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A nurse is reinforcing teaching with the parents of a 1-week-old infant who has Down syndrome. Which of the following statements should t nurse include?

A.

"Your baby has an increased risk for a heart defect."

B.

"Expect your baby to need factor replacement therapy every month."

C.

"Expect your baby to grow in height more rapidly than weight."

D.

"Your baby should have no issues with eyesight."

Answer and Explanation

The Correct Answer is A

A. "Your baby has an increased risk for a heart defect.": Infants with Down syndrome have a significantly higher risk for congenital heart defects, such as atrioventricular septal defects (AVSD) and ventricular septal defects (VSD). It is important for the parents to be aware of this risk and have the infant screened by a cardiologist.
B. "Expect your baby to need factor replacement therapy every month.": Factor replacement therapy is typically associated with hemophilia, not Down syndrome. Down syndrome is a genetic condition that affects development, but it is not clotting disorders.
C. "Expect your baby to grow in height more rapidly than weight.": Infants with Down syndrome often experience growth delays, but there is no specific expectation that height will outpace weight.
D. "Your baby should have no issues with eyesight.": Children with Down syndrome are at higher risk for vision problems, including strabismus, refractive errors, and cataracts. Regular eye exams are important for early detection and management of these issues.


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Related Questions

Correct Answer is A

Explanation

A. "Your baby has an increased risk for a heart defect.": Infants with Down syndrome have a significantly higher risk for congenital heart defects, such as atrioventricular septal defects (AVSD) and ventricular septal defects (VSD). It is important for the parents to be aware of this risk and have the infant screened by a cardiologist.
B. "Expect your baby to need factor replacement therapy every month.": Factor replacement therapy is typically associated with hemophilia, not Down syndrome. Down syndrome is a genetic condition that affects development, but it is not clotting disorders.
C. "Expect your baby to grow in height more rapidly than weight.": Infants with Down syndrome often experience growth delays, but there is no specific expectation that height will outpace weight.
D. "Your baby should have no issues with eyesight.": Children with Down syndrome are at higher risk for vision problems, including strabismus, refractive errors, and cataracts. Regular eye exams are important for early detection and management of these issues.

Correct Answer is D

Explanation

A. Position the child sitting with their buttocks at the edge of the table: This position is not appropriate for bone marrow aspiration. It does not provide adequate access to the iliac crest, which is the common site for bone marrow collection in children.
B. Position the child side-lying to expose the vertebrae: The vertebrae are not typically used for bone marrow aspiration. The iliac crest (the top of the hip bone) is the preferred site, and side-lying does not expose this area appropriately for the procedure.
C. Place the child supine with legs flexed outward into a frog-like position: This position is commonly used for procedures such as abdominal or pelvic examinations but does not provide the best access for bone marrow aspiration from the iliac crest.
D. Place the child in prone position to expose the posterior iliac crest: The prone position with the back exposed allows the posterior iliac crest to be properly accessed for bone marrow aspiration. This is the correct position for the procedure in children.

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