The nurse is assessing a child with Down syndrome. Which illness should the nurse monitor for due to the increased risk for children with Down syndrome?

1. Rheumatic heart disease
2. Glomerulonephritis
3. Leukemia
4. Hepatitis


3
Explanation:
1. Heart defects might be seen with Down syndrome, but not rheumatic heart disease, which is associated with group A beta-hemolytic streptococcus infection.
2. Glomerulonephritis is not seen in association with Down syndrome.
3. Children with Down syndrome have a significantly higher than average risk of developing leukemia.
4. Hepatitis is not associated with Down syndrome.

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