You are caring for a neonate who has Down syndrome. Which of the following orders would be most helpful to obtain from the pediatrician if the order has not already been written?
a. echocardiogram
b. magnetic resonance imaging (MRI) scan
c. electromyelogram
d. computed tomography (CAT) scan
A
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A Correct. An order for an echocardiogram should be obtained from the pediatrician if the order has not already been written. Congenital heart defects (especially septal defects) are common in children with DS. Early detection can vastly improve both the duration and the quality of the life of these children.
B Incorrect. An order for a magnetic resonance imaging (MRI) scan would not be justified in this situation.
C Incorrect. An order for an electromyelogram would not be justified in this situation.
D Incorrect. An order for a computed tomography (CAT) scan would not be justified in this situation.
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