32. A 43-year-old client delivers a neonate with Down syndrome at 37 weeks' gestation. A nurse performs a routine assessment on the neonate. Which finding should the nurse report immediately to a physician?
32. A 43-year-old client delivers a neonate with Down syndrome at 37 weeks' gestation. A nurse performs a routine assessment on the neonate. Which finding should the nurse report immediately to a physician?
Test-Taking Tip
Restate the question: Which option is not a normal finding in Down syndrome? Any cyanosis, other than acrocyanosis, should be reported immediately to the physician.
Content Area: Child Health, Newborn; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
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Answer 1 is incorrect because a simian crease is a normal finding in a neonate with Down syndrome, and does not need to be reported to the physician. Answer 2 is incorrect because brachycephaly is a normal finding in a neonate with Down syndrome, and does not need to be reported to the physician. Answer 3 is correct because cyanosis after feeding may be indicative of a heart defect. Since heart defects are common in neonates with Down syndrome, it needs to be reported immediately to the physician. Answer 4 is incorrect because hypotonicity is a normal finding in a neonate with Down syndrome, and does not need to be reported to the physician.
