Developmental milestone achievement has been delayed

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AP is a 7-year-old boy diagnosed with Down syndrome. His developmental milestone achievement has been delayed. He suffers from hypotonia, excessive joint flexibility, and experiences difficulty learning new things. Past Medical History He has an extensive history of medical intervention, which has led to issues with anxiety and trauma that have further impacted his learning and participation. Family History He is the second-born child to a 41-year-old mother. Social History AP refuses to take part in activities and responds poorly to too many expectations. Objective Data His body is small compared with an average 7-year-old child. Microcephalic He has a small mouth with a protruding tongue and missing teeth. Excessive skin noticeable at the nape of the neck Karyotype shows an extra copy of chromosome 21: How would you counsel the parents of a child with Down syndrome?

Reference no: EM133831564

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