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Down Syndrome is caused by which additional chromosome?

A.

20

B.

21

C.

22

D.

19

Answer and Explanation

The Correct Answer is B

A. 20. Trisomy 20 is not associated with Down syndrome.

 

B. 21. Down syndrome results from an extra copy of chromosome 21, called Trisomy 21.

 

C. 22. Trisomy 22 leads to other syndromes but not Down syndrome.

 

D. 19. Trisomy 19 is incompatible with life and does not cause Down syndrome.


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Correct Answer is A

Explanation

A. Move the child into a side-lying position: This is the priority action to maintain an open airway, promote drainage of vomit, and reduce the risk of aspiration.

B. Remove the child's eyeglasses: While helpful to prevent injury, it is not the priority action during an active seizure.

C. Time the seizure: Timing is important to assess the duration and severity of the seizure, but it does not address immediate safety concerns like aspiration.

D. Place a pillow under the child's head: While this may prevent head injury, repositioning to a side-lying position to prevent aspiration is more critical.

Correct Answer is B

Explanation

A. Apply oxygen by nasal cannula: Applying oxygen can be beneficial but is not the immediate priority during an active seizure. Protecting the airway comes first.

B. Turn the client to a lateral position: This action prevents aspiration by keeping the airway clear if the client vomits or has excessive secretions.

C. Administer an anticonvulsant medication: Medications may be necessary later, but immediate safety and airway protection take precedence.

D. Check the client’s oxygen saturation: Monitoring oxygen saturation is important but should follow positioning to ensure airway protection.

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