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A nurse is assessing a newborn who has Trisomy 21 (Down’s Syndrome). Which of the following are common characteristics? (Select all that apply.)

Transverse palmar creases

Muscular hypertonicity

Protruding tongue

Large ears

Low birth weight

Answer and Explanation

Correct Answer : A,C

The correct answers are A. Transverse palmar creases and C. Protruding tongue.

Choice A rationale:

Transverse palmar creases, also known as a single palmar crease, are a common characteristic of Down syndrome. This feature is present in many individuals with the condition.

Choice B rationale:

Muscular hypertonicity (increased muscle tone) is not typical in Down syndrome. Instead, individuals with Down syndrome often have hypotonia (decreased muscle tone).

Choice C rationale:

A protruding tongue is a common characteristic of Down syndrome. This is due to a combination of factors, including a small oral cavity and low muscle tone.

Choice D rationale:

Large ears are not a typical feature of Down syndrome. Individuals with Down syndrome often have small or unusually shaped ears.

Choice E rationale:

Low birth weight is not specifically associated with Down syndrome. While some infants with Down syndrome may have low birth weight, it is not a defining characteristic.

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Correct Answer is C

Explanation

Choice A rationale
While it’s important to report concerns to the primary care provider, this does not directly address the mother’s concern about her newborn’s crossed eyes.
Choice B rationale
Strabismus is a condition where the eyes do not properly align with each other, but it is not the same as the normal crossing of a newborn’s eyes.
Choice C rationale
This is the correct answer. Newborns often lack the muscle control to regulate eye movement, which can cause their eyes to cross.
Choice D rationale
Taking the baby to the nursery for further examination may be necessary if there are other concerns, but it does not directly address the mother’s concern about her newborn’s crossed eyes.

A. “It increases the fetal heart rate.”. B. “It promotes fetal lung maturity.”. C. “It is used to stop preterm labor contractions.”. D. “It halts cervical dilation.”.

Correct Answer is B

Explanation

Choice A rationale
Betamethasone does not typically increase the fetal heart rate14.
Choice B rationale
Betamethasone is often given to pregnant women who are at risk of preterm birth to promote fetal lung maturity. It helps speed up the development of the baby’s lungs and other organs14.
Choice C rationale

Betamethasone is not used to stop preterm labor contractions14.
Choice D rationale
Betamethasone does not halt cervical dilation14.

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A nurse is assessing a newborn who has Trisomy 21 (Down’s Syndrome). Which of the following are common characteristics? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a new mother who is worried about her newborn’s crossed eyes. Which of the following responses by the nurse would be therapeutic?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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