Ch. 29: Down Syndrome Flashcards Preview

ATI Pediatrics-MJ > Ch. 29: Down Syndrome > Flashcards

Flashcards in Ch. 29: Down Syndrome Deck (27):
1

What kind of abnormality is down syndrome?

Chromosomal abnormality

2

What is a risk factor for down syndrome?

Maternal age greater than 35

3

How is their head?

-Separated sagittal suture
-Enlarged anterior fontanel
-Small round head
-Flattened forehead

4

How are their eyes?

Upward, outward slant to eyes

5

How is their nose?

Small nose with depressed nasal bridge

6

How are their ears?

Small ears with short pinna

7

How is their mouth?

-High arched narrow palate
-Protruding tonuge

8

How is their neck?

Short, broad neck

9

How is their rib cage?

Shortened rib cage

10

Any heart problems?

Possible congenital heart defect

11

How is abdomen?

Protruding

12

How are feet and hands?

Broad, short feet and hands with stubby toes and fingers

13

Down syndrome children have a _____ palmar crease

Transverse palmar crease with a large space between big and second toes with plantar crease

14

How is their stature?

Short

15

What kind of flexibility?

Hyperflexibility and hypotonia

16

How can DS be tested in prenatal?

Testing for alpha-fetoprotein in maternal serum

17

How can DS be tested in an infant?

Chromosome analysis and echocardiography

18

What kind of surgical interventions can we give a pt with DS?

Depends on the associated congenital anomalies--this may include cardia defects or strabismus

19

Nursing care and ongoing care: we do what and teach parents what?

Manage secretions and prevention of URI---teach fam how to aspirate nasal secretions, rinse mouth after feedings, and use a cool mist in the room to assist moistening secretions

20

Can we do postural drainage with percussion on a DS child?

Yes, we need to teach parents pulmonary hygiene by performing postural drainage with percussion

21

What do we teach parents about the DS childs tongue?

Teach feeding strategies to accommodate for the protruding tongue

22

What kind of diet should we give for DS child?

High fiber and fluid to prevent constopation

Monitor calorie intake to prevent obesity

23

How do we monitor weight and height?

Plotting growth on DS growth chartt

24

What should be evaluated frequently in DS child?

Eyesight and hearing---also provide frequent thyroid functioning tests

25

What is atlantoaxial instability?

Something we assess for---it is neck pain, weakness, and torticollis

26

What is a complication of DS?

Respiratory infections are COMMON due to decreased muscle tone and poor drainage of mucose because of HYPOTONICITY associated with underdeveloped nasal bone

27

A nurse is teaching a group of parents about possible manifestation of DS. Which of the following should she include in the teaching? (SATA)

A. A large head with bulging fontanelles
B. Larger ears that are set back
C. Protruding abdomen
D. Broad, short feet and hands
E. Hypotonia

C, D, E