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The clinic nurse talks with the parent of a child with Down syndrome. The parent states, "I thought my 1-year-old would be walking by now. I am concerned." What response by the nurse is best?

"Milestones are often delayed for children with Down Syndrome."

"We should ask a physical therapist to address your concern."

"How many other children do you and your husband have?"

"How old was your child when he or she first begin to smile?"

Answer and Explanation

The Correct Answer is A

A. Children with Down syndrome often experience developmental delays, and explaining this helps reassure the parent.

B. While a physical therapist may be helpful, the nurse should first address the parent's concerns with information.

C. Asking about siblings does not address the parent's specific concern.

D. Asking about other milestones may shift focus away from the parent's immediate worry.

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Correct Answer is C

Explanation

A. Feeding with a sippy cup is appropriate for a 12-month-old child.

B. Taking steps is developmentally typical for this age.

C. A 12-month-old should be able to sit independently. Needing support for sitting may indicate a delay in neuromuscular development.

D. Using a pincer grasp is expected at this age and reflects normal fine motor development.

A. Apply a eutectic mixture of lidocaine and prilocaine cream topically 10 minutes prior to the procedure. B. Position the infant's chin flexed to their chest and knees flexed to their abdomen during the procedure. C. Keep the infant NPO for 6 hr prior the procedure. D. Place the infant in an infant seat for 2 hr following the procedure.

Correct Answer is B

Explanation

A. Applying lidocaine/prilocaine cream 10 minutes prior would not be sufficient; it generally requires 30–60 minutes to be effective.

B. Flexing the chin to the chest and knees to the abdomen is the correct positioning for an infant during a lumbar puncture.

C. Keeping an infant NPO for 6 hours is unnecessary before a lumbar puncture.

D. Placing the infant in an infant seat post-procedure is not required; flat positioning is generally advised.

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The clinic nurse talks with the parent of a child with Down syndrome. The parent states, "I thought my 1-year-old would be walking by now. I am concerned." What response by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding will cause the nurse to refer a 12-month-old child for further neuromuscular testing?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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