What characteristics are typical in a child diagnosed with Down syndrome? (Select all that apply)
Protruding tongue.
Outward slant to eyes.
Wide-spaced front teeth.
Curved, small fingers.
Simian creases.
Correct Answer : A,B,D,E
Choice A rationale
A protruding tongue is a common characteristic in children diagnosed with Down syndrome. This is due to hypotonia (low muscle tone) and a relatively small oral cavity.
Choice B rationale
An outward slant to the eyes, also known as upslanting palpebral fissures, is a common characteristic in children with Down syndrome.
Choice C rationale
Wide-spaced front teeth are not typically associated with Down syndrome. Dental anomalies in Down syndrome often include delayed eruption of teeth and missing or extra teeth.
Choice D rationale
Curved, small fingers are a common characteristic in children with Down syndrome. This is part of the typical hand morphology that may also include a single palmar crease.
Choice E rationale
Simian creases, also known as single palmar creases, are common in children with Down syndrome. This is a single crease that runs across the palm of the hand, instead of the usual three creases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Removing elbow restraints while the infant is sleeping is not a recommended intervention following cleft palate repair. Elbow restraints are used to prevent the infant from touching the surgical site and potentially causing injury or infection. Therefore, they should not be removed while the infant is sleeping.
Choice B rationale
Keeping the infant in a side-lying position is not a specific recommended intervention following cleft palate repair. The position of the infant following surgery will depend on various factors, including the infant’s comfort and the surgeon’s instructions.
Choice C rationale
Feeding the infant half-strength formula for the first 48 hours is not a specific recommended intervention following cleft palate repair. The infant’s feeding regimen following surgery will depend on various factors, including the infant’s age, weight, and overall health, as well as the surgeon’s instructions.
Choice D rationale
Administering pain medication PRN (as needed) for the first 48 hours is a recommended intervention following cleft palate repair. Pain management is an important part of postoperative care, and appropriate pain medication can help ensure the infant’s comfort and promote healing.
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Avoiding stimulation is not a necessary intervention for a newborn receiving phototherapy. Phototherapy is a treatment for jaundice where the exposure of skin to a light source converts unconjugated bilirubin molecules into water-soluble isomers that can be excreted by the usual pathways. There is no specific need to avoid stimulation during this treatment.
Choice B rationale
Decreasing fluid intake is not a recommended intervention for a newborn receiving phototherapy. In fact, adequate hydration is important during phototherapy to promote the excretion of bilirubin. Therefore, fluid intake should not be decreased.
Choice C rationale
Monitoring skin temperature closely is a necessary intervention for a newborn receiving phototherapy. The lights used in phototherapy can generate heat, so it’s important to monitor the baby’s temperature to prevent overheating.
Choice D rationale
Covering the newborn’s eyes with eye shields or patches is a necessary intervention during phototherapy. This is done to protect the baby’s eyes from the bright lights used in the treatment.
Choice E rationale
Repositioning the newborn every 2 hours is a necessary intervention during phototherapy. This helps to expose different areas of the baby’s skin to the light, which can improve the effectiveness of the treatment.
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