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Case Studies, Chapter 49, Nursing Care of the Child with an Alteration in Genetics
1. Gwen Carter, 12 years old, is admitted to the pediatric unit of the hospital with a renal infection. Gwen was diagnosed with trisomy 21 at birth. (Learning Objectives 1 and 2)
a. What information would be important to include in the health history?
b. Aside from the nursing interventions focused on her renal infection, discuss nursing management important when caring for a child with Down syndrome.
2. Judy Kirk is a 14-month-old active child who has been brought to the clinic by her parents because of repeated ear infections. While weighing and measuring Judy the nurse notes seven café-au-lait spots on her trunk and lower extremities. (Learning Objectives 1 and 5)
1. What other physical assessments would the nurse perform on Judy?
2. What should be included in a teaching plan for Judy and her family?
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