HIGH RISK Fely Theresa L.

Loreno CAUSE/DESCRIPTION BSN- 3B(MT) CONDITIONS 2011 a chromosomal condition characterized TRISOMY 21 by the presence of an extra copy of genetic material on the 21st chromosome caused by the presence of all or part of an extra 21st chromosome. named after John Langdon Down, the British physician who described the syndrome in 1866. can be identified through chorionic villus sampling or amniocentesis during pregnancy, or in a baby at birth.

ASSESSMENT FINDINGS

DIAGNOSTIC TESTS Amniocentesis chorionic villus sampling (CVS) Both amniocentesis and CVS do carry a small risk of miscarriage.

MANAGEMENT6, August Treatment depends on the particular manifestations of the condition. Initial examination of newborns with DS Evaluation of the red reflex can help identify congenital cataracts. Movement of the eyes should be observed to identify strabismus. Plastic surgery can reduce the facial features associated with Down syndrome, therefore decreasing social stigma, and leading to a better quality of life. As children with DS grow, their progress should be plotted on a growth chart in order to detect deviations from expected growth.

May feel frustration and

anger. Down syndrome symptoms vary from person to person and can range from mild to severe. The head may be smaller than normal and abnormally shaped. The inner corner of the eyes may be rounded instead of pointed. Common physical signs include: Decreased muscle tone at birth Excess skin at the nape of the neck Flattened nose Separated joints between the bones of the skull (sutures) Single crease in the palm of the hand Small ears Small mouth Upward slanting eyes Wide, short hands with short fingers White spots on the colored part of the eye (Brushfield spots) Physical development is often slower than normal. Never reach their average adult height. Children may also have delayed mental and social development. Common problems may include: Impulsive behavior Poor judgment Short attention span