rather than being restricted to end-of-life care.

A. Application of scented lotions B. Frequent use of sunscreen C. Identification of triggers D. Use of topical corticosteroids E. Scrubbing of the affected area

Correct Answer is ["C","D"]

Explanation

A. Application of scented lotions. Scented lotions often contain fragrances and chemicals that can irritate the skin, worsening atopic dermatitis. Fragrance-free, hypoallergenic moisturizers should be used instead.

B. Frequent use of sunscreen. While sun protection is important, some sunscreens contain chemicals that may trigger irritation in children with atopic dermatitis. Mineral-based sunscreens (zinc oxide or titanium dioxide) are a better choice.

C. Identification of triggers. Common triggers include allergens (pollen, pet dander), irritants (soaps, detergents), weather changes, and certain foods. Identifying and avoiding triggers helps prevent flare-ups.

D. Use of topical corticosteroids. Low-to-moderate potency topical corticosteroids are the first-line treatment for controlling inflammation and reducing itching during flare-ups.

E. Scrubbing of the affected area. Scrubbing can damage the skin barrier, increase irritation, and worsen symptoms. Gentle cleansing with mild, fragrance-free cleansers is recommended instead.

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A nurse is reinforcing education to the parents of a newborn who has Down syndrome. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a newly hired nurse about the management of care for the terminal illness of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is ["C","D"]

Explanation

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