72. A nurse is performing discharge teaching with the parents of a newborn diagnosed with Down syndrome. Which statements by the parents should indicate to the nurse that teaching has been effective? Select all that apply.
. "We are having a big welcome home party for the baby tomorrow."
. "We should pay close attention to any cold-like symptoms."
. "Our child will reach developmental milestones about 2 years after peers."
. "An appointment with an audiologist is important."
Test-Taking Tip
Select the answers that are correct; eliminate the answers that are not correct.
Content Area: Child Health, Neurological; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
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Answer 1 is incorrect because this statement indicates teaching has not been effective, since the parents have failed to understand that the infant is at high risk for infection. Answer 2 is correct because the child with Down syndrome is at increased risk for respiratory infection. Answer 3 is incorrect because this statement indicates teaching has not been effective, since children with Down syndrome may never reach some developmental milestones as a result of mental retardation. Answer 4 is correct because hearing deficits are common in children with Down syndrome. Answer 5 is correct because these children are at increased risk for aspiration and should be positioned to prevent this complication related to oral feedings.