Week 7 Key Points Ppt Flashcards
Down syndrome findings
Small round head,
Flatten forehead,
Upward, outward slant to eyes,
Protruding tongue
Incurving fifth finger (clinodactyly)
Transverse Palmer crease
Down syndrome nursing interventions
Assist parents with feeding difficulties,
Assess developmental progress at regular intervals ( check developmental milestones)
Swaddle the infant to prevent heat loss due to limp extended body position
What kind of infection is common with down syndrome children?
Respiratory infections are common due to decreased muscle tone and impaired drainage of mucus.
To assist: Rinse child’s mouth out after feeding and PRN to prevent drying
-provide coolmist humidification to moisten secretions
-Clear nasal passages with bulb syringe as needed
Autism spectrum disorder
Complex neurodevelopmental disorder with a spectrum of behaviors affecting an individuals ability to communicate and interact with others in a social setting
Autism expected findings
Delays in social interaction, social communication, and imaginative play prior to three years of age
Distress when ones routines are changed
Unusual attachment to objects
Inability to start or continue conversations
Using gestures instead of words
Delayed or absent language
Withdrawn moods and lack of empathy
Avoiding eye contact 
Echolalia
Repeating what they hear
(Autistic children)
Autism nursing interventions
Introduce child to new situations or routine slowly
Monitor for behavioral changes
Set clear rules and realistic goals
Medication’s for autism
SSRIs can help decrease aggression
Antipsychotics and melatonin can help with insomnia
- Aripiprazole
-Risperidone 
Alternative medicine for autism
Parent massage,
Therapeutic horseback riding,
Implementation of elimination diets
Meningocele findings
Sac contains spinal fluid and meninges
 increases risk for infection if it ruptures
Typically no neurological defects
Myelomeningocele (Most common)
The sack contain spinal fluid, meninges, and nerves
Failure of the NT to close causes decrease motor and sensory function
Neural tube defects expected findings
Family history of neural tube defects
- Take 4 mg of Folic acid before conception and during the first trimester
Neural tube defects/myelomeningocele nursing interventions
Assess head circumference and fontanelles
Assess the sack and initiate measures to prevent infection
Protect the sacrum injury and place the newborn in prone position (do not put diaper over the defect)
Apply a sterile, moist, nonadhering dressing with 0.9% normal saline on the sack and change every two hours
Having a neural tube defect/myelomeningocele increases the risk for what?
Risk for development of hydrocephalus
Client education for neural tube defect/myelomeningocele allergies
Education on increased risk for latex allergy
-Linked to bananas, Kiwi, avocados
-Itching, wheezing, which can progress to anaphylaxis
-Allergy testing
- Avoid exposure to latex (like balloons)
Demonstrate bladder catheterization
