Malignancies are common in children with downs

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26. Malignancies are common in children with Downs syndrome. The incidence is 18 times that of the general population for developing: 1. Colon cancer.2. Leukemia.3. Pancreatic cancer.4. Bladder cancer.ANS: 2 27. Downs syndrome children often have instability of the neck at the first and second cervical vertebrae. As a nurse, you explain to the caregiver that he/she should look for signs and symptoms of spinal cord changes, such as:
4. None of the above. ANS: 3 28. An 18monthold child with no previous history of otitis media awoke during thenight with right ear pain. The primary care pediatric nurse practitioner notes an axillarytemperature of 100.5°F and an erythematous, bulging tympanic membrane. A tympanogramreveals of peak of +150 mm H2O. What is the recommended treatment for this child? 29. A 7monthold infant has had two prior acute ear infections and is currently on the 10th day of therapy with amoxicillin clavulanate after a failed course of amoxicillin. The primary care pediatric nurse practitioner notes marked middle ear effusion and erythema of the TM. The child is irritable and has a temperature of 99.8°F. What is the next step in management of this child’s ear infection? 30. A 3yearold child with pressure equalizing tubes (PET) in both ears has otalgia in one ear. Theprimary care pediatric nurse practitioner is able to visualize the tube and does not see exudate in the ear canal and obtains a type A tympanogram. What will the nurse practitioner do? A. Order ototopical antibiotic/corticosteroid drops. CorrectB. Prescribe a prophylactic antibiotic medication.C. Reassure the parent that this is a normal exam.D. Refer the child to an otolaryngologist for follow up 31. What will the primary care pediatric nurse practitioner teach the parents of a child who has new pressure equalizing tubes (PET) in both ears?

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