A nurse is assessing a child who has a large head, an elongated face, and prominent ears. Which discharge instruction is most important?
A.
"Create a family pedigree so I can assess for Down syndrome."
B.
"Please make an appointment with a pediatric cardiologist."
C.
"We will call you regarding a referral for genetic testing."
D.
"You will need to abstain from alcohol in your next pregnancy."
ANS: C
This child has manifestations of fragile X syndrome. The family needs to have genetic testing done for this inherited condition. The other instructions are not necessary.
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